Shin Splints

Shin splints is the general name given to pain at the front of the lower leg (also known as Medial Tibial Stress Syndrome).

Shin splints is not an actual diagnosis but rather a description of symptoms in the lower leg.

There are number of causes of these symptoms, the most common of which, is inflammation of the periosteum of the tibia. (Periosteum is the sheath surrounding the bone).

When the muscles that insert along the tibia (shin bone) become tight they cause a pulling force on the periosteum. This results in inflammation and can eventually lead to a stress fracture.

Symptoms of Shin Splints include

  • Tenderness over the inside of the shin.
  • Lower leg pain
  • Lumps and bumps over the bone
  • Pain when the toes or foot are bent downwards
  • Swelling around the lower limb
  • Redness over the inside of the shin

Causes Of Shin Splints

Shin splints can be caused by a number of factors and it is often found that there is more than one of these working in combination which results in shin symptoms.

These factors include:

Overuse – exercising too hard, or trying to exercise beyond your current level of fitness, can strain muscles, tendons, bones and joints. This can lead to chronic exertional compartment syndrome. Overuse is one of the most common causes of shin splints.

Technique – poor running form, such as ‘rolling’ the feet inwards (pronation) or flat feet, can place extra strain the muscles and tendons.

High impact – the impact of running on uneven or hard surfaces can injure the shin muscles and tendons. The repetitive action of running long distances on the road or training involving rapid change in direction on hard courts are common causes of shin splints.

Running shoes – wearing the wrong type of shoe for your body while running can contribute to shin splints.

Tips For Managing Shin Splints

  • Rest. The sooner you rest the sooner it will heal
  • Apply ice in the early stages when it is very painful
  • Cold therapy reduces pain and inflammation
  • Wear supportive footwear
  • Maintain fitness with non- weight bearing exercises such as cycling or swimming
  • Strengthen your calf muscles

Shin Splint Treatments

  • Assessment of muscle imbalances in the lower leg and foot
  • Soft tissue massage to the lower leg muscles, and often the gluteals and upper limb as well
  • Dry Needling
  • Prescription of flexibility and strengthening exercises
  • Appropriate referral if symptoms persist