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It is not specifically a diagnosis in itself but is well known among athletes to describe shin pain. One of the most common causes is medial tibial periostitis which we have described on our shin splints page and is an inflammation of the sheath surrounding the bone on the inside of the lower leg. Most causes of shin pain in athletes will be related to one or more of the following issues: Bone stress which can range from a mild bone strain to a full stress fracture.
Symptoms of Shin Splints. Shin pain can come on suddenly when you begin a new exercise routine (like running), or it might build over time. There are four muscles involved in the development of shin splints that lead to pain and tenderness: the tibialis anterior, tibialis posterior, gastrocnemius and soleus. These are the muscles in the calf and heel that allow the heel to lift and the arches of the feet to roll upward when you walk or run.