Periostitis, commonly known as “shin splints,” is a condition frequently experienced by athletes involved in high-impact activities such as running, jumping, or sports that require sudden stops and starts. It results from overuse and strain on the muscles attached to the shinbone (tibia), specifically the anterior or posterior tibialis muscles. Unlike the sharp, pinpoint pain of a stress fracture, periostitis causes a more diffuse, aching pain along the shin.
A bone scan can help identify the condition, revealing increased uptake along the shinbone. However, it’s crucial to rule out other potential causes of shin pain like simple muscle strains, stress fractures, or chronic exertional compartment syndrome before making a definitive diagnosis.
Managing Shin Splints
The initial approach to managing periostitis usually includes rest, modifying your activity, and physical therapy to reduce the strain on the affected area. Orthotics may be recommended if these treatments don’t alleviate the pain, as they can help correct biomechanical issues that contribute to the condition. In rare and severe cases, surgery might be considered as a last resort.
Case Example:
A 30-year-old recreational runner began experiencing dull, aching pain along the front of her lower legs after increasing her weekly mileage in preparation for a half marathon. The pain worsened during runs and persisted afterward. Concerned about a potential stress fracture, she sought medical evaluation. After a thorough examination and imaging tests, she was diagnosed with periostitis. With activity modification, physical therapy focused on stretching and strengthening her lower leg muscles, and the use of custom orthotics, she was able to return to her training pain-free within a few months.
By understanding and treating periostitis early, many athletes can avoid more serious complications and continue to enjoy their favorite activities.