Periostitis tibial is commonly seen among runners and athletes (soccer players, volleyball players, and basketball players), and professional dancers.
In other words this complication is diagnosed in people who overuse the leg (for example, the military) for any reason. This complication is also called medial tibial stress syndrome (shin splint).
Why does periostitis tibial happen?
Excessive use of the foot causes tension in the muscles and tendons of these muscles that attach to the surface of the tibia.
This repeated stretching stimulates the periosteum (a thin membrane attached to the bones). Inflammation of the periosteum is called periostitis
So this complication is actually periosteal inflammation of the tibial bone, which is located in the leg and on the side close to the body axis.
What is tibial periostitis?
The following symptoms can be seen in Periosteal:
The pain of periostitis tibial is usually felt along the inner edge of the leg, called the tibia or shin bone.
Pain starts when an athlete or runner starts exercising (especially when they have not warmed up before exercise or competition), Sometimes pressing the site of inflammation (the inner edge and middle of the tibia) is painful.
- Chronic pain:
If leg pain is not treated and exercise and physical activity continue without improvement of periostitis tibial, the pain in the inner side and middle of the leg will remain chronic and prolonged.
If you are one of those people who have leg pain with the above characteristics, you should not ignore your pain and continue exercising with pain; continued activity despite the pain will aggravate the injury.
Periostitis tibial or medial tibial syndrome, if treated, will not cause serious complications.
In whom is shin splint common?
We said that this complication is more common in runners and athletes (soccer players, basketball players and volleyball players) and other activities that are accompanied by frequent running and jumping.
- This complication is more common in athletes who exercise without physical fitness and without warming up.
- Increase the intensity and duration of exercises
- Running on rugged surfaces
What can we do to treat periostitis tibial?
Treatment for shin splints, or pain in the inner edge and middle of the tibia, is mostly non-surgical and includes the following:
Avoid any activity or exercise that causes or aggravates leg pain.
- Cold compress:
Apply a cold compress on the area of pain and inflammation several times a day for about fifteen to twenty minutes.
- Keep your feet upward:
Hold the affected foot upward to reduce swelling
You can use common anti-inflammatory and analgesics such as ibuprofen; acetaminophen also helps reduce your pain.
- Avoid strenuous activity:
Do not start hard training and activity until the pain improves
- Medical shoes and insoles:
After recovery, get standard shoes. The use of medical insoles will reduce the pressure on the leg and other bones.
It is very rare that this pain does not improve after the above care and over time. If it does not improve, be sure to see an orthopedist.
What will be the examination of periostitis tibial?
The following will help diagnose this complication during the examination:
- Pressure on the inner edge of the leg and the middle of the leg will be painful
- Sometimes there is swelling in the painful areas (inner edge and on the leg).
Differential diagnoses of periostitis
The differential diagnosis of periostitis (factors that cause similar pain) includes the following two:
- Stress fractures
- Leg Compartment Syndrome:
It is a condition in which severe pain occurs due to increased tissue pressure on the limb and blood supply to the limb becomes difficult.