Medically know as Medial Tibial Stress Syndrome (MTSS), shin
splints are an overuse injury of the lower leg, which causes pain and
inflammation along the tibial bone in the shin, as a result of small tears in
the muscles attaching to the shin bone.
Causes
Shin splints are most commonly related to running
activities. A change in running surface, speed, distance, technique, stretching
or footwear may contribute to the development of pain.
Signs and Symptoms
·
Dull pain which occurs along the shin bone
(tibia) at any stage during physical activity
·
Pain may occasionally be sharp and penetrating
·
Pain is usually relieved with rest, but can
recur hours after physical activity has stopped
·
In beginners, pain may be caused by doing too
much too quickly
·
In more experienced runners, pain may be caused
by mechanical abnormalities in the runner’s technique
·
Pain is aggravated by actively pointing the toes
Treatment
·
Rest is essential to relieve pain – at least 5-7
days
·
Ice, compression, elevation and non-steroidal
anti-inflammatory drugs may be useful to relieve acute symptoms of pain and
inflammation
·
See a physician to rule out any other
conditions, such as a stress fracture or compartment syndrome
·
Re-evaluate any contributing factors, such as
running surface and footwear
·
See a podiatrist to assess any foot
abnormalities
·
See a biokineticist to assess your running
technique and correct any weaknesses contributing to the problem – appropriate
stretching and strengthening exercises for the lower leg will probably need to
be done
References
Foundations of Athletic Training: Prevention, Assessment and
Management.
