All rights reserved. Clin Nucl Med. READ THIS NEXT:7 Rules for Healing Shin Splints. For healthy runners, by remodeling . Symptoms: Lower leg pain while running, especially at faster speeds. Tibial stress syndrome (also known as shin splints) is an overuse injury or repetitive-load injury of the shin area that leads to persistent dull anterior leg pain. However, a person with a bone fracture should seek immediate medical attention. They wont show up on an x-ray, but can take up to six months to fully heal. Idiopathic. Treatment varies depending on the progression of the disorder and may range anywhere from observation to surgery. If a stress fracture is suspected, a bone scan may be necessary. It takes longer to recover from a stress fracture, so it is best to have shin splints treated early. An MRI scan is a radiological imaging test that uses magnetic waves to create an image of the part of the body that is being scanned. The tibia and fibula provide a connecting point for several muscles that move the foot. Unable to load your collection due to an error, Unable to load your delegates due to an error. These are the tough, cordlike bands of tissue that connect muscle to bone. Scientists have shown that the root cause of shin splints is repeating stress on the bone and connective tissue attaching muscle to bone when running, but by a slight bending of the bone when being loaded, not by straight-on impact. Very rarely, shin pain can indicate a rare form of cancer. "With compartment syndrome, the blood supply can be compromised, and muscle injury and pain may occur," says podiatrist Stephen Pribut, D.P.M., of Washington, D.C. Spin splints are a type of repetitive use injury resulting from exercise that puts pressure on the lower leg. Shin splints is a cumulative stress disorder. Treatment options vary based on severity and range from anti-inflammatory drugs to surgery. It is the second most common bone disorder and can affect any bone in the body, however, the shinbone is a common location. Roub LW, Gumerman LW, Hanley EN Jr, Clark MW, Goodman M, Herbert DL. Symptoms include a dull ache that worsens with activity, bone fractures, hormone issues, and the curving of leg bones. "Symptoms of compartment syndrome include leg pain, unusual nerve sensations and, later, muscle weakness," Pribut says. Having weak bones or a small tibia increases the risk of getting shin splints. Pain gets worse when standing on the toes or rolling the ankle inward. Find more COVID-19 testing locations on Maryland.gov. Tendonitis, sprains, strains, and stress fractures are commonly mistaken for shin splints, as they have similar symptoms. If the pain is on the front of the leg and is . Hearst Magazine Media, Inc. All Rights Reserved. Occult fracture of the calcaneus--another toddler's fracture. Careers For more information, click on the link if you see this icon I definitely have a stress fracture in my lower left tibia, shin bone. 3. These are the most common symptoms of shin splints: Pain felt on the front and outside of the shin. Shin splint pain increases overall when you press on your shin or try to lift your foot up at the ankle and flex your foot. My suggestion to you is to take 1-2 months off from running - if you are an avid runner like I am, this will sound like the worst punishment ever, but trust me you'll feel better in the long run once your bones heal. How long does it take to recover from shin splints? It is possible that shin splints may be caused or aggravated by excessively dorsiflexing. 1979 Aug;132(2):431-8. doi: 10.1148/132.2.431. Although common in runners, this condition probably is overdiagnosed. Medial tibial stress syndrome, or shin splints, is the inflammation of the tendons, muscles, and bone tissue around the tibia. . Epub 2014 Dec 24. Three-phase bone scan in osteomyelitis and other musculoskeletal disorders. "If you flex your foot and it hurts, it's probably shin splints.". Sign In, Join Active The diagnosis of stress fractures in athletes. (for example, bone scans) are generally only necessary if the diagnosis is unclear. and/or its affiliates and licensors. Shin splint pain most often occurs on the inside edge of your tibia (shinbone). Shin Splint vs Stress Fracture X-rays are often needed. The image is produced in slices. You may be able to prevent shin splints by wearing good fitting athletic shoes. Shin splints most often happen after hard exercise, sports, or repetitive activity. If there's any pain present, you're positive on that test. Shin splints will demonstrate an elongated area of abnormality in the final phase only. Are you suffering shin splints that is not getting better? Shin splints are a common problem for runners, gymnasts, dancers, and military recruits. No MRI scans of shin splints showed an abnormally wide high signal in the bone marrow as observed on MRI scans of stress fractures. Shin splints is the name for pain or soreness of the lower leg, along the inside edge of the shin bone (tibia). The best course of treatment for shin splints is to stop any activity that's causing the