Blogs from May, 2025

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Combating Shin Splints in Athletes through the Graston Technique

Shin splints, medically known as medial tibial stress syndrome (MTSS), are a common overuse injury that affects athletes across many sports. Runners, dancers, soccer players, and basketball players are particularly prone to this condition, which causes pain along the inner edge of the shinbone (tibia). If left untreated, shin splints can progress into more severe issues like stress fractures, forcing athletes to take extended time off from their training or competition.

One of the emerging treatment options that is gaining popularity in the world of sports rehabilitation is the Graston Technique. This form of instrument-assisted soft tissue mobilization (IASTM) has shown promising results in reducing shin splint symptoms and accelerating recovery by targeting the underlying soft tissue restrictions contributing to pain and dysfunction.

Understanding Shin Splints

Shin splints typically develop as a result of repetitive stress on the muscles, tendons, and bones in the lower leg. When these tissues are overworked, often due to sudden increases in activity, improper footwear, or running on hard surfaces, they become inflamed and irritated. This leads to tenderness, soreness, and pain along the shin, particularly during and after physical activity.

Athletes may describe the discomfort as a dull ache or throbbing sensation along the inside of the lower leg. In many cases, the pain worsens with continued exercise and improves with rest. However, rest alone may not fully address the soft tissue issues that contribute to the condition.

What Is the Graston Technique?

The Graston Technique is a manual therapy method that uses specially designed stainless steel instruments to detect and treat areas of soft tissue fibrosis or chronic inflammation. During treatment, a trained physical therapist uses these tools to gently glide over the skin, identifying areas of tension or adhesions in the underlying fascia and muscles.

Once these areas are identified, the therapist applies controlled pressure using the instruments to break down scar tissue and fascial restrictions. This process stimulates blood flow, promotes healing, and restores normal tissue function.

The Graston Technique is widely used in the treatment of chronic musculoskeletal conditions and sports-related injuries. It is especially effective for conditions that involve tight or damaged soft tissue structures, including shin splints.

How Graston Helps with Shin Splints

Athletes with medial tibial stress syndrome often develop tightness or adhesions in the muscles surrounding the tibia, particularly in the tibialis posterior, soleus (calf muscle), and flexor digitorum longus. These soft tissue imbalances can place additional strain on the bone and worsen the inflammatory process.

The Graston Technique addresses these issues by:

1. Breaking Down Scar Tissue and Adhesions

Repetitive strain can cause microscopic tears in muscle and fascia, leading to the formation of adhesions or scar tissue. These restrictions can limit mobility and alter the way forces are absorbed during movement. Graston therapy helps break down this scar tissue, restoring normal tissue elasticity and reducing tension on the tibia.

2. Improving Circulation and Healing

The mechanical stimulation from the Graston instruments enhances blood flow to the affected area. Increased circulation helps bring oxygen and nutrients to injured tissues, which promotes the body’s natural healing process and reduces inflammation.

3. Restoring Range of Motion and Muscle Function

By releasing tight fascia and soft tissue restrictions, the Graston Technique can improve flexibility and function in the lower leg. This helps correct movement patterns and allows the muscles to absorb impact more efficiently, reducing stress on the shinbone.

4. Reducing Pain and Discomfort

Most patients report a noticeable reduction in pain after just a few sessions of Graston therapy. When combined with stretching, strengthening, and other physical therapy techniques, the results can be even more effective and longer lasting.

What to Expect During Treatment

A typical Graston session for shin splints begins with a warm-up, such as light aerobic activity or moist heat, to prepare the tissues. The therapist then applies the Graston instruments to the lower leg, using various strokes to assess and treat the affected areas. While some mild discomfort may occur during treatment, it should never be unbearable.

After the session, patients may experience some temporary redness or bruising at the treatment site, which is a normal part of the healing process. Ice and light stretching are usually recommended afterward. Most treatment plans include multiple sessions over the course of several weeks, depending on the severity of the condition.

Complementary Treatments for Lasting Results

While the Graston Technique is effective on its own, it works best when combined with a comprehensive rehabilitation plan. At ProFysio Physical Therapy, therapists often integrate Graston therapy with:

  • Targeted stretching and strengthening exercises
  • Gait analysis and movement retraining
  • Footwear recommendations and orthotic support
  • Activity modification to prevent reinjury

This multi-faceted approach addresses both the symptoms and the root causes of shin splints, helping athletes recover fully and return to activity with confidence.

Get Back on Your Feet with ProFysio

Shin splints can be frustrating and painful, but they do not have to sideline your progress. With the right treatment, including advanced methods like the Graston Technique, you can find relief and improve your performance over time.

At ProFysio Physical Therapy, our skilled clinicians are trained in the Graston Technique and other evidence-based treatments designed to help athletes recover safely and efficiently. We tailor every treatment plan to your needs, ensuring a focused and supportive path back to your sport.

Contact us at (732) 812-5200 to schedule your evaluation and learn how the Graston Technique can help you overcome shin splints and stay active.

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