Shin splints are one of those nagging aches and pains most runners encounter at some point in their training—but that doesn’t mean you should just grin and bear it.
“We see it all the time in the clinic,” osteopath and clinical lead at The Livewell Clinic, Danny Sayandan tells Fit&Well.
Common themes, he says, are runners in worn-out shoes, heel striking instead of landing midfoot, or overstriding.
“It’s often linked to the least stretched muscle in the body—your calves—and most neglected muscle—the tibialis anterior—found on the front of the shin,” says Sayandan.
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When they’re tight or undertrained, the impact of every footstrike gets pushed straight into the shins, triggering a dull ache down the front or inside of your shins.
The solution? Add these five exercises from Sayandan to your weekly workouts to stretch and strengthen these often overlooked muscles.
5 exercises to try if you get shin pain when running
1. Toe raise
Toe Raises – Ask Doctor Jo – YouTube
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Sets: 2 Reps: 12-15 each side
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Why: Lifting your toes strengthens the front of your shin.
How:
Stand with your feet hip-width apart.
Lift your toes.
Hold for two seconds.
Lower your toes to the start.
2. Calf raise
Sets: 2 Reps: 12-15
Why: Build strength and endurance in the lower legs.
How:
Stand with your feet together.
Lift your heels to rise onto your toes and the balls of your feet.
Pause, then lower slowly.
You can also perform these with your heels off a step (as in the video above), lowering your heels below the step to add a stretch to your calves.
As you get stronger, progress to single-leg calf raises, then begin to add weight with a dumbbell or kettlebell held in one hand.
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3. Soleus wall hold
Sets: 2 Reps: 12-15 / Time: 30sec
Why: This bent-knee heel raise targets the deep-lying soleus muscle in your calves.
How:
Stand with your feet hip-width apart, holding a bannister or other sturdy anchor point for support (an alternative is to rest your back on a wall, as in the video above).
Bend your knees and push your hips back to lower into a squat, with your knees bent at 90˚.
Hold this position and either perform 12-15 calf raises (see above), or rise up onto the balls of your feet and hold for 30 seconds.
4. Tibialis stretch
Anterior Tibialis Stretch Kneeling – Ask Doctor Jo – YouTube
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Sets: 2 Reps: 8-10
Why: This is a gentle stretch for the muscles in the front of the shin.
How:
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Kneel with your feet together, sitting on your heels with your hands or forearms on the floor to help control the load through your ankles.
Push through your hands or forearms and carefully lift your knees to increase the stretch in the front of your shins.
Hold for a few seconds, then lower.
Rather than an exercise, try to practice this continuously—and certainly as you move from exercise to exercise in this workout. Concentrate on landing softly through your midfoot to retrain your gait and reduce impact through your heel, ankle, calves and shins.
Hello you lovely lot. Right, I have 500 words and I’m not going to use them for persuasion or coercion, because that doesn’t work. I want to explain what the point of exercise is. All facts, no emotion. Then you can make up your own mind.
The first fact is that many people view exercise purely as a means to lose weight. So that 45 minutes of exertion three to four times a week becomes only about burning calories.
Yet – and this is important – we burn calories all the time. Just sitting still. Breathing, digesting and metabolising uses around 60% of our daily calories. Then our hard-working brains use another 20%. Another 10% goes on essential daily movement, getting dressed, cleaning teeth, cooking etc. So, that means just 10% of your daily calories are used on that workout which you do, or don’t, want to do. And, if you think about it, 10% of your calories is a very small dent in your fat stores.
Diet and exercise go hand in hand
Let’s take Sylvia. By June, she wants to slide effortlessly into the mother-of-the-bride dress she bought a size smaller in the January sales. So Sylvia starts brisk walking for 30 minutes five days a week, which her fitness tracker tells her burns around 130 calories. That’s 650 calories (5 x 130) in a week.
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Walking as a workout is fantastic exercise, but if all Sylvia wants is to lose fat, then making changes to her food will have much more impact in terms of calories.
Swapping her two breakfast slices of toast, butter and marmalade for one slice of toast, one poached egg and a large crunchy apple, plus reducing the three daily chocolate digestives down to one, saves her (yes, I’m sitting here with my calculator) just shy of 2,000 calories a week. Without much hardship.
“It has way more to offer than calorie burning”
My point is that if you want to lose fat, think more about changes to your food than exercise because exercise has way more to offer than calorie burning.
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What’s more, you don’t have to go through a pain barrier to feel the rewards. Sylvia has come to love her brisk power walks (yes, she’s moved on from a saunter), and she is experiencing good things.
