Shin splints are an inflammatory injury affecting the lower leg bone (tibia). The condition develops at the muscle’s attachment to the bone surface.
Anterior shins splints occur along the front and center of the leg and are most commonly associated with over training, running hills, or stiff soled shoes.
Posterior shin splints develop along the inside edge of the leg bone and are usually related to foot function and mechanical strain on the tibialis posterior muscle.
Initial treatment should include an anti-inflammatory, ice, rest, and an assessment of the patient’s shoes and exercise program. If this fails, a medical evaluation should be obtained to rule out a tibial stress fracture. Once a diagnosis is confirmed treatment usually involves physical therapy and molded arch supports.
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