Shin Splints

Medial Tibial Stress Syndrome commonly known as Shin splints is an inflammation of the muscles, tendons, and bone tissue around your tibia.

Shin Splints

Medial Tibial Stress Syndrome commonly known as Shin splints is an inflammation of the muscles, tendons, and bone tissue around your tibia.

What are Shin Splints?

Medial Tibial Stress Syndrome (MTSS),also known as Shin Splints is an inflammation of the muscles, tendons, and bone tissue around your tibia.  The tibia, your shin bone, is the larger of the two bones in your lower leg, and this stress occurs in the midline of the bone and the surrounding tissue.

Shin splints result when muscles, tendons and bone tissue become overworked. Shin splints often occur in athletes who’ve recently intensified or changed their training routines. This overuse injury is characterised by inflammation and possible micro-tears in the posterior tibialis muscle (the key stabilizing muscle of the lower leg), as well as inflammation in the surrounding tissue and shinbone.

Shin splints usually present as a throbbing, aching pain or soreness in the front or inside of the lower leg between the ankle and knee, at the shin bone. This pain concentrates in the lower leg between the knee and ankle. 

Pain can last all day but is usually sharpest during each foot strike and right after exercise.

What causes Shin Splints?

 Shin splints are caused by repetitive stress on the shinbone and the connective tissues that attach your muscles to the bone.

Most often, people get shin splints from overloading their leg muscles, tendons or shin bone due to the following;

  • Overuse from an increase in training volume or intensity
  • Poor foot mechanics, including overpronation (foot rolls inward), which puts repetitive tension and stress on the tibialis posterior muscle and tendon, which hold up the arch
  • Worn-out or unsupportive shoes that allow overpronation
  • Frequent running on hard surfaces, such as pavement or a track

How do you treat Shin Splints?

Shin Splints often heal on their own, however, we can help assist in a faster recovery and also ensure you have no stress fractures associated with the shin splints.

There are various treatment routines you can follow to treat shin splits;

Rest – It’s important to give yourself a two to 6 week break from high-impact activities until your pain goes away.

If your pain isn’t increasing, you can keep up with some physical activities, but you’ll recover much faster if you switch to low-impact cross-training until the pain and inflammation have subsided.

If you continue to push through, it’s best to cut back on time and intensity.

If you are mildly overpronating, you’ll likely benefit from shoes with motion control and better arch support. Our team can assess your foot mechanics to ensure you’re not overpronating and can create custom orthotics to fix overpronation and remove the source of stress from the tibialis posterior muscle and tendon, which helps you recover faster and prevents the injury from reoccurring.

Once the initial pain has subsided, begin a strength-training routine to target the calves, the core, and the hips.

Ice – You can use ice or cold pack on your legs for 15 to 20 minutes at a time, 3 to 8 times a day. This will help reduce pain and swelling. Continue the ice treatment for a few days.

Wrapping the ice in a thin towel can make it more comfortable for your legs. You can also use the cold pack to massage the area of pain.

Elevate – When you’re sitting or laying down, keep your legs elevated on pillows to reduce swelling. The point is to elevate your legs to a level that is higher than your heart.

Anti-inflammatories and pain relievers – Take an over-the-counter nonsteroidal anti-inflammatory drug (NSAID) such as ibuprofen (Nurofen, and Advil) to help reduce pain associated with the inflammation.

Massage – You can try self-massage for pain, using a foam roller along your shins.

Shock wave therapy – The application of low-energy shock waves to the shins can be an effective treatment for chronic shin splints and can shorten the healing time.

Watch Shockwave Therapy In Action


Most patients with chronic pain problems have been through various unsuccessful types of treatments. Up to 80% of the same patients worldwide report that Shockwave therapy has helped them eliminate their problem.

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