Shin Splints

What is it?

  • Catchall term for overuse problems affecting the legs.
  • Anterior-lateral is overuse of the dorsiflexor muscles including the tibialis anterior.
  • Posterior-medial, also called medial tibial stress syndrome effects the tibialis posterior muscle and soleus.


  • A major factor for the posterior shin splints is excessive pronation. The tibialis posterior controls pronation and can be excessively stretched leading to stress.
  • Anterior shin splints may be caused by weakness in the anterior tibialis muscle and tightness in the calf muscles.
  • Sudden changes in running surface, distance or speed may all contribute to the development of shin splints.


  • Pain typically at the start of activity and then decreasing as the muscles warm up. Pain typically reoccurs after the activity is done.
  • Point tenderness along the affected muscles.
  • Education on proper training techniques and when to switch shoes out (anterior/lateral).
  • If caused by excessive pronation, consider a stability or motion control shoe/insert (posterior/medial).
  • Icing, friction massage.


  • CEP Compression Socks/Sleeves
  • Addaday Ultra Series
  • Runner's Remedy
  • Superfeet Premium Insoles
  • Hydration & Nutrition (Nuun, GU Energy, Nathan)

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