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Guest: Shreen Lasheen, PhD Candidate in Orthopedic Physical Therapy, Cairo University

Episode Summary:
In this insightful episode, we sit down with Shreen Lasheen, a leading researcher specializing in running-related injuries, particularly shin splints (medial tibial stress syndrome). With years of clinical and research experience, Shreen shares her deep understanding of shin splints, how they develop, and evidence-based strategies for treatment and prevention. Runners at all levels will gain valuable tips to stay injury-free and optimize their performance.

Key Topics Discussed:

1. Understanding Shin Splints

Definition & Causes: An overuse injury due to excessive ground reaction forces causing inflammation of the tibia’s periosteum or bone microdamage.
Pathology Theories: Traction from the calf muscles and direct bone overload.

2. Diagnosis & Symptoms

How to Differentiate Shin Splints from Other Injuries:
- Stress Fracture Test: One-leg hop test (unable to hop = potential stress fracture).
- Compartment Syndrome Signs: Numbness, tingling, and pale skin.
Key Symptoms: Diffuse pain along the inner shin, worsening with activity and improving with rest.

3. Treatment and Rehabilitation

Rest and Recovery: Following MRI grading-based rest periods (2-9+ weeks).
Rehabilitation Exercises:
- Strength Training: Hip abductor exercises such as pelvic drops, side-lying hip abductions, and single-leg bridges.
- Flexibility Work: Calf stretches and ankle dorsiflexion exercises.
- Balance Exercises: Progressing from two-leg to single-leg stability tasks.
Supportive Therapies: Ice application, kinesio taping, and potential use of orthotic insoles.

4. Prevention Tips for Runners

Training Adjustments: Run on softer surfaces (grass, sand, synthetic tracks) for most runs; limit road running.
Footwear Selection: Use appropriate shoes based on individual foot mechanics (shock-absorbing or pronation control insoles).
Gradual Progression: Increase mileage gradually to allow for musculoskeletal adaptation.

What Recreational Runners Will Learn:

How to recognize the early signs of shin splints.
Evidence-based treatment options to speed recovery.
Strength and mobility exercises to reduce injury risk.
Best practices for shoe selection and surface adaptation.
The importance of balancing training loads to stay injury-free.

Connect with Shreen Lasheen: Instagram, FaceBook

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Treatment & Prevention of Shin Splints with Shreen Lashien

The Run Smarter Podcast