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Shin splints and shin pain treatment at Return To Form Physio Ponsonby

Lower leg pain · Ponsonby

Shin splints treatment for lower-leg pain that keeps coming back

Shin splints (medial tibial stress syndrome) is one of the most common running injuries we see. The pain runs along the inside of the shin and is worst at the start of a run, often easing mid-run before returning afterwards. The usual advice is to rest, which helps until you try to run again and it comes back. Without addressing the load causing it, the cycle repeats.

Does this sound like you?

  • Pain along the inside of the shin during or after running
  • It eases with rest but returns when training volume picks up
  • The shin is tender to touch along the inner edge of the bone
  • It has come back before, or returns every season

If that sounds like you, this is exactly what we treat. Book an assessment and we will confirm the right plan.

What is actually happening

The pain comes from overload at the point where muscles attach to the tibia. The bone and periosteum (the tissue covering it) are absorbing more impact than they can handle, usually because of a rapid increase in training load, a change in surface or footwear, or a biomechanical issue concentrating force in one area. In its early stages it is a stress reaction; left unmanaged, it can progress to a stress fracture.

How we treat shin splints

We assess the shin, your running pattern and the training load that caused it. For chronic shin pain that has not settled with rest, shockwave can restart the healing process in the bone and periosteum. We pair this with a graded return-to-run programme and, where appropriate, advice on gait, footwear and load management, because the training habit that caused it needs to change too.

Getting you back to training

The goal is a full return to running, not permanent restriction. We give you a clear, stage-by-stage return-to-run programme so you know exactly when it is safe to build and what to watch for.

This is one of the injuries we treat with shockwave therapy at our Ponsonby clinic. Read more about how shockwave works, who it suits and what a course of treatment involves.

Common questions

Can I keep running during treatment? +
It depends on severity. For mild cases, modified running is often possible. We will tell you clearly what is safe.
Is shockwave useful for shin splints? +
Yes, for chronic shin pain that has not settled with load reduction alone. It is not a substitute for addressing training load issues, but it can accelerate the repair process.
Do I need imaging to diagnose shin splints? +
Not always. A clinical assessment is usually enough to distinguish shin splints from a stress fracture; we will refer for imaging if there is any uncertainty.

Not sure if it's right for you?

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Book your assessment

Your first visit is a full assessment, hands-on treatment, and a plan you take home.

Visit us

Our Ponsonby clinic

Return To Form Physio

179A Ponsonby Road

Ponsonby, Auckland 1011

Entry on Franklin Road

09 886 4611

ACC registered · Multi-disciplinary team · Treating Ponsonby for over 16 years