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In brief
Shin splints, or more precisely, medial tibial stress syndrome (MTSS), are painful and troublesome. Despite treatment or activity modification, they often recur. Distinguishing MTSS, the most common running overuse injury, from other overuse injuries can help focus treatment, which starts conservatively. Recommending activity modification, ice massage, NSAIDs, and stretching is a good first step. Patients who don't respond to treatment may need additional diagnostic workup and more restrictive activity guidelines.
Additional information
Notes on contributors
Daniel S. Fick
Dr Fick is a fellow In the departments of family practice and orthopedic surgery at the University of Iowa Hospitals and Clinics in Iowa City. Dr Albright is professor in the Department of Orthopaedic Surgery at the University of Iowa College of Medicine in Iowa City, and Mr Murray is a trainer in the University of Iowa Sports Medicine Services.
John P. Albright
Dr Fick is a fellow In the departments of family practice and orthopedic surgery at the University of Iowa Hospitals and Clinics in Iowa City. Dr Albright is professor in the Department of Orthopaedic Surgery at the University of Iowa College of Medicine in Iowa City, and Mr Murray is a trainer in the University of Iowa Sports Medicine Services.
Boyd P. Murray
Dr Fick is a fellow In the departments of family practice and orthopedic surgery at the University of Iowa Hospitals and Clinics in Iowa City. Dr Albright is professor in the Department of Orthopaedic Surgery at the University of Iowa College of Medicine in Iowa City, and Mr Murray is a trainer in the University of Iowa Sports Medicine Services.