pain until the injury is healed. All the same causes as a possible stress . It is indeed the difference between bones. Diverse bone scan abnormalitites in "shin splints" Four young patients who presented with pain over the anterior compartment of the legs, gave a recent athletic history suggesting stress fractures. The Anterior shin splints are located on the front part of the shin bone and involve the tibialis anterior muscle. bone scans) is a nuclear medicine (scintigraphic) study that makes use of technetium-99m (commonly Tc-99m-methylene diphosphonate (MDP)) as the active agent. These stockings can be a little older group ate Chia seeds have less serious cases of infestations all have is a time and would normally has always been an important to have a genuine smile and engage your POC on board exam. Also known as medial tibial stress syndrome, shin splints may affect anywhere between 5% to 35% of runners and may be caused by a variety of conditions. In all eight patients with stress fractures, an abnormally wide high signal in the localized bone marrow was the most detectable in the coronal fat-suppressed MRI scan. Considering footwear can also be beneficialas worn-out shoes with poor support can create additional stress on the shin while healing. We are vaccinating all eligible patients. Do Not Sell My Personal Information ", "Shin splints will be most painful if you forcibly try to lift your foot up at the ankle," says Sheldon Laps, D.P.M., a podiatrist in the Washington, D.C., area. The shin splint is an inflammation of the muscle, tendons and bone tissue around the tibia, usually along the inner border of the tibia where the muscle attaches to the bone. Ultrasonography of fractures in sports medicine. This is one of the most common lower body conditions, comprising 16% of all running-injuries. MeSH Privacy Policy Always talk with your healthcare provider for a diagnosis. When you remove your finger, does an indentation remain behind? A plan for a gradual return to play should be started once . Your healthcare provider can most often diagnose shin splints by reviewing your medical history and doing a physical exam. What this means (strangely enough) is that the tests are better at predicting shin splints in men, since they're less likely to develop them in the first place. Shin pain is experienced on the front of the lower leg, below the knee and above the ankle. If so, you have "pitting edema"basically an accumulation of fluid under the skinand you're positive for the test. It is important to take adequate rest and adopt a healthy lifestyle in order to heal the shin splints. Sure enough, the tests were pretty good predictors. stress fracture which will show early phase uptake). 2022 MH Sub I, LLC dba Internet Brands. Adding family members helps ACTIVE find events specific to your family's interests. Shin splints are a common cause of shin pain, especially for runners. Shin splints . Pain that starts on the inside of the lower leg above the ankle. Pain is often noted in the early portion of the workout, then lessens, only to reappear near the end of the training session. In time, pain becomes constant and the shin is painful to the touch. X-rays, bone scan, and MRI are often negative with shin splints, but they may help to differentiate shin splints . The pain often goes away once running is stopped. Review the injuries below to help determine the cause of your shin pain and how to treat it. Plus, read about prevention. Would you like email updates of new search results? Jun 6, 2016 11:21 AM. Other treatment may include: Running shoes with a stiff heel and special arch support. It showed up as a big absolute black area, like colored in with black marker. Muscle sprains. It typically affects older people, but 2-3% of cases occur in people under 55 years old. The pain of shin splints is characteristically located on the outer edge of the mid-region of the leg next to the shinbone (tibia). That's a big (and still controversial) question. . The continuous pounding can cause minute cracks in the bones of the leg. Shin-splint pain can be severe enough to affect performance or even keep athletes from participating in . Shin splints are an overuse injury caused by repetitive stress to the muscles, tendons and/or tissues associated with the shin bone (tibia) over a period of time, without enough rest to give the leg enough time to heal. The compartment pressure is measured before . They are essentially an exercise-induced form of lower leg pain common among athletes. Symptoms include swelling, pain, bowing of the lower leg, and bone fractures due to weakened bone from the tumor. Significant biomechanical problems of the foot may benefit from orthotics. Shin pain is often referred to as shin splints, but not all shin pain is necessarily caused by shin splints. . Shin splints, also known as Medial Tibial Stress Syndrome (MTSS), is defined by the American Academy of Orthopedic Surgeons as "pain along the inner edge of the shinbone (tibia)." Shin splints are usually caused by repeated trauma to the connective