Medial Tibial Stress Syndrome (Shin Splints)
Diffuse pain along the inner shin that recurs when running distance or impact load increases.
Understanding Medial Tibial Stress Syndrome (Shin Splints)
Also called shin splints, this occurs when the inner tibial lining and nearby tissues do not adapt to repeated impact and traction. Rapid mileage increases, hard surfaces, calf fatigue, and foot or ankle alignment can contribute.
Treatment Direction
Reduce Impact Load
Reduce running and jumping while maintaining fitness with lower-impact exercise such as cycling or swimming.
Rule Out Stress Fracture
We assess the tenderness pattern and single-leg hop response, and consider imaging for strong focal pain.
Strengthen Calf and Foot
Improve calf and intrinsic foot strength, ankle motion, and impact control.
Return-to-Running Criteria
When to Seek Evaluation Promptly
A sharp focal tender point, pain at rest or at night, or difficulty hopping on one leg requires evaluation for a stress fracture first.
Do not put off persistent pain. Have it checked.
Our staff can guide you during clinic hours. Call us if you have questions before your visit.