What are Shin Splints?
Short, middle and long distance running places repetitive high strains on the lower
limbs.
This can lead to overuse injuries to the lower leg, collectively called
"shin splints". The term
"shin splints" includes stress fractures, periostitis/tendonitis
and compartment syndrome.
Stress fractures form when microscopic fractures
in the shin bone (tibia) accumulate as
they are not given time to heal.
Periostitis is inflammation (swelling) of the attachment of
the muscles in the leg
to the tibia. Compartment syndrome occurs when there is
insufficient room
in the lower leg to accommodate the swelling of muscles and tendons,
causing
compression of nerves and blood vessels.
What are the risk factors?
Symptoms
Diagnosis
Management
Outlook
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What are the risk factors?
Overtraining Poorly fitting shoes
Running on hard surfaces Rapid change in training program or technique
Feet with a low or high arch Tight muscles
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Symptoms
Pain initially presents towards the end of each training/activity session, but gradually becomes present during the entire session and afterwards.
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Diagnosis
Hastings physiotherapists can diagnose shin splints and determine the cause(s) of the problem.
Further investigations (eg x-ray, bone scan) may be arranged.
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Management
Rest or modification of the activity causing the pain.
Anti-inflammatory agents (ice, ultrasound, medications)
Correction of biomechanical faults is usually essential
Prescription of correct footwear and/or orthotics
Stretches
Soft tissue massage
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Outlook
The earlier treatment is implemented, the faster the recovery. If left unmanaged, compartment syndrome can require surgery.
As always, prevention is better than the cure. You may require a biomechanical analysis and footwear advice if you run regularly.
(Should you have any symptoms or want a biomechanical screening Hastings Sports Injury and Physiotherapy Center can assist in referring to appropriate professional, and would be happy to discuss this with you).
Hastings Physiotherapists will be happy to confidentially discuss any of your concerns.
This fact sheet is not designed to replace the advice of your health professional.
FOR FURTHER INFORMATION OR TO MAKE AN APPOINTMENT PLEASE PHONE
HASTING SPORTS INJURY AND PHYSIOTHERAPY CENTER
Phone: (02) 6583 2111
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