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Shin Pain: 4 Possible Causes, Symptoms, Treatment There are a number of conditions that can cause the front of your shins to hurt Most of these conditions are caused by overuse and stress on a part of the lower leg Causes of shin pain include shin splints (medial tibial stress syndrome), stress fracture (small crack[s] in the tibia), tendinitis, and chronic exertional compartment syndrome (uncommon)