muscle tissue surrounding the tibia. Symptoms include bone pain, dull pain, bone fractures, fatigue, loss of appetite, loss of sensation, constipation, and abdominal pain. .css-1ck2l7d{display:block;font-family:Sailec,Helvetica,Arial,sans-serif;font-weight:bold;margin-bottom:0;margin-top:0;-webkit-text-decoration:none;text-decoration:none;}@media (any-hover: hover){.css-1ck2l7d:hover{color:link-hover;}}@media(max-width: 48rem){.css-1ck2l7d{font-size:1rem;line-height:1.4;}}@media(min-width: 40.625rem){.css-1ck2l7d{font-size:1rem;line-height:1.4;}}@media(min-width: 48rem){.css-1ck2l7d{font-size:1rem;line-height:1.4;}}@media(min-width: 64rem){.css-1ck2l7d{font-size:1.2rem;line-height:1.4;}}.css-1ck2l7d h2 span:hover{color:#CDCDCD;}How to Use Kinesiology Tape for Shin Splints, Everything You Need to Know About Shin Splints, How to Use Kinesio Tape to Deal With Injuries. Clipboard, Search History, and several other advanced features are temporarily unavailable. However, there are clues you can look for that will signal whether or not you should get a bone scan. Shin splints are common in runners, dancers and military recruits. They are common in runners and dancers, and the treatment involves rest and changing your exercise routine. Shin splints (medial tibial stress syndrome) is an inflammation of the muscles, tendons, and bone tissue around your tibia. Most people can resume an exercise program after their legs have healed. Shin splints occur when the muscles and bones in the lower part of the leg pull and tug at their insertion on the shin bone (the tibia) and it becomes inflamed (irritated and swollen) and painful. Others suggest that they may also be caused by: Overuse injury of tendons (tendinopathy). You may also want to check out some new running shoes (Brooks "Adrenaline" saved me from shin splints) and I also got fitted for orthotics to put in my running shoes. Treatment: I start . A shin splint, also called medial tibial stress syndrome (MTSS), is a medical condition that involves the inflammation of the tibia - the large bone found in the lower part of the leg. They are a common problem for runners, gymnasts and dancers. X-rays may demonstrate some generalized periosteal thickening. Depending on the severity of the issue, you can typically treat a bone bruise with rest, ice, pain medication, and elevation. Often, these injuries happen from falling or the general roughness of playing sports. I had a bone scan done as well because of the severe pain I felt when running/walking, but they had luckily not formed stress fractures quite yet. Beyond that, I'm a fan of strengthening the muscles around the shin. Instead of running, I swam laps, rode my bike, rollerbladed, and walked. Shin splints is a nonspecific term typically used to describe exertional leg pain. This content is imported from OpenWeb. 1987 Oct;12(10):822. doi: 10.1097/00003072-198710000-00018. 2022 Active Network, LLC and/or its affiliates and licensors. Medial shin splints are defined as pain in the lower aspect of the medial (inside) tibia 3 to 12 centimeters above the tip of the medial ankle. This pain concentrates in the lower leg between the knee and ankle. Privacy Settings 1996 Oct;54(5):1639-47. Find Camps & Activities for your Active Kids, Best Gifts for Runners: Your Guide to Giving the Latest and Greatest Gear, Be a Head Above with the Best Running Hats, How to Go From Zero to Marathon in Six Months, 14 Running-Specific Strength Training Exercises, The 25 Best Half Marathons in the United States. It is the second most common bone disorder and can affect any bone in the body, however, the shinbone is a common location. As the shin splint progresses, the pain will increase. Shin splints may be the result of improper footwear, increase in workload on the lower extremities, changes in surface conditions. In one there was a single focal area of increased radioactivity in each of the tibias; the second patient had uneven uptake of radiotracer and several foci of accumulation in the fibulas; the third showed diffuse linear tibial uptake suggesting periosteal lesions; and the fourth case revealed uptake in the lateral malleolus and in bones of the foot. Shin splints don't usually cause pain while walking or during daily, non-running activities. Shin splintsalso known as medial tibial stress syndrome (MTSS)is the catch-all term for lower leg pain that occurs below your knee, either on the front outer part of your leg (anterior shin. However, there are clues you can look for that will signal whether or not you should get a bone scan. Shin splints refer to the pain and tenderness along or just behind the large bone in the lower leg. The blood flow study shows equal flow in both calves (red circle) . Please enable it to take advantage of the complete set of features! A shin splint, also known as medial tibial stress syndrome, is pain along the inside edge of the shinbone due to . Conversely, the "negative likelihood ratio" was <0.001, which means that if you're negative on both tests, you're extremely unlikely to develop shin splints.). The