06/07/2026
Shin splints or Medial Tibial Stress Syndrome is a condition characterised by pain along the inner edge of the shinbone (tibia).
Shin splints involve inflammation of the shin bone (tibia) due to overuse, often from running or high-impact sports. This causes tenderness along the inner shin and may include mild swelling. Bone stress injuries are common when training begins or physical activity increases too quickly. The tibialis anterior muscle pulls on the shin, potentially causing inflammation and pain. Initially, the pain may stop after exercise but can become continuous and lead to a stress fracture if untreated.
How we treat shin splints
The first stage is to work out a likely diagnosis. If there is any question of a stress fracture then it is essential that you undergo a thorough assessment by a qualified health professional - you may need an x-ray, MRI or bone scan. If in doubt, get it checked out! A detailed physiotherapy assessment will help identify a cause and treatment tailored to your needs.
Presuming there is not a stress fracture (as this may be managed differently), physiotherapy management may include:
- Soft tissue release of the calf and sometimes tibialis anterior (the main muscle at the front of the shin).
- Restoring flexibility, strength and stability of the lower leg muscles and foot with a programme of home exercises developed for your needs.
- Taping for support.
- Plenty of advice with regards to training frequency, intensity, running surface, foot wear and utilising cross-training.
Much of the rehab and treatment focuses on reducing the load on the affected part of the bone. We can guide you in returning to running and when to start strength and flexibility work. If you are struggling with persistent shin pain, please give us a call on 01634 817242.
We would love to be able to help.