Shin’ssplint (lower leg pain) Shin’ssplint in medical name called medial tibial stress syndromeIn Shin splint, there is a pain in the lower 3rd of the leg particularly in the area just off the inside (medial) of the shin bone itself. The cause of Shin’s splint can be because of over stressing on the shin’s bone or may be muscles, tendon, or fascia. Pain mainly starts with the loading like the beginning of the running and eases as you get warmed up. If the injury progresses though it can get to the point where it’s painful upon walking and even sometimes when resting.Every case of Shin’s splint is different and there is the number of contributing factor at play like tight calf muscles. If these calf muscles become tight then at the point of attachment with bone primarily through the Tendons or secondarily through the fascia, these structures start to add excess traction for the periosteum. When that periosteum gets irritated that’s where the pain starts tocome. Another factor for shin’s splint is weak calf muscles. Those who are with weak calf muscle could be more susceptible to shin’s splint.The third factor is tibial bending. Shin’s bone experience a great deal of stress and strain as we run. Long bones such tibia actually bend a little with the immense pressure and stress they experience with each strike. It’s been suggested that repeated subtle bending causes micro trauma to the bones.Shin’s splint Rehab includes Painreduction & management by reducing the loading, icing the painful area,compression bandaging, Load management can be achieved by considering some alternative way of doing exercises such as Cross-training, Cycling, Swimming,etc. this will give chance to affected area to heal. And consult your physiotherapist to design you a rehab program that includes gradually increaserun-specific loading and return to the sports phase.Running formcorrection is another method to deal with the shin’s splint as the form ofrunning can massively affect the shin’s bone. Consult your physiotherapist who will assess your gait and do necessary modifications in your walking and running form like increase cadence. Calf muscle conditioning through numbers of calf strengthening exercises such as calfraises, toe walk, towel grabbing with toes (this will strengthen the feet andthe arch), balance reach exercise, forward and lateral hopping, jumping ropes,foam rolling of the calf, and anterior of the leg, etc.Stretching such as tibialis anterior stretching, kneeling stretch, heel walking, toewalking, etc.Myo fascialreleasing & soft tissue mobilization technique. Genteelly massaging the muscles around the shin’s bone.Maintain thefoot healthy. Wear proper arch supportive shoes and use the footwear which allows your toes to expand properly to observe the ground force efficiently.Maintainankle range of motion. ROM exercises to improve ankle mobility.Therapeutic modalities used in shin’s splintsare Ultrasound therapy, Extracorporeal shock wave therapy, Acupuncture, Kinesiotaping etc.