Periostitis: Shin Pain and Overuse Injury Awareness in Canada

Periostitis is a condition involving inflammation of the periosteum, the connective tissue that covers bones and helps anchor muscles. It most commonly affects the lower leg (tibia) and is often linked to repetitive stress or overuse.

This condition is frequently seen in runners and athletes but can also occur in people whose work or activities place repeated strain on the lower legs.

Understanding the Risk

Periostitis may develop due to:

Repetitive impact on the lower legs
Sudden increases in physical activity
Prolonged standing or walking
Improper footwear or surface changes

While often related to overuse, persistent or worsening shin pain should always be assessed to rule out more serious conditions.

Common Signs and Symptoms

Increased pain and stiffness upon moving out of the bed in the morning and standing up from a seated position after a long period.

Symptoms of periostitis may include:

Pain along the front or inner edge of the shin
Localized tenderness over the bone
Stiffness, especially after rest or in the morning
Pain that may worsen at the start of activity
Discomfort after prolonged standing or walking

Pain that continues despite rest or affects daily movement requires medical evaluation.

First Aid Awareness: What to Do

First aid does not treat periostitis, but awareness helps prevent progression.

If periostitis is suspected:

Reduce or stop activities that cause pain
Avoid impact-heavy movement
Monitor symptoms over time

Seek medical care if:

Pain is persistent or worsening
Pain occurs at rest or during normal walking
Swelling, redness, or warmth develops
There is pain following a direct injury

Sudden severe pain or pain after trauma should be assessed urgently.

Why This Awareness Matters for Canadians

Seasonal activity changes, winter-to-spring training increases, and physically demanding jobs make shin pain common across Canada. St Mark James First aid courses emphasizes:

Recognizing early overuse injuries
Preventing minor injuries from becoming chronic
Knowing when professional assessment is required

Educational Disclaimer

This information is provided for general educational purposes only and does not replace professional medical advice. Persistent shin pain requires assessment by a healthcare professional.