The Run Smarter Podcast
Treatment & Prevention of Shin Splints with Shreen Lashien
Dec 15, 2024
Shreen Lashien, a PhD candidate in Orthopedic Physical Therapy at Cairo University, dives deep into the world of shin splints—an overuse injury affecting runners. She explains the causes and explains the diagnostic differences from stress fractures and compartment syndrome. Shreen shares evidence-based treatment protocols, emphasizing the importance of rest and rehabilitation. She also highlights effective preventative measures, including strengthening hip muscles and proper running mechanics, to help runners stay injury-free.
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Quick takeaways
- Shin splints are primarily caused by overuse and improper biomechanics, leading to inflammation and microdamage in the tibia.
- Effective prevention involves choosing suitable running surfaces and footwear, while focusing on strength training for hip abductors.
Deep dives
Understanding Shin Splints
Shin splints, also known as medial tibial stress syndrome, is primarily caused by overuse and excessive impact during running. This condition arises due to two competing theories regarding its pathology: one suggests inflammation of the periosteum—the outer layer of the bone—caused by traction from the calf muscles, while the other posits that stress distribution on the bone leads to microdamage. Runners often experience diffuse pain along the medial border of the tibia, particularly in its distal third. Proper diagnosis is crucial, as untreated shin splints can progress to more serious injuries like stress fractures.
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