If you’ve ever laced up your trainers, headed out for a run, and been greeted by a dull, nagging ache along your shin - welcome to the frustrating world of shin splints.
But here’s the thing: “shin splints” isn’t actually a diagnosis. It’s a catch-all term for pain along the shin bone. The most common culprit behind that pain? A condition called medial tibial stress syndrome (MTSS).
Effectively, it’s not the tissue that’s the problem, it’s the stress placed on it.
Why Do Shin Splints Happen?
Shin splints tend to appear when the load you’re placing on your body outpaces its ability to adapt.
In fact, up to 35% of runners experience MTSS at some point. It’s one of the most common and most annoying running injuries.
So what’s usually behind it?
- A sudden spike in training volume or intensity
- Running mechanics that place extra stress on the lower leg
- Muscle imbalances (tight calves, weak glutes)
- Worn-out or unsuitable footwear
- Hard or uneven running surfaces
- Foot structure issues like flat feet or overpronation
In short: too much, too soon, without the right support.
Why You Shouldn’t Ignore It
Shin pain might seem harmless at first, just a niggle you can push through. But that’s a risky mindset.
Persistent shin pain can sometimes mask more serious issues, like stress fractures. That’s why getting assessed by a sports or a musculoskeletal physiotherapist is so important. A proper diagnosis ensures you’re treating the right problem and not making things worse.
The Big Question: Should You Keep Running?
Short answer: no, if it hurts.
If your pain ramps up during a run (especially above a mild discomfort, more than 4/10 level), or if it’s still affecting your walking day-to-day, it’s time to stop.
It’s not what most runners want to hear, but pushing through pain is one of the fastest ways to turn a short-term issue into a long-term one.
You need to gradually reintroduce load, giving your body (and importantly, your bones) time to adapt.
Final Thoughts
Shin splints can be stubborn, inconvenient, and terrible. But they’re not unbeatable.
With the right mix of load management, strength work, and technique adjustments, you can get back to running stronger and reduce the chances of it happening again.
The key is simple: listen to your body early, act early, and train smarter (not just harder!).
Ready to start your recovery journey?
Book an assessment with our expert physiotherapists today.
