Shin Splints Care Options

Symptoms of Shin Splints (Medial Tibial Stress Syndrome):

Pain Along the Shinbone: A dull or sharp pain occurs along the inner edge of the shinbone (tibia), often during or after physical activity.

Tenderness or Swelling: The shin may feel tender to the touch, and mild swelling can develop in the affected area.

Discomfort During Activity: Pain typically worsens during exercise, especially running or jumping, and subsides with rest.

Lingering Pain Post-Exercise: The pain can persist after the activity has ended, particularly if the condition worsens over time.

Common Causes of Shin Splints:

Overuse: Shin splints are often caused by repetitive stress on the shinbone and surrounding muscles, commonly seen in runners, dancers, and athletes.

Improper Footwear: Worn-out or unsupportive shoes may contribute to shin splints by failing to absorb shock properly.

Flat Feet or High Arches: Abnormal foot mechanics, such as overpronation (flat feet) or high arches, can increase stress on the shinbone.

Sudden Increase in Activity: Rapidly increasing workout intensity, duration, or frequency can overload the shinbone and muscles.

Self-Care Options for Shin Splints:

Rest: Avoid activities that trigger pain and allow your shins to recover. Low-impact exercises, such as swimming or cycling, can help maintain fitness while resting the shins.

Ice Therapy: Apply ice packs to the affected area for 15–20 minutes, several times a day, to reduce pain and swelling.

Compression: Use a compression wrap or sleeve to reduce swelling and provide support.

Elevation: Raise your legs above heart level when resting to decrease swelling.

Footwear Adjustments: Replace worn-out shoes, invest in supportive footwear, or use orthotics to correct foot mechanics.

Stretching and Strengthening: Incorporate calf and shin stretches and strengthening exercises into your routine to improve muscle balance and flexibility.

When to Seek Medical Help:

Persistent Pain: If pain persists despite rest and home treatments, consult a healthcare provider for evaluation.

Severe Pain or Swelling: Seek medical attention if the pain becomes severe or is accompanied by significant swelling, as this may indicate a stress fracture.

Difficulty Walking: If you experience difficulty walking or the pain affects your daily activities, see a doctor for a thorough evaluation.

Telehealth Options:

Telehealth services are a convenient way to evaluate shin splints and get recommendations for care:

Teladoc Health: Teladoc offers consultations with general practitioners who can provide advice on pain management and recommend next steps.

Amwell: Amwell allows you to connect with sports medicine specialists or general practitioners to assess your symptoms and guide your recovery.

PlushCare: PlushCare offers virtual visits with physicians who can recommend treatments or refer you to in-person care if necessary.

MDLIVE: MDLIVE connects you with healthcare providers who can evaluate your symptoms and suggest appropriate care options, including home remedies or specialist referrals.

Cost Estimates for Shin Splint Evaluation and Treatment:

In-Person Visits:

Primary Care Physician Visit: For an initial evaluation and to rule out stress fractures or other conditions.
- Cost: $100 - $250, depending on location and insurance coverage.
Sports Medicine Specialist: If shin splints are persistent or severe, a specialist can provide a more targeted treatment plan.
- Cost: $200 - $400 per visit.

Physical Therapy: A physical therapist can guide stretching, strengthening, and recovery exercises tailored to your needs.

Cost: $75 - $150 per session.

Lab and Imaging Costs:

X-ray: To rule out stress fractures.
- Cost: $100 - $300.
MRI: For a detailed assessment if a stress fracture or other complications are suspected.
- Cost: $500 - $1,500.

Recommended Care Pathway:

Telehealth Consultation: Start with a telehealth visit to evaluate your symptoms and determine if in-person care or imaging is necessary.
Primary Care Visit: If pain persists or worsens, see a primary care doctor to confirm the diagnosis and rule out more serious conditions like stress fractures.
Sports Medicine Specialist or Physical Therapy: For chronic or severe shin splints, consult a specialist or begin physical therapy to address underlying issues and aid recovery.
Imaging Studies: Obtain X-rays or an MRI if a stress fracture or other complications are suspected.

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Meet Mia:

Mia, a 16-year-old high school track runner, began experiencing pain along her shins after increasing her training intensity. Concerned about the persistent discomfort, her parents scheduled a telehealth visit with Teladoc Health. The physician recommended rest, ice therapy, and switching to more supportive running shoes.

After two weeks, Mia’s pain persisted, and she visited a sports medicine specialist. X-rays ruled out a stress fracture, and the specialist prescribed physical therapy to strengthen her lower legs and improve running mechanics.

Here’s a breakdown of Mia’s care costs:

Telehealth visit: $75
Specialist visit: $250
X-rays: $150
Physical therapy (4 sessions): $400

Mia’s total recovery cost was $875. With proper care and adherence to her recovery plan, she was able to return to running within six weeks, pain-free.