Shin splints are a common complaint of runners, athletes who have just taken up running and athletes who are new to increased activity. Shin splints is a term used to cover all pain in the anterior shin area but where there are several possible causes.
Medial tibial pain syndrome, the most common cause of shin pain, refers to pain felt over the shin bone from irritation of the tendons that cover the shin and their attachment to the bones. Changes in duration, frequency or intensity of running or activity can lead to this condition.
When the muscle and tendon become inflamed and irritated from overuse or improper exercise form, it will cause pain in the front of the shin. Repetitive pounding on the lower leg, such as running and high intense activities, can also lead to pain in the shin.
Repetitive stress on the tibialis anterior muscle leading to inflammation at its bony attachment to the tibia. Repetitive impact forces on the tibia, as with running and jumping.
Dull, aching pain is felt over the inside of the tibia which is worse with activity., with tenderness over the inner side of the tibia, with possible slight swelling.
If left unattended, shin splints can cause extreme pain and cause cessation of running activities. The inflammation can lead to other injuries including compartment syndrome.
Rest, ice, compression and elevation are initial treatments, with anti-inflammatory medication. Followed with heat application and massage to promote blood flow and healing.
It is important to use low impact activities, such as swimming or cycling, to maintain conditioning levels while recovering. Stretching the tibialis anterior will aid recovery. To prevent this condition from developing, try alternating high impact activity days with lower impact days. It is also important to strengthen the muscles of the lower leg to help absorb the shock of high impact activities.
Medial tibial pain syndrome can be effectively treated with no long-term effects. Only in rare cases does the condition fail to respond to rest and rehabilitation, leading to chronic inflammation and pain. Surgery may be required in those rare cases.
*Disclaimer
Our therapists provide injury treatment, advice, prevention, and rehabilitation exercises through sports massage, deep tissue massage, exercise programming and physiotherapy.
We provide educational content for informational purposes only. Aways seek a medical professionals care and advice regarding injuries.