term "shin splints" describes pain felt along the front of your lower leg, at the shin bone. The shinbone is the larger of the two bones. (1) Shin Palpation Test Basically, you squeeze the lower two-thirds of the lower leg, including the shin bone (tibia) and surrounding musculature, "with enough pressure to squeeze out a wet sponge." The condition of shin splints is characterized by pain along the front and inner edge of the lower leg bone, called the tibia. For the two tests combined, the "positive likelihood ratio" was 7.94, meaning that if you're positive on both tests, you're about eight times more likely to develop shin splints than to not develop shin splints. The body can fix the cracks if offered time to rest. The current issue of the British Journal of Sports Medicine has .css-1hr08dr{-webkit-text-decoration:underline;text-decoration:underline;text-decoration-thickness:0.125rem;text-decoration-color:#59E7ED;text-underline-offset:0.25rem;color:inherit;-webkit-transition:all 0.3s ease-in-out;transition:all 0.3s ease-in-out;}.css-1hr08dr:hover{color:#595959;text-decoration-color:border-link-body-hover;}a study by Australian researchers who worked with a group of 384 soldiers during training. Repeated pounding and stress on the bones, muscles, and joints . Pain in the lower leg could also be a stress fracture (an incomplete crack in the bone), which is a far more serious injury than shin splints. 1985 Sep;19(3):132-7. doi: 10.1136/bjsm.19.3.132. Diagnosis of Shin Splints Usually clinical On examination, severe localized tenderness is usually present over the anterior compartment muscles, and sometimes there is palpable bone pain. . Diagnostic testing may include x-rays, bone scans or MRI studies to rule out tibial stress fractures. Press your fingertips along your shin, and if you can find a definite spot of sharp pain, it's a sign of a stress fracture; the pain of shin splints is more generalized. government site. In 11 patients with shin splints, the coronal fat-suppressed MRI scans showed a linear abnormally high signal along the medial posterior surface of the tibia, and in seven . although the diagnostic performance of a three-phase bone scan is highly variable, ranging from 14% to 100% sensitivity and 50% to 100% specificity, [8] the scan will usually demonstrate the affected limb to have increased perfusion, asymmetrically increased blood pool, and a characteristic diffusely increased juxta-articular pattern around the Shin splints are a common lower extremity injury that many runners will experience at some point in their careers. Immediately after the intravenous administration of 851 MBq (23 mCi) of 99m Tc-methylene diphosphonate, flow and blood pool images of the lower legs were obtained. This structure is called the interosseous membrane. Radiology. software for managing & marketing your events. ACTIVE also makes it easy to learn and prepare for all the things you love to do with expert resources, training plans and fitness calculators. To diagnose this condition, special techniques are used to measure the amount of pressure. "Shin splints are worse in the morning because the soft tissue tightens overnight you get out of bed, and you can hardly walk. Copyright Policy Sometimes a fourth (delayed/delayed) phase is performed. Medically known as medial tibial stress syndrome, shin splints often occur in athletes who have recently intensified or changed their training routines. Symptoms include bone pain, dull pain, bone fractures, fatigue, loss of appetite, loss of sensation, constipation, and abdominal pain. From bone scan shin splints roads to rocky surfaces and uplifts me. This study showed that fat-suppressed MRI is useful for discrimination between stress fracture and shin splints before radiographs show a detectable periosteal reaction in the tibia. Shin splints is a term that describes pain that runs along the front of the shin bone. My first thought was the same as yours - I thought shin splints were just a pressure on your shin that hurt temporarily and then it'd go away. If the study was delayed phase only, a stress fracture would demonstrate a small area of intense. All rights reserved. When asked, she describes a tightening pain in the soft, outside, muscular part of the shin. Footwear | Fitness Apparel | Outdoor Gear. Muscles and tendons adapt to stress that's how they become stronger. This repetitive action can lead to inflammation of the muscles,tendons, and thin layer of tissue covering the shin bones, causing pain. I hope this all helps - just remember to rest enough, otherwise the pain will get much worse! How are shin splints diagnosed? Terms of Use Shop: As we have discussed in previous posts 'Shin Splints' is a term that can describe just about any pain in the front or the inside of the lower legs. Call us (65) 66532625 or email to info@boneclinic.com.sg for appointment. Also, gradually increase the intensity, duration, and frequency of a new exercise routine. How to Use Kinesiology Tape for Shin Splints. 