Shin Splints

Summary about Disease


Shin splints, also known as medial tibial stress syndrome (MTSS), is pain along the shinbone (tibia) resulting from exercise. It is an overuse injury common in runners, dancers, and athletes involved in high-impact activities. It is characterized by inflammation of the muscles, tendons, and bone tissue around the tibia.

Symptoms


Pain and tenderness along the inner side of the shinbone (tibia).

Pain that worsens during exercise and lessens with rest.

Pain may be sharp and stabbing or a dull ache.

Swelling in the lower leg.

Pain when touching the shinbone.

Possible numbness or tingling in the foot in severe cases.

Causes


Overuse or sudden increase in exercise intensity or duration.

Running on hard or uneven surfaces.

Wearing improper or worn-out footwear.

Flat feet or rigid arches.

Weak ankle, hip, or core muscles.

Improper stretching or warm-up before exercise.

Medicine Used


Pain Relievers: Over-the-counter pain relievers such as ibuprofen (Advil, Motrin) or naproxen (Aleve) to reduce pain and inflammation.

Topical Creams/Gels: Topical NSAIDs like diclofenac gel can be applied directly to the affected area.

In severe cases: Doctors may prescribe stronger pain relievers.

Is Communicable


No, shin splints are not communicable. It is an overuse injury, not an infectious disease.

Precautions


Wear supportive shoes with good cushioning.

Replace running shoes regularly.

Gradually increase exercise intensity and duration.

Stretch and warm up properly before exercise.

Strengthen ankle, hip, and core muscles.

Run on softer surfaces when possible.

Consider using orthotics for flat feet.

Rest when you feel pain.

Cross-train with low-impact activities.

How long does an outbreak last?


The duration of shin splints varies depending on the severity and how well it is managed. With proper rest and treatment, mild cases may resolve within 2-4 weeks. More severe cases can take several months to heal fully. It is important to allow adequate time for healing to prevent recurrence.

How is it diagnosed?


Physical Exam: A doctor will examine the lower leg for tenderness, swelling, and pain along the shinbone.

Medical History: A discussion of the patient's exercise habits, training schedule, and symptoms.

Imaging Tests (Rare): In some cases, an X-ray or bone scan may be ordered to rule out stress fractures or other conditions.

Timeline of Symptoms


Early Stage: Mild pain along the shinbone that occurs after exercise.

Mid Stage: Pain during exercise that may lessen with rest.

Late Stage: Pain that is constant and may even occur at rest, potentially interfering with daily activities.

Important Considerations


Rest is crucial for healing. Ignoring the pain can lead to more serious injuries like stress fractures.

Proper footwear is essential for prevention and treatment.

Strengthening and stretching exercises play a significant role in long-term management and prevention.

If pain persists despite self-care measures, consult a doctor or physical therapist.