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Physiotherapy & Rehabilitation Advice

Shin Splints

Shin pain is one of the most common problems affecting runners. There are a number of injuries that occur in the shin and just about any injury below the knee can be referred to as shin splints.
These injuries commonly include: tendonopathy, periostitis, stress reactions or fracture and compartment syndrome (more recently referred to as chronic exertional overload syndrome). These are overuse injuries, usually caused by a combination of poor biomechanics, technique and training errors.

Causes of over-use injury in runners

Injuries effecting endurance sports are generally the result of the repeated ‘submaximal’ loading. This is loading which isn’t large enough to tear a muscle or break a bone but leads to a gradual breakdown of tissue. These injuries generally progress from a mild onset, which is often disregarded, to having a progressively greater impact on continued activity and pain at rest.

The factors that influence the development of over-use injuries can be broadly classified into three categories:
• Biomechanical issues
• Technical issues and
• Training Errors

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