Shin splints generally
refer to inflammation of the tendons attaching the shin muscles to the
tibia (shin bone). They occur when the muscles on the inside part of
the tibia which control foot movement when running, or the tibia lining
itself, become inflamed. The inflammation is a warning sign that, for whatever reason, the muscles are unable to handle the stress being placed on them.
Shin splints are the number one overuse injury in track and field,
according to Laura Ann Christopher, MS, ATC, an athletic trainer for
the University of Maryland track & field team.
Shin splints: common causes
Shin splints are commonly caused by overuse. All of the following create overuse in running:
- A structural imbalance or irregularity,
such as foot placement (usually overpronation, e.g. where the foot
flattens when the athlete runs), can predispose an athlete to shin
splints. Where this occurs, orthotics can be helpful;
- Too many miles running on hard surfaces;
- Abrupt changes in running surface
such as going from an indoor to outdoor track, or from the grass and/or
dirt of a cross country course to the harder surface of an outdoor or
indoor track; or
- Abrupt change in training regimen
such as going from running on flat surfaces to running up and down
hills (i.e. adding plyometrics , a type of training designed to produce
fast, powerful movements, generally for the purposes of improving
performance).
All can stress the muscles around
the tibia. If they are not strong enough to adapt to the change they
become tired and fatigued, resulting in more foot motion and more
stress on the muscle causing inflammation. Shin splints make running
very painful, pain which is increased by the added stress of wearing
spikes during training and competitions.
Shin splints: treatment
If shin splints are suspected,
your child should be seen by his doctor because sometimes what looks
like shin splints are actually tibia stress fractures. Treatment of shin splints often
includes prolonged
RICE
(rest, ice, compression, and elevation) and non-steroidal
anti-inflammatory medications like ibuprofen at doses recommended by
your child's doctor.
- Anti-inflammation medication (ibuprofen etc.);
- Ice. Ice should always be applied as soon as the workout is over;
- Heating pads to warm and loosen up the muscles before training sometimes helps.
- Training changes:
- Less running.
Because shin splints results from overuse, the only lasting remedy is
to remove what causes them. That usually means one thing: less running
and stress on the legs until the inflammation subsides.
- Rest. Even if orthotics
are prescribed, the fastest way to eliminate the pain of shin splints
is to stop running to let the inflammation recede, and then gradually
build back up in training volume using the orthotics.
- Cross-training.
Pool running or cross training on a bike/elliptical are great ways to
remove direct stress on the tibia while maintaining fitness during
recovery.
Shin splints: prevention
Some athletes seem predisposed to shin splints, making prevention almost impossible.
For the rest, the key to prevention of shin splnts is a training program developed with the help of an athletic trainer who understands the developmental issues young athletes face.
According to Laura
Christopher, the University of Maryland athletic trainer, the four most
important things an athlete can do to prevent the inflammation that causes shin splints are:
- Don't over train.
More volume is not always better training or good for your child's
body. Ideally each athlete will find the training volume that is the
most effective for her but allows her to maintain health. Any increase
in volume should be done gradually. For example, have your child
increase training volume by 5% and then give her several weeks to
adjust before adding more.
- Train on softer surfaces.
In general, training on softer surfaces will produce less wear and tear
on your joints and bones. This is good for both short term and long
term health. If your child loves to run and wants to still be doing it
later in life, he should do what he can to preserve his joints when he
is young.
- Avoid abrupt changes in training surfaces.
Some athletes can go back and forth between grass, trails, roads and
tracks with no problems. But if you can't, keep that in mind when
planning your training.
- Pick the right shoes:
Different shoes are made for different kinds of feet and varying foot
placements. Before your child begins training, or if she is
experiencing any foot or leg pain, visit a running store to have her
feet evaluated and get recommendations for running shoes that will give her the best fit and support.
Teaser title:
Shin Splints: Causes, Treatment and Prevention
Teaser text:
Shin splints are an inflammation of the tendons attaching the shin muscles to the tibia (shin bone) and a warning sign that, for whatever reason, the muscles are unable to handle the stress being placed on them. They are the number one overuse injury in track and field. If you suspect your child has shin splints, he should be seen by his doctor because sometimes what looks like shin splints are actually tibia stress fractures.