Therapeutic goals
Reduction of pain and inflammation along the medial border of the tibia.
Improved muscle flexibility in the lower leg.
Strengthening of the stabilising muscles of the foot and ankle.
Improved control of foot contact and shock absorption.
Correction of biomechanical problems in the lower limb.
Prevention of recurrence and a gradual return to sport.
Techniques used
Pain-relieving physical therapy as indicated. Massage therapy and myofascial release of the posterior and anterior compartments (triceps surae, tibialis posterior, tibialis anterior).
Progressive stretching of the triceps surae. Stretching of tibialis posterior and tibialis anterior. Stretching of the peroneals (fibularis muscles) and the posterior chain. Ankle mobility work (dorsiflexion).
Progressive strengthening of the stabilising muscles: tibialis posterior, tibialis anterior, peroneals, triceps surae and the intrinsic foot muscles.
Single-leg balance exercises. Work on wobble boards or balance cushions. Control of ankle-knee-hip alignment.
Gradual reconditioning, first to brisk walking and then to running. Work on running technique, shock absorption and foot-contact control.
Exercise programme
- Ankle dorsiflexion against a resistance band
- Foot inversion against band resistance
- Eversion against resistance (peroneals)
- Calf raises on both legs, then on one leg
- Walking on the heels, then on tiptoe
- Short foot exercise
- Shock-absorption and foot-contact control exercises
Protocol details
Injury related to this protocol
Ce protocole de rééducation est spécifiquement conçu pour la prise en charge de shin splints (medial tibial stress syndrome).