(Possible) Cures for Shin Splints


This page contains a set of posts taken from the rec.running newsgroup on the subject of shin splints. Seeing as I get asked more questions about this than any other running topic I thought it was time I put this collected wisdom on the web. They won't all work for you, just try and see. Be patient and they may just go away. Thanks to the posters.

Check out this page for a medical viewpoint and greater explanation of the problems.


  • What are Shin Splints ?
    Shin splints are small tears of the tibialis anterior ( the muscle running along the outside and front of one's leg) hence its name. It is caused when there is a muscle imbalance between the back and front lower leg muscles. The back muscles develop much faster when running. To counteract this you may need to do exercises as follows. As Chris BeHanna put it "The only way to `splint-proof' yourself, in the end, is to use good shoes and to strengthen your shins.

    Alternative view of shin splints:
    1. Increased blood flow _within_ the cortical bone - the hard thick bone.
    2. Bone Loss - bone is resorbed (by Osteoclasts) as part of the remodeling process. This allows more bone to be laid down later.
    3. New Osteoid - the scaffolding onto which calcium salts are lain
    4. New cortical bone from calcium salt onlay which produces - thicker, and more robust bone to withstand the new/increased stresses being applied.


  • Exercises

  • JLBRUN


    Shin Splints - Classic Type

    The shin splint pain/ache can be relived by the following exercise.

    Set on a table with legs off of the floor. Put a 3-5 pound weight on your toes and lift toes toward the ceiling. This will stretch the muscle back to its normal length.

    Strengthening of the Quads

    The quads are a set of four muscles on the front of your legs above the knee.

    Set on a table with the legs off of the floor. Put a 3-5 pound weight on your toes and lift the legs upward. Do not lift them high enough to lock to knee. This exercise is known as a leg extension and will strengthening the muscles.

    A gym with exercise machines is great but; isn't necessary to achieve the same results.


  • JOHN DIXON
    Exercise to try and prevent shin splints occurring:

    1) wall stretches (knee straight and knee bent) I have also heard of this stretch being done with toes in and toes out.

    2) Partner ankle resistance exercises (aka. PNF's) partner resists your ankle movement as you try to move ankles in/out/up/down.

    3) heel walks. walking on heels with toes up

    As for treatment...ICE. I tell the athletes to freeze paper cups of water and use ice massage on the area before and after practice. In college I had great success with ice whirlpool treatment. May want to seek help from a podiatrist and get orthotics if nothing works. Be careful of running shoes that are too stiff in the forefoot.


  • KFD Moore
    #1 make sure you have the right shoes. Since you seem to be having problems, I wouldn't hesitate to spend at least $65. Heel cups or arch supports might help also. Talk to your local athletic shoe store about your problems. They will help fit the right shoe for your running style. In this catagory, you really do get what you pay for.

    #2 start with a slow jog to warm the muscles, then regular pace, then slow down for a couple of minutes to finish, and then stretch.

    #3 do the right streches! Stretch the quads, hamstrings, calves, shins and achilles tendon (see below).

    To stretch your calves, stand about three feet from a wall. facing the wall, place one foot near the wall (bend leg) and the other three feet back (straight leg), with your hands holding the wall for support, lean forward until you feel a stretch in your straight leg. Hold it for about 30 seconds. To stretch the tendon, maintain the same posture, but try to put a little bend in your back leg (you may have to move your leg forward a little. You should feel a stretch in the tendons. To stretch your shins, lie down on your back and place your toes under a bar of some sort (legs bent), like a sofa, or dresser. Slowly scoot back to straighten your legs until you feel the stretch. Hold it for 30 seconds.

    If you experience pain after you have cooled down, try ice and rest. If your shin pain is coming from the base of your shin near the foot, put ice on it for 5 minutes on, 15 minutes off for a few times to reduce swelling. If your calf pain is coming from the tendon (runs between the large calf muscle and your heel), then the tendon stretching above should help. Hope this helps!


  • Karen Pulkkinen
    I would recommend icing them after the work out. Toe raises work well. Stand with your fore foot on the edge of some stairs and raise up till you are almost standing on your tippy toes. My physical therapist also recommends picking up unsharpened pencils or marbles with your toes and setting them down again. Do this for about ten minutes or until you feel the fatigue start to kick in the muscle along the front of your leg.
  • C.Moody
    When I first started running I developed quite painful shin splints (dont we all!). I kept going with this problem until a friend suggested that I strenthen my shin muscles by lifting the toe portion of the foot with your heel on the ground. You should feel a pull in the area and see the muscle working. Do this every opportunity you get. I did thousands! The muscle will strenthen and the problem magically disappears. I think this gets the muscle strong enough to handle running and your running keeps it strong. I have been running a long time and havent had a problem with shin splints since- Hope this helps!
  • Chris BeHanna
    A doctor gave me some exercises to rehabilitate my achilles tendon. Some of the exercises also work the posterior and anterior shin areas.

    I use a strip of rubber the doctor cut for me. One exercise is to catch an end of it in a closed door and tie the other end in a loop and put it over your toes. Then pull your toes toward you, 3 sets of 10 per leg at least every other day. (this helps the anterior side)

    For the posterior side, sit on the floor with your legs straight. Cross one leg over the other so they cross about mid-shin. Put the loop on the rubber strip over the upper foot and run the strip behind the lower foot and hold the other end in your hand. Now supinate the upper foot, 3 sets of ten. Repeat on the other leg (I usually do one set per side, switching back and forth until both sides get 3 sets). You really feel this in the posterior shin area.

    Of course, you should stretch your calves and do some range of motion exercises for the ankle to warm up before doing these exercises. They really seem to help me (I hope they help you too).

    If you can't get a rubber strip to use, try cutting up a bicycle inner tube so that it's about as long as your leg and as wide as possible.


  • Andrew C. To quote Karen "This one got a lot of flack, and I haven't found the tablets he is talking about:"

    I developed shin splints some time ago (1988) and I put up with them for a few years . Sometimes the pain was rather intense ,even when walking. Anyway, I joined a martial arts club and trained for a while then a person I trained with noticed I was in pain walking and when I told him it was from shin splints He said he had a way to get rid of them in about a week. As you can imagine ,after putting up with it for do long I was skeptical as to his claims. He said to go to a health store and get some Calcium Ascorbate tablets and take two of them twice a day and the splints will go. Sounds too easy doesn't it. I thought what the hell may as well try it ,at least I'll put off the osteoporosis for a while. I bought the tablets for about $10 and took them. This is no bull ,the splints were gone in three days. I finished all the tablets just to make sure. This was 5 years ago now and I run more than I ever did before and I have never had a recurrence of splints. Every person I come across with splints gets this advice and every single one who tries it is amazed.


  • Shin Splint Info: sources
    "Dance Technique and Injury Prevention" by Justin Howse and Shirley Hancock has a good description of shin splints, or "anterior compartment syndrome". It is about dance, not running, but some of the descriptions of injuries are valid for any sport.

    Checkout http://www.SCOI.com


    Last updated : 12 August 96

    kmk@eng.cam.ac.uk