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UK Orthopaedics
Health Information
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Medial Tibial Stress Syndrome - Shin Splints
From Nicholas JA, Hershman EB: The Lower Extremity and Spine in Sports Medicine. St. Louis, Mosby Year Book, 1995, p. 852; modified from Clanton TO, Schon LC: Athletic injuries to the soft tissues of the foot and ankle. In Mann RA, Coughlin MJ, eds: Surgery of the Foot, 6th ed. St. Louis, CV Mosby, 1993.
Description
Shin splints is a broad term used to describe pain in the lower leg brought on
by exercise or athletic activity. Most commonly it refers to medial tibial
stress or periostitis. Periostitis is inflammation of the lining of the bone
(periosteum).
Common Signs and Symptoms
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Pain in the front or more commonly the inner part of the lower half of the shin (lower leg), above the ankle
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Pain that initially occurs after exercise, progressing to pain in the beginning of exercise that lessens after a short warm-up period
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With continued exercise and left untreated, constant pain that eventually causes the athlete to stop sports participation
Treatment
Initial treatment consists of ice to relieve pain; stretching and strengthening
exercises of the foot, ankle, and leg; rest; and modification of the activity
causing the problem. These can all be carried out at home for acute cases,
although referral to a physical therapist or athletic trainer for further
evaluation and treatment may be recommended. Arch supports (orthotics) for those
with flat feet may also be indicated. Occasionally, taping, casting, or bracing
the leg may be recommended. Slow return to activity is allowed after pain is
gone.
 More on shin splints
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