Note: All links within
content go to MayoClinic.com
Diseases and Conditions
Shin splints
From MayoClinic.com
Special to CNN.com Introduction Whether you're running after a soccer ball, jogging around the neighborhood park or training for a marathon, you're at risk of running-related injuries. One of the most common running injuries is shin splints. People sometimes mistakenly use the term shin splints to refer to a wider array of lower leg problems. The term technically refers to a specific problem that causes pain along your shinbone (tibia) — the large bone in the front of your lower leg. The pain is the result of an overload on your tibia and the connective tissues that attach your muscles to your tibia. The medical term for this condition is medial tibial stress syndrome. Shin splints are common among runners. But shin splints can also be caused by other activities that involve repeated impact on your feet on hard surfaces, including basketball, aerobic dancing and tennis. Most of the time, you can treat shin splints with self-care steps and rest. And you can help prevent shin splints from recurring by stretching, using shoe inserts and modifying your exercise routine. The risk of shin splints is no reason to give up your morning jog or afternoon aerobics class. Signs and symptoms If you have shin splints, you may notice:
At first, the pain may stop when you stop running or exercising. Over time, though, you may feel continuous pain in the affected shins. Causes Pain along the inside of the shin or tibial bone is commonly the result of overdoing athletic activities, engaging in sports with a lot of starts and stops, or running down hills. Shin splints may also be the result of:
If you have flat arches, your feet may have a tendency to roll too far inward (overpronate) when running, which can contribute to shin splints. When to seek medical advice Most of the time, you can take care of shin pain on your own. See your doctor if pain persists, even after self-care steps, or if you believe recovery is too slow. Seek medical care right away if:
Screening and diagnosis Your doctor will likely diagnose shin splints based on a physical exam and a discussion about your athletic activities. In some cases, your doctor may order an X-ray to rule out other conditions, such as a stress fracture. It's easy to mistake shin splints for a stress fracture — another common sports injury that results in a tiny crack in your bone because of overuse. A stress fracture in the lower leg usually causes a more localized pain in the middle of the tibia, directly over the bone. It may not show up on an X-ray until two or three weeks after symptoms of pain and swelling appear. Treatment In most cases, you can treat shin splints with self-care steps. If you have recurrent injuries that seem to be caused by flatfeet or other problems with the mechanics of your feet, your doctor may prescribe custom-made arch supports (orthotic devices). You place these devices inside your athletic shoes like foot pads. They help prevent your arches from collapsing and the force from the ground from concentrating in your shins. Prevention Take these steps to help prevent injury to your shins:
Self-care If you have shin splints, try the R.I.C.E. method for self-care — rest, ice, compression, elevation.
For pain relief, try an over-the-counter medication such as acetaminophen (Tylenol, others), ibuprofen (Advil, Motrin, others) or naproxen (Aleve, others). February 11, 2005 |