Stress Fractures / Shin Splints

What causes Shin Splints?

Stress fractures are a common overuse injury that typically affects athletes or individuals who engage in high-impact activities such as running, jumping, and other sports, or it may also affect people who are always on their feet, and do some running or hiking on top of that. These types of activities can put significant pressure on the leg bones and muscles due to high shock forces from the ground, leading to the development of small cracks or fractures in the bone matrix. These microfractures can weaken the bone structure over time, leading to bony stress reactions and potentially even a full-blown stress fracture.

There are several factors that can contribute to the development of stress fractures, including the intensity and frequency of physical activity, the type of surface being used for the activity, type of shoes, and the individual's overall fitness level. For example, individuals who engage in high-impact activities on hard surfaces, such as concrete or asphalt, may be more prone to developing stress fractures due to the increased shock forces placed on their muscles, bones and joints at each foot strike.

Treatment for Shin Splints

Fortunately, stress reactions can be effectively treated with a combination of rest, physiotherapy, and other supportive measures. In extreme cases the patient may need to wear an airboot for a number of weeks when walking. Physiotherapy may involve non-impact exercises like cycling, swimming, or using an elliptical machine to help unload the bones and reduce pressure on the affected area, to allow the bones to heal. In addition, patients may be instructed to perform strengthening exercises and stretches to help improve muscle tone and flexibility, to correct any underlying issues like stiff joints or weak muscles.

It's important to note that stress fractures can be a serious condition if left untreated, and may lead to chronic pain or long-term disability if not addressed promptly. If you suspect that you may have a stress fracture or are experiencing symptoms like persistent pain, some swelling, or tenderness, typically on the inner surface of your shins near the ankle when walking or running, it's important to seek medical attention and book your physiotherapy appointment to get it assessed. With proper care and management, individuals with stress fractures are able to fully recover and return to their normal activities over time. This requires patience and dedication, so be prepared to put time and effort into your recovery.