How to Tape a Shin for Shin Splints: A Runner's Hard-Won Wisdom on Managing That Nagging Lower Leg Pain
I still remember the first time shin splints knocked me out of my training routine. It was 2018, about six weeks before a half-marathon I'd been preparing for since January. That distinctive ache along my shinbone started as a whisper during my Tuesday tempo run and crescendoed into a full-blown scream by Thursday's long run. Like many runners, I initially tried to push through it—a decision that cost me not just that race, but three months of recovery time.
Since then, I've become something of an accidental expert on shin splints, particularly the art of taping. Not because I wanted to, mind you, but because my shins seem to have a vendetta against my running ambitions. Through trial, error, and countless rolls of athletic tape, I've learned that proper taping can be the difference between maintaining your training schedule and watching Netflix while icing your legs for weeks on end.
Understanding the Beast Before You Tape It
Shin splints—or medial tibial stress syndrome if we're being fancy—aren't just one thing. They're more like a family reunion of different problems that all decided to party in your lower leg. The pain you feel along your shinbone can stem from inflammation of the muscles, tendons, or the thin layer of tissue covering the bone (the periosteum). Sometimes it's all three having a grand old time at your expense.
The location matters tremendously when it comes to taping. Anterior shin splints hit the front and outside of your shin, typically involving the tibialis anterior muscle—that's the one that helps you lift your toes toward your knee. Posterior shin splints lurk along the inside edge of your shinbone, usually involving the tibialis posterior and soleus muscles. I've had both, and let me tell you, they each require slightly different taping approaches.
What really opened my eyes was learning from a sports medicine physician in Boulder (where else would you find running injury experts on every corner?) that shin splints exist on a continuum. On one end, you have simple muscle fatigue and inflammation. On the other, stress fractures. Taping helps with the former but won't fix the latter. If you're experiencing pinpoint pain that gets worse with activity, please see a professional before you end up in a boot for six weeks like I did in 2020.
The Tape Selection Conundrum
Walking into a pharmacy or sports store for tape can feel like entering a foreign country where everyone speaks in adhesive. You've got your classic athletic tape, kinesiology tape (KT tape), elastic adhesive bandages, and about seventeen other options that all promise miracles.
After experimenting with nearly everything on the market, here's my take: for acute shin splint management, nothing beats good old-fashioned athletic tape combined with pre-wrap. Yes, KT tape has its place—I use it for longer-term support during recovery phases—but when you need immediate relief and solid support, traditional athletic tape provides better mechanical support.
The pre-wrap is crucial, especially if you're taping daily. I learned this lesson the hard way when I ripped off what felt like three layers of skin along with my tape after a particularly sweaty summer run. Pre-wrap acts as a barrier between your skin and the adhesive, preventing both irritation and the medieval torture of tape removal.
The Anterior Shin Splint Taping Method
For front-of-shin pain, the goal is to support the tibialis anterior muscle and reduce the stress on its attachment points. Start by having a seat with your ankle flexed at about 90 degrees—foot flat on the floor works perfectly.
Apply pre-wrap from about two inches below your knee to just above your ankle. Don't wrap it too tight; you're not making a tourniquet. Think of it as laying down a protective foundation.
Now for the tape. Cut a strip about 12-14 inches long (depending on your leg size—I'm 5'10" and this works for me). Starting on the outside of your leg, about an inch below the knee, angle the tape downward and across the front of your shin. You want to create a diagonal that crosses over the painful area and ends on the inside of your leg, roughly at the midpoint of your shin.
Apply a second strip starting from the same outside position but angle it more steeply, creating an X pattern over the first strip. The intersection should be right over your trouble spot. Some people stop here, but I've found adding a third strip that runs straight down the shin, bisecting the X, provides extra support without restricting movement.
Here's a trick I picked up from a physical therapist in Portland: after applying each strip, rub it vigorously for about 30 seconds. The friction activates the adhesive and helps the tape conform to your leg's contours. It makes a surprising difference in how long the tape job lasts.
Posterior Shin Splint Taping Technique
Inside shin pain requires a different approach. The tibialis posterior muscle runs deeper and along a different path, so your taping needs to provide support without limiting your ankle's natural movement patterns.
Position yourself with your foot slightly pointed (plantar flexed) and turned inward just a touch. This puts the tibialis posterior in a shortened position, which is key for effective taping.
After applying pre-wrap, start your first tape strip on the inside of your foot, just in front of your ankle bone. Run it up along the inside edge of your shin, following the path of pain. This usually means staying about an inch away from the actual bone edge. End the strip about two-thirds of the way up your shin.
The second strip starts at the same foot position but angles across the back of your leg, wrapping around to end on the outside of your shin. You're essentially creating a spiral that supports the muscle as it wraps around from the inside to the back of your leg.
I usually add two or three anchor strips—short horizontal pieces that go across the vertical strips at the top, middle, and bottom. These prevent the main strips from peeling up during activity. Think of them as the bookends keeping everything in place.
