Tibial Periostitis (Shin Splint)


This frequent pathology affects athletes of all levels. Runners are often affected. The most common type of periostitis is the anterior tibial periostitis. It is due to irritation of the connective tissues (the periosteum) that attaches to the tibial bone. It results from an overexertion which causes micro-tears and inflammation of the periosteum.


  • Pain in the tibia during activity.
  • Pain is present at the beginning of the activity and then disappears as the session continues.
  • The pain can return after the activity and can be aggravated in the morning.
  • A painful swelling may occur on palpation of the inner surface of the tibia.
  • This pain can become very intense and chronic.
  • A professional examination is important to eliminate a stress fracture.


  • Long course on hard and \ or uneven terrain.
  • Too rapid growth of activities.
  • Hyper-pronation of the foot, internal rotation of the tibia and / or retroversion of the hip.
  • Worn or unsuitable footwear.
  • Hyper-supination of the foot.
  • Loss of mobility at the ankle.


  • Rest.
  • Ice.
  • Neurocrytherapy (innovative treatment for inflammation).
  • Kinesiotaping.
  • Ultrasound and / or interference current.
  • Technical Graston.
  • A .R. (Active Release Technique).
  • Mobilization and / or adjustment of ankle joint restrictions.
  • Stretching and strengthening exercises.
  • Advice on good training methods.
  • Plantar orthosis if necessary.
  • Correction of the running technique.