Abstract
Activity or exercise-induced leg pain is a common complication among competitive and “weekend warrior” athletes. Shin splints is a term that has been used to describe all lower leg pain as a result of activity. There are many different causes of “shin splints,” one of which is medial tibial stress syndrome, and the treating clinician must be aware of potentially serious causes of activity related leg pain. Restoring proper biomechanics to the entire kinetic chain and rehabilitation of the injured area should be the primary aim of treatment to optimize shock absorption. The role inflammation plays in medial tibial stress syndrome is controversial, but in this case, seemed to be a causative factor as symptomatology was dramatically decreased with the addition of proteolytic enzymes. Medial tibial stress syndrome can be quite difficult to treat and keeping athletes away from activities that will slow healing or aggravate the condition can be challenging. “Active” rest is the best way in which to allow proper healing while allowing the athlete to maintain their fitness.
Key Indexing Terms: Shin Splints, Chiropractic, Rehabilitation, Proteases
References
- 1.Korkola M, Amedola A. Exercise-induced leg pain. Sifting through a broad differential. Phys Sports Med. June 2001;29:13. doi: 10.3810/psm.2001.06.825. Available from URL http://www.physsportsmed.com/cover.htm. [DOI] [PubMed] [Google Scholar]
- 2.Reid D. Sports injury assessment and rehabilitation. Churchill Livingstone; New York, NY: 1992. p. 269. 271–273, 282. [Google Scholar]
- 3.Kumakura S, Yamashita M, Tsurufuji S. Effect of bromelain on kaolininduced inflammation in rats. Eur J Pharmacol. 1988;150:295–301. doi: 10.1016/0014-2999(88)90010-6. [DOI] [PubMed] [Google Scholar]
- 4.Masson M. Bromelain in blunt injuries of the locomotor system. A study of observed applications in general practice. Fortschr Med. 1995;113:303–306. [PubMed] [Google Scholar]
- 5.Walker JA, Cerny FJ, Cotter JR, Burton HW. Attenuation of contraction-induced skeletal muscle injury by bromelain. Med Sci Sports Exerc. 1992;24:20–25. [PubMed] [Google Scholar]
- 6.Miller PC, Bailey SP, Barnes ME, Derr SJ, Hall EE. Effects of protease supplementation on muscle soreness and contractile performance following downhill running. Med Sci Sports Exerc. 2001;33:S123. doi: 10.1080/02640410310001641584. [DOI] [PubMed] [Google Scholar]
