Stephen J. Schueler, M.D.

Overview Incidence Risk Factors Symptoms Evaluation Treatment questions for doctor specialist Home Care pain in adults pain in children warning signs Outlook Underlying Cause Types Anatomy

Shin Bone Pain Home Care

Home care for shin splints includes:

  • Avoid activities that cause pain.
  • Apply a cold compress:
    • Wrap ice in a moist hand towel. Do not apply ice directly to the skin.
    • Apply for 20-30 minutes, every 1-2 hours, for the first few days.
  • Elevate the leg above the heart if it is swollen
  • Rest the injury.
    • Use a walker.
    • Use crutches.
    • Use a cane.
    • Avoid strenuous activity for 2-4 weeks.
  • Stretching exercises for shin splints
    • Start exercises after 3 days.
    • Gradually increase your activity over 1-2 weeks.
  • Splint for shin splints
  • Acetaminophen for pain
  • Nonsteroidal anti-inflammatory medications for pain:
  • Take prescribed medications as directed:
    • Don't skip doses of your medication. This makes them less effective.
    • Be aware of the common side effects that may be caused by your medication.

Shin Bone Pain Pain in Adults

Medications commonly used to control pain and inflammation in adults with shin splints include:

  • Acetaminophen decreases fever and pain, but does not help inflammation.
  • Adult dosing is 2 regular strength (325 mg) every 4 hours or 2 extra-strength (500 mg) every 6 hours.
  • Maximum dose is 4,000 mg per day.
  • Avoid this drug if you have alcoholism, liver disease or an allergy to the drug. See the package instructions.
  • Common brand names include Tylenol, Panadol, and many others.





NSAID Precautions

Shin Bone Pain Pain in Children

Common medications used at home for pain in children with shin splints include:

Aspirin and most of the other nonsteroidal anti-inflammatory drugs (NSAIDS) are not used in children except under a doctor's care.

  • Acetaminophen decreases fever and pain, but does not help inflammation.
  • Dosing is 10-15 mg per kilogram (5-7 mg per pound) of body weight every 4-6 hours, up to the adult dose.
  • Do not exceed the maximum daily dose.
  • Acetaminophen products come in various strengths. Always follow the package instructions.
  • Avoid this drug in children with liver disease or an allergy to acetaminophen.
  • Common acetaminophen products include Tylenol, Panadol and many others.



Shin Bone Pain Warning Signs

Notify your doctor if you have shin splints and any of the following:

Continue to Shin Bone Pain Outlook

Last Updated: Jan 4, 2011 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Shin Bone Pain References
  1. Francisco AC, Nightingale RW, Guilak F, Glisson RR, Garrett WE Jr. Comparison of soccer shin guards in preventing tibia fracture. Am J Sports Med. 2000 Mar-Apr;28(2):227-33. [10751000]
  2. Jensen A, Dahl S. Stress fracture of the distal tibia and fibula through heavy lifting. Am J Ind Med. 2005 Feb;47(2):181-3. [15662637]
  3. Thacker SB, Gilchrist J, Stroup DF, Kimsey CD. The prevention of shin splints in sports: a systematic review of literature. Med Sci Sports Exerc. 2002 Jan;34(1):32-40. [11782644]
  4. Wilder RP, Sethi S. Overuse injuries: tendinopathies, stress fractures, compartment syndrome, and shin splints. Clin Sports Med. 2004 Jan;23(1):55-81, vi. [15062584]
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