Auteur: Podiatre Montreal
Tibial periostitis is an inflammation of the muscle insertions along the tibia. It can be extremely painful and often resistant to treatment. Our doctor offers the treatment of tibial periostitis and have a very precise treatment method based on the best medical evidence. Most patients begin to see improvement within a few weeks.
Our goal when treating shin splints is to eliminate your pain as quickly as possible and prevent the pain from coming back.
Tibial periostitis does not usually go away on its own so schedule an appointment today and come see us at our clinic in Montreal so that we can help you recover as soon as possible.
The main cause of tibial periostitis is excessive pronation of the foot (overpronation). This puts extreme pressure on the muscles that move from the leg to the inside of the foot. When treating this problem, it is essential to decrease the tension in these muscles. Other causes of tibial periostitis are listed below.
Our treatment plan for tibial periostitis may include:
- Custom-made foot orthotics reduce the tension in the muscle that causes pain. Orthotics are prescribed to reduce the tension in the muscle that is causing the problem
- shoe recommendations
- strengthening exercises
- if the condition does not respond to treatment as expected, a bone scan, ultrasound or x-ray may be required to check for stress fractures
While waiting for your appointment, start treating your tibial periostitis by taking the following steps:
- Stop running, especially if the pain is severe. If the pain is mild, reduce the intensity of your exercise and avoid running downhill
- Take non-steroidal anti-inflammatory drugs (such as ibuprofen or naproxen) for five to seven days
- To reduce inflammation, apply ice to the shin area for ten minutes every two hours
- Massage the affected muscle (along the inside of the leg)
- Do stretching exercises for the gastrocnemius and soleus muscles
- Hold your position for 30 seconds. Relax the muscles slowly. Repeat on the opposite side. Repeat approximately two to three times a day
Symptoms of tibial periostitis:
- Pain or tenderness along the inside of the tibia, usually about halfway down. Pain and tenderness may extend to the knee
- Pain on palpation of the tibia
- The pain is most severe when you start running, but can disappear as the muscles relax. This is different from a stress fracture, when the pain is caused during activities that carry body weight (such as walking, using stairs, etc.).
Causes of tibial periostitis:
- overpronation (the foot rolling too far inward while walking)
running on hard surfaces such as concrete for an extended period of time
- the rigidity of the calf and Achilles tendon muscles leads to more stress on the muscle insertions
- worn or ill-fitting shoes
- overtraining or a rapid increase in load or training intensity
- Beginner runners are more likely to experience this condition for a variety of reasons, but most often because the leg muscles have never been under such stress.
Another name for tibial periostitis:
- shin splints stress syndrome
Self-treatment of Tibial Periostitis
Tips for self-treatment of pain caused by tibial periostitis
The objectives for the treatment of tibial periostitis are:
- to slightly compress the muscles involved
- use plantar supports and stable shoes to reduce the tension on both muscles that contribute to the pain caused by tibial periostitis
- reduce inflammation
- prevent recurrence of the disorder
We suggest that you follow the instructions below carefully for four weeks to give you the best chance of healing your tibial periostitis. Most of our patients see an improvement by following these steps. If you do not see improvement after three weeks, consult a podiatrist who specializes in sports medicine.
Wear a compression sleeve for tibial periostitis at all times during the first two weeks of your treatment. For the next two weeks, wear your compression garment during sports activities. A compression garment for shin splints gently compresses the calf by firmly supporting the muscles and soft tissues of the lower leg. The sheath can also stimulate circulation and maintain heat, thus controlling fluid accumulation.
Medical-grade foot supports for men and women
Put plantar supports in your shoes. This will decrease painful joint mobility by preventing the arch of the foot from collapsing. It is ideal to use a plantar support that is more hollow and has some stiffness. Over-the-counter plantar supports will not work as well as quality custom-made plantar orthotics, but they will help.
In the house, use a slipper with good arch support.
During the summer, avoid sandals that do not adequately support the arch of the foot.
If necessary, use a cryotherapeutic gel to reduce pain.
- Put ice on painful areas for ten minutes each night.
- Use stable shoes. Wear them at all times when carrying your weight.
If these pain self-treatment techniques do not relieve your tibial periostitis within two weeks, make an appointment and come see us at our podiatric clinic in Montreal.2021