TL;DR Gradually increase mileage, incorporate strength training, ensure proper nutrition and hydration, use appropriate footwear, and listen to your body.
Gradual Mileage Increase
One of the most emphasized strategies for injury prevention is gradually increasing your running mileage. Many runners follow the 10% rule, which suggests only increasing your weekly mileage by about 10% [1:3]. This helps prevent overuse injuries that often result from sudden increases in distance
[2:3]. Additionally, balancing your weekly runs so that your long run doesn't exceed the sum of your weekday miles can be beneficial
[1:2].
Strength Training
Incorporating strength training into your routine is crucial for maintaining muscle balance and reducing injury risk. Strength workouts targeting muscles beneficial to runners have been shown to significantly reduce injuries [2:1],
[3:3]. Exercises focusing on glutes, quads, hamstrings, and other lower body muscles are particularly important
[4:1].
Proper Nutrition and Hydration
Ensuring adequate nutrition and hydration is vital for recovery and performance. Eating enough, especially before long runs, and staying hydrated at all times can help prevent fatigue-related injuries [1:1],
[3:1]. Recovery through proper nutrition and sleep is also emphasized as a key component of injury prevention
[3:3].
Appropriate Footwear
Wearing properly fitting shoes is essential for preventing injuries like shin splints and blisters. Visiting a specialty running store to find shoes that fit well and replacing them regularly (every 350-500 miles) can make a significant difference [2:8]. Soft surfaces like grass or dirt can also reduce impact forces
[2:7].
Listening to Your Body
Listening to your body and recognizing the difference between discomfort and injury is crucial. Taking breaks when needed and not pushing through pain can prevent long-term injuries [5:5],
[5:7]. Ensuring easy days are truly easy and finishing runs while still feeling strong can also contribute to longevity
[3:1],
[5:8].
By following these guidelines, you can enjoy long-distance running while minimizing the risk of injury.
Hey! I am a fairly new runner and have been running regularly for just over a year. I love it so much and have had a huge fear of being injured as I don’t know how my mental health would cope without it.
I’ve recently been increasing my runs from 10k to 15-17k once a week. I usually run three times a week; one 10k, one 15k (used to be 10) and one 5k. I also strength train 2x a week.
Only in the past few weeks have I been increasing my 2nd run to 15k and above. I have tried hard to fuel myself properly, brought gels and even bought some new shoes after a painful runners toe incident (which really helped and got my average pace to below 5 min per km!). Today I ran 15k and my knee is so sore. I kind of knew in the last 5k (coming home) that it was f*cked but thought I might as well continue to run slowly as it will get me home quicker.
Obviously I’m thinking of foregoing my 5k on Sunday and will strength train instead but I wondered if anyone could advise on increasing distances with minimal injury? It seems that every week its something now I’ve been increasing that one run.
I don’t have a race planned and I just run for fun but I would love to reach a half marathon length run this year but without injury!!
I used to occasionally have pain and even injuries even when being careful about not increasing my mileage too fast. Then I learned while training for a full marathon that my week was imbalanced; I didn't run enough on weekdays compared to my long run on the weekends. I'd do a few 3-4 mile runs during the week and blast 15 miles on Saturday. Now I try to make sure the weekend long run doesn't exceed the sum of weekday miles. Only managed a 3 and a 4 miler during the week due to weather/work/life? I've only "earned" 7 miles for my long run on the weekend.
It sounds like this isn't exactly your problem; more like you're doing two long runs and only one short one. I'd do two short, a medium, and a long, or something like that.
Usually pain is caused by insufficient rest and/or too much, too fast.
I have heard it’s best to increase mileage only once every other week and/or weekly but very gradually.
For every other week you, increase one week, do the same mileage the next week to lock it in. Then the following week you can push it up again.
The increases also shouldn’t be huge. There’s a general 10% rule where you only increase your mileage by about 10% each week. So if you’re running 25k one week, your increase the next should only be about 2.5k. You have been increasing by double that (5k).
So you may need to slow down and scale back your increases.
