Medial tibial stress syndrome (shin splints)

Overview

Medial tibial stress syndrome, often called shin splints, is exercise-related pain along the inner shin bone from overload. It is common with increases in running and responds to load management and strengthening, with imaging if a stress fracture is suspected.

Symptoms

• Aching along the inner shin
• Pain at the start of exercise that may ease then return
• Tenderness along the inner shin bone
• Pain worse with increased running

Causes

• Sudden increases in running load
• Footwear and surface factors
• Foot and lower-limb mechanics

Treatment

• Load management and training modification
• Calf and foot strengthening
• Footwear review
• Imaging if a stress fracture is suspected