SPORTS MEDICINE ADVISOR
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Treating Shin Pain
In treating shin pain, the first thing that has to be done is an evaluation of foot biomechanics. Most athletes that present shin pain are over pronators. In minor cases a rigid arch support in both shoes may be enough. However, those with chronic shin pain may benefit from custom orthotics. Training intensities need to be decreased and impact forces to the lower leg and shin need to be controlled. Strengthening to the arch and tibialis posterior are important because they are the shock absorbers of the lower leg. Remember, running will put three to five times the body weight on the foot and lower extremity.
Important Tips:
- Correct biomechanics
- Control impact
- Decrease inflammation with ice or modalities
- Increase strength in arch and tibialis anterior
- Stretch calf and anterior shin
- Decrease training
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