One of the most common running injuries we get asked about is shin splints and how to get rid of them…
A common misconception about shin splints is that they are an actual condition of the shin bone or tibia.
Shin splints describe the pain felt along the front of your lower leg, at the shin bone. The pain concentrates in your lower leg between your knee and ankle.
The pain can be caused by inflammation of the muscles, tendons, and bone tissue.
Let’s have a look at what shin splints are in a bit more detail, but more importantly, what is the best way to avoid getting them?
As we already mentioned, a common misconception about shin splints is that they are an actual condition of the shin bone or tibia.
That is not true.
Shin splints are normally caused by one of the muscles that are running down the tibia. Typically it is the medial or inside of the shin that normally hurts.
The connective tissues between the muscle and the shin become inflamed and it starts to pull away from the shin, causing shin pain.
That is really the pain that you are feeling.
(Side note: extreme levels of pressure and tightness may actually indicate compartment syndrome)
There is, therefore, pressure running through the tibia…
If we don’t treat it and you keep running through the pain, shin splints will ultimately turn into a pre-stress fracture (which is a little bit of bony oedema and bleeding on the actual bone).
Ultimately, if you continue running shin splints, it could turn into a stress fracture of the tibia.
Shin splints are an extremely common novice runner’s injury.
This is because as human beings we are always driven to succeed, improve, go faster, get better and run longer.
Often this is what happens as we always build up too quickly, and we then typically get shin splints.
There are a few other main causes of shin splints…
What Are Shin Splints Caused By?
The most common causes of shin splints:
- Doing too much too soon.
- Running in the incorrect running shoes.
- Not having a body that is adapted for exercise.
- Stress reactions to bone fractures.
How To Tell If You Are At Risk Of Getting Shin Splints?
There are a few risk factors to consider that give you a higher chance of getting shin splints…
- Not having a body that is adapted for exercise, such as flat foot syndrome.
- muscle weakness in your thighs or buttocks
- Lack of mobility
- Running on a slanted surface or uneven terrain
- Running on hard surfaces
- Using worn-out shoes
Let’s chat a bit about the recovery process…
How long do shin splints take to heal?
There’s no way to say exactly when you will be fully recovered from your shin splints…
It really depends on what caused them. People also heal at different rates.
When you feel that you are recovered, you should make sure to properly warm up (LINK) and, you should do so gradually over a few weeks.
Try to start out running on soft, level ground, and wear the correct shoes.
Don’t Ignore The Pain From Shin Splints
A major issue with shin splints is people tend to ignore the pain.
Pain is a signal from your body telling you something isn’t right…
Runners think it will get better as they get a little bit fitter but that is generally not the case. This is why people often end up with quite a serious case of shin splints.
The good news is, that even if it is serious, it shouldn’t take more than two weeks to deal with the actual pain.
How To Get Rid Of Shin Splints
To heal shin splints from the acute phase can take anywhere in the region of 48 hours to two weeks, depending on how far you pushed yourself into the pain.
- The first thing you need to do is rest.
I know, it’s the last thing a runner wants to hear…
…but continuing to run is just going to make the shin splints worse.
You can also take an anti-inflammatory if needed to help speed up recovery, but this is not a long-term solution and should be recommended by a doctor.
- The second thing you need to do is run an ice pack over the affected shins for 20 minutes three times a day.
This will also help settle the inflammation.
- Thirdly, a very simple strength training program will help strengthen your lower and upper legs, as well as your glutes and core.
Exercises like toe raise and forward & lateral band walks, for example, are perfect.
- And then lastly, grab a foam roller and foam roll your legs.
What you can do right now to heal shin splints fast:
- Rest (Take an anti-inflammatory, if needed, to settle the inflammation)
- Run an ice pack over the affected area 3 times a day for 20 minutes
- Strength training twice a week
- Foam rolling daily
So avoiding shin splints altogether would be the best-case scenario, but how do you not get shin splints?
How to prevent shin splints in the first place
- Get Proper Running Shoes
When people start running they very seldom start off in the right pair of running shoes.
They decide they want to start running to get fit and improve the quality of their life or to run a marathon.
Whatever the reason is, they go into their closet and pull out whatever shoes they’ve got in there.
Their excitement and exuberance to get started, plus very often incorrect footwear is a lethal combination when it comes to shin splints.
- Strength & Conditioning Training To Get Rid of Shin Splints
Here are some of the things you can do from a strength and conditioning perspective to prevent and treat shin splints as a runner…
Strength and conditioning won’t directly help with your shin splints…
Essentially, shin splints are mostly caused by an overload issue and by an imbalance between your anterior and posterior compartments between your lower limbs…
The strength work that you should be looking at…
There is a muscle in the front of the shin called the tibialis anterior, this muscle is the one people tend to worry about because it gets very tight and starts to spasm. This muscle is not there for shock absorption…
So when people ask if you can do strength training for shin splints… the answer is yes, but to strengthen that muscle, which is responsible for bringing your toes up (dorsiflexion).
So really, if you’re strengthening that muscle, all you’re doing is improving your dorsiflexion not preventing shin splints.
What we recommend is strengthening your pelvic stability, hip girdle, glutes, and definitely your inner thigh muscles.
It’s important for people to know that if you are experiencing shin splints, it may not be an issue directly connected to your shins but rather in that chain like your hips, knees, or even shoes.
You can download our free strength program: HERE
- Build up really slowly
Follow a structured running training plan that will give your body time to adapt to the increased training…
If during your slow build-up, the pain returns, I would then suggest that you go see a physiotherapist.
Couple that with seeing a biokineticist because there is most probably a good chance then that you have an imbalance between your anterior and posterior compartments as we call it.
Effectively what that means is: The muscles on the front of your leg are stronger or weaker than the muscles on the back of your leg.
As a result… there is strain being placed on those anterior muscles causing them to get inflamed.
When To See a Doctor
If your pain has not been relieved by rest, ice, anti-inflammatory tablets, or foam rolling, then it is a good idea to make an appointment and your orthopedist or GP as they will be able to diagnose the exact source of your pain and recommend a treatment plan.
Join us for a free live online presentation of the…
The Running Through Menopause Masterclass
…and discover how you can run well (and faster) as you get older, without training more or harder than you currently are, all while avoiding injury.
If it feels like you’re training harder than ever but not running the paces you’d like to be running or if you’re constantly tired, fatigued or running in some sort of pain, then this is specifically for you.
Wednesday 25 May 2022
11am Los Angeles | 2pm New York | 7pm London