Shin Splints?
Tuesday, June 15, 2010 at 8:53PM I've heard from more than a few of you telling me that you think you may be plagued by the dreaded 'shin splint'. Let's take a look at the 'shin splint' and figure out if its what you are in fact suffering from.
The proper name for a shin splint is a Medial Tibial Stress Syndrome (MTSS). The muscle that is causing this pain is the muscle known as the posterior tibialis, or your medial tibial muscle. In most cases of MTSS, the muscle becomes too overworked and ends up ripping away from your tibial bone either resulting in an avulsion fracture (the muscle pulling tiny pieces of bone off of the tibia) or a stress fracture which is a fracture of the bone that may vary in severity. Reasons for this MTSS can be multi faceted, however the main cause is due to a biomechanical need called pronation that occurs in the arch of your foot. In order to absorb impact while running or walking, your foot automatically pronates or rolls in. In cases where the arch rolls in too far, your posterior tibialis is working too hard to keep the arch up, and in turn becomes stressed out.
Signs and symptoms include pain (usually a broad area on the inside of the shin several inches up from the ankle). Possible swelling may be evident, but not always. Pain with Inversion of the ankle (not sure what this is? see me!) Pain with jumping, running and walking on your toes. If you have point tenderness (meaning that you can point with one finger and one finger only as to where the pain is, its not a shin splint! it may be a stress fracture.
Can you run through the pain. Yes, if you want to make it worse, you certainly can! its almost impossible to rest the shin due to the fact that we walk everywhere. But if you keep stressing it out, guess what's gonna happen? Good inserts or proper footwear may be very helpful to aiding the muscles in your lower leg. Deep tissue muscle massage may expedite the healing process by promoting proper blood flow to the area. and last but not least, ice the affected area after workouts!
James |
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