Growing Pains and Shin Splints


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Pain is a warning signal that something is wrong. Our bones should not hurt when they grow and our legs should not hurt when we exercise. View this presentation to learn more.

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Growing Pains and Shin Splints

  1. 1. “Growing Pains” and Shin Splints
  2. 2. Pain is a warning signal thatsomething is wrong.
  3. 3. No one ever complains ofarm pain at night,because our armsdon’t hurt when they grow.
  4. 4. No one ever complainsthat their thighs hurt at nightwhen they are growing.
  5. 5. So why is it that some childrenhave pain in their legs at nightand they are told“you have growing pains.”
  6. 6. Do our bones really hurtwhen they grow?
  7. 7. The answer is no.
  8. 8. The lower leg pain of children isa symptom.For every symptom,there is an underlying cause.
  9. 9. Our goal is to discoverthe cause of the symptomandto eliminate it!Not to ignore it.
  10. 10. First,we will identify and define thesymptom.
  11. 11. SYMPTOM:pain in the lower legs that occurs atnight, once the child has stoppedwalking, running or playing.The pain is usually generalized;there isn’t a single pin-point areawhere the pain is the worst.
  12. 12. These “growing pain” symptomsrarely, if ever, occur during the day –always at night-time/bed-time.Why would this pain-alarmgo off at night?
  13. 13. The child never wakes up in themorning with “growing pains” andnever complains of it during the day.
  14. 14. Most child have a seemingly endlesssupply of energy during the day.
  15. 15. They will take at least7,000 steps a day.
  16. 16. So after a long day, their muscleshave been working really hard andare pulling on the specialized lining(periosteum) of the leg bones(tibia/fibula).
  17. 17. If the strain on the tissue is morethan it can handle, the nerveendings are triggered resulting inpain.
  18. 18. Eventually, depending on theamount of damage to thetissues, the pain signal graduallygoes away.
  19. 19. Why don’t the “growing pains”occur every night?
  20. 20. It depends on how active thechild was during the day.You guessed it:The more active the child = The greater the pain.
  21. 21. Why don’t all children suffer with“growing pains”?The answer to that question starts atthe foundation of the body – our feet.
  22. 22. It has to do with the alignment ofthe child’s hindfoot.Aligned Hindfoot MisalignedHindfoot
  23. 23. A child whose feet are mis-alignedhas a significantly higher chance ofdeveloping this leg pain.Note: not all children with mis-aligned hind-feet willdevelop this pain, conversely it is extremely rare for achild with aligned feet to develop this pain.
  24. 24. The reason why hind-foot alignmentis so important is because amis-aligned foot leads to a veryinefficient biomechanical footmachine.
  25. 25. The muscles don’t have to work ashard in a normally aligned foot.
  26. 26. However, the muscles have to workup to 4 or 5 times harderin a mis-aligned foot.
  27. 27. That’s because the muscleshave to re-align the footand thendo their regular job.
  28. 28. Children with misaligned feet usuallyrun much slower then theirclassmates.
  29. 29. Think about it:If the children had to run a mile=The muscles of the children with aligned feetonly had to run a mile,Whereas the muscles of the child withmis-aligned feet feel like they ran 3 miles.
  30. 30. The real cause of pain in children’slegs at night is due toexcessive muscle fatigueandstrain of the lining of the leg bonesdue to a mis-aligned hindfoot.
  31. 31. What’s the difference betweenan aligned and mis-aligned foot?And how can we fix it?
  32. 32. To find the answer you have touse your x-ray vision.
  33. 33. Let’s take a look at the alignmentof the hindfoot bones.
  34. 34. The ankle bone (talus) shouldnormally sit on top of the heel bone(calcaneus).
  35. 35. When the talus is properly alignedon the calcaneus –then the foot isaligned.
  36. 36. When the ankle bone dislocates onthe heel bone = mis-alignedhindfoot.
  37. 37. In other words…
  38. 38. In other words…
  39. 39. Seems like it should be important tostabilize the foundation of our body.What’s the fix?
  40. 40. Putting an arch support under yourfoot (that may temporarily help with thesymptoms but won’t fix the problem.)
  41. 41. Do arch supports really stabilize the ankle bone?BarefootOrthosis
  42. 42. This doesn’t look like too much fun!
  43. 43. But when those treatments don’twork or are too aggressive,what else can be done?
  44. 44. EOTTS - HyProCureInternal stabilization for this internal deformity.
  45. 45. HyProCure®has been used safely and effectively in thousandsof pediatric and adult patients since 2004.Stabilization of Joint Forces of the Subtalar Complex viathe HyProCure Sinus Tarsi StentJournal of American Podiatric Medical Association, Volume 101, No. 5, Pages 390-399, Sept/Oct 2011Extra-Osseous Talotarsal Stabilization using HyProCure in Adults: A5 Year Retrospective Follow-upJournal of Foot and Ankle Surgery – Vol. 51, (1), pages 23-29, January 2012
  46. 46. HyProCure®is the only extra-osseous talotarsal stabilizationdevice that works with the normalbiomechanics unlike other devices that workagainst the normal function and often leadingto failure of the device.+ =
  47. 47. Does EOTTS really work? YES!BarefootOrthosisEOTTS
  48. 48. Barefoot Orthosis EOTTSDoes EOTTS really work? YES!
  49. 49. EOTTS = internal correction for aninternal problem.
  50. 50. Shin-Splints
  51. 51. Same problem that occurs laterin life.
  52. 52. Except, the pain sets-in a lotfaster.
  53. 53. Shin-splint pain is due the musclefatigue while the muscle are beingover-worked.
  54. 54. Stop walking/running
  55. 55. And the pain goes away.
  56. 56. Go back to walking/running
  57. 57. And it comes right back.
  58. 58. Ultimately, misaligned feet ortalotarsal displacement is theunderlying cause.
  59. 59. Conclusion:Pain is a warning signal thatsomething is wrong.When it comes to pain in our legs, itis usually associated with partialankle bone displacement.EOTTS is a viable option to internallyfix this internal dislocation deformity.