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Shin Splints

  • Sports with repetitive running and jumping (e.g., track, basketball, soccer) increase the risk of shin splints (medial tibial stress syndrome).

  • This overuse injury causes pain along the inner shinbone and is often triggered by rapid training increases, poor footwear, or hard surfaces.

  • Risk factors include flat feet, muscle imbalances, and improper training techniques.

  • Prevention includes gradual training progression, proper warm-ups, and strengthening the lower leg and core.

  • Shin splints account for 13–17% of all running-related injuries and up to 35% in military recruits and athletes.

Signs and Symptoms

Immediate Care (RICE Method)

  • Rest: Reduce running/jumping activities; consider low-impact exercises (swimming, cycling)

  • Ice: Apply ice (15-20 min, every 2-3 hours) for first 48 hours

  • Compression: Use calf compression sleeves for support

  • Elevation: Elevate legs to reduce swelling

  • OTC Pain Relief: NSAIDs (ibuprofen, naproxen) as recommended

When to See a Doctor

  • Pain persists despite rest

  • Swelling that doesn’t subside

  • Pain even when not bearing weight

  • Signs of a possible stress fracture (sharp, localized pain, bruising)

Professional Treatement

Non-Surgical:

Physical therapy (stretching & strengthening)
Orthotics for better arch support
Gait analysis to correct running form

Surgical (Rare Cases):

Surgery for severe cases (fasciotomy)
Bone stimulation for stress fractures

Prevention Strategies

  1. Strength Training:

    • Calf raises, tibialis anterior exercises

    • Toe taps, resistance band exercises

  2. Biomechanics & Neuromuscular Training:

    • Gradual progression in activity levels

    • Dynamic warm-ups before running

  3. Gear Recommendations:

    • Shock-absorbing running shoes

    • Arch-support insoles (if needed)

Latest Research

Shockwave therapy is a non-invasive treatment that may speed up recovery from shin splints (medial tibial stress syndrome). It works by using acoustic waves to stimulate healing. Studies show that 85% of patients treated with focused shockwave therapy returned to their sport within 15 months, compared to 47% in a control group. It's a promising option, especially for those with chronic symptoms.

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