Running Shin Splints Treated Graston Technique Sioux City
Shin Splint Pain
Shin splints are one of the most common causes of leg pain. Generally, the area near the shin bone becomes sore and tender. Over time, mild stiffness and dull pain become sharp pain, especially when running or jumping. The muscle and tendons next to the shin (tibia bone) become very tender to the touch and might even become swollen. Eventually, the pain becomes severe enough to prevent any activity at all.
Shin splints are a tendonitis or tendinosis injury of the tibialis anterior muscle. They usually occur while participating in running or jumping sports that overwhelm the muscle and tendon. Young athletes and runners are most susceptible to this kind of injury, but it is also common with middle-aged people starting to run longer miles.
Symptoms and Causes of Leg Pain
The pain begins in the lower leg near the tibia bone, usually on the outside. It begins as a mild pain in one or two spots. Over time, the intensity and the area of leg pain increase. In mild and moderate cases, the pain is present at the beginning and end of workouts. At its worst, the pain feels like a sharp stab that prevents any running. It can become painful to climb up or down steps.
Shin splints are usually the result of increasing your workout routine. They are common when starting running or jumping activities.
Diagnosis of Shin Pain
Diagnosis is generally made during the physical examination and history. X-rays and MRIs are sometimes used to rule out stress fractures in the tibia. The most important findings are the result of palpation, which can reproduce the pain along the tibialis tendon and its insertion on the bone.
Treatment for Shin Splint Pain
Rest and ice are the most common initial home treatments. Decreasing the stress and strain on the area for two weeks usually helps in mild cases of leg pain. In moderate and severe cases, office treatment may provide a faster recovery. NSAIDs are often helpful for the pain and inflammation.
Shin splints can be effectively treated with the Graston Technique, which decreases scar tissue formation and increases cellular repair in tendons and ligaments. This treatment is enhanced when combined with vibration and proprioception therapy. Active treatments that can help decrease pain and inflammation include electric, heat, ice, stretching, exercise, ultrasound, cold laser, the Graston Technique, ART, ASTYM, massage therapy, and manual therapy. More information on lower leg pain and leg treatment can be found on our treatment page.
Athletes commonly suffer from shin pain, so treatment depends on the workload of the athlete and the severity of the injury.
Treatments may include:
- Applying ice
- Taking rest
- Electric therapy
- Proprioceptive therapy
- Stretching of the calves and hamstrings
- Modification of activities and training schedule
- The Graston Technique
Treatment exercises and stretches can be performed in the office and at home. Exercises will often require strengthening of the foot, ankle, knee, and hip muscles; which contribute to overwhelming the leg muscles. Running often tightens the calf and hamstring muscles, which may respond to massage therapy.
Other common lower leg injuries that occur with shin splints include posterior tibialis sprains, which are sprains of the muscle on the inside of the tibia; IT Band Syndrome; plantar fasciitis; and patella tendonitis. All of these injuries occur when the muscles or tendons are overwhelmed with trauma. Increasing mileage too quickly or changing terrain can often break down the tendon faster than it can repair itself. Achilles tendonitis is just one of many common running injuries.