Also, you should think about varying your runs as well. Instead of just doing distances, you should think about varied intensity. A fast interval work out may only total 3.5k in distance, but it really helps with speed and adaptability, which are just as important for distance running as long runs and recovery runs.
Here’s a good article from Nike Run on safely increasing distance without injury. https://www.nike.com/a/how-often-to-run
I recommend their free app. They have some training plans and various guided runs that are super helpful. I have done their half marathon training plan twice now and plan to use it again this year. They work in speed runs, long runs, and recovery runs each week, which keeps things interesting.
Hope all that helps! Good luck!
Thank you so much, this is great advice!
I do my long runs at an easy "conversational pace". I make sure I am eating enough the day before (and in general). Also making sure I'm hydrated at all times. I do a dynamic warmup up before and stretch afterwards. I do a cut back week every 3rd week where I cut mileage by 20-30%. I strength train once to twice a week.
Only time I've had over use injury is when I tried to increase mileage too fast or do too many hard workouts. YMMV.
Yep, I just saw a PT for ongoing IT band pain, and she said WARM UP first! It's no joke. She told that that even a five-minute dynamic warmup will make worlds of difference.
Airplane, grapevines, side shuffle, Walking toe-touches, etc.
>Airplane
Is this the one where we run around in circles with our arms out going "vroom vroom"?
This is really great advice. I will maybe give the 15k’s a break for a couple of weeks and definitely incorporate more warm ups!
Do you strength train? When I first started running (was a couch potato until 26), I injured myself with the most painful muscle strain because all I did was run. After recovering, I incorporated strength training, focusing on my legs. 40 now, have done a full marathon, haven’t had a single injury since.
Yes I do twice a week! I think it’s why I’m only just now getting injured a year in. So maybe I need to scale back the runs a bit and focus on strength training/mobility.
If you can add a fourth day of 5-10k (build up) it will really help build your endurance. Alternatively, build up your other runs so that your longest run is less than half your total distance; 1/4 to 1/3 is usually what's recommended. Also, slow down. You shouldn't be trying to set pace PRs on your runs.
Thank you. Yes I really get ahead of myself and go way too fast.
Hey everyone,
I'm a former competitive swimmer (swam for 8 years), and I started running a year ago as a hobby. I can run 3-6 miles comfortably, but I get tired after that.
Right now, I'm training for a marathon, which is in November. I've never run more than 7 miles in one go, but I'll have to do it on Saturday as part of my training.
For everyone who runs long distances and/or has completed a full or half marathon... How do you avoid injuries on long runs (8 miles, all the way up to a marathon)? My biggest problem has been shin splints so far, and occasionally blisters.
thank you!!!
Lots of good recommendations already.
I'd also recommend strength work. I used to get so incredibly sore and tired post long-runs. While I was careful to build mileage carefully, that soreness would continue to linger. I think only through the addition of strength work am I beginning to feel much more comfortable handling the stresses associated with long distances.
I can go through a number of examples of weak muscles leading to deficits in my running, leading to injuries.
This comment ^ has to be on top. The "secret" ingredient to high mileage injury-free running. I'm running for 8 consecutive years, have numerous (half)marathons, running around 800 miles a year, and I used to get injured regularly. There is no running injury that I haven't had. Once I started doing strength workouts for strengthening muscles that are beneficial to runners, poof, injuries gone. No serious injuries for two years straight.
What was your strength workout? Is it possible to do enough strength work for running with just bodyweight, or do you need access to a gym?
Unless you have a biomechanical issue, most injuries come from increasing too quickly, which is different from doing too much. High mileage is generally fine if you build up to it gradually, but if you build up quickly, it's a recipe for disaster. Generally you want to look at your total weekly mileage and make sure it's not too much higher than the week(s) before.
Here's an article about it which also links to some studies.
You can also reduce your risk of injury by taking care of anything that comes up as quickly as possible, i.e. stretching, massage, ice, physio, whatever the issue requires. If you let them linger without dealing with them while you're increasing mileage, there's a good chance they'll get worse with time.
That's a neat article that probably deserves its own post.
