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Shin Splints

Shin Splints

  • Inflammation due to repetitive stress of the broad proximal portion of any of the musculotendinous units originating from the tibia.
  • Symptoms of overuse injury are precipitated by initiation of training, an increase in training intensity or a change in surface or equipment.  The mechanism for overuse injury is overload of forces on the muscle, tendon, or bone, which leads to an inflammatory reaction.

 

Shin Splints : Initial Diagnosis and Management

    • History and physical examination for shin splints.
    • Rest of the affected muscle-tendon bone unit
    • Use of crutches, bracing or casts as needed
    • NSAIDs may be beneficial
    • Adults – 200 to 400 milligrams (mg) every four to six hours as needed for up to 2 weeks.  Example: Ibuprofen
    • Take tablet or capsule forms of these medicines with a full glass (8 ounces) of water.
    • Do not lie down for about 15 to 30 minutes after taking the medicine. This helps to prevent irritation that may lead to trouble in swallowing.
    • To lessen stomach upset, these medicines should be taken with food or an antacid for shin splints.
    • Encourage active range of motion.
    • Appropriate restrictions of activity.

Shin Splints : Ongoing Management and Objectives

  • Rest is individualized depending upon severity for shin splints
  • Immobilization should be utilized if simple weight bearing (walking) is painful.
  • The duration of rest varies from 1-2 days for mild shin splints to several months for severe stress fractures.
  • Ice for 10 to 15 mins with hourly reapplication.
  • Elevate leg frequently with compressive wraps.
  • Slow and sustained active stretches when no pain is present

Shin Splints : Indication a profile is needed

  • Any limitations that affect strength, range of movement, and efficiency of feet, legs, lower back and pelvic girdle.
  • Slightly limited mobility of joints, muscular weakness, or other musculo-skeletal defects that may prevent moderate marching, climbing, timed walking, or prolonged effect.
  • Defects or impairments that require significant restriction of use to shin splints.

Shin Splints : Specifications for the profile

  • Weeks 1-8
  • No running and jumping
  • No rucking
  • Walking to tolerance
  • Swimming recommended