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Writer's pictureDr. Nicholas Tanner

The High Prevalence of Knee Injuries in Runners: Understanding, Prevention, and Treatment

Updated: Jun 10

Running is a popular and accessible form of exercise, but it also comes with its fair share of risks, especially when it comes to knee injuries. Understanding the common mechanisms behind these injuries and learning how to prevent them can help runners stay active and pain-free.


Common Knee Injuries and Mechanisms of Injuries in Runners


Knee injuries in runners are often the result of overuse, improper training, and biomechanical imbalances. Here are the most common types of knee injuries runners experience:

 

Runner's Knee (Patellofemoral Pain Syndrome): Characterized by pain around the kneecap, this condition is typically caused by repetitive stress on the knee joint, often due to improper running form or overtraining.

 

Iliotibial Band Syndrome (ITBS): This occurs when the iliotibial band, which runs along the outside of the thigh, becomes tight and rubs against the knee joint, leading to inflammation and pain.

 

Meniscus Tears: The meniscus is a piece of cartilage that cushions and stabilizes the knee joint. A sudden twist or turn can cause tears, leading to pain, swelling, and difficulty moving the knee.

 

Patellar Tendinitis: Also known as "jumper's knee," this injury involves inflammation of the patellar tendon, which connects the kneecap to the shinbone. It is usually caused by repetitive jumping or running activities.

 

Exercises to Reduce the Risk of Knee Injuries


It is impossible to say we can prevent knee injuries, but we can certainly reduce the risks significanlty. This involves strengthening the muscles around the knee, improving flexibility, and ensuring proper running form. Here are some effective exercises to incorporate into your routine:

 

Quadriceps Strengthening: Strong quadriceps help support and stabilize the knee joint. Try exercises like squats, lunges, and leg presses.

 

Hamstring Strengthening: Balanced strength between the quadriceps and hamstrings is crucial for knee health. Include exercises such as hamstring curls, deadlifts, and bridges.

 

Hip Strengthening: Weak hips can lead to decreased knee stability. Exercises like lateral step ups, side leg raises, and hip thrusts can improve hip strength.



Foam Rolling: Regular foam rolling of the iliotibial band, quadriceps, and hamstrings can help reduce muscle tightness and reduce the risk of injuries.

 

Stretching: Incorporate dynamic stretches such as high knees, leg swings, and lunges before running and static stretches such as hamstring stretch, pigeon stretch, and quad stretch after to maintain flexibility in your muscles and tendons.

 

How to increase your running distance/effort


Ensure you are progressively increasing your distance/effort. Doing too much, too soon may result in inflammation and a warning signal from your body. If you are running for miles, try to stick around an increase of 10-15% each week. If you are sprinting, typically 3x a week is plenty, but even then work up to this and be careful of volume. A good rule of thumb here is to increase by 10% volume!


An example of this is if I were to run one mile on Monday, on Wednesday, run 1.10 miles. If I were to do 10 all out springs on Monday, on Wednesday do 11. These are arbitrary numbers and require different demands from the body so I would not recccomend running for distance as well as sprinting in the same day. The focus of this article is not sprint based, that will be covered in the future.

 

Real-Life Success Story: Lyn’s Journey to Pain-Free Running

 

At Forward Physio, we’ve helped many runners overcome knee injuries and return to their favorite activities. Take Lyn's story, for example:

 

Lyn, an energetic and active individual, was sidelined by persistent low back pain and chronic knee pain that disrupted her love for running, water jogging, and tennis. Her coordination and endurance were also suffering, making it difficult for her to enjoy the activities she loved. Seeking relief, Lyn came to Forward Physio.

 

We designed a personalized program starting with low-impact exercises in the pool to reduce strain on her knees while improving her form and strength. In just two weeks, Lyn experienced significant improvement. She was water jogging with proper form, and her knee pain had vanished. Encouraged by her progress, we gradually introduced more challenging exercises.

 

Over the next few weeks, Lyn's transformation continued. She began jogging back and forth, moving side to side, and even hitting tennis balls on the court. Her coordination and endurance improved dramatically, and for the first time in months, she was able to run without pain.

 

Lyn's journey is a powerful example of how individualized  therapy and a supportive approach can restore not just physical health but also the joy of an active lifestyle. At Forward Physio, we celebrate Lyn's success and are proud to have been part of her journey back to doing what she loves.

 

When to Seek a Physical Therapist:

 

If you’re experiencing knee pain that doesn’t improve with rest and self-care, it might be time to seek professional help. Forward Physio can provide:

 

Accurate Diagnosis: Understanding the root cause of your knee pain is essential for effective treatment!

 

Personalized Treatment Plans: Tailored exercises and therapies to address your specific needs and goals.

 

Advanced Techniques: Methods like dry needling, cupping, and manual therapy to relieve pain and improve function.

 

Why see us?

At Forward Physio, we specialize in helping athletes and active individuals overcome injuries and improve performance. If knee pain is holding you back, don't wait. Book a free discovery call today to find out how we can help you get back to your favorite activities, pain-free.

 

Contact us now to schedule your free discovery call and take the first step towards a pain-free life!

 

By addressing knee pain with targeted prevention strategies and professional treatment, runners can enjoy their sport safely and effectively. Let Forward Physio be your partner in achieving excellence in movement and health.


Dr. Nicholas Tanner

 

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