Specific Injury Treatment:
Shin Splints

Pain in the front part of the shin is typically referred to as shin splints. In general, the pain is from microscopic tears in the either of the anterior (front) or posterior (back) tibialis muscles as well as an inflammation of the shin bone itself. However, there are many shades to the type and location of the pain that gives us a clearer picture of its cause. In some cases, shin pain can indicate more serious conditions that require proper medical attention. Let’s address the serious ones first.

IMPORTANT INFORMATION: The pain from shin splints typically ranges along the entire length of the shin. That is, there’s no specific point that more painful than another. However, if the pain is limited to a specific point, this might mean you have a stress fracture and not a shin splint. Additionally, if your pain is in the anterior tibialis and is accompanied by nerve tingling in your lower leg and foot, this could indicate a condition know as Compartment Syndrome. If you’re experiencing either of these sets of symptoms, see your doctor to get a proper diagnosis.

If you’re not calling your doctor, then you likely only have common shin splints. They’re typically caused by the “two toos” – too much, too soon. Often it’s too much volume over too short a period of time. Sometimes it’s a rapid change of volume on different surfaces – concrete versus a track. It can even be exacerbated by running on a road with too much camber. Overpronation is often indicated in pain in the posterior tibialis while tight calves are often indicated in shin splints in the anterior tibialis.

As we work through bodywork related to shin splints, bear the following in mind – don’t run until walking is pain-free. Finally, if the shin splints last longer than about three weeks, it’s probably time to go see a physical therapist for a more advanced diagnosis.