What Are Shin Splints:
This condition causes pain along the medial side of the tibia, the bone between your ankle and knee. It happens due to friction and repetitive stress from running, irritating the bone. To self-evaluate, rub along the medial side of your shin bone. If you feel pain over an area longer than five centimeters, it's likely shin splints.
We might use a tuning fork to vibrate the bone, which can also indicate shin splints. If pressing on your heel doesn't hurt, it's a good sign, but pain might suggest a stress fracture. Hopping, which adds repetitive force, can also reveal pain associated with this condition. If we suspect a stress fracture, we may refer you for an X-ray.
Pain worsening with continued training is a red flag. Don't dismiss it as growing pains, especially since studies show no link between growth and pain. This pain indicates repetitive stress and the potential for more serious issues. The "terrible twos" rule applies here: too much, too fast. Gradual progression is key.
Rest Is Key:
The primary treatment is reducing stress on the area. Rest from the activity causing pain is crucial. Indoor surfaces can be harder, so consider pool workouts to maintain cardiovascular fitness without weight-bearing stress. Parents, it's essential to support rest for young athletes.
Treatment:
Addressing mechanical stress involves adjusting the pelvis, hips, and ankles, ensuring mobility, and strengthening weak areas. Stretching muscles like the gastroc, soleus, and tibialis, and incorporating exercises like deadlifts, are part of a tailored treatment plan. Short-term orthotics can help, as can compression, bracing, acupuncture, and taping.
If you're experiencing these symptoms, reach out. I'm here to help you get back to running and moving pain-free. Thanks for letting me be part of your health journey.
blog
Dr. Madeline Klesk
Contact Me
