Physical Therapy Nest

Shin splints are typically diagnosed through:

• Medical history review (activity level, training changes, footwear habits).

• Physical exam to assess tenderness along the shinbone and rule out fractures.

• Movement analysis to identify gait issues or muscle imbalances.

• Imaging:

  • X-rays are usually normal but may rule out stress fractures.

  • MRI or bone scans can confirm if microfractures are present in severe cases.

Physical therapy can significantly reduce shin splint pain and prevent recurrence. Treatment may include:

• Activity modification (reducing high-impact workouts temporarily)

• Manual therapy to relieve tightness in calves and surrounding tissues

• Strengthening exercises for the calves, hips, and core to support proper mechanics

• Stretching routines for calves, hamstrings, and Achilles tendon

• Gait retraining to correct running or walking form

• Pain management using ice, ultrasound, or electrical stimulation

• Education on footwear, training progression, and surface choice (e.g., avoiding hard concrete when possible)

Typical symptoms of shin splints include:

• Dull, aching pain along the inner edge of the shinbone

• Pain that worsens with running, jumping, or prolonged activity

• Tenderness or soreness along the lower leg

• Mild swelling in some cases

• Pain that may improve during exercise but return afterward

• Stiffness in the lower legs after activity

To lower the risk of shin splints or recurrence:

• Increase training intensity gradually, not suddenly

• Wear supportive shoes that match your activity and foot type

• Replace worn-out footwear regularly

• Stretch and strengthen the calves, hamstrings, and hips

• Cross-train with low-impact activities like swimming or cycling

• Avoid running on excessively hard or uneven surfaces