The Compression Wrap Controversy
Some runners swear by adding a compression wrap over their tape job. Others (including younger me) think it's overkill. After years of experimentation, I've landed somewhere in the middle. For easy runs or daily activities, tape alone usually suffices. But for longer runs or when I'm coming back from a flare-up, adding a compression sleeve or light elastic wrap over the tape provides extra support and helps the tape last longer.
The key is not overdoing the compression. You want support, not a tourniquet. If your foot starts tingling or turning colors, you've gone too far. I once made this mistake before a 10K and spent the entire race convinced my foot was going to fall off. Spoiler: it didn't, but I did learn about proper compression levels.
When Tape Isn't Enough
Let me be brutally honest about something many articles gloss over: taping is a band-aid, not a cure. It's like taking ibuprofen for a toothache—helpful in the moment but not addressing the root cause.
I spent nearly a year just taping and running through shin splints before finally accepting that I needed to address the underlying issues. For me, it was a combination of overpronation, weak hip stabilizers, and the classic too-much-too-soon training error. The taping kept me moving while I worked on these problems, but it wasn't until I fixed the root causes that the shin splints truly went away.
If you're taping for more than a couple of weeks, it's time to look deeper. Get your gait analyzed, check your shoes (mine were way past their expiration date), examine your training plan, and possibly see a physical therapist. I know it's not what any runner wants to hear, but sometimes the best thing you can do is take a step back to move forward.
The Daily Taping Ritual
If you're in the thick of shin splint management, taping might become part of your daily routine. I've been there, and I've learned a few things about making it sustainable.
First, invest in quality supplies in bulk. Buying tape roll by roll at the pharmacy gets expensive fast. I order cases online and store them in a cool, dry place. Heat and humidity are tape's enemies—I once left a roll in my car during an Arizona summer and ended up with an expensive ball of goo.
Second, develop a routine. I tape after my morning shower when my skin is clean and dry. Coffee first, then tape—it's become as automatic as brushing my teeth. Having a consistent routine means you're less likely to skip it or rush through it.
Third, pay attention to your skin. Daily taping can cause irritation, especially if you're not using pre-wrap. I rotate my tape placement slightly each day, moving it up or down by half an inch to give my skin a break. Moisturizing at night helps too, though make sure your skin is completely dry before taping in the morning.
The Psychological Component Nobody Talks About
Here's something that took me years to understand: shin splints mess with your head as much as your legs. Every step becomes a question mark. Is that normal muscle fatigue or are they coming back? Should I push through or back off? The uncertainty can be maddening.
Taping provides psychological support along with the physical kind. There's something reassuring about that snug wrap around your shin. It's like a security blanket that whispers, "You're okay, keep going." I'm not saying it's all placebo—the mechanical support is real—but don't underestimate the mental boost.
I've also found that the act of taping itself becomes a form of pre-run meditation. Those few minutes of careful application force me to slow down and check in with my body. How do my shins actually feel today? Am I taping out of habit or necessity? This mindfulness has probably prevented as many injuries as the tape itself.
Beyond the Tape
The endgame isn't to become a professional shin taper. It's to not need tape at all. For me, that journey involved strengthening exercises that seemed to have nothing to do with my shins—single-leg deadlifts, clamshells, and enough calf raises to make a bodybuilder jealous. It meant swallowing my pride and running slower while I rebuilt my base. It meant actually listening to my body instead of my training plan.
These days, I rarely need to tape. But I keep a roll in my gym bag, just in case. It's like carrying an umbrella—better to have it and not need it. When I do tape now, it's usually preventive, like before a particularly hilly long run or when I feel that familiar twinge starting up.
The truth about shin splints and taping is that it's deeply personal. What works for my biomechanics might not work for yours. The taping technique that saved my training might do nothing for your pain. But that's okay. The process of figuring out what works—the trial, error, and eventual success—makes you a smarter, more resilient runner.
So yes, learn to tape properly. It's a valuable skill that can keep you moving when shin splints strike. But also look beyond the tape to understand why you need it in the first place. Because the goal isn't to become dependent on athletic tape. The goal is to run free, strong, and pain-free. The tape is just one tool to help you get there.
And if you're reading this while icing your shins, wondering if you'll ever run pain-free again—you will. It might take longer than you want, and you might go through more tape than seems reasonable, but you'll get there. Trust the process, be patient with your body, and keep that tape handy. Your future running self will thank you.
Authoritative Sources:
Galbraith, R. Michael, and Mark E. Lavallee. "Medial Tibial Stress Syndrome: Conservative Treatment Options." Current Reviews in Musculoskeletal Medicine, vol. 2, no. 3, 2009, pp. 127-133.
Hutchinson, Mark R., et al. The Running Injury Recovery Program. The Countryman Press, 2019.
Moen, Maarten H., et al. "Medial Tibial Stress Syndrome: A Critical Review." Sports Medicine, vol. 39, no. 7, 2009, pp. 523-546.
Noakes, Timothy. Lore of Running. 4th ed., Human Kinetics, 2003.
Winters, M., et al. "Treatment of Medial Tibial Stress Syndrome: A Systematic Review." Sports Medicine, vol. 43, no. 12, 2013, pp. 1315-1333.