What I found most interesting was that an acute:chronic load ratio of 1.2 indicated an elevated injury risk albeit not as severe as the higher groups. It lends credence to the 10% rule as the fourth consecutive week of 10% mileage increase would have a ratio of just over 1.3
Of course, that doesn't include deload or maintenance weeks, but it makes for a good insight.
I think it got its own post when it was first published. It really is useful info!
Honestly, from what I can tell from watching peers, it's to spend some time before the marathon training cycle getting your body used to a base amount of mileage, running frequency, and long runs so that your body is adapted structurally to the impact forces. I don't think it needs to be on the order of years like some people claim, but at least a few months of consistent running at least 4 times a week with many of those runs being 5+ miles and some longer runs of 10+ miles. There's a coach Jason Fitzgerald who claims that he thinks it's a poor idea to start a marathon training cycle if running 10 miles is a big deal to you; then maybe your focus should be on shorter races for a little bit first.
You train properly and you don't jump from 3 miles to a marathon in a matter of a few months.
Former collegiate distance runner here. Soft surface (grass or dirt), good shoes from a specialty running store, and making sure to “keep easy days easy” all go a long way to preventing injury.
Anecdotally, most new runners that I’ve known have gotten injured by wearing worn down shoes and being a bit too gung-ho by not taking their easy runs as easy as they should. Soft surface also decreases impact and force your body to incorporate slightly different muscles for stabilizing.
I cannot stress enough the importance of proper fitting shoes. One day I decided to pop in on a running store when I saw the treadmills. Tried on 8 pair of shoes and literally felt the difference in each one. Now that I have a good fitting shoe I replace them religiously every 350-500 miles. Never a blister and no shin splints. Ever. Totally worth the money!
If you are a former swimmer, means you learnt how to swim. Same learn how to run with a specialist before running a Marathon. To invoid injuries best is to have a coach with Natural Running gate knowledge who can teach you how to start running-landing on the forefoot in a very very slowly way. That's basics. Then you will enjoy to go for a Marathon.
You know I only link to two things: Pfitz's pool running schedule, and Hutchinson articles :)
I am currently training for my next sprint triathlon which is about 8 weeks away and I am coming back this week after a week break (mentally and physically) from a previous sprint. Did a 5 mile run today and it felt great but when I came home my inner left ankle began to ache. Running is my strongest discipline but also the discipline I tend to get the most injuries from. How does one prevent this from always happening?! Advice would be greatly appreciated.
Strength training and do the minimum amount of mileage necessary. If you google “how to avoid running injury” you’ll find aome good prehab routines. Foam roll, stretch, but those are secondary to strengthening. Also focus on the bike- you can get massive aerobic gains for minimal injury risk. I was on limited run volume in the spring leading into Oceanside due to some niggles and I was doing 7-10 hours per week on the bike. When I came back to running this summer my run paces had improved dramatically. It doesn’t work forever but I think that’s one of the great things about tri- plenty of cross training to do and always something to improve upon
About 99% of runners/triathletes that start strength training after an injury say that they wish they would have started sooner. If you aren't doing a consistent strength training regimen....this is as close of a "must" as it gets.
Manage volume/intensity to the best of your ability. Overuse is one of the most common factors...especially in the feet/ankles.
Recover by eating enough and getting the best sleep you can.
-There is no guaranteed Injury Prevention. Injuries can be complex based on multiple factors. But we can control what we can control....do your best to manage volume/intensity, eat enough calories and protein and strength train atleast 2x per week.
I don't want to be a crazy miracle cure guy, but here I go anyway. Cold Plunge. I'm lucky to have gone 25 years in triathlon without injuries. But then, things started aching fairly regularly. For several months (a couple years ago) my knee just hurt all the time and I just got used to it. But, unrelated I got a cold plunge and started using it regularly. Not too long after I realized my knee didn't hurt anymore. I took some time off of plunging this summer and my hip started hurting, so I started getting in and it's now feeling better. Of course, both of those could have gotten better on their own, but I really think the cold plunge has a lot to do with it.
As I’ve gotten older, injury avoidance is the driving factor in my workouts. Second is trying to improve.
