Physical exercise and leg pain - What is the relationship?

Authors

  • Patrícia Miranda Rheumatology Unit, Hospital Pediátrico, Centro Hospitalar e Universitário de Coimbra
  • João Nascimento Rheumatology Unit, Hospital Pediátrico, Centro Hospitalar e Universitário de Coimbra
  • Paula Estanqueiro Rheumatology Unit, Hospital Pediátrico, Centro Hospitalar e Universitário de Coimbra
  • Manuel Salgado Rheumatology Unit, Hospital Pediátrico, Centro Hospitalar e Universitário de Coimbra

DOI:

https://doi.org/10.25753/BirthGrowthMJ.v28.i4.15161

Keywords:

exercise, overuse, shin splint, stress fracture, tibial stress syndrome

Abstract

Shin splint, also known as tibial stress syndrome, results from an underlying stress reaction of the tibia caused by overuse. The patient typically refers a diffuse pain along the anteromedial side of the tibia, which is worse in late afternoon and associated with over-exercising days.
Diagnosis is confirmed by a prototypical history and physical examination findings. Radiological evaluation assists in differential diagnosis. Treatment consists of adequately resting or changing training routines, together with analgesic drugs.
Herein is presented the case of an adolescent referred to our Pediatric Rheumatology Unit with diffuse pain in the right pretibial region due to intensive exercise. Laboratory study and imaging exams were unremarkable. Clinical improvement following reduced exercise intensity supported diagnosis.

Downloads

Download data is not yet available.

References

1. Duey-Holtz A, Collins S, Hunt L, Cromwell P, Husske A, Lange A. Acute and Non-Acute Lower Extremity Pain in the Pediatric Population: Part I. J Pediatr Health Care. 2012; 26:62-8.

2. Wilder R, Sethi S. Overuse injuries: tendinopathies, stress fractures, compartment syndrome, and shin splints. Clin Sports Med. 2004; 23:55-81.

3. Pengel K. Common Overuse Injuries in the Young Athlete. Pediatr Ann. 2014; 43:297-308.

4. Sando J, McCambridge T. Nontraumatic Sports Injuries to the Lower Extremity. Clin Pediatr Emerg Med. 2013; 14:327-39.

5. Korsh J, Matijakovich D, Gatt C. Adolescent Shin Pain. Pediatr Ann. 2017; 46:e29-e32.

6. Edama M, Onishi H, Kubo M, Takabayashi T, Yokoyama E, Inai T, et al. Gender diferences of muscle and crural fascia origins in relation to the occurrence of medial tibial stress syndrome. Scand J Med Sci Sports. 2017; 27:203-8.

7. Reshef N, Guelich D. Medial Tibial Stress Syndrome. Clin Sports Med. 2012; 31:273-90.

8. Feldman J, Bowman E, Phillips B, Weinlein J. Tibial Stress Fractures in Athletes. Orthop Clin N Am. 2016; 47:733-41.

9. Franklyn M, Oakes B. Aetiology and mechanisms of injury in medial tibial stress syndrome: current and future developments. World J Orthop. 2015; 6:577-89.

10. Williamson B, Arthur C. Shin-splints: Common exercise-related syndromes affecting the lower leg. J R Nav Med Serv. 2014; 100:272-6.

Downloads

Published

2019-12-16

How to Cite

1.
Miranda P, Nascimento J, Estanqueiro P, Salgado M. Physical exercise and leg pain - What is the relationship?. REVNEC [Internet]. 2019Dec.16 [cited 2024Mar.29];28(4):220-2. Available from: https://revistas.rcaap.pt/nascercrescer/article/view/15161

Issue

Section

Case Reports

Most read articles by the same author(s)