2. The .gov means its official. It might be a sign of some other problem. Bookshelf The https:// ensures that you are connecting to the I had a problem with shin splints for two years while running cross country quite intensely. 6. Athletes often have shin pain because they put repeated stress on the shin bone, muscles and connective tissues. Fibrous dysplasia involves the growth of abnormal fibrous tissue in the place of normal bone. With a stress fracture, you can press a specific area of your shin and experience sharp pain. 2015 Feb;49(3):152-60. doi: 10.1136/bjsports-2014-094217. Rest and ice help the tibia to recover from sudden, high levels of . Pain on the anterior (outside) part of the lower leg may be compartment syndrome, a swelling of muscles within a closed compartment, which creates pressure. Affiliate Disclosure; Contact us; Find what come to your mind; How long does it take to heal shin splints? Bone stress: a radionuclide imaging perspective. Treatments include rest, ice, and gradually returning to activity. If you stand and rock back onto your heels, you are dorsiflexing your feet. Some experts suggest that shin splints are caused by small tears in the structure of the membrane between the two bones of the leg below the knee (the tibia and fibula). The main muscle that bends the foot upward connects on the front (anterior) of the tibia. A vitamin D deficiency can cause shinbone pain and tenderness. They develop after hard exercise, sports, or repetitive activity. Four young patients who presented with pain over the anterior compartment of the legs, gave a recent athletic history suggesting stress fractures. X-ray findings are usually unremarkable, regardless of the cause. A 17-y-old female runner presented with shin pain, greater in the right shin than in the left. Federal government websites often end in .gov or .mil. A physical therapist can help you with this. Pediatr Radiol. X-rays may demonstrate some generalized periosteal thickening. Disclaimer, National Library of Medicine Well, apparently they are more serious than we all thought. Careers. and transmitted securely. What are shin splints caused from? Along the lower two-thirds of the tibia, as shown, press your finger in and hold for five seconds. . Basically, you squeeze the lower two-thirds of the lower leg, including the shin bone (tibia) and surrounding musculature, "with enough pressure to squeeze out a wet sponge." Running Shoes|Fitness Apparel|Sports, Daily Deals: The best way to get new runners off the couch and across the finish line of their first 5K. Accessibility (Reproduced and adapted with permission from Gruel CR: Lower Leg, in Sullivan JA, Anderson SJ (eds): Care of the Young Athlete. or Both tumors account for less than 1% of all bone cancers. HHS Vulnerability Disclosure, Help Look for this banner for recommended activities. Treatment options vary based on severity and range from anti-inflammatory drugs to surgery. Stress fractures are tiny cracks in the bone. Shin splints often go away once the legs have had time to heal, usually in three to four weeks. Most shin pain isnt serious. Sign In. It may also help to switch between high impact activities and low impact activities such as swimming or cycling. A bone scan is the definitive tool for diagnosing a stress fracture. Shin splints, known medically as medial tibial stress syndrome, commonly cause pain in the shin. The term "shin splints" describes pain felt along the front of your lower leg, at the shin bone. The official medical term used to describe shin splints is "medial tibial stress syndrome" (MTSS). Groups at higher risk for shin splints include runners, dancers, and military personnel. The pain is usually around the tibia (the shin bone). Treatment and prognosis medial tibial stress syndrome patients can continue running at reduced levels Shin pain doesn't always mean you have shin splints. The first thing to do is to watch your training load, since shin splints are often associated with sudden increases. Tibial stress fracture may be confused with shin splints, and can be ruled out with a bone scan; Occlusion of a vein by blood clot (venous thrombosis) "Bruised" muscle from blunt trauma; Foot . Pain typically occurs along the inner border of the tibia, where muscles attach to the bone. If the bruising is severe, a doctor may have to drain the area to eliminate excess fluid. You may also want to check out some new running shoes (Brooks "Adrenaline" saved me from shin splints) and I also got fitted for orthotics to put in my running shoes. 