Q:I started walking 3 to 4 days per week, gradually increasing the length and time.  When I walk, the muscle next to my shin bone becomes sore.  I take time to stretch prior to each walk in an effort to offset the pain.  The pain presents itself slowly but, typically, within the first 15 minutes of exercise then disappears.  However; the pain is so sharp that I am unable to complete my workout.  I am concerned that I will not be able to continue with my regimen.

Does it sound as though I have shin splints?

Should I see my doctor (or a doctor) about this?

What is the best course of treatment?

Should I go ahead and get fitted for new shoes now or wait until the pain subsides?

A:1) It could certainly be a case of shin splints. There are two types of shin splints. Anterior shin splints are typically created from overuse. Posterior shin splints are usually caused from over pronation (foot flattening)

2) If it has not improved or has gotten worse over a couple months it is probably time to see a physcian. You need to rule out the possibility of a stress fracture as well

3) Inital self treatment should consist of Rest- desreasing the stresses that cause the symptoms. This may just mean reducing mileage or intensity or cross training. Ice - for 20 minutes after activity and at the end of the day. Compression a neoprene sleeeve help support the area and control inflammation. You may also benefit from taking an over the counter anti-inflammatory. Make sure you have a good flexibility program for hamstrings and calf. Include focused strengthening of hip and core muscles.

4) You can try a new shoe looking at the characteristics of your foot type.  A over pronator needs a motion control shoe with a strong last (sole). How wide is your shoe in the heal? You may be a good candidate for the use of an orthotic (you need to consider a custom fit orthotic vs. an over the counter type)