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Shin splints exercises: what helps and what doesn't

Walkito Research · Based on 9 published studies · How we research →

Shin splints is pain along the inner edge of the shinbone, spread over several inches rather than one sore spot. The clinical name is medial tibial stress syndrome, or MTSS. Most pages list exercises as if they are proven to speed recovery. A 2013 systematic review of every treatment trial found that stretching and strengthening exercises have not been shown to shorten it.

That does not mean exercise is useless. The exercises below target calf endurance, shin strength and hip control, the areas where researchers have found differences between people with and without shin splints. A case-control study found runners with shin splints could do fewer calf raises to failure than matched controls without it.

Whether building that endurance back up shortens recovery is still an open question. The surest lever, in every trial so far, is cutting back the running load that caused it. The heel raise itself, including how many reps and when to add load, is covered in more depth in calf raises for plantar fasciitis. If you are on your feet all day instead of running, feet hurt from standing all day covers the same calf and arch exercises for that cause.

What are shin splints, and what exercises actually help?

Shin splints, or medial tibial stress syndrome, is an overuse injury of the shinbone and the tissue around it. The pain is typically diffuse, spread along the inner edge of the tibia over several inches, and it usually starts during or after running. A 2020 review of novice and recreational runners found the clearest links were in how runners move, including more hip rotation and a foot that rolls inward more than usual.

The honest answer about exercises for shin splints is that no specific exercise program has been shown to speed up recovery in a controlled trial. A 2013 systematic review looked at 11 treatment studies and concluded that stretching and strengthening "have not been proven to be effective in treating MTSS." In the only randomized trial with an exercise arm, 74 athletes were split into three groups: a graded running program alone, the same program plus calf stretching and strengthening, and the same program plus compression stockings. All three groups improved at a similar rate.

So the exercises below are not a dedicated shin splints protocol. They are general lower-leg and hip exercises already in the catalogue that target the muscles and joints researchers have studied in shin splints populations. The strongest move is still to reduce the running load and rebuild it slowly.

Menéndez C, Batalla L, Prieto A, Rodríguez MÁ, Crespo I, Olmedillas H. Medial tibial stress syndrome in novice and recreational runners: a systematic review. International Journal of Environmental Research and Public Health. 2020;17(20):E7457.

Winters M, Eskes M, Weir A, Moen MH, Backx FJG, Bakker EWP. Treatment of medial tibial stress syndrome: a systematic review. Sports Medicine. 2013;43(12):1315–1333.

Moen MH, Holtslag L, Bakker E, et al. The treatment of medial tibial stress syndrome in athletes; a randomized clinical trial. Sports Medicine, Arthroscopy, Rehabilitation, Therapy & Technology. 2012;4:12.

The exercises, with starting doses

These are exercises from the app's catalogue that overlap with the muscles and risk factors identified in shin splints research. The calf stretches and heel raises are the same ones used in plantar fasciitis exercises and stretches, targeting the same tissues. They are starting doses, not a prescription. Every evidence label below is early, because no exercise on this list has been proven to shorten shin splint recovery in a trial. How these guides are written.

If you mark the shin as sore in the check-in, Walkito gives ankle rocks and foot roll. Toe raises appear in the general plan as an accessory from level 2 onward, rotating with ankle rocks. There is no dedicated shin splints program. If any exercise takes your pain to 6/10 or more, stop for the day.

ExerciseDoseHow oftenWhat you should feelStop if
Calf stretch2 holds of 30 seconds, each legMost sessionsA stretch in the calf of the straight back legPain reaches 6/10
Soleus stretch2 holds of 30 seconds, each legMost sessionsA stretch low in the calf, near the heelPain reaches 6/10
Toe raises3 sets of 10, both feetStrength daysThe shin muscle working as the toes liftPain reaches 6/10
Heel raises, both feet3 sets of 10, both feetStrength daysThe calves working, both feet sharing the loadPain reaches 6/10
Hip abduction3 sets of 15, each legStrength daysWork on the outside of the hipPain reaches 6/10
Single-leg hold3 holds of 30 seconds, each legBalance daysThe foot and ankle making small correctionsPain reaches 6/10
Ankle rocks2 sets of 15, each legMost sessionsThe ankle bending further, heel stays downPain reaches 6/10
Foot roll2 minutesRecovery daysFirm pressure under the foot, never a wincePain reaches 6/10
A figure leaning on a wall with the back leg straight, the calf highlighted
Calf stretch: back leg straight, heel down, hips forward

Calf stretch

Put your hands on a wall. Keep the back leg straight, the heel down and the hips forward. The calf and the shin share the job of controlling your foot while you run, so a tight calf shifts more load onto the shin.

