Shin Splints

Shin splints is a term that covers a number of conditions.

These can include:

  • Medial tibial stress syndrome – where the lower leg muscles become inflamed on their attachment to the tibia.
  • Compartment syndrome – which commonly affects the muscles of the lower leg and occurs when the muscle expands as a result of training and becomes compressed by it’s surrounding sheath.
  • Stress fractures occur when a bone cannot withstand the training load placed upon it. The causes of all of the above will be related to training, footwear and biomechanics.

Physiotherapists should diagnose the condition and if necessary refer you on for further investigations e.g. X-ray or scan if a stress fracture is suspected. If physiotherapy is indicated they will treat the cause of the problem using massage skills to release the structures around your shin that contribute to the problem. Deep tissue massage is highly effective to achieve this.

Physiotherapists will teach you exercises to stretch and strengthen the lower leg. If there is a structural problem they may refer you to a podiatrist for further analysis, it may be that it will require the use of orthotics to settle the problem. Compression socks may help with the problem.

Achilles Tendonitis

The Achilles Tendon can commonly become inflamed in runners. This will be due to inappropriate footware, overdoing training, weakness or abnormal biomechanics around the foot and ankle. If untreated, this problem will lead to degenerative changes to the tendon and reduce it’s force producing capacity. This will lead to further injury and loss of performance.

Achilles Tendonitis is characterised by pain just above the heel bone, particularly first thing in the morning it can be exquisitely painful! It may well ease as you run and then be more painful afterwards.

Physiotherapists should identify the cause of the problem and use hands on skills to release any of the structures around your calf and Achilles that may be responsible for creating the problem. They may use acupuncture to release tight muscles and reduce pain. They will teach you exercises to stretch and strengthen the Achilles particularly heel raising exercises which can help strengthen the tendon and allow it to adapt to load again. If there are any structural problems in your foot, you may be referred to a podiatrist for further analysis. It may be that it will require the use of orthotics to settle the problem. It can take up to three months to recover from an Achilles Tendon injury even with therapy.

Where do you hurt?
- Click the area on the image

Where do you hurt? Foot Pain Shin Split and Calf Injuries Knee Injuries Head Neck Groin Hand Hand Hand Abdominal Shoulder Shoulder Shoulder Back Tricep Tricep Bicep Bicep Chest Quads Hamstring Glutes