Shin Splints: A Very Common Running Problem
Medial tibial stress syndrome (MTSS), commonly called 'shin splints', is pain along the inner border of the tibia (shin bone) that occurs during or after running. It is one of the most common running injuries, affecting 10–35% of runners and military recruits. In Faridabad's growing running community, shin splints are a frequent presentation at Realign Rehab Clinic.
What Causes Shin Splints?
MTSS is caused by excessive mechanical stress on the tibia, exceeding its capacity to remodel. Contributing factors include: training load errors (increasing mileage too quickly), hard running surfaces, worn-out shoes, overpronation, tight calf muscles, hip weakness causing altered lower limb mechanics, and poor running technique.
Differentiating Shin Splints from Stress Fracture
Stress fractures present similarly but are more serious. Red flags for stress fracture: very localised point tenderness, pain that persists at rest, pain that does not ease within the first few minutes of running. If suspected, we refer for imaging before continuing rehabilitation.
Physiotherapy Treatment
Load Management
Reducing training load — not complete rest — is usually most appropriate. We calculate safe training volumes and design return-to-running programmes using the 10% rule and run-walk progressions.
Calf and Hip Strengthening
Eccentric calf loading (heel drops) and hip abductor/external rotator strengthening reduce tibial stress during running. These are the most important rehabilitation exercises.
Running Gait Analysis
Increasing cadence (step rate) by 5–10% significantly reduces tibial stress. Correcting overpronation, overstriding, and hip drop also reduces load on the shin.
Footwear and Orthotics
Motion-control or stability footwear for overpronators, and custom orthotics where appropriate, reduce tibial loading.
Shin Splint Treatment in Faridabad
At Realign Rehab Clinic, NIT-5, Faridabad, we resolve shin splints and get runners back training. Book your running assessment today.
