Understanding and Managing Shin Splints

September 6, 2024

Shin splints are a common issue, particularly among runners, dancers, and hikers. But what exactly are they, what causes them, and how can they be managed? This guide offers insights into symptoms, home remedies, and when to seek medical advice.

What Are Shin Splints?

Shin splints, or medial tibial stress syndrome, occur when the muscles, tendons, or bone tissue along the front of the lower leg become overworked. There are two primary types:

  1. Medial Tibial Stress Syndrome: Pain is felt along the inside of the lower leg.
  2. Anterior Shin Splints: Pain occurs along the front outer part of the lower leg.

While anyone can develop shin splints, they are most commonly seen in runners, dancers, and hikers. The causes can vary, but they often stem from muscle weakness, particularly in the anterior tibialis muscle. This weakness can lead to a harder impact when the foot strikes the ground during running or jumping. Improper running technique, such as overstriding and heel striking, can also contribute to the development of shin splints.

Symptoms typically range from a dull ache to sharp pain along the inside or front of the lower leg. You may also notice swelling and tenderness to the touch, with symptoms worsening during impact activities and repetitive movements.

Home Remedies for Shin Splints

Managing shin splints at home involves a combination of rest, targeted exercises, and self-care techniques. Here are some effective remedies:

  1. Ice Massage: Use a frozen water-filled cup to massage the anterior lower leg for 3-5 minutes until the area feels numb. This can help reduce inflammation and pain.
  2. Foam Rolling: Slowly foam roll your calves and hamstrings for 1-3 minutes per area. This helps improve muscle mobility and alleviate tightness that may be contributing to shin splints.
  3. Self-Myofascial Release: Use a lacrosse ball to gently roll along the inside and outside of the lower leg for 30-second sets. This technique helps release tension in the muscles and fascia.
  4. Eccentric Strengthening Exercises:
    • Eccentric Heel Raises: Perform a quick double-leg heel raise and then lower slowly over a count of three seconds. Aim for 3 sets of 10 repetitions.
    • Wall Sits with Toe Raises: While in a wall sit position, slowly raise your toes off the ground. Perform 3 sets of 10 repetitions.

Should You Continue Working Out with Shin Splints?

Yes, you can continue to work out, but with caution. Strengthening exercises are crucial in the recovery since muscle weakness often contributes to the condition. However, it’s essential to modify your activities to avoid exacerbating symptoms. Steer clear of running, jumping, or any exercises involving repetitive impact until symptoms begin to subside with reduced activity. Focus instead on low-impact activities and gradually reintroduce higher-intensity exercises as your symptoms improve.

Signs of Healing

A good indication that your shin splints are healing is when you notice a decrease in symptoms during rest and reduced activity. As the pain diminishes, you can start to gradually return to your regular activities, but be mindful of the frequency and intensity to prevent a recurrence.

When to Seek Medical Advice

If your symptoms persist despite rest and home remedies, it may be time to consult a physician or physical therapist. Ongoing pain could indicate a more severe condition, such as a stress fracture, requiring professional evaluation and treatment.

Conclusion

Shin splints can be a frustrating and painful condition, but with the right approach, they can be managed effectively. By understanding the causes, symptoms, and treatment options, you can take steps to relieve your pain and prevent future occurrences. Always listen to your body, make necessary adjustments to your workouts, and don’t hesitate to seek medical advice if needed.

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About the Author: Christine Olsen

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Christine joined the Smith Physical Therapy team as content strategist in May 2024. While earning her Bachelor of Arts in Interpersonal and Public Communication at the University of Findlay, she pursued her dream in thoroughbred racing and continued to ride racehorses for a decade across the country. Her experience with physical therapy after recovering from a serious injury significantly shaped her career path to helping others in their path to recovery and wellness. From there she began working across a wide range of clinical environments. Her favorite thing is watching the process of patient care and success. As a storyteller and horse lover, she is an author and frequent contributor to multiple equestrian magazines and blogs.

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