- Inflammation of the tibial periosteum= periostitis = medial tibial stress syndrome = tibial tenoperiostitis
- Risk factors : overuse, pes planus, Tight Achilles tendon
- Symptoms and signs
- Aching or dull pain down the front of one or both legs.
- Shins that are painful to the touch.
- Pain that worsens during or after exercise.
- Pain that improves with rest
- Intensive tenderness of the involved medial tibial border
- Treatment
- Acute stage
- RICE
- MLD – proximal to the painful area
- Swedish, trp on compensation muscles
- Self care : ice apply 3 to 4 time per day
- chronic
- Heat on gastrocnemius and soleus
- Fascia on gastrocnemius, soleus
- Cross fiber friction on soleus, tibialis posterior and flexor digitorum longus
- Pre- activity : heat, self massage to the posterior compartment muscles, stretching of gastrocnemius and soleus
- Acute stage
Knee and leg – Shin splint
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