Lower Leg


Periostitis is a condition that many runners are familiar with. It is caused by inflammation of the periosteum, a layer of connective tissue that surrounds bone. The condition is generally chronic and needs to be differentiated from stress fracture or shin splints. It is marked by tenderness and swelling of the bone and an aching pain.


  • Bone tenderness, difficulty bearing weight on affected limb
  • Pain in front part of tibia
  • Stiffness, especially when getting out of bed in morning
  • Fever and chills
  • Swelling of tissue around bone
  • Pus forming


Periostitis treatment involves a healing period and rehabilitation. Correcting underlying hip weakness, running mechanics, improper shoes, and other problems can also help.