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Why do my shins hurt when I run on the treadmill?

Published in Running Injuries 5 mins read

Shin pain experienced while running on a treadmill is a common issue, most frequently attributed to shin splints. This discomfort often arises from the repetitive impact on the treadmill's surface and the overuse of the muscles surrounding the shin bone. It can also appear if you've recently increased the intensity or duration of your workouts after a period of rest.

Understanding Shin Pain on the Treadmill

Shin pain, often manifesting as shin splints (medial tibial stress syndrome or MTSS), is a cumulative stress injury to the tissues connecting your muscles to your shin bone. When running on a treadmill, several factors can contribute to this pain:

Common Causes of Shin Pain on a Treadmill

Shin pain can stem from various sources, making it crucial to identify the underlying cause for effective prevention and treatment.

Common Cause Explanation
Shin Splints Also known as medial tibial stress syndrome (MTSS), this is a common overuse injury. It results from repetitive stress on the shin bone and its connective tissues, often due to the constant impact on the treadmill's surface or excessive muscle strain.
Overuse/Progression Increasing your running mileage, speed, or incline too quickly without allowing your body to adapt. Your body needs time to build strength and endurance, and rapid increases can overload the muscles and bones.
Improper Footwear Worn-out running shoes or shoes that don't provide adequate cushioning and support for your foot type. Shoes lose their shock absorption over time, leading to increased impact on your lower legs.
Running Form A change in your natural running gait on the treadmill, such as overstriding (landing with your foot too far in front of your body), heavy heel striking, or a choppy stride, which can increase impact on the shins.
Muscle Imbalances Weakness in the anterior tibialis (the muscle at the front of your shin) or tightness in calf muscles (gastrocnemius and soleus), leading to uneven stress distribution and putting more strain on the shins.
Hard Surface While treadmills offer some cushioning, the repetitive nature of running on a consistent, relatively hard surface can still contribute to microtraumas in the shin area, especially during long runs.

Symptoms of Shin Splints

The pain from shin splints typically:

  • Develops gradually.
  • Is felt along the inner or outer edge of the shin bone.
  • May be sharp or dull and aching.
  • Can be present during or after running.
  • Might feel tender to the touch along the shin.

Preventing and Alleviating Shin Pain

Addressing shin pain requires a multi-faceted approach, focusing on proper training techniques, equipment, and body care.

Practical Solutions and Prevention Tips

To minimize or prevent shin pain when running on a treadmill, consider the following strategies:

  1. Gradual Progression:

    • The 10% Rule: Avoid increasing your weekly mileage, speed, or incline by more than 10% to allow your body to adapt safely. For example, if you ran 10 miles last week, aim for no more than 11 miles this week.
    • Listen to Your Body: If you feel pain, reduce your intensity or take a rest day. Don't try to "run through" sharp or persistent pain.
  2. Proper Footwear:

    • Invest in Quality Shoes: Wear running shoes designed for your foot type and running style. Consult with staff at a specialized running store for a proper gait analysis.
    • Replace Regularly: Running shoes typically need to be replaced every 300-500 miles or every 4-6 months, as their cushioning and support degrade over time.
  3. Optimize Running Form:

    • Slight Forward Lean: Maintain a slight forward lean from your ankles, not your waist.
    • Shorter Strides: Aim for shorter, quicker steps with a higher cadence (steps per minute) to reduce impact.
    • Midfoot Strike: Try to land softly on your midfoot, directly under your hips, rather than heavily on your heel or forefoot.
  4. Strength and Flexibility Training:

    • Strengthen Shin Muscles: Perform exercises like "shin raises" (lifting your toes towards your shins while keeping heels on the ground) to strengthen the anterior tibialis.
    • Calf Stretches: Regularly stretch your calf muscles (gastrocnemius and soleus) to improve flexibility and reduce tightness that can contribute to shin pain.
    • Hip and Glute Strength: Strong glutes and hips can stabilize your pelvis and reduce stress on your lower legs. Incorporate exercises like squats, lunges, and glute bridges.
  5. Warm-up and Cool-down:

    • Dynamic Warm-up: Before running, perform 5-10 minutes of dynamic stretches like leg swings, walking lunges, and high knees to prepare your muscles.
    • Static Cool-down: After your run, stretch your major leg muscles (calves, hamstrings, quads) for 20-30 seconds per stretch.
  6. Cross-Training:

    • Incorporate low-impact activities like cycling, swimming, or elliptical training into your routine. This allows your legs to recover while maintaining cardiovascular fitness.
  7. Ice and Rest:

    • If you experience pain, apply ice to your shins for 15-20 minutes several times a day.
    • Rest is crucial for healing. Reduce or stop running until the pain subsides, then gradually return to activity.

By understanding the causes and implementing these preventative measures, you can significantly reduce the likelihood of shin pain and enjoy your treadmill runs more comfortably. For persistent or worsening pain, consult a healthcare professional, such as a physical therapist or sports medicine doctor.