Tuesday, May 27, 2008

Shin Splints...the runner's forever foe

Shins Splints: What are they? How do you get them? How do you treat them and prevent them?

What they are: Shin splints are generally an inflammation of the various shin muscles that help to flex your foot (the anterior tibialis, posterior tibialis, and other smaller and deeper muscles that help flex your big toe). The inflammation is obviously what is causing the pain, and when left untreated it may lead to larger problems such as stress fractures of the shin bone (tibia).

The cause of shin splints: Shin splints may be a product of several issues. The most common cause is a sudden change in the conditioning program, whether it is immediately beginning a new running program, progressing too quickly (>10% each week), change of running surface, or various other shifts in a fitness regimen. Another cause may be a runner's biomechanics. If a runner has flat-feet (or over-pronates) naturally and while running, it will place excessive stress on the shin muscles.

Because the shin muscles act to flex the foot (or pick up the toes) during movement, they can also become inflamed if they are too weak to accomplish the job. Tight calf muscles might exacerbate this problem, forcing the shin muscles to pull against tight calves each time they pull the foot up.

Treatment and prevention: When you begin to notice pain in your shins (especially before and after running--the movement during running will warm them up and temporarily disguise the pain), rest and ice. If the pain is severe, it may be necessary to completely cease from running or any similar activity for a period of time in order to not cause any more trauma to the muscles. If it is not as severe, cut back on the amount of running and ice, as mentioned, plus add in some strengthening and stretching exercises to get rid of the problem.

Strengthening of the shin muscles can be done in several ways. Keep in mind that the muscles' primary activity is to dorsiflex (or pull up) the foot. First exercise: try walking on your heels with your forefeet lifted off the ground for about 50-100 feet. Another exercise: you can also attach an elastic band around a post and then loop it around the top of your foot while sitting straight-legged on the floor. Pull your foot towards you against the resistance of the band and then slowly release. Do 3 sets of 20 reps. One last exercise: sit in a chair with your feet on the floor and a weight plate or similar heavy object resting on top of your feet. Lift the weight off the ground by just pulling up your toes (your heels should remain on the floor). This last exercise is somewhat awkward, but will work if you don't have access to an elastic band.

Stretch those calves! Whether you think you have tight calves or not, make sure you stretch your calves a lot. You can also try to stretch your shin muscles by sitting in a chair with one leg crossed and manually pushing your foot downward. Manually rubbing your shin muscles or foam rolling them will also help to relieve tension in the muscle and fascia and promote healing. If you don't already have shin splints, all of these treatment suggestions should be followed in order to prevent shin splints from occurring. Trust me, you don't want to test your luck.

Shin splints happen to the best and worst of runners and it's just kind of one of those things. You may be more prone to them than others, but by following the advice above, you can quickly get back on the road and hopefully prevent any future occurrences.

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