Shin Splints

Shin splints is a general term for pain along the shin and lower leg. There are two types of “shin splints,” anterior and posterior. The most common is posterior, which is technically referred to as medial tibial stress syndrome (MTSS).  MTSS is an inflammation of the tibialis posterior muscle that runs along the inside of the shin. Anterior shin splints are an inflammation of the tibialis anterior muscle which runs along the front and outside of the shin.

 With both types of shin splints, a dull, diffuse pain is typically felt during or after a run. Many new runners will experience shin splints as they start to run, but this pain should go away after their body gets used to the stresses of running after a few days. If the pain does not go away or becomes more constant or sharp, it is possible that shin splints can develop into a stress fracture. There are many ways to prevent shin splints from progressing and it is important to seek advice early rather than let the pain get worse.

Causes

Improper progression of training
Change in running surface
Flat arches or overpronation during walking / running (posterior shin splints)
Improper footwear
Running in old shoes that are past their life

Treatment

Rest/cross training to allow the inflammation to go down
Ice
Stretching of the calf & hamstring muscles
Strengthening of the lower leg muscles
Proper footwear
Arch support through use of an insert
Use of a compression sleeve during activity
Proper progression of running
KT Tape
In severe or chronic cases, custom orthotics are indicated
Foam Roller