Shin Splints

Nothing is worse than finally feeling like you are making the effort to get active and start running when BOOM! shin pain strikes , and takes you out of commission faster than you started. Shin splints or medial tibial stress syndrome (MTSS) is a very common injury in those taking part in activities that involve running, jumping, dancing, and even extended periods of walking.  What is Medial tibial stress syndrome? It is an overuse injury or repetitive-stress injury of the shin area. Various stress reactions of the tibia and surrounding musculature occur when the body is unable to heal properly in response to repetitive muscle contractions and tibial strain (Gallbraith & Lavallee, 2009).

MTSS can be diagnosed with a thorough history taking and physical exam by a medical professional (Winters, Bakker, Moen, & Barten, 2018). Risk factors for this injury fall into three separate categories. The first category is activity related factors like excessive training, poor footwear, and/or hard or irregular terrain. The second category includes biomechanical factors like inflexibility or weakness of the calf muscles, unequal length, and flat or high arched feet. The last category includes metabolic factors, those include demineralized bone due to hormonal or nutritional imbalances and specific disease states. The most important differential diagnosis to rule out when MTSS is suspected is a stress fracture, in which case your physician may order imaging in order to be sure. Once a fracture is ruled out, treatment can begin and you can be back on your way to exercising the way you intended. So don’t deal with MTSS anymore! Make an appointment to see Dr. Carfagno and his wonderful staff today and say goodbye to shin pain. #getbacktoit #runningwithoutpain #SSMI #goodbyeshinsplints



Galbraith, R. M., & Lavallee, M. E. (2009). Medial tibial stress syndrome: conservative treatment options. Current reviews in musculoskeletal medicine, 2(3), 127-33. doi:10.1007/s12178-009-9055-6

Winters, M., Bakker, E. W. P., Moen, M. H., Barten, C. C., Teeuwen, R., & Weir, A. (2018). Medial tibial stress syndrome can be diagnosed reliably using history and physical examination. Br J Sports Med, 52(19), 1267-1272.