{"id":8853,"date":"2022-08-01T11:34:23","date_gmt":"2022-08-01T10:34:23","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/?page_id=8853"},"modified":"2024-12-27T13:37:54","modified_gmt":"2024-12-27T13:37:54","slug":"tibial-stress-syndrome-shin-splints","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/podiatry\/msk-podiatry\/tibial-stress-syndrome-shin-splints\/","title":{"rendered":"Tibial Stress Syndrome (Shin Splints)"},"content":{"rendered":"\n<p><strong>Information<\/strong><\/p>\n\n\n\n<p>Tibial Stress Syndrome, commonly referred to as Shin Splints is a stress reaction resulting from overloading of the muscles of the anterior or posterior compartments of the lower leg.<\/p>\n\n\n\n<p>Usually, the pain presents in the medial 2\/3 of the lower leg or anterior shin.<\/p>\n\n\n\n<p>The pain is often described as a dull ache in the lower leg. Tibial Stress Syndrome is commonly caused by sudden increase in levels of physical activity.<\/p>\n\n\n\n<p><strong>M.A. &amp; L.S. 17-05-24<\/strong><\/p>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Referral Guidelines<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<h4 class=\"wp-block-heading\">Who to refer:<\/h4>\n\n\n\n<p>Anyone regardless of age with anterior or medial lower leg pain suspected to be tibial stress syndrome if self management measures have failed.&nbsp;<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Who not to refer:<\/h4>\n\n\n\n<p>Patients who are undergoing ongoing management for this condition with another service.&nbsp;<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Primary Care Management<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p>General Advice<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Provide self-management leaflet \u2013 MSK conditions of the foot and ankle<\/li>\n\n\n\n<li>Activity modification to manage symptoms<\/li>\n\n\n\n<li>Consider pain relief<\/li>\n\n\n\n<li>If no improvements after following advice for 6 weeks refer or advise patient to self-refer to Podiatry Community Service<\/li>\n<\/ul>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p><strong>For Patients<\/strong><\/p>\n\n\n\n<p>NHS Lothian Podiatry Patient Information Leaflet:&nbsp;<a href=\"https:\/\/policyonline.nhslothian.scot\/Policies\/PatientInformation\/Musculoskeletal_conditions_of_the_foot_and_ankle.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Musculoskeletal conditions of the foot and ankle (nhslothian.scot)<\/a><\/p>\n\n\n\n<p>NHS Inform: Exercises for calf and ankle problems:&nbsp;<a href=\"https:\/\/www.nhsinform.scot\/illnesses-and-conditions\/muscle-bone-and-joints\/exercises\/exercises-for-calf-and-ankle-problems\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.nhsinform.scot\/illnesses-and-conditions\/muscle-bone-and-joints\/exercises\/exercises-for-calf-and-ankle-problems<\/a><\/p>\n\n\n\n<p><strong>For Health Professionals<\/strong><\/p>\n\n\n\n<p>MSK HUB Evidence Base for AHPs:&nbsp;<a href=\"http:\/\/www.knowledge.scot.nhs.uk\/musculoskeletal\/body-area.aspx\" target=\"_blank\" rel=\"noreferrer noopener\">http:\/\/www.knowledge.scot.nhs.uk\/musculoskeletal\/body-area.aspx<\/a><\/p>\n\n\n\n<iframe src=\"\/refhelp\/list-resources-and-links\/?post_id=8853\"><\/iframe>\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Information Tibial Stress Syndrome, commonly referred to as Shin Splints is a stress reaction resulting from overloading of the muscles of the anterior or posterior compartments of the lower leg. Usually, the pain presents in the medial 2\/3 of the lower leg or anterior shin. The pain is often described as a dull ache in<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":8438,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[741],"class_list":["post-8853","page","type-page","status-publish","hentry","category-tibial-stress-syndrome"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"NHS Lothian","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/nhs-lothian\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/podiatry\/msk-podiatry\/tibial-stress-syndrome\/\" rel=\"tag\">Tibial Stress Syndrome<\/a>","rttpg_excerpt":"Information Tibial Stress Syndrome, commonly referred to as Shin Splints is a stress reaction resulting from overloading of the muscles of the anterior or posterior compartments of the lower leg. Usually, the pain presents in the medial 2\/3 of the lower leg or anterior shin. The pain is often described as a dull ache in","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/8853","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=8853"}],"version-history":[{"count":4,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/8853\/revisions"}],"predecessor-version":[{"id":22229,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/8853\/revisions\/22229"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/8438"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=8853"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=8853"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}