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Running Injuries - Management and Prevention

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Runners and joggers frequently suffer from running injuries. Read the below article to learn more.

Written by

Dr. Neha Rani

Medically reviewed by

Neha Suryawanshi

Published At July 19, 2023
Reviewed AtFebruary 23, 2024

Introduction:

Running is an increasingly popular form of exercise that has many positive effects on physical and mental health. Running does, however, carry the danger of injury that comes with any physical activity. To guarantee a safe and happy running experience, regardless of whether one is a seasoned marathon runner or a recreational jogger, it is critical to be aware of the possibility of running injuries, understand how to treat them, and take preventive steps.

What Factors Increase the Likelihood of Injuries While Running or Jogging?

  • Overtraining - Muscles, tendons, and ligaments might become strained when one run more intensely and beyond their present fitness level. Shin pain is one such example.

  • Training Errors - Increases in training volume and intensity that are abrupt and sudden, overuse, and failure to provide enough recuperation time between strenuous workouts can lead to injuries.

  • Anatomical Abnormalities - Knock knees, bowlegs (bent legs), rotated (inward) thigh bones, flat feet, high arches, major pronation (the manner in which the foot moves inward to distribute impact as a person lands) or supination (outward rolling of the foot with a high arch), and uneven leg lengths are a few anatomical abnormalities that make a person more prone to injuries while running.

  • Muscle Imbalance - Discrepancies in the flexibility of opposing muscle groups, overly tight or loose muscles, and differences in the strength of opposing muscle groups (hamstrings and quadriceps, calf and tibialis anterior, hip flexors and hip extensors, etc.) make a person more prone to injuries.

  • Inadequate or Poor Technique - Injury risk might rise with poor running form. For instance, jogging with flat feet strains the shin muscles and may result in minor rips. Excessive turning and twisting movements, overstriding, and landing on the heel or forefoot with too much force also increase the chances of injury.

  • Improper Shoes - Insufficient arch support, inadequate pronation or supination control, inadequate cushioning, and excessively worn shoes all these factors increase the risk of injury while running. It can also cause blisters and shin pain.

  • Improper Clothing - Improper clothing can cause damage from cold, sunburn, or overheating.

  • Inadequate or Insufficient Dietary Practices - If there are improper calories, liquids, calcium, electrolytes, or other nutrients consumption, there are chances that the athletes will suffer more injury.

What Are the Most Common Running Injuries and Their Prevention?

1. Runner’s Knee - Runner's knee, commonly referred to as Patellofemoral syndrome, is a prevalent overuse injury with multiple underlying causes. It frequently occurs due to misalignment of the kneecap along with cartilage degeneration. Runners experiencing this syndrome encounter knee pain and stiffness. This is most often followed due to extended sitting and knee-bending periods due to squatting and climbing stairs. Patellofemoral pain syndrome primarily manifests in runners who have conditions such as knocked knees, bowed legs, and flat feet. Another contributing factor is the presence of muscle strength imbalances between the quadriceps and hamstrings.

Prevention - Medical professionals advise the use of anti-inflammatory medication along with specific exercises that aim at strengthening the quadriceps and stretching the hamstrings.

2. Stress Fracture - It is a tiny bone crack that pains and is uncomfortable. Runners frequently experience pain in their feet and shins. It frequently results from exerting too much effort before the body adjusts to a new task. The clinical manifestations include localized discomfort and soreness.

Prevention - Athletes who encounter signs of stress fractures should stop running and contact a sports doctor to prevent major bone injury and speed up healing. If a stress fracture is found, rehabilitation includes changing one's diet and exercise regimen, getting new shoes or using orthotics, and engaging in cardiorespiratory exercises like swimming, pool jogging, and cycling that do not put undue strain on the injured bone.

3. Shin Splints - Shin splints are used to describe discomfort and soreness along the shin bone. Doctors refer to the injury as medial tibial pain syndrome when it extends down the inside side of the shin from a few inches (about 1.97 inches or 2.36 inches) below the knee to the ankle. The pain and discomfort are caused due to inflammation of the tissue lining the bone. They can be difficult to distinguish from a shin stress fracture in terms of discomfort, although the pain is typically distributed more evenly along the bone. X-ray is mandatory to distinguish between stress fractures and shin splints.

Prevention - A sports doctor should be consulted by runners who experience shin discomfort, as the best course of action depends on the reason for its occurrence, which is challenging to determine on their own. Also, healthcare experts are contacted as runners who continue to run without the right care are more prone to stress fractures. Stretching exercises and reducing the frequency of running help to hear shin splints.

4. Achilles Tendinitis - The Achilles tendon, which joins the calf muscles to the heel bone, is prone to inflammation and deterioration, leading to Achilles tendinitis. Pain or burning sensation, as well as stiffness, are symptoms of Achilles tendinitis. These symptoms are worst in the morning and while being active. It is typically brought on by the tendon being repeatedly stressed. One could experience it if increase their running distances excessively. Tight calf muscles might also be a factor.

Treatment - Stretching the calf muscles, rest, and ice packs help in treatment and prevention.

5. Muscle Pull - It is also known as muscle strain and is described as a small tear in the muscles. Overstretching a muscle is frequently the cause of injury. One could experience a popping feeling after pulling a muscle.

Treatment - It includes RICE (rest, ice, compression, and elevation).

6. Ankle Sprain - It occurs when the ligaments around the ankle are accidentally stretched or torn. When the foot rolls in or twists, it frequently occurs.

Treatment - It includes RICE (rest, ice, compression, and elevation).

7. Blisters - These appear on the skin's surface and are filled with fluids. They develop as a result of skin-to-shoe/sock contact friction.

Prevention - Petroleum jelly is applied to the area that is prone to friction and blisters. Double-layered socks should be used. The use of comfortable and new shoes also helps to prevent blisters.

8. Plantar Fasciitis - Plantar Fascia is a substantial band of tissue that runs from the bottom of the heel to the toes on the sole. Plantar fasciitis is the inflammation of the plantar fascia, and it begins with excruciating heel pain, especially while taking the first steps in the morning.

Treatment - Stretching of the calf muscles, wearing comfortable shoes, rest, and ice compression at the sole.

9. IT (Iliotibial) Band Syndrome - Pain is present on the outside portion of the knee. It is a ligament that extends from the top of the hip to the outside of the knee.

Prevention - Putting ice over the area after an activity, stretching, warming up before a workout, and reducing the amount and frequency of exercise.

10. Injuries Caused Due to Temperature Extremes - These injuries include sunburn, frostbite, hypothermia, and heat exhaustion.

Prevention - Using sunscreen, wearing proper clothing and footwear, and keeping oneself hydrated are a few ways to prevent such injuries.

How Are Common Running Injuries Treated?

  • Ice compression and cold therapy.

  • Rest.

  • Pain relievers like Paracetamol and Ibuprofen.

  • Compression for stabilization of the affected area and prevention of swelling.

  • Elevation of the affected area for swelling reduction.

  • Stretching of the affected muscle to decrease pain and tension.

Conclusion:

Running accidents may be difficult, but with the right management and precautions, one can reduce their likelihood and speed up recovery. It is very important to pay attention to the body, get expert guidance when necessary, and prioritize a well-rounded running strategy that includes rest, recovery, and an emphasis on injury avoidance. A runner may continue to benefit from the physical and psychological advantages that running has while lowering its risk of injury by using these tactics.

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Neha Suryawanshi
Neha Suryawanshi

Nutritionist

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