October 20, 2024

Shin splints

Why does my shin hurt? How do I protect my shins? Learn the answer to these questions here !

Shin splints

Shin splints, medically known as medial tibial stress syndrome, refer to pain along the shinbone (tibia), which is the large bone in the front of your lower leg. This condition is particularly prevalent among athletes, especially runners, dancers, and military recruits who engage in high-impact activities. Shin splints often occur after a sudden increase in physical activity or a change in training routines, leading to inflammation of the muscles, tendons, and bone tissue surrounding the shin. 

Anatomy

To understand shin splints, it’s essential to recognise the anatomy of the lower leg. The tibia, or shinbone, runs from the knee to the ankle and is the primary weight-bearing bone of the lower leg. It is surrounded by various muscles, including the gastrocnemius, soleus, and tibialis anterior. These muscles work together to facilitate movement and absorb shock during activities like running or jumping. The connective tissues, including tendons and ligaments, attach these muscles to the tibia, allowing for coordinated movement. When these structures are overworked or subjected to stress, they can become inflamed, leading to the pain associated with shin splints.

Symptoms

The symptoms of shin splints typically manifest as:

  • Pain along the inner side of the shinbone: This pain can range from mild discomfort to sharp, debilitating pain that may interfere with daily activities.
  • Tenderness and soreness: Patients often report tenderness when touching the affected area.
  • Mild swelling: Some individuals may notice swelling around the lower leg.
  • Pain during exercise: Initially, the pain may subside with rest, but as the condition worsens, it can become persistent and might even affect mobility.

If you experience any of these symptoms, it’s crucial to address them early to prevent further complications.

Causes

Several factors contribute to the development of shin splints:

  1. Overuse: Engaging in high-impact activities without proper conditioning can overload the shinbone and surrounding tissues.
  2. Sudden increases in exercise: A rapid change in the intensity or duration of physical activity can lead to shin splints.
  3. Improper footwear: Wearing shoes that lack adequate support or cushioning can contribute to shin splint pain.
  4. Running on hard or uneven surfaces: Activities on surfaces like concrete or uneven terrain can exacerbate the stress on the shins.
  5. Biomechanical issues: Conditions like flat feet or high arches can lead to abnormal movement patterns, increasing the risk of shin splints.

Treatment

If you suspect you have shin splints, it's essential to seek professional help. A physiotherapist can provide a tailored treatment plan to alleviate pain and promote healing. Here are some common treatment strategies:

  • Rest: Giving your body time to heal is crucial. Reducing or avoiding activities that cause pain will allow inflammation to subside.
  • Ice therapy: Applying ice packs to the affected area can help reduce swelling and relieve pain. Aim for 15-20 minutes of icing several times a day.
  • Pain relief medication: Over-the-counter anti-inflammatory medications, such as ibuprofen or naproxen, can provide temporary relief.
  • Physical therapy: A physiotherapist can guide you through specific exercises designed to strengthen the muscles around your shin, improve flexibility, and correct any biomechanical issues. Techniques such as manual therapy, ultrasound, or taping may also be employed.
  • Footwear assessment: A physiotherapist can evaluate your shoes and recommend appropriate footwear or orthotics to provide better support and cushioning.

Conclusion

Shin splints can significantly impact your daily life and athletic performance, but they are manageable with the right approach. If you’re experiencing symptoms, don’t hesitate to consult a physiotherapist who specialises in sports injuries. They can provide personalised assessments and treatment plans to help you recover effectively and prevent future occurrences. Remember, early intervention is key to a quick recovery and getting back to the activities you love. Taking proactive steps today can lead to a healthier, more active tomorrow. You can contact Ground Up Physio or book online to start your recovery journey.