Shin Splints (Medial Tibial Stress Syndrome)

Shin splints, medically known as medial tibial stress syndrome, is a common condition characterized by pain along the inner edge of the shinbone (tibia). It typically occurs during physical activities that involve repetitive impact, such as running, jumping, or dancing. Shin splints are often seen in athletes, especially those who increase the intensity or duration of their training too rapidly.

The exact cause of shin splints is not always clear, but it is believed to result from repeated stress and strain on the muscles, tendons, and bone tissue around the shin. Factors that can contribute to the development of shin splints include:

1. Overuse: Engaging in high-impact or weight-bearing activities without proper conditioning or gradually increasing intensity can strain the muscles and tissues around the shin.
2. Improper Footwear: Wearing shoes that lack adequate cushioning and support can contribute to shin splints.
3. Biomechanical Factors: Issues with foot mechanics, such as overpronation (excessive inward rolling of the foot), can increase the risk of shin splints.
4. Running Surface: Running on hard or uneven surfaces can increase the impact on the lower leg and contribute to shin splints.
5. Muscle Imbalances: Weakness or imbalances in the muscles of the lower leg and foot can lead to altered biomechanics and increased stress on the shins.

Symptoms of shin splints may include:

• Pain along the inner edge of the shinbone, which can range from a dull ache to sharp pain.
• Pain that worsens during or after physical activity.
• Swelling or tenderness in the affected area.
• Pain that is relieved with rest but returns when activity resumes.

Podiatry for shin splints would involve obtaining a thorough history, which is an essential component of an accurate diagnosis. The history is then used, along with any signs and symptoms, and an examination of the foot and leg to form a diagnosis.

Shin splints is not a diagnosis itself, it is simply a term used to describe shin pain, therefore, a podiatrist will accurately diagnose the cause of your shin pain.

Treatment and management of shin splints generally involve a combination of the following approaches:

1. Rest: Allowing the affected muscles and tissues to heal by reducing or avoiding the activities that trigger pain.
2. Ice: Applying ice to the affected area can help reduce inflammation and alleviate pain.
3. Compression: Using compression bandages or sleeves can help reduce swelling and provide support.
4. Elevation: Elevating the legs when resting can help reduce swelling.
5. Pain Relief: Over-the-counter pain medications may provide temporary relief.
6. Proper Footwear: Wearing shoes with proper cushioning and support can help prevent recurrence.
7. Gradual Return to Activity: Slowly easing back into physical activity and ensuring proper warm-up and cool-down routines can help prevent re-injury.
8. Strengthening Exercises: Engaging in specific exercises to strengthen the muscles of the lower leg and improve overall biomechanics.
9. Orthotic Inserts: Custom orthotic inserts may be recommended to address biomechanical issues.

In some cases, especially if the pain persists or worsens despite conservative measures, it’s important to consult a healthcare professional such as a podiatrist for a proper evaluation and guidance.