Lower leg pain; Pain - shins; Anterior tibial pain; Medial tibial stress syndrome; MTSS; Exercise-induced leg pain; Tibial periostitis; Posterior tibial shin splints

Begin the healing process with 2 - 4 weeks of rest.

• Rest completely (other than walking for daily activities) for at least 2 weeks.
• You can try other training activities, such as swimming or biking.

After 2 - 4 weeks, and when the pain is gone, you can start running again. Increase your activity level slowly. If the pain returns, stop exercising right away. Warm-up and stretch before and after any exercise.

Use ice or a cold pack over the area for 20 minutes, twice a day. Over-the-counter pain medications will also help.

Talk with your health care provider or a physical therapist about wearing the proper shoes, getting orthotics for your shoes, and running on the right types of surfaces.

For anterior compartment syndrome, your doctor will recommend treatment.

For a stress fracture, see your health care provider. Most patients will need to be on crutches and avoid activities.

Although shin splints are seldom serious, you may need to call your health care provider if:

• The pain continues and is persistent, even with rest
• You are not sure whether your pain is caused by shin splints
• You don't improve with home treatment after several weeks
• You have a stress fracture

The health care provider will perform a physical examination and take a medical history.

Medical history questions may include:

• Time pattern
  • When did the pain start?
  • Is it present all of the time?
• Quality
  • Describe the pain.
  • Is it a sharp pain?
  • Do you have any numbness and tingling in your foot?
  • Does your leg become clumsy while exercising?
• Location
  • Are both legs affected?
  • Where exactly on the leg is the pain?
• Aggravating factors
  • Have you recently begun exercising?
  • Have you recently increased the amount that you exercise?
  • Have you recently changed the type of exercise that you do?
• Relieving factors
  • What have you done for the pain?
  • How well did it work?
• Other: What other symptoms do you have?

The physical examination may include an examination of the legs.

Home treatment will be prescribed for any of the different types of shin splints. Surgery may be needed in rare cases when shin splints caused by an anterior compartment syndrome do not go away over time.

The pressure can be relieved by splitting the tough, fibrous tissue that surrounds the muscles. Surgery may also be needed for stress fractures.

Images

Shin splints

Lower leg muscles

Review Date: 07/28/2010
Reviewed By: Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington School of Medicine; and C. Benjamin Ma, MD, Assistant Professor, Chief, Sports Medicine and Shoulder Service, UCSF Department of Orthopaedic Surgery. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org)