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Leg Shins
Shin Splints (Medial
Tibial Stress Syndrome)
Medical Definition: Inflammation of
the soft tissue on the inside, front portion of the tibia
(shin).
Causes:
Excessive running and overpronation are two common causes of Medial Tibia
Stress Syndrome because of the stress they cause to the medial structures of
thelower leg. This stress may cause microtears in the soft tissue attached to
the tibia. Muscle weakness, non supportive shoes, running on hard surfaces, and
overtraining can all be contributing factors.
Symptoms: Tenderness
extending along a vertical distance on the medial(inside), lower half of the
tibia. Although Medial Tibia Stress Syndrome is the most popular form of shin
splints, Anterior Shin Splints is not uncommon. Anterior Shin Splints cause a
vertical line of tenderness along the anterior (front) of the tibia. Medial and
Anterior Shin Splints are not to be confused with Anterior Compartment Syndrome
or stress fractures. Anterior Compartment Syndrome is muscle swelling which
applies abnormal pressure to the compartment containing that muscle. Tenderness
and pain are felt at the upper, lateral side of the tibia. A stress fracture is
a crack or break to the tibia bone. This may result in tenderness of the tibia,
but this pain tends to occur in a horizontal line as opposed to shin splint
symptoms, in which the pain line is vertical. Stress fractures require immediate
medical attention!
Recommended Treatment: R.I.C.E. -
Rest, Ice, Compression, Elevation. Reduce activity
to promote healing. Avoid downhill and hard surface running. Apply Ice for 10-15
minutes after each workout to reduce inflammation and pain. (If any skin
irritation or adverse reaction occurs due to icing, see your medical doctor).
Seek professional advice in stretching (Calf) the
calf muscles and the hamstrings. Investigate new shoes, orthotics, or heel lifts
that may help eliminate pronation problems. Replace insoles and shoes atleast
everly six months. As with any orthopedic injury, a consultation with a sports
medicine professional is recommended.
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