It’s all about Andy’s Shin… but the Guru needs more information

April 29, 2015

Hi Guru,

Cant shift the pain in my shin, been 5 weeks now!!

Played football up to two weeks ago and had 2 weeks complete rest bar swimming…reckon this could be
anything more serious?

Pain goes completely with anti inflammotories…..

The Guru needs more info:

Humm…questions

  • Is it shin bone pain or muscle pain?
  • Is it site when poked or when you move your ankle?
  • Is it sore at night or first thing in the morning when you take weight on to it?
  • Are you doing anything else eg hill running?

…..and answers please!

Andy responds:

Bone pain, when I poke it.
Same pain most of the time (only a 1 or 2 out of 10 when walking)
Stopped running completely as I am making it worse!

X ray was clear….

Andy
April 29, 2015

Thanks Andy

I think it sounds like a bone stress reaction – the surface of your tibia (shin) is swelling slightly due to the repetitive load being put through it – that’s why the anti inflames help.

Bone reactions can take a notoriously long time to settle – think 4/6 weeks.

If you don’t give them enough rest they can progress to stress fractures, but I don’t think you’re anywhere near there yet.

More rest time please!

Regarding X-ray:

X-ray can’t detect subtle change at the bone surface.

MRI may show some bruising/swelling in the marrow and not possibly the surface.

A nuclear bone scan would probably show some local hot spots indicating the stress reaction.

All good.
The Guru

Six Physio

 

Guru Responded

Have more questions?

If you're struggling with Feet, Ankles & Lower leg issues then we'd love to help. We offer appointments within 24 hours whether face to face at one of our London Physio Clinics, virtually or if you’d prefer we can arrange a home visit.

Request An Appointment

We aim to get back to you within an hour

How should we contact you?