Runner's sometimes find themselves sidelined by shin pain. Frequently, the runner puts the pain down to "shin splints" and proceeds with rest and ice. But did you know there is more than one condition in runners that cause shin pain? Which one do you have? Islip has a large running community and Islip Chiropractic is here to serve them.
Anterior Compartment Syndrome: Muscles at the front of the shin are wrapped in fascia and are known as the anterior compartment. This fascia does not have a lot of flexibility to it. When running, the muscles become "pumped up," filling with blood, increasing the muscles' volume. Given the inflexible nature of the sheathing, pain ensues. Pain classically comes on shortly after the beginning of the run and will reduce significantly after 30 minutes of rest. This condition is often seen in runners that are rapidly building their distance.
Medial Tibial Stress Syndrome:
Pain along the bony shin is most likely Medial Tibial Stress Syndrome (MTSS). The tenderness is believed to be caused by muscle pulling on the outer layers of the bone. Frequently pain in is present at the beginning of the run, reducing as the run progresses. Pain then returns when the runner is at rest, often hours later.
Stress fractures appear very similar to MTSS. Stress fractures are when cracks form in the bone from the heavy demands of running. Pain is felt along the tibia, or shin bone, generally the lower 1/3. Pain is present at the beginning of the run and increases as the run progresses. The bone is tender to touch at rest.
Having the proper diagnosis is crucial so that you receive the proper treatment. Be sure to seek professional advice in someone experienced in these types of sports injuries.
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