People may typically associate shin pain with shin splints. However, other issues can also cause shin pain. Show Medial tibial stress syndrome, or shin splints, is the inflammation of the tendons, muscles, and bone tissue around the tibia. People describe shin splint pain as sharp or as dull and throbbing. According to the American Academy of Orthopaedic Surgeons (AAOS), shin splints are a common cause of shin pain. But there are many other causes of shin pain, such as an injury, bone bruise, or stress fracture. In many cases, a person with shin pain will not need to see a doctor. However, a person should seek immediate medical help if there is severe pain, swelling, and bruising, if the shin looks an unusual shape, or the person has heard a snapping sound. These could be signs of a fracture. If there is unusual growth or a lump, they should see a doctor, who may carry out tests to see if there is a benign or malignant tumor. This article will cover a range of reasons why a person may have shin pain, as well as symptoms, treatments, and how to prevent them. A person who has an injury to their shinbone from a fall or blow may experience some pain or bruising. SymptomsSymptoms of a minor injury can include:
TreatmentMinor injuries due to a blow to the shin will generally heal quickly. A person with a minor injury to their shin can treat it in the following ways:
A bone bruise on the shin results from direct trauma, such as a blow or impact to the leg. It can result from an injury, such as a fall or playing sports. They tend to appear within 48 hours of an injury and can take up to 6 months to heal. A bone contusion is another name for a bone bruise. A bone bruise occurs when a traumatic injury to a bone causes microfractures. Unlike with a broken bone, an imaging scan or a bone bruise will not show a clear fracture line or change in bone shape. The trauma also damages blood vessels and blood and other fluids build up in tissues. This causes discoloration to the skin around the damaged area. However, the injury is typically deeper than the familiar bruises that appear on the skin. Although a person can bruise any bone, bones nearer the skin, such as the shin, are most common. An X-ray may not show up a bone bruise. However, it will appear on an MRI scan. SymptomsIt is not always possible to detect whether the bruise is a superficial skin injury or on the bone. Symptoms of a bone bruise on the shin can include:
TreatmentA person can treat their bone bruise in the following ways:
For a hematoma or more severe bruising, a doctor may need to drain the bruise to remove excess fluid. Stress fractures occur when muscles become tired through overuse, and they are unable to absorb any extra stress. When this happens, the muscle transfers the stress to the bone. This causes tiny cracks, or stress fractures, to form. Statistics suggest that females, athletes, and military recruits are at higher risk of developing stress fractures. This is due to repetitive stress on the bone. Carrying a heavy load while running can increase the risk, as can having lower bone density. These factors can lead to microcracks in the bone, which need time to heal. Stress fractures can be the result of:
SymptomsSymptoms of a stress fracture in the shinbone include:
A stress fracture requires immediate treatment to prevent the small crack from getting bigger. TreatmentA person who has a stress fracture can treat it in the following ways:
The best treatment for a stress fracture is rest. A person may need to rest for 6–8 weeks to allow the bone to heal fully. The shinbone is the long bone that people fracture most often, according to the AAOS. A fracture to the shinbone can occur due to significant trauma to the leg, such as from a car accident or a bad fall. SymptomsSymptoms of a fractured tibia include:
If a doctor suspects a person has broken their shinbone, they will confirm it with an X-ray. TreatmentTreatment for a fracture will depend on the type of fracture a person has. For less serious fractures, treatment involves:
If the person has an open fracture or one that does not heal with nonsurgical methods, it may require surgery. Fractures can occur at any time of life. However, a 2020 study found that the average age of people experiencing a fracture was 57.9 years. Moreover, 67.5% of all fractures in those aged 16 years or over were in females. According to the AAOS, adamantinoma and osteofibrous dysplasia (OFD) are rare forms of bone tumors that often begin growing in the shinbone. There are many similarities between the two tumors, and doctors think that they are related. Adamantinoma is a slow-growing, cancerous tumor that accounts for less than 1% of all bone cancers. It usually appears before the age of 20 years. Adamantinoma can spread to other parts of the bone. According to the National Cancer Institute, adamantinoma typically appears in young people after their bones have stopped growing. OFD also accounts for less than 1% of all tumors in bones. It is a noncancerous tumor that does not spread and often forms during childhood. A third type of tumor called OFD-like adamantinoma contains cancerous and noncancerous cells and does not spread to other parts of the body. SymptomsThe most common symptoms of both tumors include:
TreatmentA healthcare professional will observe and suggest X-rays for both OFD and OFD-like adamantinoma.