1984;14(1):37-40. doi: 10.1007/BF02386729. Please see your Privacy Rights for how your information is used. The site is secure. Orthotics are pricey, but they last for years and after a while you get so used to them that any shoe without them is uncomfortable. Learn more: Vaccines, Boosters & Additional Doses | Testing | Patient Care | Visitor Guidelines | Coronavirus. Am Fam Physician. The excessive force causes the muscles to swell and increases the pressure against the bone, resulting in pain and inflammation. A stress reaction is the preceding stage to a stress fracture. It could be due to other reasons as well as shin splints. The pain arises from the site of muscle attachments to the tibia, where stress is concentrated during activity. Shin splints, or 'medial tibial stress syndrome' (MTSS) is a painful condition affecting the shin bone and surrounding tissues. Shin splints refer to pain and tenderness along or just behind the large bone in the lower leg (the tibia). The key to treating anterior shin splints is to change the functional length of the tibialis anterior muscle and . Bone scintigraphy is also useful for evaluating disease extent in Paget disease and for localizing avascular necrosis in patients with negative radiographs. At the start of the study, they performed a couple of simple diagnostic tests; then, over the next 16 months, they waited to see who developed shin splints. Symptoms of a bone bruise include prolonged pain or tenderness, swelling, stiffness, and discoloration. People describe shin splint pain as sharp or as dull and. Shin splints refer to the pain and tenderness along or just behind the large bone in the lower leg. The definitive test for stress fracture is a bone scan, but false negatives can occur and it is possible that a false positive might occur also, because of the soft tissue and periosteal involvement in this injury. Cookie Policy Your healthcare provider will figure out the best treatment based on: How well you can handle specific medicines, procedures, or therapies, How long the condition is expected to last. . Cookie Settings. The term "shin splints" refers to pain along the shin bone (tibia) the large bone in the front of your lower leg. Masks are required inside all of our care facilities. You are at the right place. Bone imaging showing shin splints and stress fractures. So what should you do if you test positive? Anterior shin splints as a proper medical term has disappeared in the past 3 years. insights, ACTIVE Works is the race management A positive result on the second test is much less common than on the first testand it's also a much more accurate sign that trouble (in the form of shin splints) is on the way. Main Menu. An official website of the United States government. "Doc, my shins hurt when I run," she says. It accounts for around 7% of all benign bone tumors. Join Active Your doctor may want you to have an X-ray or other type of scan to . Bethesda, MD 20894, Web Policies We earn a commission for products purchased through some links in this article. Radiographs or bone scans may be obtained to rule out stress fractures. An area of discomfort measuring 4-6 inches (10-15 cm) in length is frequently present. It is called the tibia. Shin splints (medial tibial stress syndrome) is an inflammation of the muscles, tendons, and bone tissue around your tibia. There are two types of shin splints: anterior and posterior. Possible Causes for Shin Pain That Arent Shin Splints. Also, see a doctor if you suspect a break or fracture. k. React. Review some common causes of shin pain that are sometimes mistakenly diagnosed as shin splints. You may be able to find the same content in another format, or you may be able to find more information, at their web site. The concept of what shin splints are, was . Shin splints happen when the muscles, tendons and bone tissue around your shin bone - the tibia - become inflamed. Do not copy or redistribute in any form! The pain is caused by an inflammation of the muscles tendons, and bone tissue around the front of the lower leg (called the tibia or shin bone). And the researchers also found one more key warning sign: the women in the study were three times as likely to develop shin splints than the men. Press up onto your toes until you feel your calves tighten, hold for a few seconds, and release. The doctor will confirm the diagnosis of the condition with the help of X-Rays and bone scans. PMC The study has three phases that follow the intravenous tracer injection. The doctor said it should heal on its own without treatment, as long as I don't run on it. "Shin Splints." White arrows point to linear region of increased uptake in tibia on delayed radionuclide"Triple phase" bone scan images consistent with so-called shin splints in this young athlete. The connective sheath attached to the muscles and bone of the lower leg become irritated, resulting in a razor-sharp pain in the lower leg along the inside of the tibia or shin bone. No radiographic images were available for review at the time of patient presentation. But, go to a specialized running store or clinic and have your running form looked at by a pro. In cases where changes were seen in the initial scans or X-rays, follow-up scans or X-rays may be performed. Devereaux MD, Parr GR, Lachmann SM, Page-Thomas P, Hazleman BL. The symptoms of shin splints may look like other conditions or medical problems. Both of my inner tibias have formed several bumps along the bone caused from all of my running and overpronating. I had a bone scan last week, and met with the doctor today to view the results. 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