How To Treat Shin Splints, The Infamously Painful Leg Injury

Coach Christine: ACSM, AA

Christine Bettera grew up playing competitive softball, where her coaching journey began. She then gravitated toward solo alternative sports like skateboarding and snowboarding. She completed her personal training certification from Lake Tahoe Community College where she also studied nutrition, took health, fitness and wellness classes and participated in a training internship. She is certified by the American College of Sports Medicine, and is also certified in Aqua Barre, TRX training, and Progressive Calisthenics.
shin splints

How You Can Prevent Or Recover From Shin Splints

Shin splints are a leg injury that can’t be diagnosed with an x-ray, but that are as debilitating as a back injury.

Nothing is more frustrating than getting into the swing of exercising regularly only to run into the roadblock of pain or injury, especially the pain of shin splints. 

Between 30 and 70 percent of runners get hurt and each year and about 35 percent of those injuries are shin splints. 

But runners aren’t the only ones who can suffer shin pain. Walkers, dancers, and other athletes who play fast stop-start sports like tennis, soccer, basketball, or downhill skiing also can experience the agony of shin splints. 

What Are Shin Splints?

running  with shin splints

The term shin splint routinely is used to describe any type of shin pain. The most common is tissue fatigue, which happens when your leg muscles are tired. It’s usually caused when you quickly ramp up your exercise routine either by adding more distance or new activities without giving your body enough time to adjust. 

Shin pain also can be caused by switching the surface you run on, for example, going from running on grass or a dirt trail to running on pavement or concrete. You’re more likely to experience shin splints if you: 

  • Are new to long-distance running
  • Increased the frequency or intensity of your workouts
  • Run or walk on uneven terrain, concrete or hills
  • Have flat feet
  • Have high arches.

Shin splint symptoms include a dull ache in the lower leg, pain that develops during exercise, pain along or on the side of the shin bone, tenderness, and swelling. 

Usually, shin splints are an inconvenience that you can quickly overcome but you need to see a doctor if your shin feels hot, is visibly swollen or the pain continues more than 30 minutes after you stop exercising. 

Serious Dangers

Sometimes the pain goes beyond achy muscles. Shin pain also can be caused by tibial stress fractures and compartment syndrome. 

Bone-related shin pain is caused when your shin bone actually swells. If you continue irritating the bone, you can experience a stress fracture and the bone will break. Not only is that painful, but you’ll also need to take an extended break from exercising to let your leg heal.

In some extreme cases, shin pain can be compartment syndrome. Signs of compartment syndrome, also known as exertional compartment syndrome, include stiff, tight muscles, and pain that gets worse during exercise but fades quickly after you stop. Runners typically experience compartment syndrome in both legs at the same time. 

Exertional compartment syndrome is caused by exertion, unlike compartment syndrome, which is much more serious and is caused by severe injuries or infection. 

If you’re not sure what’s causing shin pain, or it continues despite rest or other shin splint treatment, consult your doctor. 

How To Treat Shin Splints

shin splint compression socks

So you overdid it and now you’ve got shin pain. What can you do to get rid of shin splints? 

Shin splint treatment options vary slightly depending on whether the pain is bone- or muscle-related. 

For both, start with the RICE method or Rest, Ice, Compression, and Elevation.

Rest. Take a break or try low-impact activities like biking or swimming. 

Ice. Wrap ice packs in a cloth or towel and place on your shins for 15 to 20 minutes. Repeat for four to eight times each day until the pain subsides. 

Compression. Consider wearing a calf compression sleeve to help reduce inflammation and swelling. 

Elevation. Put your legs on a pillow while you ice them. Keeping your legs elevated helps reduce swelling. 

If your shin splints are bone-related, start by balancing your exercise routine so you don’t focus only on your legs. Rather than run, try swimming or riding a bike. 

You also should consider seeing a doctor. Stress injuries can become stress fractures that take time and complete rest to heal. 

If your pain is muscular, add massage or stretching to the RICE method. 

You also can use a foam roller to help loosen the fascia (connective tissue under the skin that attaches to the muscle). Kneel on your foam roller and gently slide your shins and calves over the roller a few times each day. Focus on rolling the leg between your knee and ankle. 

Shin Splint Stretches

stretching shin splints

Stretching after your workout helps keep your muscles healthy and maintains joint health. If you’re experiencing pain or muscle tightness, shin split stretches can help alleviate that issue. 

Kneeling Shin Stretch

Start by kneeling with the tops of your feet flat on your mat or floor. Your glutes should rest on your heels. Hold the stretch for 15 to 20 seconds. Do not do this stretch if it causes pain in your knees. 

Seated Shin Stretch

You can do this shin stretch any time, even from your desk chair at work or while sitting at your kitchen table. Start with your knees bent and feet flat on the floor. Point your toe into the floor while you relax your leg and straighten your knee. Hold for 15 to 20 seconds, then repeat on your other leg. You can do this stretch several times each day.

Lying Shin Stretch

Lie on the floor on your side. Bend your upper leg so your foot is behind you. Reach back with your arm and hold your foot, gently pulling it toward your back. Hold for 15 to 20 seconds. Switch sides and repeat.

How to Prevent Shin Splints

shin splint treatment

So you don’t have to worry about how to get rid of shin splints, instead focus on steps you can take to prevent them. 

Start by looking at your shoes. Wear shoes designed for the activity you are doing. If you plan to run five miles, your feet and legs need shoes that are designed to provide the right support and shock absorption. 

Next, look at how long you’ve had your shoes. Active runners should plan to replace their shoes every 350 to 500 miles. 

If you have high arches or flat feet, consider using arch supports to help your feet handle the impact caused by running or other quick stop-start sports. You also can use shock-absorbing insoles to give your legs and feet more cushioning.

Keep your bones, muscles, and joints healthy by increasing your calcium and vitamin D intake. Add a multivitamin or a calcium supplement that will give you 1,300 milligrams of calcium and 400 micrograms of vitamin D per day. You also could drink more milk or eat more yogurt. 

Strengthen your core and hips. If you’re weak there, that can contribute to pain in your legs and feet. Building your glute muscles helps make your body stronger and more healthy overall, especially if you spend a lot of time sitting. 

Improve your flexibility with regular stretching and consider adding yoga to your exercise routine.

Ready, Set, Go! 

To reduce the likelihood you’ll develop shin splints, ramp up your workouts gradually. Don’t try to go from zero to 60. 

You’ll be happier, and healthier if you gradually increase the frequency and duration of your workouts

Don’t focus on doing just one thing. Cross-training not only makes you stronger, but it also will give your body better balance.

Looking for more exercise tips, try the LadyBoss® Pocket Personal Trainer for free for seven days.



Related Posts

Glute strengthening exercises

Glute Exercises

Top 10 Glute Strengthening Exercises It seems like these days everyone wants to be a part of the big booty crew – and why not?!

Read More »