Under the medial tibial stress syndrome umbrella you also have periostitis – inflammation and irritation of the outer lining of the bone. You should consult your doctor/physio if you suspect you have this. It is harder to treat than medial tibial stress syndrome. It's where the tibia bone flexes, or bows, upon landing, which causes it to widen, and this can quickly turn into a stress fracture. Pain can also occur along the front part of the tibia (the tibial spine), which is a more serious type of shin pain. This is when the bone starts to crack, and swell. If irritated for long enough, it can lead to a tibial stress fracture. It is important to make sure you have a proper diagnosis from a physiotherapist or sports doctor to determine if the pain is bone-related or muscular.īone-related medial tibial stress syndrome is caused by stress on the inside part of your tibia bone, which causes the bone to swell inside. Muscular shin pain is much less common and is experienced as a more vague tightening pain in the muscular part of the shin, most commonly down the front. It typically presents as pain along the inner shin bone (tibia) during exercise and afterwards, and when you touch it. Shin pain that is related to the bone is more commonly referred to as medial tibial stress syndrome, and this is the most common type of shin pain. The term ‘shin splints’ is more of an umbrella term for shin pain, rather than an actual diagnosis, and it is this lack of understanding that often gets runners in trouble. Shin splints are one of the most common running injuries, but also one of the most poorly understood.
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