Shin splints and why they happen at the worst times.

Shin splints, or medial tibial stress syndrome, refer to pain along the inner edge of the shinbone (tibia). This pain results from inflammation of the muscles, tendons, and bone tissue around the tibia, often due to overuse.

When athletes take time off and then resume training, their muscles and bones may not be conditioned to handle the sudden increase in physical activity. This abrupt change can lead to overuse and strain on the tibial area, causing shin splints.

For baseball players, the use of spikes and cleats can contribute to shin splints!!! Cleats can increase the impact on the legs during running and quick directional changes, leading to more stress on the shins. Especially with spikes, they stick in the ground very easily and you push off very aggressively with the front of your foot anchored to the ground. This really makes not just your calf and achilles tendon work harder, but also stresses the plantar fascia and the rest of your foot muscles significantly more! Also, things like playing on hard surfaces like dirt or artificial turf can amplify the impact and strain on the tibial area. Certain cleats will provide less cushioning and support compared to regular running shoes, increasing the risk of overuse injuries.

I see shin splints typically occur at 2 points during your season. The most common occurrence is when you are ramping up your training and preparing for the upcoming season. Shin splints can also pop up at some point during your season when the load and competition becomes too much for your body.

Incorporating field training and conditioning in spikes during the off-season helps the body adapt to the specific demands of wearing cleats. This gradual adaptation strengthens the muscles, tendons, and bones, reducing the risk of shin splints when the season starts. It ensures that athletes are better conditioned to handle the stress and impact associated with wearing spikes during games and practices.

At the Training Room Physical Therapy and Performance, we can get you prepared for your upcoming season, whether fall ball, summer ball, or the spring season!