Five Common Running Injuries and Tips to Help Prevent Them - Wes Bailey, MD, CAQSM
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Five Common Running Injuries and Tips to Help Prevent Them

five common running injuries and tips to help prevent them

Five Common Running Injuries and Tips to Help Prevent Them

November, 2016

Nowadays runners are more informed about proper training and injury prevention than ever before, but some are still unable to recognize the signs of potentially serious injuries.

Hamstring Strains
Hamstrings strains are common in athletes. They often happen while decelerating, but can occur during any part of your running stride. You risk strains when you warm-up or train improperly. Hamstring pain affects the back of the thigh and is felt when bending or straightening your knee. It can be sudden and severe, or more like a twinge, and may be combined with bruising, swelling, weakness, numbness or tingling. Recovery time depends on injury severity and treatment approach that may include rest with ice, compression and elevation (RICE).

Patellofemoral Pain Syndrome (a.k.a. Runner’s Knee or Jumper’s Knee)
If you have kneecap (patella) pain, with or without swelling, that gradually develops while you’re doing dynamic activities such as running, squatting and staircase usage, you may have runner’s knee. It is commonly caused by overuse and abnormal kneecap movement during activity. Other factors include lower body muscle imbalance or lack of strength. Runner’s knee typically responds to short-term activity change and physical therapy. Chronic pain might indicate internal knee damage that may require further treatment, including surgery.

Shin Splints (Medial Tibial Stress Syndrome)
“Shin Splints” refer to inflammation of the inner shinbone from an activity routine your body is not ready to handle. Many cases develop from running and dancing. Pain and swelling typically clear after a few weeks of rest from activities. Once you’re pain-free, you can gradually increase your activity levels. If symptoms return, see your doctor.

Achilles Tendinitis
The Achilles tendon is the largest tendon in the body. If you increase your training too quickly, have tight calves or wear high-heel shoes, you can put too much stress on your Achilles tendon and cause it to become inflamed. Pain and swelling are hallmarks and it can take months to recover. Treatment may include anti-inflammatory medication, activity modification, heel lifts, shoe inserts (orthotics) and physical therapy. For similar ailments involving tendon damage, treatment regimens can vary.

Stress Fracture
A stress fracture develops when repetitive running overwhelms the bone, resulting in a weak point that eventually cracks. A classic sign is pain while running. Stress fractures commonly develop in the legs and too often go ignored. This can lead to disability. Thus, activity that leads to bone or joint pain should be immediately addressed with your physician. Treatment entails guided activity changes and often a modification in weight-bearing.

Injury Prevention
• See your doctor and ask for a wellness exam that includes a musculoskeletal assessment.
• Buy running shoes with good arch support and a small amount of room at the front of the sneaker.
• Calculate your daily caloric and nutrient (for example, carbohydrate and protein) requirements. This is important for performance and recovery.
• When feasible, run on soft surfaces to reduce impact to your legs. Slowly advance your training with respect to mileage, speed and course.
• Allow running rest days.
• Periodically check your sneaker tread for excessive or uneven breakdown.
• Most importantly, listen to your body and address musculoskeletal pain or swelling, especially if it lasts more than a few days. Seeing your doctor sooner rather than later can help prevent long-term problems.