In time, pain becomes constant and the shin is painful to the touch. Pain that starts on the inside of the lower leg above the ankle. Pain gets worse when standing on the toes or rolling the ankle inward. As the shin splint progresses, the pain will increase. The symptoms of shin splints may look like other conditions or medical problems.
Always talk with your healthcare provider for a diagnosis. Your healthcare provider can most often diagnose shin splints by reviewing your medical history and doing a physical exam.
X-rays are often needed. Your doctor may refer to the condition as medial tibial stress syndrome MTSS. Shin splints frequently affect people who engage in moderate to heavy physical activity. You may be more likely to develop shin splints if you participate in strenuous physical activities or stop-start sports such as tennis, racquetball, soccer, or basketball.
Shin splints is a cumulative stress disorder. Repeated pounding and stress on the bones, muscles , and joints of the lower legs prevents your body from being able to naturally repair and restore itself. The pain associated with shin splints results from excessive amounts of force on the shin bone and the tissues attaching the shin bone to the muscles surrounding it.
The excessive force causes the muscles to swell and increases the pressure against the bone, leading to pain and inflammation. Shin splints can also result from stress reactions to bone fractures.
The constant pounding can cause minute cracks in the bones of the leg. The body can repair the cracks if given time to rest. Various activities and physical attributes can put you at risk of getting shin splints. Risk factors include:. Shin splints are also more likely to occur when your leg muscles and tendons are tired.
Women, people with flat feet or rigid arches, athletes, military recruits, and dancers all have an increased likelihood of developing shin splints. Your doctor will usually be able to diagnose shin splints during a physical exam. There are things you can do to get better quicker.
A GP will ask about your symptoms and examine your leg. If it's not getting better, they may be able to refer you to a physiotherapist. Physiotherapy from the NHS might not be available everywhere and waiting times can be long. You can also get it privately. Show references Shin splints. American Academy of Orthopaedic Surgeons. Accessed June 30, Shin splints. Merck Manual Professional Version. Callahan LR. Overview of running injuries of the lower extremity. Safran MR, et al.
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