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Why do my legs feel like I have shin splints?

Published in Leg Pain Causes 4 mins read

Your legs likely feel like you have shin splints because you might be experiencing pain along your shin bone due to overuse of your lower leg muscles and bone tissue. This common condition, known as medial tibial stress syndrome, often results from specific factors related to how you train and move.

Understanding Shin Splints

Shin splints are characterized by pain that develops along the tibia, or shin bone, which is the large bone in the front of your lower leg. The discomfort typically occurs on the inner part of your lower leg, often after physical activity. It's not a single injury but rather a general term for pain caused by stress on the bone and connective tissues.

Primary Causes of Shin Splint-like Pain

The sensation of having shin splints usually stems from the overexertion of your lower leg structures. Several factors can contribute to this stress:

Overuse of Lower Leg Muscles and Bone Tissue

When you engage in activities that repeatedly stress your lower legs, the muscles and bone tissue can become overworked. This cumulative stress can lead to inflammation and microscopic tears in the muscles, tendons, and the thin layer of tissue covering your shin bone (periosteum).

Common Triggers

Several specific actions or conditions often initiate or exacerbate the feeling of shin splints:

  • Sudden Increase in Activity: One of the most common causes is a rapid change in your exercise routine. This could involve:

    • Increasing the duration: Running longer distances than usual.
    • Upping the intensity: Incorporating more sprints or harder workouts.
    • Starting a new sport: Engaging in activities that involve repetitive impact on the legs, such as running, basketball, or dancing, without proper conditioning.
      This sudden surge in demand doesn't give your muscles and bones enough time to adapt, leading to overload.
  • Over-Pronation: This occurs when your ankle joint rolls inwards excessively as your foot strikes the ground during activities like running or walking. Over-pronation can place extra strain on the muscles and tendons of your lower leg, particularly those attached to the shin bone, contributing to shin splint pain.

  • Improper Footwear: Wearing shoes that are worn out, lack proper arch support, or don't provide adequate cushioning can significantly increase the impact on your lower legs, making you more susceptible to shin splints.

  • Hard Running Surfaces: Constantly running on unforgiving surfaces like concrete or asphalt can increase the shock absorbed by your legs, placing more stress on your shins.

  • Muscle Imbalances and Weakness: Weak core muscles, tight calf muscles, or imbalances in the muscles of your hips and legs can alter your gait and put undue stress on your lower legs.

Symptoms to Watch For

If your legs feel like you have shin splints, you're likely experiencing some of these common symptoms:

  • Pain along the inner or front part of your shin bone.
  • Tenderness to the touch along the shin.
  • Pain that worsens during or after exercise.
  • Mild swelling in the lower leg.
  • Pain that may improve with rest but returns when activity resumes.

Practical Steps for Relief and Prevention

Managing and preventing shin splint-like pain involves a combination of rest, appropriate activity, and proper support.

  • Rest and Ice: Take a break from activities that trigger the pain. Apply ice packs to the affected area for 15-20 minutes several times a day to reduce inflammation.
  • Gradual Progression: When returning to activity, increase your intensity, duration, and frequency slowly. A common guideline is the "10% rule," meaning you shouldn't increase your weekly mileage or workout time by more than 10%.
  • Proper Footwear: Ensure your athletic shoes provide adequate support and cushioning. Replace them regularly, typically every 300-500 miles for running shoes, or when the cushioning starts to feel compressed. Consider shoes designed for your foot type (e.g., stability shoes for over-pronators).
  • Stretching and Strengthening: Incorporate stretches for your calf muscles (gastroc and soleus) and exercises to strengthen your lower leg muscles, hips, and core.
  • Cross-Training: Engage in low-impact activities like swimming, cycling, or elliptical training to maintain fitness without putting excessive stress on your shins.
  • Listen to Your Body: If you feel pain, don't push through it. Rest is crucial for healing.
  • Consult a Professional: If the pain persists, worsens, or significantly limits your activity, consult a healthcare professional, such as a doctor or physical therapist. They can accurately diagnose your condition and recommend a tailored treatment plan.

The following table summarizes key practices to help manage and prevent shin splints:

Aspect Recommended Practice Practice to Avoid
Exercise Gradually increase intensity and duration (e.g., 10% rule) Sudden, significant jumps in workout volume or intensity
Footwear Replace athletic shoes regularly; ensure good support Wearing worn-out shoes or those lacking proper cushioning
Foot Strike Consider professional gait analysis for personalized advice Ignoring over-pronation without proper support or orthotics
Surfaces Incorporate softer surfaces when possible Consistently running on hard, unforgiving surfaces