Krenner Bernard John
J Chiropr Med. 2002 Summer;1(3):122-4. doi: 10.1016/S0899-3467(07)60019-6.
Activity or exercise-induced leg pain is a common complication among competitive and "weekend warrior" athletes. Shin splints is a term that has been used to describe all lower leg pain as a result of activity. There are many different causes of "shin splints," one of which is medial tibial stress syndrome, and the treating clinician must be aware of potentially serious causes of activity related leg pain. Restoring proper biomechanics to the entire kinetic chain and rehabilitation of the injured area should be the primary aim of treatment to optimize shock absorption. The role inflammation plays in medial tibial stress syndrome is controversial, but in this case, seemed to be a causative factor as symptomatology was dramatically decreased with the addition of proteolytic enzymes. Medial tibial stress syndrome can be quite difficult to treat and keeping athletes away from activities that will slow healing or aggravate the condition can be challenging. "Active" rest is the best way in which to allow proper healing while allowing the athlete to maintain their fitness.
活动或运动引起的腿部疼痛是竞技运动员和“周末战士”运动员中常见的并发症。胫骨夹板一直是用来描述因活动导致的所有小腿疼痛的术语。“胫骨夹板”有许多不同的成因，其中之一是内侧胫骨应力综合征，治疗医生必须意识到与活动相关的腿部疼痛的潜在严重原因。恢复整个动力链的正确生物力学以及受伤部位的康复应该是治疗的主要目标，以优化减震。炎症在内侧胫骨应力综合征中所起的作用存在争议，但在这种情况下，似乎是一个致病因素，因为添加蛋白水解酶后症状明显减轻。内侧胫骨应力综合征可能很难治疗，让运动员远离会减缓愈合或加重病情的活动可能具有挑战性。“主动”休息是在让运动员保持健康的同时实现适当愈合的最佳方式。
