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Runner’s Knee and Common Running Niggles: How to Avoid Them

Runner’s Knee and Common Running Niggles: How to Avoid Them

Sports Injury
If you love running laps around Albert Park Lake or weaving through the South Melbourne Market streets, you’re in good company. Running is brilliant for fitness — but knee pain, shin splints, and Achilles issues can make it a slog. Here’s how our physios keep their running clients training consistently, without the niggles.

The most common running related injuries

Some of the common runner-related aches and pains we see include:

  • – Runner’s knee (patellofemoral joint pain): We typically see pain around or behind the kneecap, and it can be more painful after going up and down stairs or hills, or once getting up after sitting for extended periods.
  • – ITB irritation: This tends to present as pain on the outside of the knee pain, and usually we see this closely linked to a sike in training loads, or a weakness and/or tightness of the muscles further up around the hip or lower back.
  • – Shin splints (medial tibial stress): So many runners have experienced this pain, with aching along the inside of the shin. Usually it warms up – even if the first few k’s are very painful – and you’ll forget about it but then after you cool down it comes back to bite you.
  • – Achilles tendinopathy: This will be you if you feel like you can hardly get your heel to the floor on the morning after a run. Likewise, it tends to improve after an hour or two in the morning of walking around, but can also be really stiff when you start your next run.

Why do these happen to runners?

Most running pains come from a mix of training load (too much too soon), strength deficits (hip/knee/calf), and sometimes running technique. There are a number of other factors like the surface you run on, the shoes you run in and many more, but the training plan you’ve got and the strength of your muscles are the biggest levers. There should also be consideration to your overall health. These include things like your diet, sleep patterns and stress level.

How we assess running injuries

  • – Training history: weekly mileage, long run jumps, speed sessions, and rest days. We’ll also look to identify any gaps in your program like your gym or Pilates program to adjunct your running.
  • – Strength & control: single-leg strength, calf capacity, and hip control.
  • – Running mechanics: cadence, overstriding, and posture — simple cues can help.
  • – Surfaces and footwear: matching shoes to your training load and comfort.

Simple fixes that help runners

  1. 1. Adjust the plan. Pull back slightly (if required) on your kms per week, keep frequency the same, and build back up gradually.
  2. 2. Strength first. Hips, quads, and calves are your shock absorbers. We’ll make sure you know exactly the right exercises you need to make sure these are up to scratch, and you’re training them at least twice per week.
  3. 3. Cadence tweaks. A small step-rate increase can reduce knee load for some runners. For some people it isn’t the right fit, but we’ll look at your specific running technique and see if this is an appropriate fit for you.
  4. 4. Hill and speed control. Everyone hates hill runs, right? But add these in and work with your speed or interval sessions and we’ll find the perfect receipe for you. 

Want a plan that fits your running? Book with our South Melbourne physios — we’ll keep you moving around Albert Park without the setbacks.