Evidence: Early. Commonly recommended for shin splints. A 2013 systematic review found stretching has not been proven to speed recovery from shin splints.

A figure in a wall stretch with the back knee bent, the lower calf highlighted
Soleus stretch: bend the back knee until you feel it near the heel

Soleus stretch

Take the same wall position, then bend the back knee until you feel the stretch lower down, near the heel. The soleus, the deeper calf muscle, only lets go with the knee bent.

Evidence: Early. Same reasoning as the calf stretch. Not tested as a standalone intervention for shin splints.

A figure standing against a wall lifting the toes off the floor, the shin muscles highlighted
Toe raises: back against the wall, lift the toes, heels stay down

Toe raises

Stand with your back against a wall. Lift the toes and the front of both feet off the floor, keeping the heels down. Lower slowly. This is the muscle along the front of the shin, the one that aches when shin splints flare.

Evidence: Early. Targets the tibialis anterior, the shin muscle itself. No shin-splints-specific trial, but the muscle is the one that hurts.

A standing figure rising onto the toes of both feet, the calves highlighted
Heel raises: rise straight up, then lower slowly

Heel raises, both feet

Stand on both feet, rise straight up over the big toes, then lower slowly. Calf endurance was lower in runners with shin splints than in matched controls, which is why calf strength is part of this list.

Evidence: Early. Runners with shin splints had lower calf endurance in a case-control study. Not tested as a treatment for shin splints.

A standing figure with a band around the ankles lifting one leg to the side, the outer hip highlighted
Hip abduction: lift one leg out to the side against the band

Hip abduction

Stand with a resistance band around both ankles and lift one leg out to the side against the band. Push through the heel, not the toes. Two meta-analyses found that hip rotation range of motion differs between people with and without shin splints, which is the basis for including hip work.

Evidence: Early. Hip external rotation is a confirmed risk factor in two meta-analyses. No trial has tested hip strengthening as a treatment for shin splints.

A figure balancing on one leg, the lower leg muscles highlighted
Single-leg hold: stand on one foot and let it make small corrections

Single-leg hold

Stand on one foot and look at one fixed spot. Let the foot wobble. The wobble is the foot doing the balancing. Stand near a wall if you need a safety net.

Evidence: Early. General balance work. No shin-splints-specific study behind it.

A figure in a split stance pushing the knee forward over the toes, the ankle highlighted
Ankle rocks: knee over the toes, heel stays on the floor

Ankle rocks

Stand in a split stance near a wall. Push the front knee forward over the toes, keeping the heel flat on the floor. An ankle that bends well lets the shin absorb impact more evenly during a run.

Evidence: Early. What the app gives when you mark the shin as sore. No shin-splints-specific trial.

A seated figure rolling the sole of one foot over a ball, the sole highlighted
Foot roll: roll the sole slowly over a ball, with firm pressure

Foot roll

Sit and roll the sole of your foot slowly over a massage ball, with firm pressure. If you are wincing, ease off. The foot roll does not target the shin directly, but it loosens the tissues on the underside that share load with the lower leg.

Evidence: Early. What the app gives when you mark the shin as sore. A comfort measure, not a tested intervention for shin splints.

Winters M, Eskes M, Weir A, Moen MH, Backx FJG, Bakker EWP. Treatment of medial tibial stress syndrome: a systematic review. Sports Medicine. 2013;43(12):1315–1333.

Madeley LT, Munteanu SE, Bonanno DR. Endurance of the ankle joint plantar flexor muscles in athletes with medial tibial stress syndrome: a case-control study. Journal of Science and Medicine in Sport. 2007;10(6):356–362.

