Shin Splints

"Shin splints" is a laymens term for medial tibial stress syndrome (MTSS).
​MTSS can be a very painful, disabling condition.

Cause

MTSS is generaly an overuse injury when the muscle pulls on the bone through the periosteum (connective tissue). When muscles contract, they pull on the tendons which in turn pulls on this periosteum making it inflammed and painful. This can happen with overuse, poor biomechanics (rolling feet in) or excessive muscles tightness.

Pain is usually felt along the inside border of the tibia (shin bone). It can be painful as you start exercising and pain may decrease as you warm up, however excessive strain of this over long period of time may mean the pain is present most of the time.

Treatment

If you suspect you have MTSS, you should see your sports medicine professional or podiatrist. The condition will not resolve untreated. Prolonged strain without appropriate treatment can sometimes result in stress fractures of the tibia. A few common options with treatment include:
  • Icing: along the inside border especially after exercises
  • Exercises: your podiatrist can advise you on specific exercises to help treat the condition
  • Massage: helps to break down scar tissue, this should be followed by icing to help reduce post-massage pain
  • Activity modification: this may be necessary in some instances to help resolve the condition sooner and avoid long term damage
  • Orthotics: custom made orthotics to suit your foot can help significantly to reduce the pain,  and resolve or prevent the condition.
  • Footwear: your footwear needs to be assessed to advise if they are right for you and your activities.