SHIN SPLINTS

Signs and Symptoms

• Anterior or posterior lower leg pain. The pain is a deep ache that is made worse with running.
  

Differential Diagnosis

• Tibial Stress Fractures – Usually not seen with x-ray. Bone scan may be necessary.
• Compartment Syndrome – Pain may begin within 10 minutes following exercise. Tenderness and swelling over the involved compartment. Athlete may feel pain and tingling along involved nerve. Rest for 4-8 weeks or possible surgery (fasciotomy) is warranted.
  

Etiology (Cause)

• External variables (hills)
• Shoes
• Excessive pronation
  

Treatment

• Orthotics
• Arch taping/leg taping
• Stretching
• Physiotherapy therapy modalities (ice, massage, ultrasound).
• Manual therapy (motion release, foot adjustments)