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Writer's pictureScott Sutter

Common Running Injuries: Causes and Treatments

Updated: Oct 13, 2023

Are you a runner who's ever felt a niggle or ache and wondered if it's time to see a doctor? Many of these discomforts are early warning signs of common running injuries. Running injuries account for a significant number of sports-related hurt and they can happen to anyone, from beginner to pro. Therefore, understanding the causes, signs, symptoms, and the available treatments and preventions is a crucial part of keeping your running regime healthy and sustainable. This comprehensive guide will delve into the common running injuries, their diagnosis, treatment, prevention, and the psychological aspect surrounding them. It will further guide you about returning to running post-injury.





Comprehensive Guide to Running Injuries


Understanding the Basics of Running Injuries

Running injuries refer to a range of injuries that commonly afflict distance runners. They typically emerge due to overuse, incorrect running technique, or inappropriate running shoes. Understanding these injuries, including their symptoms, causes, and treatment options, can help you prevent them or seek immediate attention. Whether you're a novice runner or a seasoned marathoner, knowing about these injuries is crucial for your running journey.


Definition of Running Injuries

The term running injuries encompass all injuries that occur during or as a consequence of running. These injuries often involve the lower leg, from the hip muscles down to the calf muscles. Such injuries compel runners to significantly reduce their running volume or completely stop their training to allow for healing and recovery. It's imperative to recognize the first signs of a running injury and consult a health care provider for proper diagnosis and treatment.


Common Causes of Running Injuries

Common running injuries often occur due to a combination of factors such as increasing weekly mileage too quickly, poor running form, overused running shoes with insufficient shock absorption, and incorrect shoe type for one's running style and foot shape. Other causes include excessive repetitive stress on the same set of muscles and connective tissue without adequate recovery time. Regularly alternating the type and intensity of workouts can help prevent running injuries.


Risk Factors Associated with Running Injuries

Failing to properly warm up, including stretching the hip flexors and tight calf muscles, significantly increases the risk of related injuries. Personal factors such as previous injuries, age, and certain health conditions can further elevate this risk. Regularly practicing good running form and conditioning exercises can keep these risk factors at bay and ensure a healthier running practice.





Types of Common Running Injuries


Runners Knee (Patellofemoral Pain Syndrome)

Runner's knee, medically reviewed and often addressed by sports medicine professionals as Patellofemoral Pain Syndrome, is characterized by dull pain around the kneecap. Treatment includes rest, strengthening exercises, and anti-inflammatory medications. Dedicated preventive exercises focusing on the hip extensor muscles could significantly minimize the likelihood of such injuries.





Shin Splints (Medial Tibial Stress Syndrome)

Shin splints, or Medial Tibial Stress Syndrome, is a common injury resulting in shin pain. Pain occurs either on the front outside of the leg or the inner edge of the bone where the calf muscle attaches, which can lead to severe calf pain. Depending on its severity, treatment ranges from self-care remedies such as rest, ice, and over-the-counter inflammatory drugs to physical therapy. A foam roll is a handy tool to ease the pain caused by shin splints.





Achilles Tendonitis

Achilles Tendonitis or Achilles Tendinopathy results from inflammation of the Achilles tendon, which connects your calf muscle to your heel bone. With timely treatment that includes rest, ice, compression, and elevation (RICE), a vast majority of cases can be treated successfully. Though neglected cases might require more advanced treatments like platelet-rich plasma treatment to stimulate healing.





Plantar Fasciitis

Plantar Fasciitis, more prevalent among yale medicine athletes, causes a sharp pain in the heel or the bottom of the foot. The condition occurs when the strong band of tissue that supports the arch of your foot (plantar fascia) gets inflamed. Treatments include rest, strengthening exercises, and over-the-counter anti-inflammatory drugs.





Stress Fractures

Experience of stress fractures is widespread among runners, especially those who suddenly increase their running intensity or volume. A stress fracture is a small crack in the bone that causes pain and discomfort. You must consult with a sports doctor for advice on the appropriate duration of rest and rehabilitation strategies.





