The Informed Runner: Prevent Shin Splints With Smart Training

November

29

by Joe Armeli | Doctor of Physical Therapy

An image of a runner training smartly and avoiding shin splints.

Key Points: 

Understand Shin Splints: Pain caused by overuse and inflammation in the muscles and tissues around the shinbone, often due to sudden increases in running intensity.

Manage Training Intensity: Avoid increasing your running distance or speed by more than 10% per week to prevent overloading the muscles.

Incorporate Variety: Mix endurance runs, interval training, hill workouts, and easy runs to challenge your body and minimize injury risk.

Strength Training is Crucial: Perform calf raises, wall lean toe lifts, squats, lunges, and single-leg RDLs to build lower leg resilience.

Cross-Training for Recovery: Engage in low-impact activities like swimming or cycling to maintain fitness while giving your shins a rest.

Listen to Your Body: Pay attention to early warning signs like shin pain or swelling and adjust your training accordingly.

Recovery is Key: Incorporate rest days and flexibility exercises such as yoga to allow for muscle recovery and prevent shin splints.

Shin splints, a term often heard among runners, refers to the pain that occurs in the front or inside area of the shin bone. This discomfort is a common setback for runners of all levels and is closely tied to how much, how often, and how intensely one runs. The primary aim of this article is to guide runners on how to maintain their training intensity without falling prey to shin splints, ensuring a safe and enjoyable running experience.

Before diving into the depths of training regimens and injury prevention, it’s essential to grasp what shin splints are and why they happen. Think of shin splints as a red flag from your body, signaling that it's overwhelmed by the demands of your running routine. The pain is typically a result of inflammation in the muscles, tendons, and bone tissue around your shinbone, often brought on by sudden increases in the duration or intensity of exercise.

Now, let's consider the critical link between your running intensity and the onset of shin splints. Imagine your muscles as elastic bands. Just like these bands, your muscles can only stretch so far before they become irritated or damaged. Consistently pushing your running intensity without proper conditioning can stretch these "bands" beyond their limit, leading to the pain known as shin splints.

By understanding shin splints and how they are related to your training intensity, you're taking the first step toward preventing them. This article will take you through a journey of balanced training practices designed to keep your shins happy and healthy.

Demystifying Shin Splints

Shin splints are not so much a specific injury but a symptom of several possible issues occurring in the lower leg. To understand shin splints, picture the shin bone, or tibia, as the main pillar of support for your lower leg. Surrounding this pillar are muscles and tendons that help absorb the impact every time your foot hits the ground.

When these tissues are overworked — perhaps due to running too fast or too far without adequate conditioning — they become inflamed. This inflammation is the body’s way of saying that something is wrong. In the case of shin splints, it could mean there's too much stress on the shin bone or that the muscles and tendons supporting it are struggling.

Now, you may wonder, how does running intensity come into play? Intensity, in the running world, refers to the effort you put into your training sessions. This could be how fast you run, how long you run, or how frequently you hit the pavement. If you turn up the intensity too quickly, you’re asking a lot of your muscles without giving them time to adapt. This is like cramming for a test the night before — it can lead to a lot of stress and potentially poor results.

Understanding this, we can start to see why controlling the intensity of your running is key to preventing shin splints. It's all about pacing yourself and giving your body time to adapt to the demands of your running routine. 

With each step, your lower leg absorbs three times your body weight [1]. By gradually increasing your running intensity, you allow these muscles to build up strength and resilience, which can help keep shin splints at bay.

Balancing Act: Training Intensity vs. Performance

Balancing training and shin splints on a tight rope

Achieving the right balance between training intensity and performance is like walking a tightrope. Tip too far one way, and you may not see improvement; lean too much the other way, and you risk injury, such as shin splints. The key is to find that sweet spot where you push your body enough to improve but not so much that you cause harm.

Firstly, let’s define what performance means for runners. It could be running faster, longer, or simply feeling stronger and more capable during runs. Improving performance requires progressively increasing the intensity of your workouts, a concept known as progressive overload. This gradual increase gives your muscles, tendons, and bones time to adapt and strengthen.

But how do you know how much to increase and when? 

A body of research sheds light on the consequences of sudden increases in running intensity. For instance, a high-quality (HQ) study involving 58 novice runners found that those who experienced injuries had increased their running distance significantly more in the week before the injury than in other weeks, suggesting a link between rapid progression and the risk of RRIs1. In particular, these runners had increased their weekly running distance by an average of 31.6%, while uninjured runners had a more modest increase of 22.1% [2].

A good rule of thumb is the '10% rule,' which suggests that you should not increase your running mileage or speed by more than 10% per week. This steady approach helps you build endurance and speed without overburdening your legs.

Incorporating variety in your running routine is also crucial. Instead of just running farther or faster, mix in different types of workouts:

  • Endurance Runs: These are longer, slower runs that build your base endurance.

  • Interval Training: Short, intense bursts of running followed by rest periods.

  • Hill Workouts: Running up and down hills to build strength.

  • Easy Runs: Low-intensity runs that help your body recover.

