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Shin Splints: Causes, Symptoms and Treatment

Published: August 13, 2025

Shin Splints.

If you’re a runner, dancer, or play field sports, you may have experienced a nagging pain along the inside of your shin. This is a common issue known as Medial Tibial Stress Syndrome (MTSS) - more often referred to as shin splints.

What are shin splints?

Shin splints are an overuse injury that causes pain along the inner border of the tibia (shin bone). It occurs when the muscles, tendons, and/or bone in the lower leg become overworked from repetitive stress, particularly during activities involving impact or sudden increases in load.

What casuses shin splints?

The exact cause of shin splints can vary, but common contributing factors may include:

  • Sudden increase in training volume or intensity

  • Running on hard or uneven surfaces

  • Biomechanical issues, like flat feet 

  • Poor or worn-out footwear

  • Muscle imbalances, particularly weak calf or hip muscles

  • Inadequate rest, recovery and/or nutrition

Over time, repeated loading on the tibia leads to microtrauma in the bone and surrounding tissues, resulting in inflammation and pain.

Common Symptoms:

People with shin splints typically experience:

  • Dull, aching pain along the inner side of the shin

  • Pain that worsens with activity and improves with rest

  • Tenderness to touch along the lower third of the tibia

  • In some cases, mild swelling in the area

Physiotherapy treatment.

The good news is that shin splints is very manageable with the right approach. Our team can provide a tailored plan for you that may involve:

Load Management: reduce or temporarily stop high-impact activity (e.g. running) and switch to low-impact alternatives like swimming or cycling.

Biomechanical Correction: assess foot mechanics and determine whether custom-made orthotics or supportive footwear maybe benefitical.

Strengthening & Flexibility: exercise program to strengthen calves, hips, and foot muscles, improve flexibility of the calf, and hamstrings.

Manual Therapy: massage, dry needling, or taping techniques to relieve muscle tension.

Gradual Return to Sport: slowly reintroduce load with a structured, progressive plan.

 

Shin splints can be frustrating, but it’s not something to “push through”. With the right treatment plan and a focus on prevention, you can return to full activity. If you’re dealing with shin pain, book with one of our team to get a tailored program for you.