How to treat periostitis

Periostitis is the inflammation of the periosteum. It is a thick, fibrous vascular membrane that covers the bones. It is comprised of an exterior coating of collagenous tissue that contains fat cells and an interior layer of fine elastic fibers. The condition causes tenderness, inflammation and swelling in one or more bones. It usually happens when there is an injury on the periosteum, severe infection and cancerous condition that result to damage to a layer of the periosteum. People performing strenuous workout or exercises as well as football soccer players are susceptible to the condition.

Classification of periostitis


Pain can be felt at the front area of the shin bone or the tibia.

  • Simple periostitis develops with the presence of bruises and fractures. The periosteum becomes inflamed and there is thickening of the horny periostenum due to long periods of irritation.
  • Suppurative periostitis develops when there is penetration of infection and it is characterized by severe swelling and fever.
  • Albuminozny periostitis involves an abscess that causes congestion at the periosteum.
  • Periostitis ossificans involves excessive outgrowth of the bones.

Symptoms of periostitis

  • Pain can be felt at the front area of the shin bone or the tibia.
  • Sometimes, pain can be felt over the outer area of the shin bone
  • Swelling of the periostitis
  • Tenderness of the bone
  • Stiffness of the affected area
  • Pain and stiffness becomes severe especially upon waking up in the morning, and standing up from a sitting position for long periods of time.


  • Any external trauma caused on the shin bone
  • Performing improper running techniques
  • Leukemia
  • Overuse of the periosteum in the lower area of the leg usually among athletes and runners.
  • Complications of chronic disorders such as syphilis


  • Take plenty of rest and avoid performing activities that can worsen the condition. Minimize activities such as running, jumping and walking. Non-weight bearing activities such as swimming and other activities should also be avoided for fast healing of the condition.
  • Apply an ice pack on the shin for at least 10-15 minutes interval to lessen the pain and the inflammation of the condition.
  • Massage the affected area with the help of a massage therapist to lessen the pain and prevent the recurrence of the condition.
  • Take the prescribed anti-inflammatory medication such as ibuprofen to lessen the pain caused by periostitis.
  • Elevate the legs above the level of the heart to lessen the flow of blood in the area and lessen the pain and the inflammatory process. It also promotes fast healing of the condition.


  • Continued stretching of the muscles of the lower leg can lessen the symptoms of periostitis.
  • Before performing workouts, apply heat on the area.
  • Use a medical arch support especially those with flat feet to lessen the pain and provide adequate arch support for the feet.


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