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Periostitis

Show Profile  fabioandy Posted: 5 June 2013, 12:37 PM  
This is a forum asking for advice from people who may have either experienced this inflammation or know someone that may have gone through the treatment.

A bit of back ground, I have been off solid training for 11months now, except for the little race very rarely (much to my dissapointment) and no running training/form of impact except for physio recommendations in an attempt to find solutions or rehabilitate my apparant injury. After seeing sports doctors it had come to the conclusion that I do not have stress fractures or compartment syndrone, but periostitis. Normally this inflammation would have died down from orthodics, strengthening and a serious period of rest, but putting these into place for a substaintal time with no result, the option is now for surgery.

What I would love to know is if there have been others out there with this injury by itself (commonly when combined with compartment syndrone the operation is a given) as I am unsure of the outcome if I cannot fix what has caused the inflammation this time, whether say in 4 years time I may be facing another round of surgery for the same reason. I am aware that biomechanics come into play with this inflammation, but am unsure where to look for investigation to fix this all.

After suffering with shin related issues since 2009 I am truly keen to put it all behind me if I could and once again be able to enjoy thrill of a fast paced orienteering race, but would hate to sacrifice the dollars as a student to only be dissapointed with no change once I get back into training again.

Any thoughts would be much appreciated! :S

Show Profile  thomasr Posted: 5 June 2013, 11:07 PM  
Hi fabioandy,

First of all. Take all of this with a grain of salt. I haven't seen your legs or taken a proper history so all of this below is informative as opposed to medical advice.

I did a post on medial tibial stress syndrome for ultimate orienteering.com, the link is below:

http://www.ultimate-orienteering.com/?p=4634

This sort of runs through the issue. I really advocate a thorough biomechanical asessment from someone who knows their stuff.

When I had problems the issues with my shins improved when I worked on gluteal strength. Problems are not always located close to the source of pain. I would spend some time hunting down a good biomechanist and getting an assessment. Low impact training as an addition to running is great too. Mix up cycling swimming and running while you build up a a tolerance to running training.

Show Profile  hilary P Posted: 4 May 2014, 1:24 PM  
Hi fabioandy,

I have exactly the same problem as you I have been suffering from "shin splints" for the past 4 years and over the last year they got so bad I had to stop any impact exercise (basically no running). I have been seeing a specialist who finally diagnosed it as periostitis about 6 months ago but nothing we have tried has worked. I have orthotics, tried deep tissue massage, physio, acupuncture, a slow plan to try get back into running but no it didn't work.

All that was left to try was "apparently" surgery. The surgeon said he would operate but could not provide any statistics for success rates as he only preforms this type of surgery (the one not in conjunction with compartment syndrome) once every three years. And that he couldn't promise too fix it. I was all for it but my parents made me talk to other health professionals who when i discussed it with them were literally shocked. Explaining that it was extremely drastic especially to preform on a seventeen year old female who is till growing-as the periostium is the blood supply to the bone. One even suggested taking a course of mild antibiotics to see if it was an infection. However I have had many blood tests and all the levels are fine. I am currently working with an osteopath to try and correct the biomechanics which appears to be helping as I have just found out I have one leg shorter than the other causing a pelvic tilt and many other problems not spotted before. However I am still interested in surgery as I want to be rid of shin splints ASAP. So we are getting a second opinion from a better surgeon.

I am sorry to read about your condition but don't worry your not alone I seriously recommend pursing the biomechanics route with a GOOD osteopath (it is really important they are acclaimed or they will just sap you of your money and probably not help your condition).

But as it has been a year since you posted It would be nice to know if you did choose surgery.

Show Profile  Michael Posted: 10 May 2015, 11:44 PM  
I couldn't find a topic on sports injuries in general so this will do. I found the following which struck a chord with me. http://kimbaxterphysio.blogspot.co.uk/2015/05/a-tale-of-two-calves.html

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