Thursday, October 25, 2007

Shin Splints Rehab Protocol

Progression to more intense, high impact training sessions should be deliberate and periodized with attention spent to strengthening dorsi-flexion. The formation of shin splints or condition called Medial Tibial Stress Syndrome (MTSS) – general shin soreness, trauma or overload to musculature and connective structures - typically occur when progression and volume is too rapid.

Here are some tools and strategies to help alleviate and overcome shin splints.

Barefoot Warm-ups / Light Worksets
Take off your shoes for your dynamic warm-up and keep them off during your first few light worksets

Gastroc / Soleus / Achilles

Dorsi-flexion / Inversion / Eversion

Tibialis Anterior / Peroneus Tertius / Extensor Digitorum Longus

Soft Tissue Work
Tennis Balls / Foam Roller

Plantar Fascia / Peroneals / Gastroc / Soleus

Ice Massage
Homemade Cryocup

Some other considerations:

- Warm-up should be thorough ensuring CNS excitement and core temperature increase

- Don’t forget to improve soft-tissue quality all along entire kinetic chain

- Work on improving hip mobility, in addition to, ankle mobility

- Engage in ground based, multi-directional, compound and unilateral, bodyweight and resisted movements

- Cold water submersion followed by soft-tissue modalities can be substituted for cryocup

- Band tensions can be increased as strength and proficiency of movement improves

- All movements should engage a full range of motion to ensure optimal muscle fiber recruitment and strength in greater articulations – i.e. strength mobility