2023February

■About shin splints: Shin splints refer to medial tibial stress syndrome (Medial Tibial Stress Syndrome), which is characterized by pain in the lower third of the tibia, which is located on the inside of the lower leg. Recently, it is more common in marathon runners, and in students, it is also likely to occur in soccer, volleyball, basketball, and track and field athletes who often run and jump. It is a disease that is especially common during the growth period, and it is also a disease that is likely to occur when a child who has not exercised in junior high school suddenly practices excessively. ■Classification by symptoms Shinsplints can be classified as follows depending on the condition. Stage 1: Pain only during exercise Stage 2: Pain before and after exercise, but no interference with sports activities Stage 3: Pain before, during, and after exercise, interfering with sports activities Stage 4: Severe pain and no sports activities Stage 3 and above should stop exercising. ■Cause: The direct cause of shin splint is a disorder caused by excessive load on the muscles connected from the foot to the tibia, which causes a pulling (peeling) stimulus to the periosteum that covers the tibia of the foot. It may be due to overuse (overuse) or a disorder caused by a chain of motion from the floor. As a result, excessive strain on the tibial periosteum causes inflammation, resulting in swelling and pain. If you continue to play sports with pain and swelling left unattended, it may become severe and lead to a "stress fracture" and a temporary ban from exercise, so it is necessary to take appropriate measures promptly. General coping methods Reduce the amount of exercise to prevent symptoms from worsening and becoming chronic Icing before and after exercise (cooling the affected area with ice) Analgesic and anti-inflammatory drugs such as compresses (orthopedic examination) Functional training to improve the above chain Choose shoes according to your foot habits. Depending on the condition, the plantar plate (insole?The use of shoe insoles As a particularly important intervention method of KIZU chiropractic (1) Treatment to adjust the ascending chain, which is the movement chain from the floor (2) Alignment correction of the ankle joint (scaphoid bone, cubic bone, talus, etc.) (3) Alignment correction of the pelvis, lumbar spine, and cervical spine Click here for the shin splint jump correction video ■ Discussion The above video is It is a modified version of the jumping method that is common in shin splints. As shown in the first video, when the ankle joint becomes a pronation foot, the scaphoid bone ~ talus located on the inside falls and the plantar arch collapses. Due to the repetition of this fall, pain is thought to gradually occur due to the load that causes the muscle group attached to the upper tibial periosteum to peel off from the periosteum. Written by: Naoaki Kizu Language This page has been automatically translated. Please note that it may differ from the original content.