Shin Splint

Diagnosis/Definition

• Inflammation due to repetitive stress of the broad proximal portion of any of the musculotendinous units originating from the tibia.
• Symptoms of overuse injury are precipitated by initiation of training, an increase in training intensity or a change in surface or equipment. The mechanism for overuse injury is overload of forces on the muscle, tendon, or bone, which leads to an inflammatory reaction.

Initial Diagnosis and management

• History and physical examination.
• Rest of the affected muscle-tendon bone unit
• Use of crutches, bracing or casts as needed
• NSAIDs may be beneficial
  • Adults - 200 to 400 milligrams (mg) every four to six hours as needed for up to 2 weeks. Example: Ibuprofen
  • Take tablet or capsule forms of these medicines with a full glass (8 ounces) of water.
  • Do not lie down for about 15 to 30 minutes after taking the medicine. This helps to prevent irritation that may lead to trouble in swallowing.
  • To lessen stomach upset, these medicines should be taken with food or an antacid.
• Encourage active range of motion.
• Appropriate restrictions of activity.

Ongoing Management and Objective

• Rest is individualized depending upon severity
• Immobilization should be utilized if simple weight bearing (walking) is painful.
• The duration of rest varies from 1-2 days for mild shin splints to several months for severe stress fractures.
• Ice for 10 to 15 mins with hourly reapplication.
• Elevate leg frequently with compressive wraps.
• Slow and sustained active stretches when no pain is present

Indication a profile is needed

• Any limitations that affect strength, range of movement, and efficiency of feet, legs, lower back and pelvic girdle.
• Slightly limited mobility of joints, muscular weakness, or other musculo-skeletal defects that may prevent moderate marching, climbing, timed walking, or prolonged effect.
• Defects or impairments that require significant restriction of use.