Shin Splints? Or Do You Have a Stress Fracture? 3 Signs Tibia Fracture

hi I'm Bob Shrum physical therapist at

Hynek physical third together we have

the most famous physical therapist on

the internet in our opinion of course we

forgot to introduce Napoleon oh yes

Napoleon Bonaparte okay today's shin

splints or do you have a stress fracture

this is a big question a lot of people

ask me to be honest with you Brad yeah

because they're getting pain and let's

let's talk about shin splints real

quickly first shin splints is a garbage

can term it can mean a lot of things but

generally what it is is what they call

medial stress medial tibial stress


so which is a big name that you don't

need to know but quite often that means

there's pain on the right spot yeah on

the medial aspect which is the side

closest to the other leg right okay here

yeah we're gonna show it up once you put

it yours up right away all right so

you're getting pain right on the inside

here or right where this red mark is

that's the most common type of shin

splints although sometimes people get it

right here to where that X is on the O

and that's a different type of shin

splint sure the way you're gonna

normally get to stress fracture is over

in this this medial part right so we're

talking about that big tibia bone it's

solid if you bump that into something

hurts like crazy if you you know just by

shin bone into the mattress what happens

is the muscles are pulling on this for a

long period of time and they're actually

pulling away on the bone and eventually

you can actually weaken the bone and

develop a stress fracture so this can

happen to any runner sure it's all very

common a lot of more common in women but

I've certainly seen it in men too so

what you're gonna do this is the top

three signs and the one that's the most

important of all is it's is that a

stress fracture is gonna have localized

pain what does that mean it's gonna hurt

just in one small spot instead of

normally on shin splints it's gonna be

tender all the way along if you've run

your thumb down here it hurts all the

way along on the tissues all the way

down but if you go here doesn't hurt


oh it hurts right here it's one little

spot and a lot of times it goes

horizontal that may be you know that may

be a sign you have a stress fracture in

any way you guys don't have x-ray vision

I'm sure so you're gonna need to go see

the doctor on this no matter what right

but this lease gives you an indicator

Wow you know what what you might be

dealing with the second thing is if it

tends to feel better in the morning it

may be more likely to be also a stress

fracture because shin splints often the

muscles tighten up in the morning and

and when you get on them they still hurt

in the morning where shins an actual

stress fracture is gonna feel better

right so the stress fracture responds

with pain more to the weight-bearing

activities especially the repetition

I've know runners that have had them and

it hurts more and more throughout the

race or throughout the event right the

other one is if you take your foot and

you turn it in like this and I give you

resistance or you bring it up this way I

give you resistance and that hurts that

more likely is going to be shin splints

because now you're testing the muscles

you're not testing the the bone so in

either case you can't mess around with

shin splints or really with a stress

fracture a stress fracture can get worse

the fracture can actually grow and get

bigger I know with runners they tend to

be a little obsessive and they hate to

give up their running but this is a case

if you have a stress fracture you have

to yeah you can you can train do it in a

pool right you do the aqua jogging or

you can do

I think biking prob a basically yeah but

you're just gonna have to give it up

until it heals up all right well good

luck with those things