Without question, one of the most common complaints by our running patients is that of shin splints - also known as medial tibial stress syndrome.

Typically, shin splint pain will occur on the inside of the lower leg, just beneath the halfway mark of the shin. The pain will often come on after a period of time, and may or may not be so intense as to cause the runner to cease running. In more serious cases, the pain will remain for a period after stopping running.

There are a few theories as to why shin splints occur. These include strain at the attachment of the soleus muscle at the tibia, inflammation of the tissue lining the tibia (periosteum), and a stress reaction of the tibia bone itself. What is known is that it is an inflammatory condition, and that it often occurs through poor biomechanics, poor footwear, poor training environment, or a combination of the three.

The type of track that you run on may be contributing to your pain. Harder surfaces, like road running, or tracks with a sloped surface can throw the mechanics of the foot out and place additional tension on numerous structures throughout the foot and leg.

Running footwear should provide appropriate support and cushioning for your particular feet. Older running shoes can wear unevenly, causing you to place uneven stress and strain on the muscles and joints throughout the feet and legs. Soft shoes that are prone to collapse may also not provide you with the support that you require. This is particularly important for feet that have a tendency to roll inwards, or pronate, excessively.

Initial RICE treatment (rest, ice, compression, elevation) is recommended to ease the immediate discomfort of the symptoms. A change of shoes or running routine may also achieve positive results. An appropriate muscle stretching and stretching program will most likely help the body manage shin splint pain. Finally, orthotics are often extremely successful in correcting biomechanical deficiencies whilst running.

A consult with a podiatrist can help you establish the cause of your shin splint pain.

For any further queries, contact Pivotal Motion Podiatry on (07) 3352 5116.