Journal of Urgent Care Medicine

Shin Pain

Urgent message: Lower extremity injuries are very common in adolescent athletes. Urgent care providers must remember that shin pain is not always simply shin splints. CHRISTOPHER TANGEN, DO, and RYAN SHILIAN, DO Also known as medial tibial stress syndrome, shin splints are described as the painful inflammation of the tibial periosteum, which is generally caused by repetitive physical activity.1 Repetitive injuries can cause incomplete fractures, or microfractures, of the tibia. These tibial stress reactions can predispose the bone to acute fractures. Case Presentation …

Chronic Exertional Compartment Syndrome

Urgent message: Runners who train too much too soon risk serious injury. Prompt and thorough evaluation is necessary to spot CECS masquerading as “shin splints.” MATTHEW SPEER and JOHN SHUFELDT, MD, JD, MBA, FACEP Overview Running is one of the world’s most popular exercises, with millions across the globe participating and training for events from 5K races to ultramarathons of over 100 miles. Despite the fact that more than 10 million people run over 100 …