Shin Splints (Medial Tibial Stress Syndrome)

Shin splints, or Medial Tibial Stress Syndrome (MTSS), are a common cause of lower leg pain, especially in runners, dancers, and people who are on their feet often. It presents as a dull, aching pain along the inner edge of the shinbone (tibia), usually brought on by repetitive stress and overuse.

This condition occurs when the muscles and connective tissues around the tibia become irritated or inflamed. Without proper care, shin splints can worsen and may even lead to stress fractures. That’s why early assessment by a podiatrist is essential.

Common Causes of Shin Splints

Sudden increase in physical activity or training intensity
Flat feet or overpronation (rolling inwards of the feet)
Inappropriate or worn-out footwear
Running on hard or uneven surfaces
Tight calf muscles or weak lower leg muscles
Poor foot and leg biomechanics

How Podiatrists Assess Shin Splints

At Buderim Foot & Ankle, we carry out a comprehensive biomechanical assessment to accurately diagnose shin splints and understand what’s contributing to your pain.

Our assessment includes:

Gait analysis (walking and running patterns)
Foot posture and alignment evaluation
Joint range of motion and muscle strength testing
Footwear assessment
Training and activity review
Screening for other causes of shin pain (e.g., stress fracture or compartment syndrome)

This detailed approach helps us pinpoint the root cause of your shin splints and develop an effective treatment plan tailored to your needs.

Podiatry Treatment Options for Shin Splints

Once we’ve identified the cause of your medial tibial stress syndrome, your podiatrist will recommend a customised treatment plan. The goal is to reduce pain, promote healing, and prevent the issue from returning.

Treatment may include:

Custom foot orthotics to improve foot alignment and reduce stress on the shins
Footwear advice to ensure you have proper support for your activity level
Stretching and strengthening exercises for calves, feet, and lower leg muscles
Taping techniques to support the muscles and reduce pain during movement
Shockwave therapy or dry needling (if indicated for chronic cases)
Ice therapy and rest during acute flare-ups
Training load advice — how to safely return to running or exercise