[36F] With sharp shin pain triggered by movement and touch

Patient Description

A 36-year-old female has been experiencing sharp pain in her shin, approximately an inch or two below the knee, for the past two weeks. The pain is severe, rated at 7 out of 10, and is triggered by movement and touch. The pain came on suddenly without any recent injuries, accidents, or changes in physical activity. Various treatments, including cold compresses, hot compresses, ibuprofen, Tylenol, Biofreeze, elevation, gentle stretching, and rest, have not provided relief. There is no visible swelling, bruising, or redness, and no numbness or tingling. The patient sometimes has difficulty bearing weight on the affected leg but does not experience pain at rest or in other parts of the leg. Rest provides relief only until movement resumes. The patient has a family history of meniscus tears but no personal history of bone or joint problems. She was diagnosed with fibromyalgia in 2008, but this pain feels different from her fibromyalgia pain. Allergies include penicillin, erythromycin, and Abilify. Current medications are Nurtec, Sumatriptan (oral and nasal), Belsomra, Propranolol ER, Cymbalta, Lexapro, Wellbutrin, Gabapentin, Concerta, and Seroquel, with the recent addition of Sumatriptan nasal spray. No over-the-counter medications, supplements, or herbal remedies are being taken.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

  • Shin Splints (Medial Tibial Stress Syndrome): This condition is common among runners and individuals who engage in activities that put repetitive stress on the shinbone and the tissues attaching the shinbone to the muscles. It can cause sharp pain along the shin, especially with movement and touch.

    • Treatment: Rest, ice, and over-the-counter pain relievers like ibuprofen or acetaminophen. Physical therapy and proper footwear can also help.
  • Stress Fracture: A small crack in the bone that can develop from overuse or repetitive force, often from high-impact activities. This can cause sharp pain that worsens with activity and improves with rest.

    • Treatment: Rest and avoiding activities that put stress on the affected leg. A doctor may recommend a brace or crutches to keep weight off the leg.
  • Tendinitis: Inflammation of the tendons around the knee or shin area, which can cause sharp pain with movement and touch.

    • Treatment: Rest, ice, compression, and elevation (RICE). Over-the-counter pain relievers and physical therapy may also be recommended.
  • Nerve Entrapment or Irritation: Sometimes, nerves can become compressed or irritated, leading to sharp pain in the affected area.

    • Treatment: Rest, avoiding activities that exacerbate the pain, and possibly physical therapy. A doctor may recommend medications or other treatments to relieve nerve pain.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take to manage your symptoms:

  1. Rest: Avoid activities that trigger the pain. Give your leg time to heal.
  2. Ice: Apply ice packs to the affected area for 15-20 minutes several times a day to reduce inflammation and pain.
  3. Over-the-counter pain relievers: Continue using ibuprofen or acetaminophen as needed for pain relief.
  4. Proper footwear: Ensure you are wearing supportive shoes that provide good cushioning and arch support.
  5. Physical therapy: Consider seeing a physical therapist who can provide exercises and stretches to strengthen the muscles around your shin and knee.
  6. Use MDandMe: Journal your symptoms, track your progress, and share your notes with your healthcare provider for a more comprehensive evaluation.

What you should look out for

Seek medical attention if you experience any of the following:

  • Worsening pain: If the pain becomes more severe or does not improve with rest and home treatments.
  • Swelling or redness: If you notice any swelling, redness, or warmth around the affected area.
  • Difficulty bearing weight: If you are unable to bear weight on the affected leg or if the pain significantly impairs your mobility.
  • Numbness or tingling: If you develop numbness, tingling, or weakness in your leg.

Remember, while I can provide information and suggestions, it's important to consult a healthcare professional for a formal diagnosis and appropriate treatment. If you have any further questions or concerns, please don't hesitate to reach out to your doctor.

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7 mo ago

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People Also Ask


What are the common causes of sharp shin pain without visible swelling or injury?

Common causes of sharp shin pain without visible swelling or injury include shin splints, stress fractures, tendinitis, and nerve entrapment or irritation. These conditions can result from repetitive stress, overuse, or inflammation.


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

Shin splints typically cause diffuse pain along the inner part of the shin and are often related to overuse. A stress fracture, on the other hand, usually presents as a more localized, sharp pain that worsens with activity and improves with rest. A medical evaluation, including imaging, may be necessary to differentiate between the two.


What are the recommended treatments for tendinitis in the shin area?

Recommended treatments for tendinitis in the shin area include rest, ice application, compression, and elevation (RICE). Over-the-counter pain relievers, physical therapy, and proper footwear can also help manage symptoms and promote healing.


When should I seek medical attention for shin pain?

You should seek medical attention for shin pain if the pain worsens, does not improve with rest and home treatments, if you notice swelling, redness, or warmth, if you have difficulty bearing weight, or if you experience numbness, tingling, or weakness in your leg.


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