Common Running Injuries and Effective Treatment Strategies


Common Running Injuries and Effective Treatment Strategies

By Professional Physical Therapy

Running is one of the most popular forms of exercise to improve and maintain fitness and appealing because it’s simple and easily accessible. Whether on a scenic trail, a bustling urban street, or a local track, runners of all levels enjoy the numerous physical and mental health benefits it offers. Despite its many advantages, running also comes with a risk of injuries, especially if proper form, technique, and training principles are not followed. We will discuss some of the most common running injuries, their symptoms, treatment options, prevention tips, and the role of physical therapy in recovery.

Common Running Injuries

1. Iliotibial Band Syndrome (ITB)

What it is: ITB syndrome is a condition where the iliotibial band, a ligament that runs along the outside of the thigh from the hip to the shin, becomes tight or inflamed.
Symptoms: Pain on the outside of the knee, which may worsen with running.

 2. Plantar Fasciitis

What it is: Inflammation of the plantar fascia, a thick band of tissue that runs across the bottom of your foot and connects your heel bone to your toes.
Symptoms: Pain in the bottom of the foot, from the heel into the arch, especially in the morning or after prolonged periods of standing or running.

 3. Shin Splints

What it is: Pain along the shinbone (tibia) caused by overuse or repetitive stress.
Symptoms: Tenderness, soreness, or pain along the inner side of the shinbone.

 4. Tendinopathies

What it is: Overuse injuries affecting the tendons, commonly in the Achilles tendon, patellar tendon (connects kneecap to your shinbone), or hamstring tendons.
Symptoms: Pain, tenderness, and stiffness in the affected tendon.

 5. Low Back Pain

What it is: Pain in the lower back, which can be due to muscle strain, poor posture, or biomechanical issues.
Symptoms: Dull or sharp pain in the lower back, which may radiate to the hips or legs.

 6. Runner’s Knee (Patellofemoral Pain Syndrome)

What it is: Pain around the kneecap, often due to overuse or improper alignment.
Symptoms: Pain around or behind the kneecap, especially when bending the knee.

Treatment Options for Running Injuries

Once the source of your running pain is diagnosed, there are many treatment options with rest leading the healing process. Taking time off from running is beneficial during the early recovery phase.

  • Physical Therapy: Physical therapy is a cornerstone in the treatment of running injuries. Physical Therapists can help you identify the problem and provide a customize treatment plan that may include the following:
    • Gait Analysis: Analyze your running mechanics to identify and correct any biomechanical issues.
    • Stop Running Schedule: Temporary cessation or reduction of running to allow for healing.
    • Progressive Loading and Symptom Management: Gradually reintroducing load to strengthen affected areas while managing pain and symptoms.
    • Muscle Strengthening: Focus on the abdominal, lower back, gluteal muscles, hip abductors, external rotators, and quadriceps.
    • Foot Intrinsic Muscle Strengthening: Exercises to strengthen the small muscles within the foot.
    • Stretching: Regular stretching routines to maintain flexibility and prevent injuries.
    • Injury Prevention Tips: Providing education and strategies to avoid future injuries.
    • Hydration and Nutrition Guidance: Providing dietitian/nutritionist referrals to help create a personalized nutrition plan.
  • Rest and Ice: Commonly recommended for acute injury management and to reduce inflammation.
  • Footwear: Use shoes with good arch support and consider custom orthotics to address biomechanical issues.
  • Taping: Techniques such as patellar taping can provide support and reduce pain in conditions like runner’s knee.
  • Stretching and Foam Rolling: Essential for managing tightness and improving flexibility, particularly in the ITB, hip flexors, quadriceps, plantar fascia, and calf muscles.

What You Can Do to Prevent Running Injuries

Although running is a great way to stay active, most runners must deal with an injury at some point. The good news is that there are strategies you can use to prevent running injuries before they sideline you.

  1. Warm-Up and Cool Down: Always start your run with a proper warm-up and finish with a cool-down session that includes dynamic and sustained stretches. Make sure you thoroughly stretch the muscles in your thighs, hamstrings, and calves.
  2. Cross-Training: Cross-training with weights and core activities strengthens the muscles that support the body as you run. You can also try activities like swimming or cycling to reduce the repetitive stress on your body.
  3. Proper Footwear: Invest in good running shoes that provide adequate support and cushioning. Running shoes are designed to facilitate the natural movement and biomechanics of your foot, so it’s worth investing in a pair if you run frequently or for long distances.
  4. Gradual Progression: Gradually increase your running mileage and intensity to avoid overuse injuries.
  5. Listen to Your Body: Pay attention to any signs of pain or discomfort and take appropriate action before it becomes a serious injury.  A little soreness is okay but sharp pain is not, and neither is pain that continues to linger.
  6. Strengthening Exercises: Regularly perform exercises to strengthen the muscles around your hips, knees, and feet.
  7. Stay Hydrated: Make sure you drink extra water on the days you run. Staying hydrated ensures that your muscles function efficiently, reduces the risk of cramps, and helps regulate body temperature. Dehydration can lead to fatigue, dizziness, and a decrease in performance, making it crucial to drink adequate amounts of water before, during, and after your runs.
  8. Maintain Healthy Nutrition: A balanced diet rich in carbohydrates, proteins, and healthy fats provides the necessary fuel for your body, aids in recovery, and helps maintain overall health. Consuming the right nutrients at the right times can enhance your performance, prevent injuries, and promote quicker recovery.
  9. Running Form: Focus on maintaining proper running form and consider professional gait analysis if you experience recurrent injuries.

At Professional Physical Therapy, we can help you run pain-free and achieve your fitness goals. If you’re experiencing any injuries related to running, our team of experienced physical therapists can provide a personalized treatment plan to get you back on track. Contact us at Professional Physical Therapy today. Request an appointment to schedule a comprehensive evaluation and start your journey toward a more comfortable and pain-free life.

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