Issue 22 — Winter 2013 Cover


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Issue 22 — Winter 2013

also available in print – contact us to purchase a copy

• WFTDA Championships Recap

• Guide to Derby Gear

• Secrets of an Overachieving Derby Girl

• Do You Know Your Rights?

• Shin Splints

• Vagine Regime Documented

• Plus more, including Junior Derby Gear, General Anxiety Disorder and Roller Derby, Life After Derby

In This Issue

shin splints

Gypsy Bones (Jennifer Hronkin MD), Boulder County Bombers

what are shin splints?

Shin splints, otherwise known as medial tibial stress syndrome (MTSS), is a broad term for pain in the front of the leg anywhere between the knee and the ankle that occurs with exercise. They are most commonly located on the medial side of the shin (toward the inside of the leg along the tibia, known as medial shin splints), but can also occur toward the front outside part of the tibia (anterior shin splints). They tend to be a generalized pain (occurring over an area of several inches), as opposed to a pinpoint pain. Shin splints are a result of cumulative stress rather than an acute injury, and the symptoms can develop and increase gradually.

The cause of shin splints is multifactorial and often debated. The muscles on the front of the shin that work to lift the foot are encased in fascia, a tough non-stretchy tissue. With exercise, the muscles also will naturally swell inside the fascia and this can cause pain. The underlying bone as well can develop microscopic stress fractures that can contribute to the problem.

who is prone to shin splints?

Athletes that rapidly increase the amount of training they are doing, or change the surface or footwear that they use, can be prone to shin splints. Overpronators (people with flat feet) can be at risk as well, along with people with weak ankle muscles or a tight achilles tendon. Derby players are at particular risk due to excessive stress placed on one leg and hip from always skating the same direction around the track.

treatment and prevention

Any athlete hates to hear this advice, but to heal ongoing problems with shin splints, it is often necessary to rest and even take some time off from your sport. Relative rest or “active rest,” switching to an activity like cycling or swimming that does not cause the shins to hurt, may be a good way to go. Ice and anti-inflammatories can help, as well. Some skaters use foam or plastic rollers (like “The Stick”) to stretch the affected muscles.

If you are an overpronator, an orthotic in your skates can help the problem. There are also neoprene compression sleeves that are sold to wear on the lower leg that some athletes have found useful. Tape or an Ace bandage may also be used to wrap the lower leg.

Physical therapy and stretches can help. Stretch the achilles and calves on a regular basis. Some have advocated walking on your heels for 30 seconds, alternating with walking flat footed for 30 seconds, repeated for four or five minutes, several times a day, as both a treatment and prevention strategy. Another stretch to try involves kneeling with the toes pointed straight back, then sitting back onto the calves and heels until tension is felt in the shins.

It may be difficult to spend a lot of time in derby skating in the opposite direction, but trying to do so for cool-down at the end of a workout might help to even things up a bit.

when to return to activity?

Skaters with shin splints may need to take two to four weeks of relative rest to allow the chronic stress of shin splints to heal. They may take three to six months to heal fully. When resuming activity, it is important to do it gradually: start at less than 50% time and intensity, and work up slowly to your normal schedule. If pain resumes, it’s a sign to notch back. Warming up and stretching before exercise, and icing immediately afterward, can help, as well.

Not intended as medical advice. Consult your doctor with any problems.


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