11: Shin Splints in Teen Runners: Growth, Fueling, and Injury Prevention
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11: Shin Splints in Teen Runners: Growth, Fueling, and Injury Prevention
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In Episode 11, Dr. Kate Mihevc Edwards (PT), Dr. Sara Raiser (MD), and sports dietitian Kelsey Pontius break down a common but often misunderstood injury: shin splints (medial tibial stress syndrome) in adolescent runners.
Using the case of a 15-year-old male cross-country runner with bilateral shin pain, the team explores why shin splints are so prevalent in this age group and how rapid growth, training load changes, biomechanics, footwear, surfaces, and nutrition all intersect. The discussion highlights the critical role of energy availability, especially during periods of rapid growth, and why skipping meals, inadequate fueling, and school-related barriers to eating can contribute to ongoing symptoms.
The hosts also discuss how shin splints can look very different depending on the athlete’s age and training history ranging from sudden spikes in mileage to more complex, layered cases involving chronic pain, stress, and low energy availability. From a physical therapy perspective, the episode covers gait patterns during growth spurts, strength and mobility needs, and the importance of collaborating with coaches and parents to support young athletes.
In this episode you’ll learn:
- What shin splints are and how they differ from other bone stress injuries
- Why adolescents are at higher risk during growth spurts
- The role of nutrition and energy availability in healing shin pain
- Common fueling challenges for high school athletes
- How training load, surfaces, shoes, and spikes affect shin stress
- Why interdisciplinary care leads to better outcomes for young runners
As always, this episode reinforces a core message of Interdisciplinary Case Miles: shin splints aren’t just a “training issue” or a “nutrition issue” they’re often both. Supporting young runners requires understanding the whole picture and meeting athletes where they are.
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