Shin splints
| Shin splints | |
|---|---|
| Other names | Medial tibial stress syndrome (MTSS), soleus syndrome, tibial stress syndrome, periostitis |
| Red area represents the tibia. Pain is generally in the inner and lower 2/3rds of tibia. | |
| Specialty | Sports medicine |
| Symptoms | Pain along the inside edge of the shinbone |
| Complications | Stress fracture |
| Risk factors | Runners, dancers, military personnel |
| Diagnostic method | Based on symptoms, medical imaging |
| Differential diagnosis | Stress fracture, tendinitis, exertional compartment syndrome |
| Treatment | Rest with gradual return to exercise |
| Prognosis | Good |
| Frequency | 4% to 35% (at-risk groups) |
A shin splint, also known as medial tibial stress syndrome, is pain along the inside edge of the shinbone (tibia) due to inflammation of tissue in the area. Generally this is between the middle of the lower leg and the ankle. The pain may be dull or sharp, and is generally brought on by high-impact exercise that overloads the tibia. It generally resolves during periods of rest. Complications may include stress fractures.
Shin splints typically occur due to excessive physical activity. Groups that are commonly affected include runners, dancers, gymnasts, and military personnel. The underlying mechanism is not entirely clear. Diagnosis is generally based on the symptoms, with medical imaging done to rule out other possible causes.
Shin splints are generally treated by rest followed by a gradual return to exercise over a period of weeks. Other measures such as nonsteroidal anti-inflammatory drugs (NSAIDs), cold packs, physical therapy, and compression may be used. Shoe insoles may help some people. Surgery is rarely required, but may be done if other measures are not effective. Rates of shin splints in at-risk groups range from 4% to 35%. The condition occurs more often in women. It was first described in 1958.