Shin splints stop runners, footballers, and dancers in their tracks. Rest helps temporarily — but without addressing the root cause, they come back. At Northwood Chiropractic, we use the Gonstead System to identify and correct the underlying cause for lasting resolution.
Medial Tibial Stress Syndrome (MTSS), commonly known as shin splints, occurs when the muscles of the lower leg tighten so significantly that they begin pulling on the outer layer of the tibia (shin bone) where the tendons attach. This creates micro-tears in the bone's outer layer, leading to inflammation and the characteristic intense, sometimes described as a "ripping" pain along the inner shin.
It is common in runners, footballers, dancers, and military personnel — essentially anyone who performs repetitive impact loading on the lower limb. While rest provides temporary relief, it does not address why the muscles were placed under that level of stress in the first place. Without addressing the root cause, shin splints almost always return when training resumes.
Muscles do not tighten in isolation. They respond to signals from the nervous system and are directly influenced by the mechanics of the joints they surround. When the lower back, hip, knee, or ankle is not functioning correctly, the muscles of the lower leg are forced to compensate — and it is this sustained compensation that ultimately overloads the tibia.
Contrary to common belief, Chiropractors do not only treat the spine. We assess and treat the entire kinetic chain — from the lumbar spine all the way to the foot. This is what allows us to identify the true source of the problem rather than simply managing the painful tissue.
The better the cause is defined, the more precisely it can be addressed — and the less likely the problem is to return.
Nerve pressure from the lower back alters the neural drive to the muscles of the lower leg, affecting their tone and how they respond to load
Poor hip control — often driven by spinal nerve interference — causes the leg to rotate inward with each stride, increasing tibial stress
Altered knee mechanics change how ground reaction forces travel up the lower leg, concentrating stress on the tibial attachment points
Overpronation or restricted ankle mobility are among the most direct contributors to shin splint development — and frequently go unassessed
Our approach goes well beyond the shin. By examining the complete kinetic chain — spine, hip, knee, ankle, and foot — we identify precisely where the dysfunction is originating and correct it at the source. This is how we help patients return to running, sport, and training with lasting results.
Understanding your training load, footwear, running surface, and any relevant history of lower back, hip, or ankle problems — all of which contribute to the picture.
Nervoscope nerve scanning and structural analysis to identify spinal misalignment affecting the neural drive to the lower leg muscles.
Assessment of hip, knee, ankle, and foot mechanics — including gait analysis — to identify the specific compensation patterns overloading the tibia.
Direct assessment of the tibia, surrounding musculature, and tibial attachment points to confirm the diagnosis and gauge severity.
At your second visit, we explain exactly what is causing the overload and present a targeted plan covering treatment, activity modification, and prevention strategies to keep you running.
I went to see Steve at a time when I was in too much pain to run. Within a few weeks of his treatment I was able to run again and completed the London Marathon. I am so grateful to Steve for his professionalism and expertise.
Yes. Contrary to common belief, Chiropractors do not only treat the spine — we assess and treat the entire kinetic chain including the ankle, foot, knee, and hip. Shin splints develop when lower leg muscles are under excessive stress, and that stress is almost always driven by dysfunction elsewhere in the movement chain. By identifying and correcting the root cause, we help resolve shin splints and prevent them returning when you resume training.
Shin splints recur because rest alone does not address the underlying mechanical cause. When training resumes, the same dysfunction that created the overload in the first place is still present — and the same stress is reapplied to the same structures. A thorough assessment of the full kinetic chain is the only way to identify and correct the source, breaking the cycle of recurring shin splints.
Shin splints develop when the muscles of the lower leg tighten to the point of pulling on the outer layer of the tibia where the tendons attach, causing micro-tears and inflammation. The underlying cause is almost always mechanical: poor ankle and foot mechanics, hip dysfunction driven by lumbar nerve pressure, or abnormal movement patterns that concentrate repetitive stress on the lower leg. Identifying which of these is present is the essential first step.
Rest reduces inflammation and provides temporary relief, but it does not address why the tibia was being overloaded in the first place. As soon as training resumes, the same mechanical problem applies the same stress — and symptoms return. For lasting resolution, the underlying kinetic chain dysfunction needs to be identified and corrected before returning to full training.
No. Chiropractors are primary healthcare practitioners and you can book directly without a GP referral. If your assessment reveals anything outside our scope of care — such as a stress fracture requiring imaging — we will refer you to the appropriate professional promptly.
