October Newsletter


by


Kelsey O'Keefe, DPT

What are Shin Splints?

Shin splints, also known as Medial Tibial Stress Syndrome (MTSS), refer to pain along the shin bone (tibia) that often occurs during or after physical activity. The pain can be sharp or dull and typically manifests in the front or inside of the lower leg. Shin splints are most common in runners, dancers, and athletes involved in sports with frequent stopping, starting, or jumping.

Causes of Shin Splints

Shin splints are caused by repetitive stress on the tibia and the muscles attached to it. Several factors can contribute to this condition, including:


Overuse:

Too much intensity, frequency, or duration of exercise can strain the muscles and bones of the lower leg.


Improper Footwear:

Wearing shoes with poor support or those not suited for your specific activity can lead to shin splints.


Poor Running Form:

Running with poor body mechanics or on hard surfaces can increase the risk.


Tight or Weak Muscles:

Weak calves, glutes, core, or the muscles of the feet can contribute to poor form as well as increased strain on the shins.


Sudden Changes in Activity:

Jumping into a more demanding workout routine without gradual buildup can trigger shin splints.

Signs and Symptoms


Pain along the shin:

Typically, on the inner part of the lower leg, near the tibia.


Tenderness or swelling:

The affected area might feel sore or swollen.


Pain that worsens with activity:

The pain often intensifies during physical activity and may ease after resting.


Pain during or after exercise:

In the initial stages, pain is often felt during or shortly after exercise and may subside with rest. However, without proper care, the pain can become chronic.


How Physical Therapy Can Help


Stretching and Strengthening Exercises:

We focus on stretching the calves, hamstrings, and feet, as well as strengthening the muscles in the core, glutes, and lower legs to improve stability and reduce strain.


Manual Therapy:

Techniques such as soft tissue mobilization and massage can help relieve tight muscles and alleviate pain.


Gait Analysis and Biomechanical Correction:

We may assess your running or walking form and make recommendations for improving your mechanics to prevent further injury.


Footwear Recommendations:

Ensuring you have the right shoes for your feet and activities can reduce stress on your shins.


Activity Modification:

We can help guide you on how to gradually increase your exercise intensity to avoid overloading your shins.

ProAction Pointers


Preventive steps to avoid recurrence of shin spints:


 Warm-Up and Cool Down:

Always warm up before exercise and cool down afterward with appropriate stretches.


Gradually Increase Intensity:

Avoid sudden increases in activity level—progress slowly and allow your body time to adapt.


Cross-Train:

Mix up your routine with low-impact activities (e.g., swimming or cycling) to give your shins a break.


Wear Supportive Shoes:

Make sure your shoes are in good condition and provide proper arch support, especially if you have flat feet or high arches.



Strengthen Your Legs:

Build strength in your core, glutes, and calves/feet to better support your lower legs during activity.

When to Seek Help

If you experience persistent or worsening pain, consult a physical therapist or healthcare provider. Ignoring symptoms can lead to more serious injuries. The sooner you address the problem, the quicker you can get back to doing what you love!