Shin Splints

Shin splints (medial tibial stress syndrome) involve pain along the shin bone, often due to overuse or increased activity levels.

Symptoms

• Pain along the inner shin
• Tenderness to touch
• Pain during, after exercise, or at night

Diagnosis

Assessment includes reviewing activity levels, biomechanics, and physical examination of the lower leg. Imaging may be recommended to rule out stress fractures if symptoms persist.

Causes & Risk Factors

• Rapid increase in activity or training
• Running on hard surfaces
• Poor footwear
• Flat feet or overpronation
• Tight calf muscles
• Inadequate recovery

Treatment

• Manual therapies including mobilisation & manipulation techniques, dry needling, massage, and shockwave therapy
• Injection therapies
• Custom orthotics
• Footwear advice
• Stretching and strengthening exercises
• Taping