We all know that running is a great way to improve fitness and lose some weight.
But whether you are continuing, and especially if you are just starting, it is easy to get carried away and overdo it in terms of distance or running time, as well as to make mistakes regarding equipment or the choice of route. There are many variables and, quite often, what could become a healthy habit ends up resulting in injuries and, very likely, the need to stop — for a shorter or longer period, depending on the severity of the injury.
Common injuries in runners
1. Iliotibial Band Syndrome
This injury causes pain on the outer side of the affected knee when running, going downstairs, or down a slope, but it is not necessarily present when walking on flat surfaces, lying down, sitting, or during the day in general. It is marked by injury to the iliotibial band (which runs from the gluteal area down to the knee) at the knee, due to friction against a prominent area of the femur. It usually occurs because training intensity is excessive or increased too quickly (due to weakness in some hip stabilizer muscles) or because of an overly pronated stride (which can have several causes).
Patellar and Achilles Tendinopathies
These occur (as the name suggests) in the patellar tendon (knee) and the Achilles tendon (just above the heel, at the back). These injuries arise when the tendons are subjected to excessive strain, and the causes can vary. They may result from the connected muscles frequently reaching high levels of fatigue, poor posture during running, typical overuse, or a very large and rapid increase in training intensity. Other causes include wearing inappropriate shoes or switching abruptly from minimalist to cushioned shoes and vice versa. It is crucial to treat these conditions carefully because, if they become chronic, recovery becomes much more difficult, if not impossible.
A very troubling and sometimes highly painful condition affecting the sole of the foot. To begin with, the name should not really end in “-itis” since inflammation rarely occurs, and when it does, it is the least of the problems. There is no single objective reason for this condition to appear, as there are always multiple contributing factors: anything from an excessively pronated or excessively supinated stride (yes, it is a myth that plantar fasciitis only affects overpronated feet), weakness in certain leg and foot muscles, trauma (such as stepping on something), or inappropriate footwear in terms of sole stiffness, stability, and cushioning.
4. Shin Splints (Medial Tibial Stress Syndrome)
This type of injury is also known as “shin splints” or tibial periostitis. It presents as pain on the inner side of the shin during running but can also occur while simply walking or even at rest. In some cases, it may be important to carry out further diagnostic tests such as X-rays or MRI scans. This condition is very common in all sports that involve significant lower limb activity. Worn-out running shoes and a rapid increase in training intensity over a short period of time are the main culprits.
5. Other problems and injuries
What we have just described are relatively specific situations. But there are other issues that may not necessarily cause pain or disability, yet are very important to consider as they are risk factors for injury, namely:
Balance – Running is a predominantly linear sport, meaning it is done mostly in a straight line, even in trail running. For this reason, and contrary to what one might think, runners usually have poor balance. This increases the likelihood of injury when the running surface changes and when fatigue sets in, and it is a major risk factor for ankle sprains, among other problems.
Muscle Density – Just because runners are usually lean does not mean they lack muscle. Quite the opposite. They do have muscle, and it is very resistant. This makes strength training highly advisable in order to improve muscle constitution. A muscle may be big but not dense. A better-constituted muscle will withstand the impact energy of each stride much more effectively.
Posture – It is important to be aware of how your body is positioned while running, as it directly influences your running mechanics. One of the most common characteristics is forward head posture, also known as “head-chasing”, which gives the impression that we are “chasing” our own head. Try lifting your head and perhaps avoid leaning your torso too far forward while running.
In general, listen to your body. Stretch properly at the end of your runs, give yourself proper rest, and sleep well. Stay well hydrated throughout the day (not just right before and after running), and avoid overtraining.
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