Shin splints is also called as medial tibial stress syndrome
(MTSS).Patient experiences pain along the shin bone (tibia).Shin splint
initially when started doesn’t troubles you much but if ignored can be worse. Patient experiences
pain along the inner border of tibia (at the attachment of muscles to the
bone).Throbbing pain occurs after running (or when you run to catch a bus).
Pain occurs in the front or inner part of the lower leg. Over-pronation or
inward twisting of ankle can lead to Shin splints. It is common in athletes , dancers,
runners, tennis players. It can also occur in flat foot patients or patients
having rigid arches. Exercising with improper footwear can also cause this
problem.
Signs and Symptoms
Pain and sometimes mild swelling can occur along the border
of tibia. Pain increases on touching the sore spot. Nature of pain is dull
aching or sharp, throbbing, can in occur while doing exercise or after
exercise.
Treatment
1. Rest-Give rest to the affected part or switch over to
less strenuous, low impact exercises like swimming.
2. Ice packs-Apply ice packs to the affected part as ice
will help in reducing inflammation, decrease pain and helps in fast healing.
3. Elastic
compression bandage will prevent further swelling.
4. Non Steroidal Anti Inflammatory Drugs ( NSAIDs) will help
, reduce pain and swelling
5. Orthotics-If the flat foot is associated with the shin
splint orthotics should be inserted in the shoes to prevent recurrent shin
splints.
Return to exercise is indicated only when you are pain free
for at least two weeks. When you start with exercise again, start with low
intensity exercises and gradually increase it .Before exercising warm up should
be done. Immediately stop exercise if you experience the same pain again.
Prevention
1. Correct footwear –wear proper fitted shoes while
exercising.
2. Use proper orthotics or arch support if you have flat
foot.
3. Cross train with low impact activities like swimming,
walking etc.
4. Do proper warm up before exercise. Increase intensity of
exercise gradually.
5.Strengthening exercises –toe raises should be added to
the daily regime. It will strengthen lower leg muscles.
