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Posterior Shin Splints vs. General Soleus Pain (Read 5289 times)

    Trying to self-diagnose some lower leg pain I've had recently. I've had this pain before, always the night of or the day after a reasonably hard run. I'm not sure how to say this, but it feels more like a bone pain than a muscle pain, sort of a dull ache but concentrated in one spot vs a muscle tends to be the whole muscle hurting? It's in the middle of my calf (up and down), but more concentrated on the inside of the back of the calf. I read a little bit about leg injuries over at Cool Running and I lean toward posterior shin splints, but I'm not certain. The pain is not present when I'm running, or I should say I haven't attempted to run through the pain, it always comes on either that night or the next day and persists for a few days. Worst first thing in the morning as I'm walking downstairs, when I step down onto a stair and have all my body weight on that one leg, it hurts quite a bit. Enough to wince at the pain but not send me crashing down the stairs. Since it tends to go away on its own, am I OK to keep running as long as it doesn't hurt and just ice afterwards?
    2009 Goals:
    PR 5K (Ha, current 43:10)
    Run a 10K
    Meet Seasonal Weight Loss Challenges
    Complete my first Sprint Tri
      I'm interested in hearing the replies on this. What you've described is almost exactly what I've been dealing with for the last couple of months in my left leg. Mine will hurt at the beginning of the run and eventually will go away. Post run, it's negligible until I've cooled down, sat around and I guess gives the leg a chance to tighten up. If I ice it after the run, it's not so bad the next morning but it's still there...especially like you said going down stairs first thing in the morning.
        Hmmm.....well I'm doing some more research since I haven't heard back in this post. Found this article interesting http://www.drpribut.com/sports/spshin.html and this one http://www.hughston.com/hha/a.shin.htm. I think my problem is clearly this posterior shin splint idea. I have increased my mileage a little faster than normal lately because my schedule has been such that I've only run 1 or 2 times per week rather than 3, yet I'm increasing my mileage each week anyway. I also overpronate quite a bit, though my new shoes are supposed to alleviate that somewhat. I think if it persists or gets worse I may make an appt with the doc to rule out a stress fracture and/or discuss custom orthotics (hope insurance pays for those suckers). I would still welcome any advice/suggestions from other RAers though...
        2009 Goals:
        PR 5K (Ha, current 43:10)
        Run a 10K
        Meet Seasonal Weight Loss Challenges
        Complete my first Sprint Tri
          I would still welcome any advice/suggestions from other RAers though...
          Well, I've had posterior shin splints and your description is similar to what I felt. Mine was more on the side of the shin bone where it meets the calf. Technically, I was disgnosed with periostitis. And the pain can worsen. Mine would go away as well. I’d feel it until I warmed up and then it would be gone only to return that night or the next day. Eventually, the pain worsened and grew to where I couldn’t run. Even hurt to walk. When it gets that bad, you’re in the danger area for a stress fracture. You said there is an isolated spot that hurts more, that could just be the weakest point of the connective tiissue to the shin; I felt that too. I was negative for stress fracture but certain spots hurt like hell with applied pressure. I did the frozen Dixie cup ice massages on the inside of my shins - right where they meet my calf. That helped but my problem was biomechanical. I was treating the symptom but not curing the problem. I over-pronate but stability shoes were too supportive. Neutral shoes didn't support my arch enough. After a trip to an orthopedic specialist (who happened to be a very experienced marathoner) and much experimentation and running store visits, I now run in neutral ASICS with Superfeet arch supports. First time I’ve been able to run pain free in about a year and I’m now training for the Boston Half Marathon in the fall. See an ortho if it doesn’t get better or gets worse. Go to a running store and get your gait analyzed. But be careful, I was improperly fitted in a running store a couple times. So, I guess the bottom line is to find out why you’re getting the pain. You could have a biomechanical issue, you could be over-striding, you could be running too fast, you could have the wrong shoes. Since it's after hard runs, really look at whether you're over-striding. Your heel with hit harder and your footstrike could be louder. That's a dead giveaway. But don't run through it. It could be a simple problem to fix and you may subject yourself to a lot of unnecessary pain if you try to just run through it. Good luck.

           

            I struggled with soleus issues from Feb to just recently. I've only been running regularly for the last 3 weeks. It was just as you described...at one point it was so concentrated I was sure it was a stress fracture. It hurt going down stairs. Because I already had races scheduled, I couldn't do what I needed to do...stop running and have treatment. I was getting treatments that got me through my big race but by that time, the training while injured, caused overcompensation issues that landed me with soleus sprains in BOTH legs. Eventually, the sprain was presenting all the way down into my achilles area, the entire length of the soleus. Treatment on the soleus is a bit more difficult as the soleus travels under the gastrocnemius and radiating pain was presenting from my heel to my knee. The longer I didn't run, the worse the symptoms became. I too googled posterior shin splints and wondered if that's what it was. But I got a "soleus sprain" diagnosis. blah blah blah. All that to say. After my last race in June, I stopped running completely and began treatments again. Within 2 weeks I was able to ease back into my schedule. Treatments were by a sports chiropractor who specializes in treating running injuries. He did the ultrasound/TENS/deep tissue massage. It took 4 treatments. Good luck.

            Jennifer mm#1231


            Hoping to Run Again :-(

              Sorry Jenner, I'm just seeing this now. I don't have much new to offer, just to sympathize. Last July I suffered a soleus tear that came on without warning and was like a stinging sensation whenever I lifted my foot. It was horrible. I was in denial though and kept taking rest days and trying to run on it and eventually it was so intense I couldn't walk without pain. At one point I actually used crutches for about a week to stay off it so it would heal. The pain was so isolated I was convinced it was a stress fracture. When I finally dragged myself to an orthopedic surgeon specializing in sports medicine the diagnosis was the tear. All in all I was off my feet for 10 weeks and traditional RICE and massage did the trick. Bottom line: soleus pain is nasty and tricky to heal. I'll never try to run through it (or in spite of it) again. I hope your situation is more cut and dried and clears up with increased rest days.
              ~ Fly ~
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