Shin Splints
Definition:
Is a common overuse injury characterized by pain and inflammation along the tibia (shin bone) and surrounding tissues. It typically occurs in athletes or individuals who engage in repetitive or high-impact activities, such as running, jumping, or dancing. Shin splints often result from excessive stress on the muscles, tendons, and connective tissues of the lower leg, leading to irritation and inflammation of the periosteum, the outer layer of bone.
Principal causes:
Overuse: Rapidly increasing the intensity, duration, or frequency of physical activity, or suddenly changing training surfaces, can strain the muscles and tendons of the lower leg and contribute to shin splints.
Biomechanical issues: Abnormalities in foot structure, such as flat feet (overpronation) or high arches (supination), as well as improper footwear or running technique, can increase the risk of developing shin splints.
Muscle imbalances: Weakness or tightness in the muscles of the lower leg, particularly the calf muscles (gastrocnemius and soleus), can alter biomechanics and lead to increased stress on the tibia and surrounding tissues.
Training errors: Failing to incorporate adequate rest periods, cross-training activities, or proper warm-up and cool-down routines into a training regimen can contribute to overuse injuries like shin splints.
Symptoms:
Pain: Aching pain along the inner edge of the tibia (medial shin splints) or the outer edge of the tibia (anterior shin splints), which may worsen during physical activity and subside with rest.
Tenderness: Tenderness or soreness to the touch along the affected area of the shin bone.
Swelling: Mild swelling or inflammation around the lower leg, particularly after exercise.
Stiffness: Stiffness or tightness in the muscles of the lower leg, which may affect mobility and flexibility.
Diagnosis of périostite tibiale typically involves a physical examination, evaluation of symptoms, and may include imaging studies such as X-rays or MRI to rule out other conditions and assess the severity of inflammation.
Our Treatment in EvivaPHYSIO:
Rest: Taking a break from activities that aggravate symptoms and allowing the affected tissues to heal.
Ice therapy: Applying ice packs to the affected area for 15-20 minutes several times a day to reduce pain and inflammation.
Gradual return to activity: Gradually reintroducing physical activity once symptoms improve, starting with low-impact exercises and gradually increasing intensity and duration.
Footwear and orthotics: Wearing supportive footwear with adequate cushioning and arch support, as well as using orthotic inserts or shoe inserts, can help reduce strain on the lower leg muscles and prevent recurrence of shin splints.
Stretching and strengthening exercises: Specific exercises and stretches to improve flexibility, strengthen the muscles of the lower leg, and correct muscle imbalances or biomechanical issues that contribute to shin splints.
Physical therapy: Working with a physical therapist to develop an individualized rehabilitation program tailored to address muscle imbalances, improve biomechanics, and prevent future episodes of shin splints.
In most cases, périostite tibiale improves with conservative measures and self-care strategies. However, it is important to seek medical attention if symptoms persist or worsen, or if they are accompanied by signs of a more serious injury, such as stress fractures or compartment syndrome. Early intervention and appropriate management can help alleviate pain, promote healing, and prevent long-term complications.