SHIN SPLINTS REHAB (Medial Tibial Stress Syndrome) I’ve seen (and rehabbed) a lot of shin pain over the years. The patterns are pretty consistent, even though the fix is never identical. Here’s, from my experience, what tends to help. First, you have to manage the load. For most runners, the aggravating factor is running itself. That doesn’t automatically mean stopping all together, but it does mean pulling volume and or intensity back to a level your legs can tolerate without flaring things up.