Adamantinomas will require surgery to remove them as they do not respond to chemotherapy or other cancer treatment. Paget’s disease of bone is a disease of the skeleton that causes newly forming bone to become abnormally shaped, weak, and brittle. It usually affects older people. However, 2–3% of cases occur before the age of 55 years, according to the AAOS. After osteoporosis, Paget’s disease is the second most common bone disorder, according to a 2017 review. Although Paget’s disease can affect any bone in the body, it mainly appears in the spine, pelvis, femur, and shinbone. SymptomsUp to 70% of people with Paget’s disease will have no symptoms. However, if symptoms are present, they can include:
TreatmentIf a person does not experience any symptoms from Paget’s disease, a doctor may simply monitor it. Treatments for Paget’s disease can include:
Fibrous dysplasia is a rare, noncancerous bone condition. According to the AAOS, around 7% of all benign bone tumors are fibrous dysplasia. It affects males and females equally. People with fibrous dysplasia will experience abnormal fibrous tissue growth in the place of normal bone. Fibrous dysplasia most commonly occurs in the:
Very rarely, fibrous dysplasia can become cancerous, although this occurs in less than 1% of people. SymptomsSymptoms of fibrous dysplasia include:
Signs that fibrous dysplasia has turned cancerous include rapid swelling of the region and increasing pain levels. TreatmentA doctor can treat fibrous dysplasia using:
In some cases, shin pain can occur due to factors outside a person’s control, such as age or genetics. However, certain factors may increase a person’s chances of experiencing shin pain. Factors that may cause a person to be more likely to have shin pain from an injury include:
It may not be possible to prevent some of the conditions that cause shin pain, such as genetic conditions and accidents. However, a person can help prevent shin pain from an injury in the following ways:
A person with a minor injury, such as a bruise or scrape, will usually not require medical assistance. However, large bruises that do not disappear after a few days may require draining from a doctor to speed up healing. A person who has a more severe condition, such as a bone fracture, should see a doctor immediately. Signs of a fracture include:
In general, a person who has shin pain that is not shin splints will not require a doctor, and in most cases, the injury will heal with minimal treatment. However, a person with a bone fracture should seek immediate medical attention. Very rarely, shin pain can indicate a rare form of cancer. A person experiencing any worrying symptoms should consult their doctor. Why does my shin hurt when I walk fast?Shin splints are an overuse problem. You get shin splints from overloading your leg muscles, tendons or shin bone. Shin splints happen from overuse with too much activity or an increase in training. Most often, the activity is high impact and repetitive exercise of your lower legs.
How do I stop my shins from hurting when I walk?Preventing shin pain when walking
Make sure you have proper footwear with a good fit and support. Consider using orthotics, for foot positioning and shock absorption. Warm up before exercising. Be sure to stretch properly.
Should I stop walking if my shins hurt?Take a break from your walking or running workout to give your shins time to heal. You can remain active by exercising with non-weight-bearing exercise, like swimming or biking, if it doesn't cause pain. Icing the shins can decrease pain.
When I walk the front of my shin hurts?Shin splints refer to the pain and tenderness along or just behind the large bone in the lower leg. They develop after hard exercise, sports, or repetitive activity. Shin splints cause pain on the front or outside of the shins or on the inside of the lower leg above the ankle.
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