Shin splints / Tibial stress syndrome

Rehab training for the injury

Mobility for shin splints
Focus of training the rest of your body so you do not lose mobility, stability, or strength in general. Find out what you are able to do, and exercise at the level that suits you. Training the rest of the body accelerates the healing process of injury, both because of the increased nerve activity and because of the circulation.

Description of shin splints

Shin splints also known as tibial stress syndrome is an inflammation of the muscles, tendons, and bone tissue around the tibia. It affects most runners and aerobics athletes or athletes whose sport demand a lot of running. The characteristic for the pain it’s specific location; on the back inner edge of the tibia. Most often, it is a significant area on the lower third of the bone, and rarely it can be scattered beyond a larger area along the edge, about 3 cm. from the lower part to approx. 5 cm. from the upper part of the tibia. The symptoms are very often bilateral (present in both lower legs) and usually have their onset at the beginning of activity, deteriorating proportionally to the activities.

Symptoms may occur from minimal activity – even from walking, if the athlete continues the level of activity regardless of pain, and thereby moves the pain tolerance threshold. Symptoms usually disappear quickly when resting, but if the pain is persistent and does not disappear during repeated attempts at long breaks, the condition will often be long lasting. Normally, an injection in the most painful area will significantly improve not only with local anesthesia but also with sodium chloride. If that is the case, it means that the point reacts positively to stimuli, signaling that triggering (pushing a finger) in the most painful areas give beneficial effects. At times the pain will be very diffuse, negating any suspicion of stress fractures (bone fracture / cracking).

Contributing factors in shin splints
  • Bad running mechanics and technique.
  • Inappropriate footwear for the activity.
  • Foot placement, anatomy and biomechanics.
  • Boot lacing tight around the ankle and lower legs.
  • Muscle tightening and imbalance.
  • Overweight.
  • Skipping warm-up.
  • Erroneous training.
  • Terrain or training facilities.
Symptoms of shin splints
  • Pain in an area along the inside of the tibia.
  • Exacerbation of the pain due to activity.
  • Redness, warmth and soreness in the shinbone area.
Examination for shin splints
  • Analysis / inspection / palpation / movement test.
  • Injury background / history.
  • X-ray examination / bone scintigraphy may performed where stress fractures can be excluded at the same time.
Treatment for shin splints
  • Reduction of stress.
  • Alternative training programs.
  • Rehab exercises.
  • Correction / treatment of the causes.
  • Cryotherapy (ice massage for 9 min).
  • Kinesiology tape.
  • K-laser.
  • Thermo (heating pad for circulation).

It is important that you are cautious in returning to your sport, job or other activity in order to avoid developing a chronic disorder.

Rehab training for the injury

Mobility for shin splints