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Shin pain - how long...?

post #1 of 4
Thread Starter 
I know this sounds like an odd question, but I figured someone here might have been in the same boat I'm in with my shin pain.

Has anyone here ever broken their tibia below the level of their boot top? If so...does the bony callus left where the fracture healed ever stop being tender inside a ski boot?

I badly broke my leg (compound tib/fib fractures) 2 full seasons ago. I had much hardware implanted into both bones (which has since been removed), however I cannot for the life of me wear a boot without experiencing what I would call "point tenderness" at the site of my tibia fracture.

I have made many modifications to my boot, including new boots, new footbeds, shimming the tounge (to try to take the pressure off the painful spot), etc., but nothing is really doing the trick!

It was painful all last season, but I thought by this season it would be better...not so! I feel the pain when I first buckle my boot in the AM (quite intensely), then I don't seem to really notice it until I get my boot off...at which point even a light touch, is quite painful!

I know I have healed well (according to my Docs) and have been given the okay to ski, so I am not too concerned that I have some weird healing complication. I just really wondered if someone else out there might have experienced something similar, and if so...does this "point tenderness" ever go away, do you have a trick to relieve this pain, or do you just "suck it up" and take the pain every season?

Any insight is much appreciated!
post #2 of 4

Last season I developed a nasty knot of scar tissue on my lower tibia, just above my ankle. It was so tender that I had to stop skiing early on some days, and on EVERY day I had to ski with my boot a bit looser -- not exactly a safe thing.

I was able to get the scar tissue removed via surgery. So far this season - no pain there.

Further up the tibia, boot fit becomes quite critical in shin pain situations. Shin pain usually is caused by an upper cuff fit that is too loose, in which you actually move forward within the boot before you meet the resistance created by the shell of the boot.

Try to ensure that your boot's upper cuff is snug around your lower leg. If you already have done this, I would suggest that you revisit your orthopod and perhaps get a referral to a neurologist or vascular surgeon to determine the pain's origin.
post #3 of 4
Thread Starter 
Gonzo -

Thanks for the information! It sounds like your surgery did the trick for you...that is good! Did you have a knot that you could touch on the front of your shin? Also, did you have an injury which caused the scar tissue to develop, or was it a reaction to irritation from your boot, or do you know?

Hmmmmm, I'm am kinda relating your experience to where I am (pain wise) and not exactly liking it!

I can generally only tolerate about 5 hours in my boot...period! As for skiing with the boot unbuckled, last week, I got to the bottom of the run and reached down to unbuckle my boot for the ride up (always have to do that with my bad leg), and kinda started laughing 'cause, I had never buckled down before I started my run!

The knot/pain/fracture site is pretty low on my tibia, less than 3 inches above my ankle.

I am going to make sure my cuff fit is as snug as it should be...I suspect it is, but it won't hurt to revisit that...then get back out there for a couple of days and see how it goes!

I tend to suspect it is injury related, being aggrevated by my boot, as I just experience this pain on my previously injured leg at the fracture site.

If I cannot get this thing licked, I will give my OS a call. Thank you for your insight on this...much appreciated!

post #4 of 4
Serenity, it was most likely caused by boot irritation. However, none of the physicians could pinpoint a cause. It was just a bunch of hypervascularized scar tissue, not tumorous and not malicious.

It was about the size of a grape, and would swell as a result of skiing. It was quite large during the ski season, and shrunk a bit during the off-season. It never reduced completely until the surgery. The surgery was done by a local vascular surgeon, on an outpatient basis. Very quick, very neat & clean. I didn't even need any painkillers post-op!
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