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February 11, 2010

Active Release
Technique
Athletic Injuries & Shin Splints
By Dr. William Booker, D.C. and Dr. Ed Beck, DC

WHAT ARE SHIN SPLINTS?

Shin Splints is a general term used to refer to a painful condition of the shins.
The most common cause is inflammation to the periosteum, the outer sheath of
the shinbone (tibia). Specifically, the pain associated with shin splints is the result
of fatigue and trauma to the muscles and tendons where they attach to the tibia.

The most commonly affected muscle is the tibialis anterior, with secondary
involvement of the tibialis posterior, extensors hallicus and digitorum longus, and
flexors digitorum and hallicus longus.
Dr. William Booker D.C.

Dr. William Booker D.C. holds a


WHY TRADITIONAL TREATMENTS MAY NOT PRODUCE LONG
Doctorate of Chiropractic from the TERM BENEFITS FOR SHIN SPLINTS
Cleveland College of Chiropractic,
Los Angeles. He completed his Traditional treatments include:
undergraduate studies at the
University of Virginia, where he • Rest
graduated with a major in • Ice or cold therapy to reduce inflammation
psychology and a minor in Biology. • Improving the shock absorption in the shoes
• Stretching the muscles of the lower leg
After completing his internship in
• Prescribing anti-inflammatory medicines
Philadelphia, Dr. Booker relocated
to Arlington to open the first • Taping the shin for support
Capitol Rehab inside of Gold’s
Gym. Dr. Booker established The above remedies may produce results in the initial stages of the injury, but
Capitol Rehab-Arlington as the often do not achieve long lasting benefit. In order to affect long term changes, the
flagship for what would be the biomechanical flaws of the lower leg must be addressed and corrected.
eventual opening of eight
additional Capitol Rehabs located Common flaws include:
throughout Virginia, West Virginia
and Maryland.
• Weaknesses of the gluteal muscles, in particular the gluteus medius
• Tight/weak calf muscles
• Poor balance and proprioception of the feet

The result of these imbalances is unusual load to the tibialis muscles


and stress to the anterior region of the shin.

Capitol Rehab of Arlington : 801 N. Quincy, Suite 130 : Arlington, VA 22203 : 703.527.5492 : @capitolrehab : drbooker@capitolrehab.com
Active Release
Where proper rehabilitation should be incorporated to correct the biomechanical
Athletic Injuries flaws and weaknesses associated with Shin Splints, Active Release Technique
& Shin Splints should be introduced early in the rehab process to reduce scar tissue formation in
the overworked muscles.

continued WHAT IS ART OR ACTIVE RELEASE?

ART is a patented, state of the art approach developed by Dr. Michael Leahy for
treating soft tissue injuries, in particular, repetitive stress and overuse injuries.

WHY DOES ACTIVE RELEASE WORK?

When a person has biomechanical or training flaws such as over-pronation, weak


gluteals, tight muscles of the calf and Achilles tendon or has suddenly increased
training mileage or intensity, a repetitive stress syndrome of the lower leg and foot
can occur. This repetitive stress creates three important changes in the soft
tissues:

• An acute condition in the leg and foot (strains, pulls or tears)


• There is an accumulation of small tears (micro-trauma)
• And there is a decrease in oxygen to the damaged area (hypoxia)

The end result is the production of a tough, thick scar tissue to the affected area,
Dr. Edward Beck, D.C. in this case, the shin. As scar tissue develops, muscles become weaker, tendons
become irritated and nerves can become entrapped. ART uses a movement
Dr. Beck received his doctorate in based massage technique that:
chiropractic from Palmer
Chiropractic College in Davenport, • Breaks up the scar tissue
IA. He completed his Bachelors of • Increases the functional range of motion
Science degree from Concordia • Increases circulation to the damaged area
University in Exercise Science
majoring in Adapted Physical
Activity. While at Concordia he
HOW WOULD I KNOW IF I HAVE SHIN SPLINTS?
volunteered with different
organization from the YMHA to the Patients often describe Shin Splints as follows:
Golden Age Association.
* Tenderness, soreness or pain along the inner part of your lower leg.
After completion of his doctorate * Mild swelling
degree he worked in Winamac, * Pain may be worse with pointing foot downward
Indiana with a practice specializing * Pain at the start of exercise that may ease as the session continues
in the Gonstead system of
* Pain may return after activity and be worse the next morning.
chiropractic. Dr. Beck has
completed many hours of
certification from the Gonstead WHAT SHOULD I DO IF I THINK I HAVE SHIN SPLINTS?
seminar based in Chicago, IL.
It is recommended that you identify a provider who is trained in Active Release
Technique, ideally one who incorporates a functional rehabilitation program. In
order to achieve long-term results, he patient must be instructed on home care
and self care exercises that address how to strengthen weak muscles and release
the overactive muscles as well.

Capitol Rehab of Arlington : 801 N. Quincy, Suite 130 : Arlington, VA 22203 : 703.527.5492 : @capitolrehab : DrBooker@CapitolRehab.com
Active Release
WHAT SHOULD I DO IF I THINK I HAVE SHIN SPLINTS?
Athletic Injuries
& Shin Splints It is recommended that you identify a provider who is trained in Active Release
Technique, ideally one who incorporates a functional rehabilitation program. In
order to achieve long-term results, he patient must be instructed on home care
and self care exercises that address how to strengthen weak muscles and release
the overactive muscles as well.

WHAT SHOULD I DO IF I THINK I HAVE SHIN SPLINTS?

It is recommended that you identify a provider who is trained in Active Release


Technique, ideally one who incorporates a functional rehabilitation program. In
order to achieve long-term results, the patient must be instructed on home care
and self care exercises that address home to strengthen weak muscles and release
the overactive muscles as well.

If you continue to experience pain and discomfort, consider a second opinion


from an integrated practice that incorporates the best in physical therapy,
chiropractic and rehabilitation.

For more information feel free to visit us at our website,


www.CapitolRehabofArlington.com.

You may also call us directly at 703.527.5492 or send an email to


DrBooker@CapitolRehab.com.

Dr. Edward Beck is a chiropractor Certified Active Release Technique.


Dr. Bill Booker is a member of the International Society of Clinical Rehabilitation
Specialists

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Capitol Rehab of Arlington : 801 N. Quincy, Suite 130 : Arlington, VA 22203 : 703.527.5492 : @capitolrehab : DrBooker@CapitolRehab.com