A:
"Shin splints"
are usually understood to mean pain in the front aspect of the lower legs
which seems to be made worse by exercise such as running, jumping and
other exercise in which there is repetitive impact between the foot and
the ground. The pain usually occurs about 6-10 inches above the ankle, on
the medial (inside) side of the leg, and may be either on one or both
sides.
Unfortunately,
the list of problems that can cause symptoms interpreted as "shin splints"
is fairly long, including pain from muscle traction on the tibia (the most
common cause), stress fractures of the tibia, deficient circulation to the
leg, compartment syndrome (where the pressure inside a muscular
compartment rises high enough with exercise that circulation to the
muscles and nerves in the compartment is compromised), even bone
infections and bone tumors.
Usually, "shin
splints" that is not caused by some serious condition responds to rest
until the pain has been resolved for 2-3 weeks (you can do non-impact
exercise such as bike riding, swimming, etc. during that period), and then
reinstitution of the impact exercise very gradually. During the rest
period, you should work on stretching the Achilles tendon/heel cord gently
and gradually. Sometimes it is necessary to modify shoes, get molded arch
supports (orthotics), etc. If the symptoms do not resolve in a reasonable
length of time, or if they return when you reinstitute impact exercise, a
visit to your sports physician is in order to look for more serious
causes.