Shin Splints THIS IS ONE OF THE MOST COMMON REASONS FOR EXERCISE INDUCED LEG PAIN The pain fe lt can be due to problems of the muscles, the bone, or the attachment of the muscles to the bone. Speci f ic anatomica l and pathologica l d i f ferences wi l l exist that lead to more a speci f ic d iagnoses. The foundat ion of treatment starts with identi fy ing the contributing factors.

The three main pathologies that can cause shin pain are

1 . Medial t ibia l stress syndrome: 2 . Media l t ib ia l s tress fracture: 3 . Exertional compartment syndromes:

Some Predisposing Factors

• abnormal biomechanics, (for example pronated feet) • ankle instability, • weak soleus or tibialis posterior muscles, • stiff ankle joints • inadequate shoes, • body mass index, • inadequate calcium intake or recent growth spurts.

Symptomatic relief and treating the underlying pathology are essential for effective management. Regular calf stretches and releases are integral.

Increasing the strength and endurance of the soleus/tibialis posterior, controlling over-pronation, and promoting

adequate shock absorption are important parts of your treatment.

Continuing to push through shin pain can have dire effects on not only your sporting performance and event participation, but also cause further damage in the long term.

See your physio for an accurate diagnosis and successful management.