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Marathon Training ?


Shin splints or Medial Tibial Stress Syndrome


The lower leg consists of the tibia and the fibula bones. The tibia is the larger weight-bearing bone whilst the fibula is the thinner bone to the outside of it. The fibula bones give rise to the attachment of muscles to aid in movement.

The tibia ( shin ) bones take the body's weight when running and jumping. Large forces are transmitted through the tibia and therefore the soft tissues attached to it.

The tibia has a thin sheath surrounding the bone called the 'periosteum'. Medial tibial stress syndrome ( or medial tibial traction periostitis ) occurs when the soft tissues (muscles and tendons) pull on the periosteum resulting in pain and inflammation.


This is primarily an overuse injury. Overtraining, especially running or jumping without giving your body time to recover will result in repetitive strain and as a result, injury !


There are a number of factors which can increase the likelihood of developing chronic shin pain and these include;

Increasing running mileage too quickly, Hard surface training or sprint training, Overpronation/Supination or inadequate footwear, Poor flexibility of the ankle joint and atrophy or hypertonicity in certain muscle groups.


If you require any further information, please call me.


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