Can medial tibial stress syndrome (shin splints) lead to knee osteoarthritis?

Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board
Educational purpose only • Exercise caution as content is pending human review
Article Review Status
Submitted
Under Review
Approved

Last updated: May 1, 2025View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

From the Research

Shin splints do not directly lead to knee arthritis, but they can potentially cause compensatory movements that may place additional stress on the knee joints over time. Shin splints, medically known as medial tibial stress syndrome, primarily affect the tissues connecting muscles to the shin bone, causing pain along the inner edge of the shinbone 1. While both conditions can affect runners and active individuals, they involve different anatomical structures and pathological processes. Knee arthritis involves the deterioration of cartilage in the knee joint, typically resulting from factors such as aging, genetics, previous joint injuries, or excessive weight.

The most recent and highest quality study on shin splints, published in 2023, highlights the importance of avoiding excessive stress to prevent medial tibial stress syndrome 1. Other studies have also emphasized the need for proper footwear, gradual increase in exercise intensity, cross-training, and maintaining a healthy weight to prevent both shin splints and knee arthritis 2, 3. Additionally, addressing biomechanical issues with stretching, strengthening exercises, or orthotics can help prevent these conditions 4, 5.

To minimize the risk of developing knee arthritis, individuals with shin splints should:

  • Maintain proper footwear
  • Gradually increase exercise intensity
  • Cross-train to distribute physical stress
  • Maintain a healthy weight
  • Address any biomechanical issues with appropriate stretching, strengthening exercises, or orthotics If you experience persistent shin or knee pain, consult a healthcare provider for proper diagnosis and treatment.

References

Research

Shin Splint: A Review.

Cureus, 2023

Research

Shin splints: painful to have and to treat.

Comprehensive therapy, 2006

Research

Medial tibial stress syndrome.

Clinics in sports medicine, 2012

Research

Shin splints--a literature review.

British journal of sports medicine, 1985

Research

The prevention of shin splints in sports: a systematic review of literature.

Medicine and science in sports and exercise, 2002

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.