[21M] Experiencing chronic shin pain

Patient Description

A 21-year-old male reports a persistent sharp, tender pain in the lower part of the front shin bone. The pain has been present for a year and occurs even when walking. The patient has not provided further details regarding the severity, timing, or potential triggers of the pain.

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Arora's Assessment

What might be happening

Based on the information provided, it seems like you may be dealing with:

  • Stress Fracture: This is a small crack in a bone that occurs over time due to repetitive force, often from overuse — such as repeatedly jumping up and down or running long distances. Stress fractures can cause significant pain and are common in the weight-bearing bones of the lower leg and foot. Your description of a "moderate stress reaction" in your right tibia aligns with this condition.

    • Treatment typically involves rest and refraining from the activity that caused the stress fracture. In some cases, bracing or casting may be necessary.
  • Shin Splints: This is a term used to describe pain along the inner edge of the shinbone (tibia). Shin splints typically develop after physical activity and are often associated with running. Any vigorous sports activity can bring on shin splints, especially if you're just starting a fitness program.

    • Treatment of shin splints usually involves rest, ice, and other self-care measures. Wearing proper footwear and modifying your exercise routine can help prevent shin splints from recurring.

What you can do

  1. Rest: It's important to rest from the activity that caused the injury to allow the stress fracture or shin splints to heal.

  2. Ice: Apply ice to the affected area for 15-20 minutes at a time to help reduce inflammation and relieve pain.

  3. Over-the-counter pain relievers: Non-prescription medicines like ibuprofen can help reduce pain and swelling.

  4. Physical therapy: A physical therapist can teach you exercises to improve flexibility and strength.

  5. Proper footwear: Make sure your shoes are supportive and appropriate for your activity.

What you should look out for

If your pain continues despite rest and self-care measures, it's important to seek medical attention. Also, if you notice any swelling, redness, or warmth around the affected area, or if the pain becomes severe, these could be signs of a more serious condition and you should seek medical attention immediately.

Remember, I'm an AI and this advice is based on the information you've provided. It's always best to consult with a healthcare professional for an accurate diagnosis and treatment.

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1 yr ago

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People Also Ask


What are the common causes of shin pain in young adults?

Common causes of shin pain in young adults include stress fractures, shin splints, muscle strains, and tendonitis. These conditions are often related to overuse or improper training techniques.


How can I differentiate between a stress fracture and shin splints?

A stress fracture typically causes localized pain that worsens with activity and improves with rest, while shin splints cause a more diffuse pain along the inner edge of the shinbone that can occur during or after exercise. A medical evaluation, including imaging, is often needed for an accurate diagnosis.


What are the recommended treatments for shin pain caused by stress fractures?

Treatment for shin pain caused by stress fractures includes rest, avoiding activities that put stress on the shin, applying ice, and taking over-the-counter pain relievers. In some cases, a brace or cast may be necessary, and physical therapy can help with recovery.


When should I see a doctor for persistent shin pain?

You should see a doctor if your shin pain persists despite rest and self-care, if you experience swelling, redness, or warmth around the area, or if the pain becomes severe. These could be signs of a more serious condition that requires medical attention.


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