Do you get Shin Splints?

In this post, our very own Physiotherapist Chris Holt explains more about this common condition, including how physiotherapy can help.

What are “Shin Splints”? 

Shin splints (or medial tibial stress syndrome) is exercise induced pain in the front and inside parts of the lower legs. It is common in athletes performing repetitive impact exercises such as running or jumping in dance. 

What causes it? 

It is an overuse injury that impacts the tibia bones in the lower leg. Due to excessive bone stress (eg. from repetitive jumping) and decreased rest periods, the bone starts to sustain small injuries. Normally the bone can quickly repair these and adapt to these high stresses; however, in medial tibial stress syndrome the bone is unable to fully repair itself and this leads to micro-damage to the area. Surrounding connective tissue near the bone can also become inflamed at the same time. 

How is it treated? 

Initially, a full clinical history and examination is completed to ensure your symptoms are best explained by this condition. Sometimes imaging may be indicated to gather further information or to ensure another type of bone injury has not occurred. Typically, a progressive lower body strengthening program is prescribed to better the body to absorb these stresses. We will also spend time educating and helping you figure out an appropriate amount of activity to ensure the pain stays within a minimal to moderate range. 

How can it be prevented? 

Although we cannot fully prevent this injury, addressing things early is very important if this type of pain starts to occur. It is important to take rest periods between runs or repetitive jumping training to allow the bone to fully recover. It is also important to gradually and progressively increase the intensity of activities (especially after a long break from activities/training). There are also a number of risk factors such as foot weakness and/or decreased balance that can be addressed to help reduce risk of this injury.