Shin Splints

The tibia is the bone along the front of the lower leg below the knee. “Shin splints” are pain in this region.

Shin splints can result from overuse or overload. The pain is a result of inflammation in the connective tissue and muscles of the leg. It is most commonly seen with activities such as running on a slanted surface, hill running, worn-out footwear, increased level of training, and those with flat foot.

Symptoms of shin splints include a tender, sore, and/or painful lower leg with or without swelling. This is mostly with activity but can be felt at rest as well.

Evaluation of shin splints begins with a medical history and physical exam. X-rays are done to rule out other conditions such as stress fractures, which are small cracks in the bone.

Treatment of shin splints includes rest, ice, anti-inflammatory medication, and reducing activity level. Activities such as low impact exercises, such as swimming, bicycling or water running may be helpful during this time.

Ice packs wrapped in a thin towel can be applied to the affected shin for 15 to 20 minutes four times a day for several days.

In those with shoe wear problems, evaluation and orthotics may be recommended.

With treatment activity can be increased gradually.