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I started suffering shin pain after a hill run in unsuitable trainers about July/August. Never had any bother with it before then. Been running 10-ish years, usually at least 20+ miles a week, 3+ runs. Do more when I'm training for marathons and ultras, which I run fairly slowly - 4:15 marathon.
The shin pain initally came on very quickly during the run as a burning sensation on the insides of my shins/calves, more like the burning you get in your calves from running up hills or stairs. Since then it's come and gone but not settled down completely, despite a couple of physio visits, a couple of sports massages, regular icing, lots of foam rolling of calves and shins and everything else, tennis ball rolling of soles of feet, new trainers (new but the same model I'd been running in for years with no problems - it was another brand that caused the flare-up) and a whole month off running.
Now I'm not sure what to do. It's not as bad as it was a couple of months ago, but it doesn't really seem to be improving any more. Running on the flat is okay but down hills is sore. Uphills is no bother.
I've been taking it slowly since I started back with just slow runs of 2-5 miles, I foam roll and self massage before and after, I ice after runs and I finish off showers with a blast of cold water on my shins. I don't take anti-inflammatories but would if it was recommended.
When running, it usually starts to hurt within a couple of miles and continues to hurt for an hour or so after. A dull ache that feels bone deep rather than a pulled muscle sort of feel. Walking isn't sore but crouching down on tiptoes produces moderate discomfort. It feels tight, so I've been crouching to stretch it quite a bit, which I don't know is the right thing to do or not.
Gait analysis shows that I have hypermobile ankles and while I definitely don't pronate in the usual fashion (my shoes have very definite 'neutral' sole wear), my ankles do sort of bounce in then out again more than most peoples, which my physio and shoe fitter both say will be stressing the inner shin muscles more than usual. I'm wondering if anti-pronation shoes would help to prevent that and if they'd be worth trying. My physio and fitter both said anti pronation shoes wouldn't help but I'm still pondering over it...
I'm also wondering if some type of minimal/barefoot shoe would be worth trying out as while concentrating on my gait and trying to feel what's happening in my legs and feet, I noticed that I seem to be almost trying to midfoot strike to minimise the pain. Which isn't easy in normal cushioned shoes...
Any ideas/advice would be welcome