Total Joint Surgery

Total joint surgery is a procedure in which certain parts of an arthritic or damaged joint are removed and replaced with an artificial joint, which is designed to move just like a healthy joint.

Learn more about Total Joint Surgery »

Foot and Ankle Surgery

The surgeons at the Joint Replacement Institute bring together many years of experience to diagnose and treat even the most complex foot and ankle conditions for patients of all ages.

Learn more about Foot and Ankle Surgery »

Sports Medicine

Even if you're in great shape, sports related injuries could occur when you least expect it. The goal of the doctors and staff at Joint Replacement Institute is to help athletes recover from injuries as quickly and safely as possible.

Learn more about Sports Medicine »

Shinsplints

The term “shinsplints” refers to the pain that develops along the inside of your shin (the tibia bone). Also known as medial tibial stress syndrome (MTSS), it commonly affects runners, aerobic dancers, and people in military boot camp because it is an exercise-related overuse injury. In such injuries, your repeated movements during exercise cause muscle fatigue. This fatigue leads to additional forces applied to the tissue (called the fascia) that attaches muscles to the bone. The muscles that attach to the tibia, which include the soleus muscle (ankle flexor) and the flexor digitorum longus (toe flexors), are what actually hurt during MTSS (injury to the bone itself does not cause pain).

Early in the condition, pain is experienced at the beginning of a training session and disappears as the exercising continues. As your injury progresses, the episodes of pain lengthen.

With repeated stress-related injuries, the bone itself can be affected and may eventually develop multiple microfractures — what is referred to as a stress fracture. The pain associated with a stress fracture will be sharp and focused on a very small area of your bone. Stress fractures are more serious and typically require you to restrict your activities to ensure proper healing.

Treatment of MTSS involves rest and often requires you to completely stop training for a period of time. It’s important to follow your doctor’s guidance and begin with lengthened rest time scheduled between training sessions. Your doctor may recommend that you take anti-inflammatory medications or use cold packs and mild compression to relieve the pain. For severe conditions that do not respond to the usual treatment, surgery may be an option. However, a full return to sports is not always achieved following surgery.

You may be more likely to develop MTSS if you:

  • Have flatfeet or abnormally rigid arches
  • Have “knock-knees” or “bowlegs”
  • Are a frequent runner
  • Are an aerobic dancer

If you suspect that you have signs or symptoms of MTSS, the pain is prolonged, or if there is no improvement with rest, see your doctor for further evaluation and treatment.