Shin Splints (AKA Medial and Lateral Tibial Stress Syndrome)

Dr Ozello's Sports Medicine Report: Shin Splints (AKA Medial and Lateral Tibial Stress Syndrome)

**Disclaimer: Viewing this video does not take the place of seeing a medical professional. Please visit a medical professional for evaluation, diagnosis and treatment. Never perform an exercise that elicits or intensifies symptoms. If an exercise elicits or intensifies symptoms, stop immediately and use a viable substitute.

Shin splints is one of the most common ailments associated with running. The source of this overuse injury is the cumulative effect of repetitive stress on the feet and lower legs, combined with faulty biomechanics of the feet.
The deep-seated, achy, dull, throbbing pain of shin splints is usually worse in the morning. The shin is tender to the touch. Redness, warmth, swelling and small bumps may be present on the anterior lower leg.
The pain of shin splints is spread over a wide area. The pain distribution may be as large as half of the shin. Shin splints can be located on the inner or outer aspect of the front of the lower leg. It is more common on the medial aspect than the lateral, side.
The primary extrinsic source of shin splints is overtraining, or doing too much too soon, in combination with insufficient rest.
Poor biomechanics in the foot and lower leg play a major role in the origin of shin splints. Hyperpronation (AKA Overpronation) is a major intrinsic factor in the development of shin splints.
When we step down, the foot rolls slightly inward and downward. This motion is called pronation. Hyperpronation is too much inward and downward motion of the foot and ankle when bearing weight. Hyperpronation places a great deal of unnecessary stress on the lower leg. Hyperpronation causes the tibialis posterior muscle to overwork in an attempt to stabilize foot and ankle motion.
The tibialis posterior muscle originates over a wide area of bone on the medial aspect of the tibia. The tibialis posterior runs downward toward the foot. Its tendon travels around the inner ankle and attaches to several bones on the bottom of the foot.
When contracted in a positive or concentric action the tibialis posterior flexes the foot downward and inward. These motions are called plantar flexion and inversion. When contracted in a negative or eccentric manner the tibialis posterior helps to prevent Hyperpronation.
Hyperpronation and the repetitive stress of Hypertraining forces the tibialis posterior muscle to overwork in an attempt to stabilize foot motion. When overworked, the tibialis posterior muscle becomes extremely tight and begins to pull excessively at its large origin area on the tibia. This intense pull begins to tear the cover of the bone away from the bone, leading to the pain and tenderness of shin splints.
The medical terminology name for shin splints depends on its location. Medial Tibial Stress Syndrome (MTSS) is located on the inner, or medial part, of the anterior lower leg. Lateral Tibial Stress Syndrome (LTSS) is located on the outer, or lateral, aspect of the anterior lower leg.

Dr Donald A Ozello DC of Championship Chiropractic in Las Vegas, NV
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Видео Shin Splints (AKA Medial and Lateral Tibial Stress Syndrome) канала Dr Donald A Ozello DC