How To Prevent Shin Splints And What Can PT Do To Treat Them?

Shin splints is a common condition that affects athletes, especially runners and dancers. It is characterized by pain along the inner part of the shin bone, known as the tibia. Here are the symptoms, causes, treatments, exercise examples, and prevention measures for shin splints:

Symptoms:

  • Pain and tenderness along the inner part of the shin bone

  • Swelling and inflammation in the affected area

  • Pain that worsens during or after exercise

  • Difficulty in walking or running

  • Numbness and weakness in the affected leg

Causes:

  • Overuse: Repeated stress on the muscles and bones in the lower leg can cause shin splints.

  • Flat feet or high arches: People with flat feet or high arches are more prone to developing shin splints due to abnormal stress on the leg bones.

  • Improper footwear: Wearing shoes that do not provide adequate support or cushioning can increase the risk of shin splints.

  • Sudden increase in physical activity: Increasing the intensity, frequency, or duration of physical activity too quickly can strain the muscles and bones in the lower leg.

  • Poor running technique: Poor running form or technique can place undue stress on the lower leg and lead to shin splints.

Treatments:

  • Rest: Resting the affected leg is the most important treatment for shin splints.

  • Ice: Applying ice to the affected area for 20-30 minutes several times a day can help reduce inflammation and pain.

  • Compression: Wearing compression socks or bandages can help reduce swelling and provide support.

  • Elevation: Elevating the affected leg above the heart level can help reduce swelling and pain.

  • Pain relief: Over-the-counter pain medications such as ibuprofen or acetaminophen can help relieve pain and inflammation.

Exercise examples:

  • Low-impact activities such as cycling, swimming, or water aerobics can help maintain cardiovascular fitness without putting stress on the lower leg.

  • Stretching exercises can help improve flexibility and prevent muscle imbalances that contribute to shin splints.

  • Strengthening exercises can help build the muscles in the lower leg and improve their ability to withstand stress.

Prevention measures:

  • Gradual increase in physical activity: Increase the intensity, frequency, or duration of physical activity gradually over time to avoid sudden strain on the lower leg.

  • Proper footwear: Wear shoes that provide adequate support and cushioning for the feet.

  • Running technique: Practice proper running form and technique to avoid undue stress on the lower leg.

  • Strengthening exercises: Include strengthening exercises for the lower leg muscles in your workout routine.

  • Stretching exercises: Perform stretching exercises before and after physical activity to improve flexibility and prevent muscle imbalances.

How can physical therapy treat shin splints:

Physical therapy can be very effective in treating shin splints. A physical therapist can assess your condition and develop a personalized treatment plan to address your specific needs. Here are some ways that physical therapy can help with shin splints:

  1. Stretching exercises: A physical therapist can guide you through specific stretching exercises that target the muscles and tendons in the lower leg. These exercises can help improve flexibility and reduce tightness, which can help alleviate pain and prevent further injury.

  2. Strengthening exercises: Strengthening exercises for the muscles in the lower leg can help improve their ability to withstand stress and prevent future injury. A physical therapist can guide you through exercises such as calf raises, heel drops, and toe raises.

  3. Gait analysis: A physical therapist can assess your walking and running gait to identify any biomechanical issues that may be contributing to your shin splints. They can then work with you to correct any issues with your gait and improve your overall movement patterns.

  4. Manual therapy: Manual therapy techniques such as massage, trigger point release, and joint mobilization can help reduce pain and improve tissue mobility.

  5. Education and prevention: A physical therapist can provide education on proper warm-up and cool-down techniques, footwear selection, and other strategies to prevent shin splints from recurring.

Overall, physical therapy can be an effective way to treat and prevent shin splints, helping you to get back to your normal activities without pain and discomfort.