Shin Pain - What Are the Causes?

definition

The shin is located in the lower leg of the human being and bears its weight as it is involved on the one hand in the knee joint and on the other in the upper ankle joint.
As a result, all standing and running activities put stress on the shin.

Pain in the shin is therefore not uncommon and usually occurs during or after increased stress due to exercise or prolonged walking.

They often express themselves as stabbing or pulling pain.

In addition to symptoms of overload, inflammatory processes such as periosteum inflammation or tendinitis can also be considered.

causes

Often, pain in the shin occurs due to overstimulation, which can manifest itself in varying degrees.

Usually more serious symptoms can be avoided if the patient acts sensibly and listens to his body.
This means that if pain occurs, a break should be taken and the shin should not be subjected to any further heavy strain until the pain has subsided again.

Painful exercise aggravates irritation and leads to longer recovery times.

In extreme cases, the pain in the shin can also be triggered by a compartment syndrome. This is a serious condition and needs acute treatment.

Shin Pain - External

Pain on the outside of the tibia affects the anterior muscles in many cases. The shinbone has a particularly exposed position in the lower leg and lies directly under the skin without being covered by fat and muscles. The muscles lie on the outside of the shin and pull from there over the ankle to the back of the foot and the toes. These muscles mainly pull the foot upwards. Most of the pain in this area comes from these muscles or tendons, which can occur as a result of excessive strain or improper strain.

A pain in the bone is to be distinguished from it. This is particularly painful for bruises and broken bones. This is also due to the exposed position of the bone and the extremely sensitive periosteum. The most typical causes besides bad posture and pain in the muscles are healed fractures, bruises and pressure points from bandages.

You may also be interested in this topic: Lump on the shin

Appointment with Dr. Gumpert?

I would be happy to advise you!

Who am I?
My name is dr. Nicolas Gumpert. I am a specialist in orthopedics and the founder of .
Various television programs and print media report regularly about my work. On HR television you can see me every 6 weeks live on "Hallo Hessen".
But now enough is indicated ;-)

In order to be able to treat successfully in orthopedics, a thorough examination, diagnosis and a medical history are required.
In our very economic world in particular, there is too little time to thoroughly grasp the complex diseases of orthopedics and thus initiate targeted treatment.
I don't want to join the ranks of "quick knife pullers".
The aim of any treatment is treatment without surgery.

Which therapy achieves the best results in the long term can only be determined after looking at all of the information (Examination, X-ray, ultrasound, MRI, etc.) be assessed.

You will find me:

  • Lumedis - orthopedic surgeons
    Kaiserstrasse 14
    60311 Frankfurt am Main

You can make an appointment here.
Unfortunately, it is currently only possible to make an appointment with private health insurers. I hope for your understanding!
For more information about myself, see Lumedis - Orthopedists.

Shin Pain - Inner / Shin Splint Syndrome

Pain on the inside of the shin is most often due to shin splint syndrome. It is also known as "Shin splint" in technical terms. The pain is rarely punctual, but can pull up from the ankle to the knee. The time of occurrence is often after a continuous sporting exertion, for example in endurance sports. It is not uncommon for the pain to appear symmetrically on both sides.

The cause of the pain in the shin lies in the muscles and the attachment tendons of the respective muscles. The calf muscles are located on the inside of the tibia, especially the "soleus" and the "tibialis posterior" muscles. Incorrect strain and tension of this muscle group leads to irritation and pain in the long run. Continuous stress can sometimes even lead to exhaustion fractures of the shinbone. This is extremely painful and takes a long time to heal.

If the pain occurs repeatedly during sport and is felt permanently, the activity must be stopped and the muscle given time to fully recover. An orthopedic surgeon should then determine the cause in order to prevent incorrect loading in the future. This can be done through diets, changes in movement, insoles in the shoes, muscle stretching and other methods.

Read more about the topic here: Shin splints

Pain in the shin due to inflammation of the periosteum

Every bone in the body has a skin called it Periosteumwhich surrounds the bone. She serves the Nutrition and regeneration of the bone and is contrary to this sensitive to pain.

A periostitis, also called periostitis, can result in a bacterial infection or after mechanical overload arise.

In the shin it often occurs in athletes due to mechanical overload and manifests itself in the form of drawing and burning pains in the shin, often on the inside and one limited mobility of the affected lower leg.
Furthermore you can overheat and swelling to be added.

If periostitis has occurred, it is important to take it easy until the symptoms have subsided.
Cooling and ointments can alleviate the symptoms.

So that the inflammation can heal again and not become chronic and thus very protracted and difficult to treat, it is essential that Not ignoring pain and not continue to exercise with inflamed periosteum.

In more severe cases, anti-inflammatory painkillers are indicated, kinesiotape and physiotherapy are further pillars of the therapy.

Shin pain from a stress fracture

A fatigue fracture of the shin can occur with high physical exertion.

A fatigue fracture or a fatigue fracture of the shinbone can be the result of very high athletic stress, for example in high-performance athletes or as a sign of Instability of the bone as with the osteoporosis occur.