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(Image credit: Getty Images)
If I told you those good things, would you lose interest? Does it feel a bit like someone telling you why smoking is bad? You’ve heard it all before, I know, but I’m sorry because you’re going to hear it again, without the emotion, just the facts.
From walking to weightlifting – you choose what you enjoy but they will all improve your physical health, your mental health and your energy levels, as well as: increase bone density, muscle strength and joint stability; reduce the risk of depression, stroke, heart disease and type 2 diabetes; contribute to better sleep; lower blood pressure; increase body awareness and balance; and improve your core strength, flexibility, mobility – and very possibly sociability.
The list goes on but I’m running out of words. It doesn’t have to hurt to be good. And it’s never too late to start. Find a form of exercise you enjoy and make it a habit. Make it something you always do. You wouldn’t let your children down. Don’t let yourself down, either.
3 moves to do when you have no time
We’re covering all bases here – strength of upper and lower body, as well as mobility.
Call it multitasking if you like! Do them in order, for the number of reps and do three rounds.
(Image credit: Future)
1. Sumo squats
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They use all leg muscles and the glutes. Stand with feet turned out and wider than shoulder-width apart. Slowly lower your hips, keeping your knees pointing roughly over your second toe. Pause and rise slowly back up. Do 10-20 reps.
(Image credit: Future)
2. Spine twist
This improves spinal mobility and core strength. Stand with feet in a V and squeeze glutes. Breathe in, keep arms outstretched and, as you breathe out, slowly twist to the left, keeping hips facing forward. Do three times each side.
(Image credit: Future)
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3. Don’t shy away from push-ups
They’re cracking for upper body strength and firming up the triceps. Start on all fours, hands slightly wider than shoulders. Slowly lower yourself towards the floor. Pause then push back up. Do five reps slowly.
Andy McIntyre (BOst, MSc) says his clinic is always fully booked in January.
The associate osteopath from The Livewell Clinic in London says the reason injuries tend to always flare up at the start of the year is simple.
“Unless it’s a long-term injury, people become injured because they’ve done too much too soon after having done too little for too long,” he tells Fit&Well.
Going from zero to 100—or very little movement in December to suddenly running a 5K every few days in January—is a recipe for inflammation and injury.
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The most common ailments tend to relate to overuse: runner’s knee, plantar fasciitis, shin splints and lower-back pain.
Instead, McIntyre (who happens to be treating my lower-back pain from an overuse strain suffered last summer) emphasizes the need to build up gradually with any new activity you’re undertaking.
If running 5K is your target, start with run-walk intervals, he says. Alternate running 30 or 60 seconds with one or two minutes of walking.
Start your week with achievable workout ideas, health tips and wellbeing advice in your inbox.
If simply going to the gym more often is your goal, start with one or two gentle sessions a week rather than three or four intense workouts.
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What should you do if you’ve picked up a January injury?
But what if you’re already nursing an injury from biting off more than you could chew?
McIntyre says you should re-evaluate the activity or resolution that caused the injury in the first place and question whether it’s worth sticking with.
“If it is an activity that is just a means to an end, like losing a few pounds or adding a bit of muscle, rather than an activity you really want to have in your life, then honestly, I think it won’t be that sustainable,” he says.
“Is it worth killing yourself or getting injured because you’re chasing a goal that isn’t going to be part of your life forever?
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“Could you find an activity that you enjoy more that is going to be better for your mental health and your physical health long-term without such a fixed goal?”
McIntyre provides his relationship with climbing as a prime example.
“I’m a big climber. That’s what I like doing. But in the last year I’ve barely been going once a week. So, I don’t have a goal in mind, I just want to get back to doing more regular climbing because I enjoy it. I enjoy the people that I get to hang out with. It’s a constant challenge.”
And that means getting back into a rhythm of climbing once a week for a month or two, then increasing the frequency and duration of these workouts once his body has adapted to the increased workload.
That way, come January next year, he’ll have built up enough tolerance to survive a good rest over the holidays and won’t end up on his own treatment table.
Lack of time is often the main reason people don’t exercise regularly. But a type of interval workout recently popularized by actress Jessica Biel could be the solution – with research showing it can improve fitness faster than traditional, steady-pace workouts, such as jogging or cycling.
The Norwegian 4×4 workout has traditionally been used by athletes. It’s a form of high-intensity interval training (Hiit) that involves four-minute sets of very intense cardio exercise, followed by three minutes of very light exercise.
