Shin Splints (Medial Tibial Stress Syndrome)

Relative rest from the aggravating impact activity (running, marching, jumping) until it settles; substitute low-impact cross-training (swimming, cycling) to maintain fitness; ice the area for 15-20 minutes after activity; correct training errors (a sudden increase in mileage or intensity, worn or unsupportive footwear, a hard or unfamiliar running surface); arch-support foot orthotics can accelerate recovery. Only return to full training gradually, once pain-free at rest and with daily activity. - Variable - the source declines to name a rest period and says so. Most settle over several weeks; the graded return is guided by symptoms, not by a calendar

Common in adolescent athletes and school sports; the same relative-rest and graded-return approach applies. Involve a parent or coach in adjusting training load, since the young athlete often cannot reduce it unilaterally.

StatPearls: Medial Tibial Stress Syndrome (NCBI Bookshelf, updated 2025)

Shin splints is fundamentally an overuse/training-load injury, not a drug-treatable disease - rest, activity modification, and correcting the training error are what actually resolve it. Medication below only manages pain in the meantime and does not substitute for this.

400 mg three times daily with food, for pain relief only - Short course, 5-7 days; do not use it to mask pain that allows training to continue through the injury

5-10 mg/kg/dose [child max 400 mg]

(Child 3 months-11 years: 5-10 mg/kg per dose 3-4 times daily; shin splints itself is chiefly an adolescent and young-adult presentation. Child over 3 months: 5 to 10 mg/kg 3 to 4 times daily, maximum 30 mg/kg daily. The suspension's own label caps pain-and-fever use lower still, at 20 mg/kg/day. Never exceed 400 mg in a single dose.)

Ibuprofen 100 mg/5 ml SmPC section 4.2 (eMC product 4560) for the adult dose: "The recommended dose is 200 mg-400 mg (10-20 ml), up to three times a day as required... do not take more than 1200 mg (60 ml) in any 24 hour period". That label's paediatric section gives weight bands and a 20 mg/kg/day pain-and-fever ceiling but states no mg/kg per dose, so the paediatric 5 to 10 mg/kg per dose is from MSF Essential Drugs 2024 (ibuprofen oral monograph): "Child over 3 months: 5 to 10 mg/kg 3 to 4 times daily (max. 30 mg/kg daily)".

Symptom relief only - it does not treat the underlying overuse injury. Relative rest and correcting training load (above) are what resolve shin splints; an NSAID's role is to make the rest period more tolerable, not to enable continued training on a painful shin.

600 IU once daily as the preventive dose; where deficiency is established, 6,000 IU once daily for 3 months or 300,000 IU as a single dose, then continue the preventive dose

(MSF preventive dosing: child under 12 months, 400 IU once daily; child 12 months and over, 600 IU once daily. For established deficiency, child 12 months to under 12 years 3,000 to 6,000 IU once daily for 3 months or 150,000 IU single dose.)

MSF Essential Drugs 2024 (colecalciferol oral monograph, prevention and treatment of vitamin D deficiency)

The article's claim is that getting vitamin D and calcium right lowers how often stress fractures occur in military recruits, and that it is worth doing. The link to shin splints rests on the article rather than on the vitamin D monograph, whose own indication is deficiency; that was settled in favour of the article-only link, so the entry mirrors the lactose-intolerance precedent. Named Cholecalciferol rather than MSF's Colecalciferol because that is the Egyptian register's spelling.

500 mg chewable tablets, 2 to 3 tablets daily

The label gives the same 2 to 3 tablets daily for paediatric prevention and treatment of calcium deficiency, without an age floor; no shin-splints paediatric figure exists in any document held here.

Calcichew 500 mg Chewable Tablets SmPC sections 4.1-4.5 (eMC product 12847)

The article pairs the two - getting vitamin D and calcium right lowers how often stress fractures occur in military recruits, and it is worth doing - so adding the vitamin D without the calcium would carry half the recommendation. The dose is the cited label's own: 2 to 3 tablets daily, for preventing and for treating calcium deficiency.