Medial Tibial Stress Syndrome (Shin Splints)

What is it?

Medial tibial stress syndrome, commonly known as shin splints, is an overuse injury affecting the inner border of the tibia (shinbone), one of the primary bones of the lower leg. It is highly prevalent among runners, athletes who engage in repetitive jumping sports, or individuals who suddenly increase their level of physical activity.

It occurs when the muscles and tendons inserting around the tibia exert repetitive tension on the periosteum, the protective membrane covering the bone.

Most Common Symptoms

• Pain along the inner border of the tibia.

• Discomfort when running or jumping.

• Pain at the onset of physical activity.

• Tenderness to the touch in the affected area.

• Stiffness after exercise.

Why does it develop?

Several factors can predispose individuals to developing this condition, including:

• Errors in training progression and planning.

• A sudden increase in training load.

• Biomechanical abnormalities.

• Muscle strength deficits.

• Inappropriate footwear.

• Impaired motor control.

The Importance of Therapeutic Exercise

Current scientific evidence demonstrates that therapeutic exercise is one of the most effective interventions for restoring tissue load-bearing capacity.

Treatment focuses not only on pain relief, but also on strengthening the musculature of the calf, foot, and hip, optimizing biomechanics, and safely preparing the patient to return to running.

Therapeutic Approach

• Myofascial release.

• Dry needling.

• Percutaneous neuromodulation.

• EPTE (Percutaneous Electrolysis Therapy), when indicated.

• Radiofrequency therapy.

• Functional taping.

• Therapeutic exercise.

• Manual therapy.

  
  

Treatment Objectives

• Reduce pain.

• Restore load-bearing capacity.

• Improve strength and motor control.

• Correct biomechanical dysfunctions.

• Facilitate a safe return to sport.

• Reduce the risk of recurrence.