A typical training session includes a five-minute warm-up, four high-intensity intervals and a five-minute cool-down.
Related: There’s One Simple Trick to Boost The Health Benefits of Your Run
The 4×4 workout format follows the same format as other Hiit workouts, which alternate periods of high-intensity exercise with periods low-intensity exercise (or rest). Most Hiit workouts involve work intervals that last anything from ten seconds up to a couple of minutes. In contrast, the 4×4 workout employs four minute work periods, which raises your heart rate for longer than most Hiit protocols.
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Decades of research has shown that regular Hiit workouts are often more effective than moderate-intensity workouts (such as running or cycling at a steady pace continuously) in improving cardiovascular fitness and other health outcomes (such as improving blood sugar and cholesterol levels). Hiit is even effective for improving health in adults with type 2 diabetes and cardiovascular disease.
Hiit also offers these benefits with less training time than traditional endurance training. A 2008 study showed that as few as six Hiit sessions over two weeks improved the muscles’ endurance capacity.
Several studies have also explored the benefits of the 4×4 protocol. For example, an eight-week study showed that the 4×4 workout produced greater aerobic fitness improvements than 45-minute moderate-intensity running sessions.
The reason the 4×4 workout specifically is so effective for improving cardiovascular fitness is because the four-minute intervals are intense enough to maximally challenge your heart and lungs while minimizing muscle fatigue. This helps improve your maximum oxygen uptake (or VO₂ max), which is the highest rate at which your body can take in, transport and use oxygen during intense exercise.
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VO2 max is considered the gold standard measure of cardiovascular fitness. Higher VO₂ max values are associated with reduced risk of cardiovascular disease and premature death, and better overall health.
During a 4×4 workout you’ll spend roughly 16 minutes close to you maximum heart rate. This means that it can improve VO2 max more effectively than longer duration, moderate-intensity workouts.
The intensity of the 4×4 workout can improve your cardiovascular health. (Mike Cox/Unsplash)
Choosing the right workout
For people with busy schedules, Hiit is a time-efficient option because it offers the same health and fitness benefits as longer workouts with less training time. However, a 4×4 Hiit session still lasts between 35–40 minutes, which might be too long for some people.
For those seeking a shorter workout option, the 10×1 Hiit protocol is a suitable alternative as it can be completed in just 30 minutes – including warm-up and cool-down periods.
This involves doing ten one-minute intervals of intense exercise. Each minute of hard work is followed by a minute of light exercise or complete rest.
But while this protocol also improves VO₂ max, the shorter work periods must be performed at a much higher intensity than the four-minute intervals to challenge the cardiovascular system. This could make it difficult to pace yourself consistently during each interval.
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Another Hiit workout option is sprint interval training. This involves exercising as hard as possible for ten to 20 seconds – followed by three minutes of recovery. These sprints can be done running, cycling or even rowing.
One 12-week study found that participants who performed three, 20-second sprints (followed by three-minute recovery periods) just three times a week significantly improved their cardiovascular fitness compared to those doing longer, steady-state workouts.
However, the 4×4 workout has been shown to produce better gains in aerobic fitness than sprint interval training.
Although most research shows that Hiit produces rapid health and fitness benefits, it’s difficult to know exactly how effective it is in the real world because most studies use specialized equipment and are supervised by researchers. As such, study results may not reflect what happens when people train on their own.
The very demanding nature of Hiit may also make it less enjoyable for some people – particularly those who aren’t used to intense exercise. This is important, because lower enjoyment is linked to poorer motivation and lower likelihood of sticking to a workout program.
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Also, while Hiit is often promoted as exciting and time efficient, its novelty may wear off. What feels new and motivating at the start may become tiring or repetitive, especially without variety or support. As a result, some people may struggle to stick with a workout program after a few weeks.
Long-term fitness improvements come from training consistently. For that reason, it’s essential to choose a form of exercise that you enjoy.
If Hiit is less appealing to you than alternatives, such as steady jogging, cycling or weightlifting, it may be more effective to focus on workouts you’re more likely to stick with.
You don’t always have to push yourself to the limit to improve your health and fitness. Even consistent activity, such as accumulating around 7,000 steps a day, can still lead to meaningful physical and mental health benefits.
The Norwegian 4×4 protocol is just the latest popular Hiit workout. While it can offer many health and fitness benefits for you in a short period of time, it might not suit your needs – so be sure to pick a workout that best suits your goals and schedule.
Paul Hough, Lecturer Sport & Exercise Physiology , University of Westminster
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This article is republished from The Conversation under a Creative Commons license. Read the original article.