The physiotherapists at Evidence Sport and Spine will help you recover through treatments designed to reduce pain and inflammation and, whenever possible, address the underlying problems causing your shin splints. The length of the physiotherapy program varies for each patient, but as a guideline, you might expect to devote four to six weeks to your recovery and rehabilitation.
The purpose of your initial treatments at Evidence Sport and Spine will be to reduce inflammation. Some of our patients suffering from shin splints receive iontophoresis, a technique where a mild electrical current is used to push a topical steroid medicine into the sore area. Ultrasound treatments, often used in combination with topical steroids, are also effective in halting pain and inflammation. To speed your recovery, our physiotherapists may also use deep tissue massage along the junction where the sore tibialis muscle meets the tibia, followed by gentle stretching of the calf and tibialis muscles.
Our physiotherapists will show you how to properly ice, rest, and if necessary, tape the injured area. Special taping techniques may be used to support the sore tissues and ease pain. However, we recommend that taping be used to help the area heal, not as a way to keep on training.
Your Evidence Sport and Spine specialist will evaluate your posture and alignment to see if you have problems with pronation (arch flattening), a condition that we commonly see associated with posterior shin splints. Sometimes a small heel wedge, placed under the inside edge of the heel, is enough to ease tension on the posterior tibialis muscle. For more severe problems of pronation, we may recommend foot orthotics to support the arch and reduce stresses on the posterior tibialis muscle.
Rest and Recovery
During your recovery, stop doing the activity that caused the problem and avoid heavy training and sports activity for three to four weeks, or at least until the symptoms are under control. Rest and the application of cold packs play a key role in decreasing pain and inflammation in the early stages of treatment. Only after the pain starts to go away, should you begin to resume your normal routine.
As your pain starts to go away and you begin doing more normal activities, we will help you develop a recovery program to avoid overuse while training. This may include evaluating your running style, and suggesting tips on footwear and the use of shock-absorbing insoles. Knowing your training schedule, pace, and the surface you use can guide us in making personal recommendations as you attempt to safely resume your sport.
If surgery is required, your Evidence Sport and Spine rehabilitation program will have some additional elements. You may need to use crutches for several days after surgery. Many patients are able to bear some weight on their foot within the first week. A protective dressing will cover your incisions, and the stitches are usually removed within 10 to 14 days (unless they are absorbable stitches, which will not need to be taken out).
Our physiotherapists will help you recover and gradually return to your normal activity level. We may recommend the use of a stationary bike within 10 to 14 days of your surgery. If you are a runner, our physiotherapy program may enable you to begin a light jogging program within six weeks and resume full activity within eight to 10 weeks, although the time required for recovery and rehabilitation varies for each individual.
Evidence Sport and Spine provides physiotherapy in Calgary.