The pain initially occurs while the affected leg is under load and gradually increases, and it sometimes occurs at rest.

It is often difficult to diagnose a fatigue fracture because it is im conventional x-ray mostly unrecognizable and only with one MRI can be reliably represented.

Once the diagnosis has been made, the leg must be in one plaster be immobilized for six to eight weeks.

If the fracture occurred due to bone instability, possible causes must be clarified so that possible underlying diseases can be treated.

Read more about the topic here: Fatigue fracture - you need to know that!

Shin pain from thrombosis

Shin pain is one of many symptoms one can experience acute vein thrombosis. The location the pain is called "Lying in front of the shin" designated and pulls up to the thigh. There may also be pain in the Calf area occur that like a Cramp or aching be perceived. A swelling often occurs in addition. The swelling is particularly easy to see when compared to the other leg.

Read more about the topic here: Thrombosis in the leg

At a Leg vein thrombosis it comes to the formation of a Blood clot inside the vein. This ignited then what the Pain caused. There is a high risk that the clot solves, im Blood flow to the lungs device and clogs a vessel there. Such Pulmonary embolism are life threatening and one frequent consequence of thrombosis in the legs.

Depending on its location, the affected vessel may be clearly visible on the Skin surface be visible. Often only the skin on top of it changes color bluish and reddish. The area becomes warmer and sensory disturbances may occur. If you have pain in your shin, you have to Vascular problem always be considered. Step additionally Shortness of breath and Chest pain medical action is required immediately.

Shin pain when jogging

Especially under Jogging Shin pain is common. That is the cause Shin splints. A variety of Injuries and Incorrect loads are grouped under this syndrome. A wrong occurrence, wrong footwear and faulty movement sequences are just a few of the many causes of this irritation. Healing the pain can only get through Quiet and Non-encumbrance of the leg. When you start jogging again, the syndrome becomes occur again and again. Just one Change in the sequence of movements, ideally supported by treadmill analysis and professional advice long term prevent the pain.

Shin head pain

The tibial head sits on top of the shin, just below the knee. Pain at this point can have several causes. The Shin or the Tibial head themselves can be affected. Fractions and Bruises are on the tibia head No rarity and extremely painful.

Here is one Muscle group of the thigh. This starting point is known as "Pes anserinus". At irritation, inflammation or injury of these muscles it comes to one sharp painthat pulls under the knee towards the head of the tibia. Especially among retirees, joggers and people with knee prostheses are more common Irritation of these muscles out. The pain is greatest at the beginning of running and after getting up.

Injuries and Inflammation in the knee can also be felt as pain in the head of the tibia. In addition to the typical orthopedic ligament injuries come bursitis and diseases of the Patellar tendon considering that below the tibia head starts.

prevention

In order to avoid pain in the shin in the first place due to an overload or at least not to recur, a few things should be observed.

Running style and footwear

Many runners experience shin pain because of a Misalignment in the feet have or these while running roll wrong.

Often times the ankle kinks inward excessively when running, this phenomenon becomes Overpronation called.

To find out whether your running style is faulty, it is advisable to have a professional treadmill analysis close.
Video recordings of the athlete running on the treadmill are made from behind and from the side and then evaluated image by image.

Misaligned legs and Posture errors can be tracked down and remedied with tools or training.
Depending on your needs, you can choose the correct running shoes, Sports insoles or targeted strengthening training.

It is also important that the Cushioning of the footwear is tailored to your own body weight, the level of training and the ground.

But even with the best material, it is essential, the body sufficient regeneration phases to admit.
Beginners in particular should make sure that they don't put too much pressure on their bodies Warning signals how to pay attention to pain.

Conclusion

Shin pain is a common condition among athletes who participate in high-intensity sports.

Often, appropriate help with minor complaints Rest phases and Home remedies against the symptoms.

In the case of persistent pain, a cause should be sought more precisely and therapy and rest should be expanded.

Often times one can correct running style and reasonable training behavior help prevent shin pain.

Appointment with Dr. Gumpert?

I would be happy to advise you!

Who am I?
My name is dr. Nicolas Gumpert. I am a specialist in orthopedics and the founder of .
Various television programs and print media report regularly about my work. On HR television you can see me every 6 weeks live on "Hallo Hessen".
But now enough is indicated ;-)

In order to be able to treat successfully in orthopedics, a thorough examination, diagnosis and a medical history are required.
In our very economic world in particular, there is too little time to thoroughly grasp the complex diseases of orthopedics and thus initiate targeted treatment.
I don't want to join the ranks of "quick knife pullers".
The aim of any treatment is treatment without surgery.

Which therapy achieves the best results in the long term can only be determined after looking at all of the information (Examination, X-ray, ultrasound, MRI, etc.) be assessed.

You will find me:

  • Lumedis - orthopedic surgeons
    Kaiserstrasse 14
    60311 Frankfurt am Main

You can make an appointment here.
Unfortunately, it is currently only possible to make an appointment with private health insurers. I hope for your understanding!
For more information about myself, see Lumedis - Orthopedists.