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SHIN SPLINTS

Shin splints are an inflammation of the muscle attachments and interosseous membranes to the tibia (shin bone) on the inside of the front of the lower leg.   It is a very common running injury as well as in sports played on hard surfaces such as basketball, volleyball, tennis, etc.

Other names or similar foot conditions:

  • Periostitis

Symptoms:

  • Pain or tenderness along the inside of the shin, usually about halfway down the shin. Pain and tenderness may extend to the knee
  • Pain on palpation of the shin
  • Pain is most severe at the start of a run, but may disappear during a run, as the muscles loosen up. (This is different from a stress fracture where there is pain during weight bearing activities)

Signs to look for:

  • Pain on palpation of the shin
  • No symptoms except when engaging in running or other intense weight bearing activity

Possible Causes:

  • Inflexible calf muscles and tight Achilles tendons
  • Overpronation (feet rotate too far inward on impact)
  • Excessive running on hard surfaces, such as concrete pavements
  • Incorrect or worn shoes
  • Overtraining, or a rapid increase in training load or intensity

Goals:

  • Align feet, ankles, knees and hips
  • Regular stretching of leg muscles
  • Moderate shock on feet and legs while running
  • For overpronating foot, running shoes made with extra medial support

Solutions:

Arch Supports:

  • Bio-Orthotics Winstep or Sundance exercising support with metatarsal lift

  • Lower and thinner arch support with longitudinal and metatarsal support, such as the Bio-Orthotics Journey or Silhouette, for use when shoes cannot accommodate the Winstep or Sundance exercising support

Shoes:
  • Extra depth shoes with firm heel counter and shank connecting heel to forefoot of shoe

  • MBT physiological footwear

  • For exercising, wear shoes with titanium springs

  • If running for exercise, shoes with firm heel counter and with the runner’s personal stride component in the shoe

Activities:

  • Avoid exercising on hard, unforgiving surfaces until arch support and shoes obtained

  • Regular stretching program before and after exercise

  • Rotate weight bearing exercises, such as walking or jogging, with non-weight bearing exercising, such as swimming or bicycling

This information does not constitute a diagnosis of your condition and does not take the place of a doctor’s care.  The information has been compiled from sources available to the general public and referenced below. 

Sources  Image:  D. Denlinger, A New Foot Health Solution  Text: Time-to-run.com, nismat.org

 



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