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The 6 most common running injuries

Ashley Crossman, Ph.D. is a certified RRCA running coach and ACE personal trainer. She owns her own coaching business, She Runs Strong, and has been the running coach for two charity training teams in Phoenix, Arizona: the MS Rockstars (...

Causes and solutions

There is no one reason why runners get injured, but a pretty consistent interaction of factors plays a role in most runner injuries.

Causes and solutions


Problem: Runner's knee

Runner's knee, the common nickname for patellofemoral pain syndrome (PFPS), refers to pain in and around the kneecap, or patella. The pain can be sharp and sudden or dull and chronic, and it may disappear while you're running, only to return again afterward. Steps, hills and uneven terrain can aggravate PFPS.

Patellofemoral pain syndrome can occur in one or both knees. It typically manifests in younger, recreational runners and in twice as many women as men. This is because women tend to have wider hips, which ultimately puts more stress on the kneecap.

Causes: Runner's knee can be attributed to several things, and pinpointing the exact cause can be difficult. One cause is limited flexibility in the quadriceps, hamstrings or calves. Muscle weakness, particularly in the hips and quadriceps, may also play a role. Biomechanical faults like excessive pronation, worn-out or improper shoes and training errors such as doing too much speed or hill work or increasing mileage too quickly can also contribute to runner's knee.

Solution: To ease the pain of runner's knee, start by stretching, massaging and foam-rolling tight muscles — particularly the quadriceps, hamstrings and calves. Examine your shoes for excessive wear and replace them if needed. Rest and reduce hill work, speed work and overall mileage until the pain subsides. Ice the knee(s) several times per day. Strength training can be very effective at easing the pain of runner's knee, as it often is a symptom of weak muscles. Focus on the hip muscles and quadriceps in particular. Orthotics may also help control excessive pronation. Finally, if these at-home solutions do not provide relief from runner's knee, physical therapy may help.

Back to the running injuries directory

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