un-explained shin and calf pain

aching and tiggling and pain in both calves/shin

11 messages
18/09/2013 at 06:37

Hi There, I ve been running for about 2 years and had the most amazing time after losing 4 stone, This year i ran 2 marathons so far with most recent one been on 1st September. while training for this approximately 6weeks ago I had a tiggling sensation in both my shins/calves which at times were painful getting worse as i ran also could feel pain on my shin bone in a certain spot it aslo at time felt like my muscles are swelling inside my legs. I had shin splints before and  the pain appeared different and thought the source of the pain maybe coming from my ankles but not too sure. So i cut back on my milllage and crossed trained instead. Resting my legs a few days before trying to run again however even tho legs felt fine at start they soon started to hurt as before in both calves/shins so stopped again.

2 days before my marathon i went to my physico who informed me me that my legs were knotted up quite badly and he did a great job of removing them allowing me to run my marathon which i did knocking 20minutes of my first one. Since running my marathon the pain is back as before so have not done much running since. I am going to see my physico again this week, as it really strange whats happening to my legs. Has everyone else suffered with this problem and how did they deal with it?

 

Many thanks    

18/09/2013 at 10:33

go to you GP.

You need to rule out a stress fracture.  Your physio CANNOT do this whatever he or she may claim.  it can only be diagnosed by a bone scane or mri.

18/09/2013 at 11:23

An X-ray can spot a stress fracture but only once it begins to heel- about 2 weeks after the injury is what they say, but a bone scan iby much better.

if you go to your gp you may get a referral for an X-ray at best, or nothing  at worst. A GP will tell you to rest and that is about it- because all injuries will settle eventually if you apply enough rest. 

I have/am going through this crap at the moment so I know thtt routine. 

Your physio needs to give you a letter stating what has been ruled out and what his/her diagnosis is, or what it is either/ or. The physio also needs to ask the Gp for a specific X-ray/scan to aid in determining the best course of treatment for your injuries. Doing this will increase your chances of your GP actually doing something other than telling to take ibuprofen and stop running.

i too had badly knotted calves / shins and have the ongoing tingling which is settling down as I have not ran for 3 weeks now. The tingling is nerve impingement which can be sciatica fron your back or even caused by excessively tight muscles in your lower leg itself.

I had really tight peroneal and soleus muscles and I have soreness t the point where the soleus attaches to the tendon- but i do not have Achilles issues according to my sports therapist. She thinks it is tightness that  is/has caused my tingling issues and the fact that I have uneven legs(a wholem other thread) which has led to a ligament issue in my foot- that stopped me running completely.

For the tightness- my therapist has me doing stretches, foam rolling, and self massage. 

I have to try to get an Mri on my foot to check out how bad the damage is- but I doubt the GP will fund it and if he does it'll probably take so long that I'll already be sorted.

I wish you better luck than I have had.

Edited: 18/09/2013 at 11:24
18/09/2013 at 21:54

A gp can and will refer you to an orthopaedic consultant who will request a bone scan and/or an MRI.

The main problem with the NHS route is the time.  In my case it was three months from initial GP appointment to getting results of a bone scan.  If you have medical insurance use it to get the tests done privately.

18/09/2013 at 21:59

I've been suffering shin splints, I think, but I am concerned what is really going on. I have pain along the inside my left shin, which hurts when it's cold - if I start a gentle jog the pain goes after about a mile, and comes back once I'm home and showered and relaxed and the muscles are cold again. Im icing it after exercise and follow all the right stretchinh exercises. It is at it's most painful if I kneel on the floor, crouch or sit on my legs (if you know what I mean). Then it hurts and feels stiff. 

Ive got no bruising or swelling, no redness. It is tender if I give it a good prod though!

could it be a soleous strain instead? Any advice?

18/09/2013 at 23:13

As above go to your GP.  The diagnois process takes several months so best get the ball rolling as soon as possible.

19/09/2013 at 10:33

 

Surrey Runner wrote (see)

A gp can and will refer you to an orthopaedic consultant who will request a bone scan and/or an MRI.

The main problem with the NHS route is the time.  In my case it was three months from initial GP appointment to getting results of a bone scan.  If you have medical insurance use it to get the tests done privately.


A stress fracture will be well healed in 3 months time.......... Not much point going down the GP route if you can fix it with rest in 6 weeks. If you have private insurance their would not be much point coming on here.

I went to my GP with 'shin splints'(non specific diagnosis), and I was simply told that they were a king of growing pains due to adaptions the body is having to make. As wellmas being a GP,mhe is a fairly decent runner but I was not overly impressed with the answer, despite the fact that it is a good way of describing shin splints.

 

Surrey runner, did you get your problems properly diagnosed? 

19/09/2013 at 10:42
Clare Newman 5 wrote (see)

I've been suffering shin splints, I think, but I am concerned what is really going on. I have pain along the inside my left shin, which hurts when it's cold - if I start a gentle jog the pain goes after about a mile, and comes back once I'm home and showered and relaxed and the muscles are cold again. Im icing it after exercise and follow all the right stretchinh exercises. It is at it's most painful if I kneel on the floor, crouch or sit on my legs (if you know what I mean). Then it hurts and feels stiff. 

Ive got no bruising or swelling, no redness. It is tender if I give it a good prod though!

could it be a soleous strain instead? Any advice?

Go to see a decent sports therapist. It sounds like a soft tissue injury to me, shin splints do not warm up AFAIK. Tight muscles or a calf injury will ease up once you get warmed up and then return once you cool down again. Have you tried foam rolling the sore area?? That should give you some relief if it is muscular pain. 

19/09/2013 at 12:40

I have now with the bOne scan confirming the stress fracture.  it has not healed because I was following the advice of the physio to continue running at a lower level.  The physio wrongly diagnosed shin splints/mtss.

Will now have to wear a cast to get it healed properly.

Edited: 19/09/2013 at 12:41
19/09/2013 at 16:31

Thanks flob, I did wonder if it was or not given the pain diminishing with exercise. I'm not sure how to Foam roll that area but ill have a look on YouTube and see if I can find an instructional video.

ive always had issues with feeling a stretch with my calves, it never seems enough....

21/09/2013 at 01:38

Thanks everyone, I went physio on Thursday and he checked my calf/shins after telling him i was worried about what was happening he ruled out counterpartment syndrome and tibrial poestrier tendonitis which did cross my mind. He inofrmed me that my calf were bably knotted up again and gave me a deep tissue message to free them up. I do trust my physio as came highly recommended by numerious running friends and athletes in my area he also is a good runner myself which in my opnion helps and did amazing job 2 day before my marathon on them.

I have not ruled out stress fracture tho however was in both shins and must be pritty uinlucky to have fractured both.

I am sore little a min from him really getting into my calves and removing knots so he advised me to rest for a couple of days before running again which i am planning to do then try and steady 3 miler on Monday. He also had given me some stretches to striegthen my calves and to hopefully prevent it from happening again. Thanks again guys 

 

ps

I had shin splints and did run through them but possibly with what i know now would probably have rested them but we re all runners and sometimes resting is hard and and cant wait to get back    


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