The tibialis anterior muscle runs along the front of the shin, and its tendon extends to the base of the big toe. The diagram on the left below indicates the typical pain distribution for tibialis anterior injuries:

http://www.latrobe.edu.au/podiatry/myofasc/myofascialpics/fig4.jpg

The first line of treatment for any tendinitis is the same as for most other orthopedic soft-tissue injuries and can be summed up with the acronym RICE:

--REST the affected area as much as possible.

--Apply ICE to the area for 15-20 minutes several times a day.

--Use a COMPRESSION wrap or Ace bandage to help reduce swelling and support the affected joint.

--ELEVATION of the affected area also helps relieve swelling and pain.

Over-the-counter anti-inflammatories such as aspirin or ibuprofen (Advil) can provide pain relief and decrease inflammation and swelling of the tendon as well. If pain persists, corticosteroid injections can be used to reduce pain and inflammation, although they can weaken the tendon and increase the risk of future rupture of the tendon. Physical therapy can help strengthen muscles and tendons to reduce the risk of repeat injury. In severe or persistent cases of tendinitis, surgical repair may be needed.
Source(s):
http://www.faqs.org/health/Sick-V4/Tendinitis.html
http://www.mayoclinic.com/health/tendinitis/DS00153


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