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Shin Splints

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    Posted: Feb 05 2010 at 9:21am
Our user asked: "The past week or so, the inner part of my lower right leg has been bothering me. (Pretty positive it is MTSS). I am planning to run track and conditioning starts in a couple weeks, so I am seeking advice for the most efficient recovery. I am currently playing indoor soccer and rec league basketball. (1 bball practice per week, 1 bball game per week, & 1 indoor soccer game per week). I have been using the pool as it is a nonimpact workout at least 3 days a week. The past week, I've been ice cup massaging, and I have just recently tried heating pads. I would just like to know whether I should to take a break from soccer & basketball completely for the next 2 weeks and only use the pool, and what are the best techniques to help a speedy recovery? THANKS! Your advice would be greatly appreciated!!"
 
Ask a PT Response: "Just wondering how this all started? Did you run on uneven surfaces or inclines/declines, participate in sport longer than usual, etc? Knowing how yuo might have developed the shin splints will go a long way to prevent recurrence.
 
Sounds like you are doing the appropriate things as far as treating your condition. It would probably be a good idea to take a break from sports as you mentioned for the two weeks if your condition is not improving. Working out in the pool is a good substitute. For my patients I'd also incorporate exercises such as stretching their ankle into plantarflexion, calf stretch, ham stretch and quad stretch. Resistive ankle strengthening particularly ankle dorsiflexion would be recommended to them as well. I would than progress my patients to more challenging weight bearing (closed chain activities) to help them preparefor return to sport ie. dynamic lunges, sidestepping in partial squat position, standing heel and toe raises, single leg squats, single leg balance, machines, etc.. Best of luck with your recovery."
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