Shin splints: causes, symptoms and treatment
A clinically reviewed guide to shin splints — shin-bone pain from overload and how it settles.
Medically reviewed by D.C Matt · Lead Director
Last reviewed 1 July 2026
- Shin splints cause pain along the inner shin bone.
- They usually follow a sudden increase in training load.
- Load management and a graded return are central to recovery.
What are shin splints?
Shin splints are pain along the inner edge of the shin bone from overloading the muscles and tissues attached to it.
The medical term is medial tibial stress syndrome. It is common in runners and athletes who increase training too quickly, and reflects tissue overload.
What are the symptoms of shin splints?
Typical symptoms are aching pain along the inner shin, worse during and after activity.
- Aching or tenderness along the inner shin
- Pain that comes on with running or impact
- Pain that eases with rest early on, becoming more persistent if ignored
- Tenderness over a broad area of the shin
How are shin splints treated?
Shin splints are treated with load management, a graded return to activity, and strengthening, plus a review of footwear and training.
Reducing aggravating impact while gradually rebuilding capacity is central. Persistent, focal shin pain should be assessed to rule out a stress fracture.
The Postura approach
At Postura Wellness, care for shin splints is built around OrthoRestore™ — our signature method that combines chiropractic and physiotherapy into one coordinated plan. Depending on your assessment, it can bring together chiropractic adjustments, dry needling, muscle manipulation, Active Release Technique, and targeted exercises, supported where helpful by technology such as shockwave therapy and bioelectric therapy. The aim is to relieve symptoms while addressing the underlying causes, with a plan tailored to you.
When to seek assessment
Sharp, focal pain on a small area of the shin, pain at rest or at night, or pain that worsens despite rest may suggest a stress fracture and should be assessed.
Sciatica FAQs
How long do shin splints take to heal?
Many cases settle within a few weeks with load management, though returning to full training too quickly can prolong them.
What is the difference between shin splints and a stress fracture?
Shin splints cause pain over a broader area, while a stress fracture tends to be sharp and focal. Focal or worsening pain should be assessed.
Can I run with shin splints?
Often at a reduced load, with a graded plan. Pushing through significant pain can prolong recovery.
Can physiotherapy help shin splints?
Yes. Load management, strengthening and a training and footwear review help most cases settle and prevent recurrence.
This guide is informed by patient information from accredited medical institutions:
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