By varying your workouts, you challenge your body in different ways, which can lead to better performance and less risk of shin splints.

Now, to answer the question of how to adjust running intensity to prevent shin splints while improving performance, consider the following steps:

  • Start with a Solid Base: Begin with mileage that feels comfortable and gradually increase from there.

  • Listen to Your Body: Pay attention to signs of fatigue and discomfort, which might indicate that you’re increasing the intensity too quickly.

  • Rest and Recover: Ensure you have rest days in your training plan to allow your body to recover and adapt.

Building Strength: The Key to Enhancing Performance and Preventing Shin Splints

Exercises for shin splints.

Managing your mileage is essential, if you are trying to prevent or calm down shin splints. If you're aiming to keep training and improving your running performance, integrating strength training is your strategic move. Strength training fortifies your lower legs, making them more resilient to the stresses of running.

Here's how you can enhance your running form with targeted strength exercises:

  • Calf Raises: These are simple yet effective. Stand on a step with your heels hanging off the edge, push up onto your tiptoes, then lower back down slowly. This exercise targets the calf muscles, which play a pivotal role in shin support.

  • Wall Lean Toe Lifts: Stand with your back flat against a wall, heels grounded, and lift your toes upward. This move targets the often-neglected anterior muscles of the shin.

  • Squats and Lunges: Both are foundational movements that strengthen your glutes, quads, and hamstrings, providing better stability and shock absorption when you run.

  • Single-Leg Romanian Deadlifts (RDL): This exercise hones in on balance and strengthens the posterior chain, crucial for a strong, stable stride.

Incorporate cross-training activities such as swimming or cycling to maintain your cardiovascular fitness while relieving your shins from the repetitive impact of running. Additionally, flexibility exercises and yoga can enhance your range of motion, promoting better muscle function and joint health.

Remember, muscles are incredibly responsive to training. They can recover from being overworked and grow stronger with the right exercises. By dedicating time to proper form and strength training, you're investing in a foundation that's more resistant to injuries, including shin splints. This proactive approach allows you to continue advancing in your running journey with confidence.

Recognizing Red Flags and Adjusting Your Training

A runner recognizing the red flags of shin splints.

When talking about training intensity and shin splints, you have to realize there is a lot of variability.  The right intensity for you may be entirely different for someone else. This is why it is important to listen to your body. Recognizing the early warning signs can help you adjust your training routine before a full-blown injury occurs. Here’s what to look out for:

  • Mild ache in the shins after running, which may not necessarily be painful at first.

  • Sharp, localized pain during or after your run, which could indicate the onset of shin splints.

When you notice these signs, it's time to take action:

  • Reduce your running intensity and volume temporarily to give your shins a break. This doesn't mean you have to stop running completely but consider shorter, gentler runs.

  • Check your footwear to ensure it's providing proper support and hasn't worn out.

  • Incorporate low-impact cross-training activities like swimming or cycling to maintain fitness while reducing stress on your shins.

Once the pain subsides, reintroduce running gradually, following the earlier guidelines for increasing intensity and volume. It's also wise to re-evaluate your training plan to incorporate more rest days or lower-impact activities to prevent future issues.

It's crucial to listen to your body and not to rush the recovery process. The goal is to return to running without recurring problems, which sometimes requires patience and adjustments to your training habits.

Concluding Thoughts on Shin Splints and Training Intensity

Remember that the journey of a runner is a marathon, not a sprint. The insights and strategies discussed throughout this article aren't just tactics; they're part of a sustainable philosophy of running. Embracing a progressive approach to training intensity, complementing runs with strength and flexibility exercises, and tuning into your body's signals are all part of a holistic approach that honors both your passion for running and your health.

The path to running success is paved with patience, persistence, and a deep understanding of your own limits and capabilities. By applying these principles, you're not merely avoiding the discomfort of shin splints—you're also paving the way for a healthier, more enjoyable, and enduring running experience. So, as you lace up your shoes and set out on your next run, carry with you the knowledge that every step taken with awareness and care is a step towards a stronger, more resilient runner's journey.

Run smart, run strong, and run with joy, knowing you have the tools to keep shin splints at bay and the power to reach new heights in your running adventures.

References

  1. Cavanagh PR, Lafortune MA. Ground reaction forces in distance running. J Biomech. 1980;13(5):397-406. doi: 10.1016/0021-9290(80)90033-0. PMID: 7400169.

  2. Nielsen RO, Cederholm P, Buist I, Sørensen H, Lind M, Rasmussen S. Can GPS be used to detect deleterious progression in training volume among runners? J Strength Cond Res. 2013 Jun;27(6):1471-8. doi: 10.1519/JSC.0b013e3182711e3c. PMID: 22990565.

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About the author, Joe Armeli DPT

I'm Joe Armeli, a Doctor of Physical Therapy, Certified Athletic Trainer and Certified Strength and Conditioning Specialist, a movement enthusiast, and a fellow runner. I'm here to help you achieve your physical health and performance goals, whether you're just starting to run or are a seasoned vet. For questions or concerns, email me at [email protected]. Look forward to hearing from you!

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