Iliotibial Band Syndrome (ITBS)

Iliotibial Band Syndrome (ITBS) is characterized by pain extending from the outside of the knee to the outside of the thigh. It often crops up among runners who don't stretch adequately before running. Treatment revolves around reducing inflammation, stretching, and gradually returning to sports activities.





Ankle Sprains

Ankle sprains are common among runners, especially trail runners who run on uneven surfaces. Immediate care is crucial, and treatment usually involves a series of measures - applying ice, compression, elevation, and rest.





Hamstring Injuries

Hamstring injuries are often due to muscle imbalance or lack of flexibility. Besides rest, effective treatment may include physical therapy to help improve flexibility and strength.





Pulled Muscles

Pulled muscles can occur anywhere in the body, but in runners, hamstring, calf, and groin muscles are particularly susceptible. Usually, rest, ice, compression, and elevation—commonly known as RICE therapy—are sufficient treatment.


Hip Bursitis

Hip Bursitis is an inflammation of the bursa in the hip, causing side hip pain. Following a proper rest and recovery schedule, combined with the intake of prescribed anti-inflammatory medications usually completes recovery effectively.





Running Injuries: Diagnosis, Treatment, and Prevention Tips


Diagnosing and Treating Common Running Injuries

Every sports medicine enthusiast or health care provider understands that running injuries are part of the journey. From shin splints to achilles tendinitis, athletes often grapple with various issues related to their lower leg wellbeing. A proper diagnosis is critical in determining the most effective treatment, which may involve physical therapy, inflammatory medications, or changes in their running technique.


Diagnosis of Running Injuries

A proper diagnosis of running injuries involves an in-depth examination by a sports doctor or other health care provider. For instance, achilles tendinopathy may be diagnosed through a physical examination and the patient's history. Some symptoms may include tight calf muscles or lower back pain. X-rays might also be suggested to rule out conditions such as stress fractures.


In cases of plantar fasciitis, a condition common among distance runners, a medical review could involve simple tests like foot arch examinations and checking for areas of tenderness. Medically reviewed cases of shin splints or medial tibial stress syndrome often involve radiographic studies to determine the extent of the injury.


General Treatments for Running Injuries

Treatment includes various approaches and often depends on the diagnosed running injury. Regardless of the issue, first-line treatment usually features rest, use of anti-inflammatory drugs, and ice application. All these interventions aim at reducing inflammation and easing pain.

For certain conditions like stress fractures, band syndrome, or achilles tendinitis, health care providers might recommend wearing braces or immobilization. In more severe cases, surgical interventions may be required. For instance, achilles tendon injuries might require surgical repair.





Specific Treatments for Each Common Running Injury

Often, each running injury warrants a unique treatment plan. Achilles tendinopathy treatment could include eccentric exercises (like heel-drops) which help to stimulate healing. Patients may also make use of a foam roll on calf muscles to ease tightness.

For conditions such as plantar fasciitis, the treatment could include wearing night splints and stretching exercises for the hip flexors and calf muscles. Bone stress injuries such as stress fractures, on the other hand, might necessitate periods of no weight-bearing followed by a gradual return to running.


The Role of Physical Therapy in Running Injury Recovery

Physical therapy is a critical element in recovering from running injuries. Experts from institutions such as Yale Medicine have recommended therapeutic exercises that target specific muscle groups related to the injury, like the calf muscle or hip extensor muscles. Therapy aims to restore strength and flexibility, while also improving running technique.


Prevention Techniques for Running Injuries

Preventing running injuries involves proactive measures such as wearing correct running shoes, proper training, stretching, and strengthening exercises. These techniques help reduce the risk of common running injuries, including sprains, shin pain, and tight calf muscles.


Importance of Appropriate Footwear

Wearing the correct shoe type is a fundamental preventive measure. Overused running shoes or incorrect shoe type can contribute to injuries by reducing shock absorption. It's crucial to replace running shoes frequently, once the outsoles start to wear out. Ensuring proper footwear sizing aids in its ability to safeguard against common running injuries.


