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Shin splints — pain along the inner shin during and after running — are a common overuse injury that responds well to correcting the biomechanical overload driving the condition.
Medial tibial stress syndrome (MTSS) — commonly called shin splints — involves pain along the medial (inner) border of the tibia from periosteal inflammation, fascial stress, or early stress reaction at the tibial cortex. Abnormal tibial torsion from overpronation, pelvic imbalance causing increased tibial loading, and running biomechanics collectively drive MTSS. Without correction of the underlying biomechanical cause, the condition progresses despite rest — returning as soon as training resumes. In severe cases, ignored shin splints progress to tibial stress fractures.
Dr. Foss addresses shin splints through a kinetic chain approach: pelvic leveling removes the upstream biomechanical driver of asymmetric tibial stress; foot and ankle adjustments correct overpronation; tibiofibular joint corrections restore normal fibular mechanics. Myofascial release targeting the deep posterior compartment muscles reduces periosteal tension. Regenerative therapies are applied along the medial tibia to reduce inflammation and support periosteal healing. Graduated training modifications and footwear recommendations prevent recurrence.
At Pura Vida Chiropractic, Dr. Foss uses Sacro-Occipital Technique (SOT) — a gentle, category-based system that addresses the spine, pelvis, and craniosacral rhythm as one integrated unit. SOT restores proper biomechanics, reduces nerve interference, and creates the neurological environment your body needs to heal itself.
For many patients, combining spinal correction with regenerative therapies produces faster and more lasting results. Depending on your condition, Dr. Foss may incorporate one or more of the following:
High-energy acoustic waves penetrate deep into tissue to break up calcifications, stimulate collagen production, and accelerate the body's natural repair process — all without surgery or downtime.
Photobiomodulation with a 10–15W Class IV laser delivers therapeutic light energy deep into tissue, reducing inflammation, blocking pain signals, and speeding healing at the cellular level.
Pura Vida Chiropractic is a family-friendly, bilingual (English/Spanish) clinic serving San Antonio, TX. Dr. Dan Foss is trained in Sacro-Occipital Technique (SOT), a comprehensive chiropractic system that addresses the whole body — not just the area of pain. We combine hands-on spinal correction with the latest regenerative technology to help patients resolve the root cause of their condition rather than masking symptoms.
We are insurance friendly. Bring your insurance card and ID to the office to verify how your insurance can contribute to your care. New patient appointments are available promptly.
Comparing options? See how to choose a chiropractor near me in San Antonio or read our guide on how to choose the best chiropractor in San Antonio.
Shin splints develop from repetitive stress on the tibial fascia and underlying bone, driven by sudden training increases, foot mechanics (overpronation or underpronation), pelvic asymmetry, inadequate footwear, and running on hard surfaces. Untreated, shin splints can progress to tibial stress fracture.
Dr. Foss addresses the kinetic-chain drivers: pelvic and SI joint correction, foot/ankle alignment, soft-tissue work on the tibialis posterior and anterior, and gait analysis. SoftWave therapy stimulates bone and fascial healing. Most runners return to training within 4–6 weeks with combined care.
Most patients see meaningful relief within 6–10 visits over 4–6 weeks. Chronic cases need 12–16 visits with concurrent training modification and footwear evaluation. Untreated shin splints progressing to stress fracture require activity modification and orthopedic evaluation.
Yes. The techniques used are gentle and well-tolerated. SoftWave is FDA-cleared with excellent safety. Dr. Foss screens for tibial stress fracture warranting imaging when symptoms include focal bone tenderness, night pain, or pain that doesn't respond to load reduction.
Schedule your new patient appointment with Dr. Foss at Pura Vida Chiropractic in San Antonio, TX. We'll identify the root cause and build a personalized care plan.
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