Running Injuries

What are some common running injuries?

Running injuries can affect different parts of the body. Here are some of the more common injuries:

·  Foot / Ankle

o  ankle sprain

o  blisters

o  plantar fasciitis (a painful inflammation of the bottom of the foot between the ball of the foot and the heel)

o  stress fracture

·  Lower Leg

o  calf strain

o  stress fracture

·  Knee

o  runner's knee (patellofemoral pain syndrome)

o  jumper's knee (patella tendonosis)

o  iliotibial band syndrome (inflammation and pain on the outer side of the knee)

·  Hip / Thigh

o  iliotibial band syndrome

o  quadriceps strain

o  hamstring strain

How can I avoid foot and ankle injuries?

·  Proper footwear is the key to preventing foot and ankle injuries. Make sure your shoes fit correctly. There should be some room for your foot to swell a little when you are running. Make sure the shoes have support in the correct places for the shape of your foot. Go to a store with staff who are knowledgeable about running to help you choose the right shoes

·  Running on proper terrain helps you avoid ankle sprains. If you run on trails, keep a careful watch for rocks, tree roots, and uneven terrain. If you run in cold weather, be careful with snow and ice. Choose paths that are well maintained

How can I avoid getting a stress fracture?

·  Choose softer running surfaces. Rubberized tracks, grass or dirt trails, and the beach are good surfaces. Harder surfaces such as asphalt, cement, and pavement increase the stress on your bones.

·  Do not increase your weekly running mileage by more than 10 or 15% each week. Adding too much mileage increases the risk of stress fracture. Every 4 to 6 weeks include a "back-off" week where you cut your weekly mileage by 50%. (For example, if you normally run 40 miles per week you would only run 20 miles during "back-off" week.) This "back-off" week allows your body to recover.

How can I avoid getting muscle strains?

·  Make sure to include a proper warm-up before you run. Do NOT perform traditional static stretching. This has been shown to increase the risk of injury. Do dynamic warm-up exercises instead. These exercises increase blood flow to the muscles, lubricate the joints, and increase flexibility. Examples of dynamic warm-up exercises include jumping jacks, squat thrusts, push-ups, and other calisthenic type exercises. Only after you perform the dynamic warm-up should you do a short warm-up period of 5 to 10 minutes of walking or easy jogging.

How are these injuries treated?

Treatment depends on the kind of running injury that you have.

·  Stress fractures require rest, time off from running, and often the supervision of your healthcare provider.

·  You may be able to still run with minor muscle strains, but you may have to run slower or a lesser distance.

·  For some injuries like ankle sprains you may need to go to a physical therapist for corrective exercises.

When can I return to running?

Your return to running depends on the nature and severity of the injury. It may take 1 to 2 weeks to heal a minor muscle strain or ankle sprain. It may take several months to heal a significant stress fracture. Follow your healthcare provider's advice about returning to any running activity.

Written by Lee Mancini, MD., CSCS.

Published by RelayHealth.
Last modified: 2009-02-18
Last reviewed: 2009-01-21

This content is reviewed periodically and is subject to change as new health information becomes available. The information is intended to inform and educate and is not a replacement for medical evaluation, advice, diagnosis or treatment by a healthcare professional.

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