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Why Do My Shin Splints Hurt After Running?

Published in Running Injuries 4 mins read

Your shin splints hurt after running primarily because the repetitive impact and stress on your lower leg muscles and connective tissues create a pulling and tugging force on your shin bone. This frequent, repetitive pressure from running and jumping can cause your shin bone to become inflamed (swollen or irritated) and weakened, leading to pain.

Shin splints, medically known as Medial Tibial Stress Syndrome (MTSS), are a common overuse injury that causes pain along the inner edge of the tibia (shin bone). When you run, the muscles in your lower leg, particularly those involved in ankle and foot movement, exert considerable force on the shin bone. If these muscles are overworked or stressed beyond their capacity to recover, they can pull on their attachment points on the bone, leading to inflammation and microscopic damage.

Understanding the Pain

The pain you feel is a direct result of this inflammation and the body's response to the stress. It's often described as a dull ache that can become sharper with continued activity. The repeated shock absorption and propulsion involved in running exacerbate this irritation, making the pain more noticeable during or after your runs.

Common Symptoms

While pain after running is the hallmark, other symptoms often accompany shin splints:

  • Tenderness: The inner edge of your shin bone is tender to the touch.
  • Pain during activity: Pain might lessen as you warm up but usually returns or worsens during exercise.
  • Swelling: Mild swelling may be present along the shin.
  • Numbness or weakness: In severe cases, you might experience some numbness or weakness in the foot.

Contributing Factors to Shin Splints

Several factors can increase your susceptibility to shin splints and worsen the pain after running. Understanding these can help in prevention and treatment.

Key Factors

Factor Explanation
Overuse/Rapid Increase Suddenly increasing mileage, intensity, or frequency of runs.
Improper Footwear Worn-out shoes or shoes lacking adequate support and cushioning.
Foot Mechanics Flat feet (overpronation) or high arches can alter stress distribution.
Weak Muscles Weak calf muscles, shin muscles, or glutes can lead to instability.
Tight Muscles Tight calves or Achilles tendons can increase strain on the lower leg.
Hard Surfaces Consistently running on unforgiving surfaces like concrete.
Inadequate Recovery Not allowing enough time for muscles and bones to repair between runs.

Alleviating and Preventing Shin Splint Pain

To reduce pain after running and prevent future occurrences, a multi-faceted approach focusing on rest, recovery, and gradual progression is essential.

Immediate Relief and Recovery

When pain flares up after a run, focus on the following:

  • Rest: The most crucial step. Avoid activities that worsen the pain.
  • Ice: Apply ice packs to the affected area for 15-20 minutes, several times a day, to reduce inflammation.
  • Compression: Use a compression bandage to help minimize swelling.
  • Elevation: Elevate your leg to reduce fluid buildup.
  • Over-the-counter pain relief: Non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help manage pain and inflammation, but consult a doctor before prolonged use.

Long-Term Solutions and Prevention

For lasting relief and to prevent recurrence, consider these strategies:

  1. Gradual Progression: Slowly increase your running mileage, intensity, and duration. A common guideline is the 10% rule, which suggests increasing your weekly mileage by no more than 10%.
  2. Proper Footwear: Wear supportive running shoes that are appropriate for your foot type and gait. Replace your shoes regularly, typically every 300-500 miles. You can find more information on choosing the right running shoes.
  3. Strength Training: Strengthen your lower leg muscles (tibialis anterior, calf muscles) and surrounding muscle groups like glutes and core.
    • Calf Raises: Strengthen calf muscles.
    • Toe Raises/Shin Splint Exercises: Strengthen the tibialis anterior.
    • Hip Abduction/Adduction: Strengthen glutes.
  4. Stretching: Regularly stretch your calf muscles, Achilles tendon, and tibialis anterior.
    • Calf Stretches: Wall push-offs.
    • Shin Stretches: Kneeling shin stretch.
  5. Cross-Training: Incorporate low-impact activities like swimming, cycling, or elliptical training to maintain fitness without stressing your shins.
  6. Surface Awareness: Whenever possible, run on softer surfaces like grass or dirt trails instead of concrete.
  7. Listen to Your Body: Do not push through pain. If shin pain persists or worsens, consult a healthcare professional, such as a physical therapist or sports medicine doctor, to rule out more serious conditions like stress fractures.

By addressing the underlying causes and implementing a comprehensive approach to training and recovery, you can significantly reduce the pain from shin splints after running and enjoy your activity more comfortably.