Are Shin Splints Wrecking Your Run?

Home » Blog » Are Shin Splints Wrecking Your Run?

Are Shin Splints Wrecking Your Run?

Foot and Ankle Pain, HPT News, Sports

Physical Therapy Can Help!
shinsplints-hpt
By Jessica Leberman, DPT – Hampton Clinic

Medial Tibial Stress Syndrome (MTSS) more commonly referred to as “shin splints” is an injury of the lower leg that primary occurs in the exercising population1. MTSS makes up to 16% of injuries that occur in runners2. MTSS typically presents as pain along the lower 2/3rd of the tibia (shin) bone with activity. Often, the pain is worst immediately upon initiating exercise it then, however, eases as the exercise continues and subsides entirely once stopping exercise. The presentation can vary and as the condition worsens pain at rest can occur.3

What Causes Medial Tibial Stress Syndrome?

As the name indicates, MTSS is a repetitive overuse injury usually affecting runners, dancers and others that participate in athletic-related activities. The pathophysiology of MTSS is thought to be due to periostitis of the tibia that occurs when the tibia is placed under repetitive loading. Biomechanical faults within the lower leg such as specific calf and ankle muscle dysfunction can lead to over-loading/bending the tibia with exercise.3

overpronationRisk Factors of Medial Tibial Stress Syndrome3

  •    -Elevated Body Mass Index (BMI)
  •    -Abnormal ankle range of motion
  •    -Over pronation (flat feet)
  •    -Abnormal hip range of motion
  •    -Females > Males

Prevention2

Not all risk factors are completely controllable to prevent MTSS, therefore, it is important to control the factors that can be controlled such as;

  •    -Proper footwear for exercise
  •    -Slowly/gradually increasing exercise regimen
  •    -Avoiding running too much on hard and/or inclined surfaces

    stretch-leg-hpt(Dr Jessical Leberman treating a patient with shin splint pain)

How Physical Therapy Can Help

The focus of Physical Therapy for MTSS (shin splints) is multifactorial. Initially, soft tissue and joint mobilization manual treatments, stretching, and modalities will be used to reduce inflammation and pain levels and promote healing to the injured area. Guided strength work will be involved to reduce over loading through the tibia. Additionally, your physical therapist will assess foot mechanics to ensure proper footwear is worn to better improve force distribution during exercise. Lastly, your PT will help guide/modify your exercise/training regimen to ensure return to normal activity levels is done correctly to reduce risk of re-injury.3

Contact Hampton Physical Therapy or visit us at www.HamptonPT.com to learn more.

References
1. Winkelmann ZK, Anderson D, Games KE, Eberman LE. Risk Factors for Medial Tibial Stress Syndrome in Active Individuals: An Evidence-Based Review. J AthlTrain. 2016 Dec;51(12):1049-1052
2. Craig DI. Medial tibial stress syndrome: evidence-based prevention. J Athl Train. 2008 May-Jun;43(3):316-8.
3. Galbraith RM, Lavallee ME. Medial tibial stress syndrome: conservative treatment options. Curr Rev Musculoskelet Med. 2009 Oct 7;2(3):127-33.

 

What's New

Shoulder Health for the Surfer

Shoulder Health for the Surfer

BY DYLAN CHISHOLM, DPT As swell season is here for the avid surfer of the Northeast. We want to help make sure the biggest pain you have is getting in and out of the 6mm wetsuit and not your shoulders.  Due to the nature of the sport, surfing requires extensive strain...

Scoliosis – How Physical Therapy Plays an Important Role

Scoliosis – How Physical Therapy Plays an Important Role

By LISA WHELDON, DPT If your child gets diagnosed with scoliosis you may be a bit taken aback. It can be unsettling to get a medical diagnosis with little explanation of what it is or how it can be treated. Scoliosis means that there is a change to the “normal” shape...

Osteoporosis: Physical Therapy Can Help Prevent or Erase Bone Loss

Osteoporosis: Physical Therapy Can Help Prevent or Erase Bone Loss

BY NICOLE CARVILLE, DPT When I meet a new patient as a Physical Therapist, I sit down, start their evaluation by asking about their current condition. Then I review their medical history and medications before we get started. It is important to me to get a solid...

Send Us A Message

 

Name(Required)
This field is for validation purposes and should be left unchanged.

Locations

Hampton Clinic

Hampton Clinic

881 Lafayette Rd (Route 1) Unit K (last unit on the left - across from Hampton Health/Core)
Hampton, NH, 03842

(603) 929-2880

Mon-Thu 7am-7pm - Fri 7am - 6pm

Hampton Clinic

Hampton South Clinic

55 High Street
Hampton, NH, 03842

(603) 929-2880

Mon-Thu 7am-7pm - Fri 7am - 6pm

Hampton Clinic

Seabrook Clinic

920 Lafayette Rd (Route 1) Unit 2 (second floor of Seacoast Sports Club)
Seabrook, NH, 03874

(603) 474-2259

Mon-Thu 7am-7pm - Fri 7am - 6pm