Newman P, Witchalls J, Waddington G, Adams R. Risk factors associated with medial tibial stress syndrome in runners: a systematic review and meta-analysis. Open Access Journal of Sports Medicine. 2013;4:229–241.

Hamstra-Wright KL, Huxel Bliven KC, Bay C. Risk factors for medial tibial stress syndrome in physically active individuals such as runners and military personnel: a systematic review and meta-analysis. British Journal of Sports Medicine. 2015;49(6):362–369.

How is shin splint pain different from a stress fracture?

Telling shin splints from a stress fracture matters because the two need different responses. Medial tibial stress syndrome and tibial stress fractures sit on the same continuum of bone stress injury. Shin splints can progress toward a stress fracture under continued load, which is the main reason to change the training load early instead of continuing to run through diffuse shin pain.

Shin splints typically cause diffuse tenderness spread along several inches of the inner shin. A stress fracture causes focal tenderness at one small spot, often with swelling. Pain that eases as you warm up points more toward shin splints. Pain that keeps building during a run, or shows up at rest or at night, points more toward a stress fracture. Pain at the back of the heel instead of the shin is a different problem, usually the Achilles tendon; see Achilles tendonitis exercises if that is where yours sits.

A commonly cited home check is a single-leg hop that reproduces sharp, localized pain, suggesting fracture. But a 2011 review in American Family Physician found no recent evidence validating its accuracy, and a positive hop test was also seen in nearly half of confirmed shin splints patients. So a positive hop is a reason to see a clinician, not a reliable way to rule a fracture in or out on your own.

Patel DS, Roth M, Kapil N. Stress fractures: diagnosis, treatment, and prevention. American Family Physician. 2011;83(1):39–46.

Can you keep running with shin splints?

There is no trial that tells you exactly how much to cut back. What has some support is the shape of a graded running program: in the only randomized trial, all three study groups followed a progressive return to running, and all three improved at about the same rate. The running program, not the added exercises or compression, was the constant.

Sharp pain during a run, pain that gets worse as you go, or pain at rest are reasons to stop and have it checked instead of running through it. If the pain eases with warm-up and stays manageable, a shorter or easier run at a lower frequency is a reasonable middle ground while the shin adapts. Rest days between runs give the bone time to respond to the load.

The 10% rule, adding no more than 10% to your weekly mileage, is a commonly cited heuristic but not a proven one. A 2008 trial of 532 new runners found no injury-rate difference between a program built on the 10% rule and a faster one. What a 2014 study of 874 runners did show is that big, sudden jumps in distance come with more injuries. Gradual is better than sudden, but a specific percentage does not have trial backing. Heel pain from running covers the same load-management thinking in more detail.

Moen MH, Holtslag L, Bakker E, et al. The treatment of medial tibial stress syndrome in athletes; a randomized clinical trial. Sports Medicine, Arthroscopy, Rehabilitation, Therapy & Technology. 2012;4:12.

Buist I, Bredeweg SW, van Mechelen W, Lemmink KAPM, Pepping GJ, Diercks RL. No effect of a graded training program on the number of running-related injuries in novice runners: a randomized controlled trial. American Journal of Sports Medicine. 2008;36(1):33–39.

Nielsen RØ, Parner ET, Nohr EA, Sørensen H, Lind M, Rasmussen S. Excessive progression in weekly running distance and risk of running-related injuries: an association which varies according to type of injury. Journal of Orthopaedic & Sports Physical Therapy. 2014;44(10):739–747.

What changes to training actually prevent shin splints from coming back?

No single exercise has been shown to prevent shin splints in a trial. The risk factors identified in two independent meta-analyses point toward general training-load management and gradual progression instead of any one stretch or strengthening move. The consistent risk factors across both reviews were higher BMI, greater navicular drop (how much the arch flattens under load), female sex, fewer years of running experience, and a previous history of shin splints.

A general pattern for returning to running: pain-free walking first, then easy jogging on soft surfaces with rest days between, then gradually longer runs while mornings stay pain-free. Any day that reproduces sharp or focal pain, or pain that builds during the run instead of easing with warm-up, is a stop signal, not a push-through signal.

