Tibia fatigue periostitis is an inflammatory response caused by exercise load acting indirectly or directly on the periosteum. In foreign countries, tibial periostitis is also called ShinSplint. There are various treatment options for this disease: ultra-multi-wave, hot compress, medicine, massage, cupping, etc. Although a certain effect has been achieved, it is unstable, difficult to heal, and easy to relapse. In this medical case, a case of acute tibia fatigue periostitis was successfully treated with acupuncture combined with electroacupuncture. No recurrence was observed during the follow-up for one year. It is worth promoting and is reported as follows.