In sport, “periostitis” is often used to describe load-related shin pain. However, the term alone does not establish the cause. Overuse symptoms, a bone stress injury and other causes need to be distinguished.
What may be typical of overuse
Medial tibial stress syndrome, also called shin splints, often develops after changed or increased training loads. Pain along the inner edge of the shinbone and mild swelling may occur. This article focuses on these sports-related symptoms; it does not describe every condition of the periosteum or bone.
Why persistent pain should be assessed
Similar symptoms can occur with a stress fracture or tendon irritation, among other conditions. A clearly localized painful spot, pain during ordinary walking or at rest, or no improvement despite reducing load are reasons to have the cause medically assessed. The examination or imaging needed depends on the findings.
Adjust the load rather than train through pain
Initially pause the activity that causes pain. For the later discussion, check whether training volume, pace, surface or footwear changed. Once the problem has been properly assessed, return gradually in line with progress. A generic online timetable does not replace this decision.
Cooling can relieve symptoms; do not place ice directly on the skin. Painkillers should not be used to continue an unchanged load despite symptoms. Whether a medicine suits you depends, among other things, on other medicines and existing conditions.
When prompt help is needed
Severe or increasing pain, pronounced swelling, fever or inability to bear weight normally require prompt medical assessment. Do not explain these signs away as an ordinary training response.
Frequently asked questions
Is every painful shin edge just overuse?
No. Persistent, focal or resting pain in particular needs careful assessment.
Does a supplement treat the cause?
A general food supplement replaces neither diagnosis nor the necessary adjustment of load or treatment.
Read more: Sudeck's disease as a different pain condition and Protein snacks as ordinary food ideas.
Sources
General information, not individual diagnosis or clearance to train.