Newman P, Witchalls J, Waddington G, Adams R. Risk factors associated with medial tibial stress syndrome in runners: a systematic review and meta-analysis. Open Access Journal of Sports Medicine. 2013;4:229–241.

Hamstra-Wright KL, Huxel Bliven KC, Bay C. Risk factors for medial tibial stress syndrome in physically active individuals such as runners and military personnel: a systematic review and meta-analysis. British Journal of Sports Medicine. 2015;49(6):362–369.

How long do shin splints take to improve?

Sources vary and none point to a single trial-backed number. General overuse-injury guidance is that mild cases ease within a few weeks of reduced activity, while cases tied to recurring training errors can take longer if the same load returns before the tissue has adapted.

In the randomized trial of 74 athletes with shin splints, the mean time to complete the running program was about 102 to 118 days across the three groups (overall mean 105 days), though the range was wide.

Because shin splints and tibial stress fractures sit on the same continuum, pain that does not improve after a few weeks of lighter running and rest days is a reason to have it looked at instead of waiting longer. The clearest sign of recovery is pain-free walking and then pain-free easy jogging, in that order, before mileage goes back up.

Moen MH, Holtslag L, Bakker E, et al. The treatment of medial tibial stress syndrome in athletes; a randomized clinical trial. Sports Medicine, Arthroscopy, Rehabilitation, Therapy & Technology. 2012;4:12.

Questions people ask

What is the fastest way to get rid of shin splints?

No trial has shown that one exercise or stretch speeds up recovery from shin splints. The closest evidence comes from a randomized trial of 74 athletes where adding calf stretching and strengthening to a graded running program did not shorten recovery over the running program alone. Cutting back the running load that caused it is still the main lever, not a specific exercise.

Do stretches actually help shin splints?

A 2013 systematic review of 11 treatment trials found stretching and strengthening exercises "have not been proven to be effective" for shin splints at the evidence level available. That does not mean stretching is harmful, just that no good-quality trial has shown it changes the course of the condition. Calf stretches are still commonly recommended and are unlikely to make things worse.

Should you keep running with shin splints?

Nothing in the trial evidence tells you an exact mileage to cut to. What the only randomized trial showed is that a graded, progressive return to running worked about equally well across all three study arms. Sharp pain during a run, pain that gets worse as you go, or pain at rest are reasons to stop and have it checked instead of pushing through it.

Can shin splints turn into a stress fracture?

Shin splints and tibial stress fractures are generally described as different points on the same continuum of bone stress injury. Unmanaged shin splints can progress toward a stress fracture under continued load. That is the main reason to change the training load early instead of continuing to run through it.

What causes shin splints in runners?

Two independent meta-analyses found a consistent set of risk factors: higher BMI, greater navicular drop (how much the arch flattens under load), female sex, fewer years of running experience, and a previous history of shin splints. A separate case-control study found runners with shin splints had lower calf endurance, suggesting a plantar-flexor deficit may be part of the picture.

Does a specific exercise prevent shin splints from coming back?

No single exercise has trial-level evidence for preventing shin splints. The risk factors from two meta-analyses, including BMI, arch drop and running experience, point toward gradual training-load management and general lower-leg conditioning instead of one particular move. That is a less satisfying answer than a named exercise, but it is what the research supports.

See a clinician first if

Doing it as a plan

Walkito has no dedicated shin splints program, and this page explains why: no exercise program has been proven to speed recovery from shin splints in a trial. What Walkito does have is calf, ankle and balance work that targets the same muscles researchers have studied, plus a plan that adapts to how each morning feels.

You pick 3, 5 or 7 days a week and sessions of 3, 5 or 10 minutes. Every 14 days (then every 28 once your first goal is met), a short test checks calf endurance, arch hold and balance, so you can see whether the lower-leg work is doing anything.

Walkito is an exercise program. It does not diagnose and is not a substitute for a clinician. If your shin pain is focal, getting worse, or showing up at rest, see a clinician before loading it further.

Updated

Walkito is an exercise program. It does not diagnose and does not treat. If pain is sharp, getting worse, or stopping you sleeping, see a clinician.

Start with 3 minutes a day.

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