Illustration of Shin Splints: Causes, Prevention and Treatment

Injury Guide · Foot & Ankle

Shin Splints: Causes, Prevention and Treatment

Why shin splints happen and how to prevent them with load management and lower-leg strength.

What is it?

General background on shin splints: causes, prevention and treatment. The examples below are shared across this body area and have not been individually reviewed for this condition. Ask a qualified physiotherapist or GP about suitable care.

Common symptoms

  • Heel or ankle pain with first steps or after activity
  • Swelling or stiffness around the joint
  • Instability on uneven ground

Common causes

  • Rolling the ankle or overuse from sport
  • Calf or intrinsic foot weakness
  • Footwear or training surface changes

Example movements

Single-Leg Balance

Improves ankle stability and proprioception.

Example routine: 30s/side x 3, daily

Cues: Soft knee, steady breath, progress eyes closed.

Calf Raises

Strengthens calf/Achilles to absorb load.

Example routine: 15 reps x 3, 3x/week

Cues: Controlled tempo; progress to single-leg.

Ankle Alphabet

Gentle mobility without load.

Example routine: 1–2 rounds, daily

Cues: Move through pain-free range only.

Red flag symptoms

  • Severe or worsening pain that does not ease with rest
  • Numbness, tingling, or weakness spreading into the limb
  • Loss of bladder or bowel control, or saddle numbness
  • Night pain that disrupts sleep or unexplained weight loss
  • History of significant trauma, fever, or feeling very unwell

When to see a physio

If pain is worsening, limiting daily activities, or not improving after 1–2 weeks of sensible self-care, book a physiotherapist or speak with your GP. Seek urgent help for red flag symptoms.

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