By Dr. Jim Francois, DPM, PT, PA


Shin splints, also called medial tibial stress syndrome, is pain or discomfort in the front of the lower leg due to exercises or increased activities.  It is an inflammation of the connective tissue that attaches the leg muscles to the tibia (larger bone of the leg).

It is due to repetitive activities or sudden changes in physical activities, inadequate footwear and flat foot.  It is commonly seen in dancers, military personals, and especially running that runs on hard surfaces for long distances or on hills.

Signs and symptoms of SHIN SPLINTS: pain along the shin bone during or right after exercising.

Signs and symptoms

Mild swelling of the leg

Numbness to the leg and foot


RICE protocol (Rest, Ice, Compression, and Elevation)


Compression sleeve

Ice massage after workouts for the first few weeks

Orthotics for proper foot support

Replace excessively worn shoe gear

Physical therapy

It is very important to know that not all exercise-induced leg pain are shin splints.  It can be tibial stress fracture or compartment syndrome, which in this case, can be an emergent situation leading to surgery.

If the shin splints is not addressed properly from the beginning, the pain might persist even at rest, which can lead to decrease function, frustration and possibly stress fracture of the tibia.

Contact your doctor or my office for an evaluation.

Jim Francois, DPM: 150 NW 168th Street, Suite 303, North Miami Beach, FL 33162

Phone: 786-657-2757