![]() The physiotherapists at Sage Hill Physiotherapy will help you recover through treatments designed to reduce pain and inflammation and, whenever possible, address the underlying problems causing your shin splints. Sage Hill Physiotherapy provides services for physiotherapy in Calgary. Once your diagnostic examination is complete, the physiotherapists at Sage Hill Physiotherapy have treatment options that will help speed your recovery, so that you can more quickly return to your active lifestyle. Some patients may be referred to a doctor for further diagnosis. Our physiotherapist checks pressures within the tissues of the leg, before and after exercise, to see if exercise causes the pressure readings to go up. By stretching the tibialis muscles, and by feeling where these muscles attach on the tibia, we can begin to tell where the problem is.Ī test for measuring pressure in the sore leg may be needed if you have symptoms of compartment syndrome. We may move your ankle in different positions and have you hold your foot against applied pressure. The physical examination allows us see exactly where your leg hurts. When you visit Sage Hill Physiotherapy, our physiotherapists will ask questions about your training schedule, footwear and may also want to know whether you've recently begun a new sport that requires running or jumping. The diagnosis of shin splints is usually made through physical examination and evaluation of your medical history. People with shin pain who try to work through it sometimes end up developing a stress fracture in the tibia. ![]() Continual stresses from running on hard surfaces or from heavy strain in the tibialis muscles can weaken and eventually fracture the tibia. A stress fracture is a crack in a weakened area of bone. ![]() The posterior tibialis muscle attachment eventually becomes damaged, leading to pain and inflammation along the inside edge of the lower leg.Ī stress fracture in the tibia is a serious problem that at first may have the same symptoms as shin splints. As the foot flattens out with each step, the posterior tibialis muscle gets stretched, causing it to repeatedly tug on its attachment to the tibia. Imbalances in foot alignment, such as having flat arches (called pronation), can also cause posterior shin splints. Muscle imbalances from tight calf muscles can cause this condition. Posterior shin splints are generally caused by imbalances in the leg and foot. People who run on the balls of their feet or who run in shoes with poor shock absorption also tend to get anterior shin splints. Running downhill puts even more demands on this muscle in order to keep the forefoot from slapping down. The anterior tibialis muscle must work hard to control the landing of the forefoot with each stride. This commonly happens when people who aren't regular runners decide to go on a long jog. The unfamiliar forces place a heavy strain on the anterior tibialis muscle, causing it to become irritated and inflamed. ![]() Overuse can also occur from running in flimsy footwear or in shoes with soles that are worn out.Īnterior shin splints tend to affect people who take up a new activity, such as jogging, sprinting, or playing sports that require quick starts and stops. Increasing running speed and distance and running on hard or angled surfaces can contribute to overuse. ![]() Overuse commonly happens after changes in training. The injured muscle and the bone covering (the periosteum) become inflamed. Soon the edge of the muscles may begin to pull away from the bone. Repeated movements of the foot can cause damage where the tibialis muscles attach to the tibia. Shin splints usually result from overuse. ![]()
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