There will be a lot of answers. But 99% of prevention is sleep, nutrition, and strength activities or "pre-hab".
Sprinkle in a little bit of whatever your genetic propensity is for injury...and that's what you have to work with.
Aside from all that. What I see more often than not is people simply go to hard on easy days.
I’ve only been training for 5k runs and managed to get under 30 mins which i’m super happy about! The last two I’ve been able to push past the 5 to around 7-8K and towards my goal of 10K!
I’m getting a pain on the left side of my left knee towards the end of the run, at first it was starting around 5-10 mins in but now it’s coming on towards the end. Any tips on what to do to help prevent this? I believe it may be IT band? I am stretching to warm up and starting at a slower pace. Thanks!
Squats before starting, run less far or stop when the pain starts. I did that. Regular runs and slowly increase. Not from 5k to 8k. 5 to 6, regular 6k's then push to 7 etc. My most recent run was 17k, no pains. I have been running 10/11 k twice a week for a while before I started to increase distance on one run.
Will try the squats before and also going to be doing strength training from next week as I’ve just joined the gym. Good on you for increasing the mileage as well!
Could be related to ACL or IT band. Make sure you are doing run specific strength training: train glues, quads, hamstring. Do regular activation and stretches.
Before run do activation and warmup.
After run do cool down and stretch each major lower body muscle: gluteus, quads and hamstring.
Have joined the gym now so will be doing run specific strength training and hopefully that helps. I do cycle and swim as well but I know it targets different muscles. Thanks!
What’s your best tip to staying injury free? What have you done that helped with an injury and kept you running.
Post run stretch and cross train
I went the opposite way and stopped stretching after runs after having done it for 10 years. Now, 10+ years later and still injury free but I know that's N = 1.
I had a hip injury when I ramped up half-marathon training too quickly a few years ago, and this is exactly how I’ve avoided any more injuries since. I have picked up a kettlebell routine and use Yoga with Adrienne’s post-run videos after long runs. (Also being more consistent about my 2- to 3-mile maintenance runs in the off-season helps too. Way easier to ramp up to 13.1 from 3 than from 0.)
Stretching helped me so much. You can really feel the difference.
This is the answer for me. Cycling, swimming, and occasional strength training (nothing too intense - trying build resilience not hulk out of my clothes).
https://blog.mapmyrun.com/7-exercises-to-treat-and-prevent-it-band-syndrome/ No equipment required. Two sets of each exercise takes about 10 minutes. Knock it out 1-2 times per week����
Knowing your body helps a lot more than people realize. Knowing the difference between discomfort and an injury can be a complete game changer.
Years ago I was on a 3-ish mile run and my right knee started really hurting. I thought “I’ll just power through the pain.”
Took about 8 months to fully recover. Listen to your body - taking two weeks off to recover is better than being forced to take off a year because you pushed too hard and ignored injury warning signs.
Can you explain more about this? Did you keep going on runs after you first felt this pain? Or did that one run cause the injury? Sorry for my confusion thanks
Another rule of thumb for my easy runs is that I should feel comfortably capable of running for another 5-10 mins at the end (my runs currently are mostly around 5-10k). So I finish while I'm still feeling fairly strong.
Zone two only. If you cross into zone three, stop running and walk until you’re deep in zone two again.
Someone posted a three-part series on injury prevention broken down into recovery, training, and strength training a month or so ago that has a lot of helpful information!
Many months/years of slowly building up your ability to run long distances plus proper rest and spacing out your runs during training. I’ve run some marathons and you shouldn’t continue to be in “marathon shape” year-round. It’s unsustainable for all but a handful of people in the world. Even Olympic-level marathoners take time off between races so they don’t get injured.
Most distance runners will have an “off-season” where they recover, run much shorter distances, and, if they’re working to get faster (perhaps to qualify for a specific race), practice short runs on a track at a higher pace. (Running on a track or grass is easier on the legs than road running.) There’s really just a lot of recovery time involved in distance running and it’s almost as important as the running part.
Also, some people just aren’t built for it and do get injured. