Running Injuries

Running Injuries Choice City Physical Therapy

Common Running Injuries

  • Patellofemoral pain syndrome

  • Plantar fascitis

  • Achilles tendinitis

  • Shin splints

  • Hamstring issues

  • Stress fractures

  • Hip flexor strain

  • Iliotibial band syndrome (ITB)

Causes Of Running Injuries

The causes of running injuries can often be difficult to pinpoint.  Generally they can be broken down into two categories; overuse injuries and traumatic/acute.  Often the lines between these are blurred and can share things in common. Overuse injuries can be looked at as those nagging aches and pains that have a vague starting point.  "I'm not really sure how it began, just started hurting one day and has been getting worse since." Sound familiar?  If so, it may be an overuse injury either caused by ramping up mileage too fast, trying new shoes that don't work, or maybe tightness in the hip is showing up as knee pain, etc.  Traumatic or acute injuries have more of a starting point. "I was trail running and felt a sharp twinge in my ankle or hamstring and then it was painful to keep going."  These tend to have a known cause or incident that started the pain.  Sometimes these are due to bad luck (ie stepped on a loose rock and rolled an ankle) or due to underlying problems somewhere. 

Running Facts

  • Static body alignment/posture has no statistical correlation with injuries experienced while running (the small exception is ankle motion and patellofemoral pain)

  • Foot orthotics are beneficial for helping with foot/ankle running issues.  There is no evidence that custom orthotics are superior to properly fit/modified over the counter options

  • Despite common belief, running does not increase risk of developing knee arthritis

  • Minimalist running shoes have not been shown to decrease the overall incidence of injuries.

  • Trail runners have lower incidence of injury compared to road runners

Treatment options and how physical therapy can help

There are many treatment options available for dealing with running issues.  First and foremost is a proper diagnosis of both the pain being felt, and the cause of that pain.  Physical therapy can help you identify those issues and get you started on the path of recovery. Those issues could be any (but not limited to) the following:

  • Hip range of motion limitation

  • Incorrect footwear for your foot type and running pace

  • Front foot in gait loading issue

  • Back foot in gait pushoff issue

  • Big toe limitation/ankle limitation

  • Incorrect Orthotic


Sam at Choice City PT has over a decade of experience helping runners of all abilities with rehabilitation, shoe fit/function as well as orthotic evaluation/fabrication.  Call the clinic to see if an evaluation is something that might help you run pain free.