Shin Splints for Massage Therapists
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Definition: Chronic Strain
of the anterior and/or posterior tibialis muscles.
(also may be anterior compartment syndrome
or stress fractures of the tibia)
Causes: overuse syndrome from repetitive
stressful movements such as running or jogging. May be a result of
imbalanced posture: poor arch support , poor flexibility of anterior
and posterior compartments, posterior tibialis tendonitis, hypertonic anterior
compartments from overuse. Misalignment of lower leg muscles, ankles,
knees may cause microtears in the muscles with overuse (excessive pronation).
Signs/Symptoms: pain, swelling and tenderness
along the crest of the tibia, either posteriomedial or anteriolateral.
Structures involved: interosseous membrane,
tibialis anterior, tibialis posterior at the attachments to the tibia (which
is the entire length of the muscle bellies as it attaches to the periosteum
of the tibia.
Treatment goals: relieve swelling,
decrease muscle tension, prevent adhesions, lymphatic drainage
Treatment Plan:
Have stress fractures ruled out.
Deep tissue technique to release the anterior
compartment. Client laying supine, practitioner at side by
lower leg. Place elbow on tibialis anterior just below knee.
Have client bring toes up, foot up and step down with their heel as you
glide deeply along the muscle, staying away from the bone. repeat
to clear every inch of the muscles.
Release gastocnemius/soleus.
Balance pelvis - adductors, hip rotators,
quads, hamstrings, psoas, rectus abdominus.
Hydrotherapy: Ice, followed by stretching.
Alternating ice/heat, ending in ice. Ice after activity.
Stretch before and after activity.
Other therapies: acupuncture, nutritional
support from Naturopath, physical therapy, chiropractic.
