Shin Pain in Volleyball: Causes and Relief Strategies - Orthopedics

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Tibial pain


As a volleyball player, I experience pain in the muscles adjacent to the tibia on the inner sides of both calves whenever I perform jumping movements during practice, especially at the moment of landing.
Could this be related to my landing technique, or is it another type of sports injury? Recently, the situation seems to have worsened due to increased practice.
What are some methods to alleviate this pain?

Ruyu, 10~19 year old female. Ask Date: 2016/02/29

Dr. Shi Guozheng reply Orthopedics


It may be due to overexertion; appropriate rest is necessary.
After exercising, heat therapy should be applied.
If there is no improvement, it may be necessary to see a physician.

Reply Date: 2016/02/29

More Info


Shin pain, particularly in volleyball players, is a common complaint that can arise from various factors, including improper landing techniques, overuse injuries, and muscle imbalances. Given your description of pain in the inner side of the lower legs, particularly around the tibia during jumping and landing, it is likely that you are experiencing a condition known as medial tibial stress syndrome (MTSS), commonly referred to as shin splints.


Causes of Shin Pain in Volleyball
1. Landing Technique: The way you land after a jump can significantly impact the stress placed on your lower legs. If you land with your knees locked or your feet too far in front of your body, it can increase the impact on your shins. Ideally, you should aim to land softly with your knees slightly bent and your weight distributed evenly across your feet.

2. Overuse: Volleyball involves repetitive jumping and quick lateral movements, which can lead to overuse injuries. As you mentioned that your practice sessions have increased, this could contribute to the development of shin pain. Overuse can lead to micro-tears in the muscles and tendons around the shin, resulting in inflammation and pain.

3. Muscle Imbalances: Weakness in the muscles of the lower leg, particularly the calf muscles and the muscles that support the arch of the foot, can lead to increased strain on the tibia. If the muscles are not strong enough to absorb the impact of jumping and landing, the tibia can become stressed, leading to pain.

4. Footwear and Surface: The type of shoes you wear and the surface you practice on can also play a role. Shoes that do not provide adequate support or cushioning can increase the risk of shin pain. Similarly, practicing on hard surfaces can exacerbate the impact on your legs.


Relief Strategies
1. Proper Landing Mechanics: Focus on improving your landing technique. Work with a coach or a physical therapist to ensure you are landing correctly. Practice landing softly with your knees bent and your weight centered over your feet.

2. Strengthening Exercises: Incorporate exercises that strengthen the muscles of the lower leg and improve stability. Calf raises, toe raises, and exercises targeting the tibialis anterior (the muscle along the front of your shin) can help. Additionally, strengthening your core and hip muscles can improve overall stability and reduce the risk of injury.

3. Stretching and Flexibility: Regular stretching of the calf muscles and the muscles around the shin can help alleviate tightness and reduce the risk of injury. Consider incorporating dynamic stretching before practices and static stretching afterward.

4. Cross-Training: To reduce the strain on your shins, consider cross-training with low-impact activities such as swimming or cycling. This can help maintain your fitness while giving your legs a break from the repetitive impact of jumping.

5. Rest and Recovery: If your pain persists, it is crucial to allow your body time to recover. Consider taking a break from high-impact activities and gradually reintroducing them as your symptoms improve. Ice therapy can also help reduce inflammation and pain after practice.

6. Consult a Professional: If your symptoms do not improve with these strategies, it may be beneficial to consult a sports medicine physician or a physical therapist. They can provide a thorough evaluation and may recommend imaging studies to rule out any serious injuries, such as stress fractures.

In conclusion, shin pain in volleyball players can be attributed to various factors, including landing techniques, overuse, and muscle imbalances. By focusing on proper mechanics, strengthening exercises, and adequate rest, you can alleviate your symptoms and continue to enjoy your sport. If pain persists, seeking professional guidance is essential for a tailored recovery plan.

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