Training and Technique Modifications

Runners can prevent injuries by paying attention to their running volume and technique. Sprinting or increasing weekly mileage too quickly can lead to unnecessary stress on lower extremities, causing related injuries. A health care provider or physical therapist can provide guidance and tips on running form to avoid the risk of injuries.


The Proper Stretching Routine

Stretching before a run is crucial for optimizing performance and preventing injuries. Dynamic stretches, like leg swings and high knees, improve flexibility and increase blood flow to muscles, enhancing their elasticity. This prepares the body for the demands of running, reducing the risk of strains and sprains. Focus on major muscle groups, such as hamstrings and quadriceps, to ensure a comprehensive warm-up. Engaging in a dynamic stretching routine primes your body for the upcoming activity, promoting better stride length and overall running efficiency.





Strength Training and Conditioning

Implementing strength training programs that target the running-related muscle groups, such as the hip muscles and the lower-leg muscles can prevent running injuries. Exercises like squats, lunges, and calf raises can condition these muscles and connective tissue, helping runners maintain a healthier running form and reduce injury risk.

The Psychological Aspect of Running Injuries | Comprehensive Guide

The Psychological Aspect of Running Injuries

Injuries associated with running, whether they are stress fractures, shin splints, or ankle sprains, are not just about the physical devastation. They also carry a psychological burden that wil often go unnoticed unless it is primarily addressed. This was medically reviewed and also found by Yale Medicine. Running injuries can affect mental health, as they intrude into the regimen of distance runners and cause distress.


Impact of Running Injuries on Mental Health

Common running injuries such as Achilles tendinopathy or plantar fasciitis can disrupt your running volume and technique, leaving you grappling with frustration and demotivation. The emotional impact can be further exacerbated if a health care provider prescribes a significant break from running to ensure recovery. With the proper diagnosis and treatment, runners can improve their mental health while recovering from these injuries.


Strategies for Dealing With the Emotional Impact of Running Injuries

Ensuring you maintain a positive mindset amid the storm of injuries is crucial. One way to cope with the emotional stress is to remain active, focus on other aspects of fitness, like upper body strength, or even have alternative sports that you can engage in. Another tactic is to understand that injuries are not a halt but a part of the running journey. Recovery involves managing tight calf muscles, related injuries, and other physical therapy needs.

The Road to Recovery: Returning to Running Post Injury

Once an injury such as medial tibial stress syndrome has been acknowledged and addressed, a runner might be faced with the challenge of returning to running. This requires careful maneuvering in the decision to evaluate one's readiness, the implementation of the right strategies for a safe return, and avoiding the same old common running injuries.


Understanding When to Return to Running

Getting back into the sport involves more than just a resolution of the shin pain or stress fractures. It involves ensuring your calf muscle strength is up to par, hip muscles, and especially your connective tissue structure, are all robustly healthy. Using methods like foam roll assists in ascertaining whether a return to running after a specific time period, such as lower back pain recovery, might be feasible.


Strategies for a Safe and Effective Return to Running

A slow and steady comeback is always a recommended approach by sports medicine doctors after an ankle sprain, achilles tendon injury or any other running injury. This ensures your body gets accustomed to the demands of running while carefully avoiding overuse and minimizing chances of re-injury. Ensuring the correct shoe type for adequate shock absorption is paramount. Other strategies might include modifying your running technique and slowly increasing weekly mileage to let the body readjust.


Ongoing Practices to Minimize Running Injuries

Incorporating a proper cooldown routine, addressing any poor running form, and replacing overused running shoes are key practices to reduce the risk of common running injuries. Additionally, preventative measures such as using anti-inflammatory medications, where appropriate, under the guidance of a health care provider can be beneficial. Also, integrating lower leg strengthening exercises, improving your hip extensor muscles and flexors, regular checks with a sports doctor can contribute significantly in warding off potential injuries.

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