Blog Post

23 September 2026

🩺Patellar Knee Pain and Shin Splints: How Chiropractic May Help Address Alignment Issues

Patellar knee pain and shin splints are common complaints among people who walk, run, exercise, or participate in sports. Although these problems can have different causes, both may be influenced by the way the hips, knees, ankles, and feet move together during activity.

What Is Patellar Knee Pain?

Patellar knee pain refers to pain around or behind the kneecap. It may become noticeable with activities such as running, squatting, climbing stairs, jumping, or prolonged sitting.

The way the lower extremity moves can influence the forces placed on the knee. Muscle strength, flexibility, joint mobility, activity level, and movement mechanics may all contribute to how the knee functions during everyday activities and exercise.

What Are Shin Splints?

“Shin splints” is a common term for pain along the shin, often associated with repetitive running, walking, or other impact activities. Medial tibial stress syndrome is one condition commonly referred to as shin splints.

Shin pain can have several possible causes. Training changes, repetitive impact, muscle fatigue, flexibility, biomechanics, footwear, and other factors may contribute. In some cases, shin pain can also indicate a bone stress injury, which requires appropriate medical evaluation.

How Can Alignment and Movement Affect the Knee and Lower Leg?

The hip, knee, ankle, and foot work together as part of the lower extremity. Restrictions in joint mobility or differences in movement patterns may affect how forces are distributed during walking, running, jumping, or other activities.

An evaluation can look beyond the location of the pain and consider the surrounding musculoskeletal structures and how they function together.

The goal is not simply to “put a knee back into alignment.” Instead, a comprehensive evaluation can help identify musculoskeletal factors that may be contributing to discomfort, restricted movement, or altered mechanics.

How May Chiropractic Care Help?

A chiropractor can perform a comprehensive musculoskeletal evaluation to assess areas such as joint mobility, muscle tightness, movement patterns, and other factors that may be relevant to the patient’s symptoms.

Depending on the findings, conservative chiropractic care may include:

  • Manual therapy
  • Appropriate spinal or extremity manipulation
  • Soft-tissue techniques
  • Mobility-focused care
  • Individualized therapeutic exercises
  • Recommendations regarding activity modification when appropriate

The specific approach should be based on the individual’s examination findings, symptoms, activity level, and overall musculoskeletal needs.

When Should Shin or Knee Pain Be Evaluated?

Persistent, worsening, or localized pain should not simply be assumed to be a routine case of shin splints or a minor alignment problem.

Pain that becomes severe, occurs at rest or at night, causes difficulty walking, or is concentrated over a specific area of bone may warrant evaluation for a possible bone stress injury or another condition. Appropriate medical evaluation and imaging may be necessary when clinically indicated.

A Comprehensive Approach to Knee and Shin Pain

Patellar knee pain and shin splints can involve more than the painful area itself. Looking at the relationship between the hips, knees, ankles, feet, and surrounding musculature may provide useful information when determining an appropriate conservative care plan.

Dr. Sessa can perform a comprehensive musculoskeletal evaluation to determine whether conservative chiropractic care, manual therapy, appropriate spinal or extremity manipulation, and individualized therapeutic exercises may be appropriate for your condition.

If you are experiencing persistent knee or shin discomfort, contact Clearwater Sports & Wellness, P.A. at (727) 669-3900 to schedule an evaluation.

Educational Disclaimer

This article is provided for general educational and informational purposes only and is not intended to diagnose, treat, or prevent any disease or medical condition. Patellar knee pain and shin pain can have multiple causes, and individual symptoms require individualized evaluation. Chiropractic care may not be appropriate for every person or condition. If you have severe, persistent, worsening, or unexplained pain, or suspect a bone or other significant injury, seek evaluation from an appropriate healthcare professional.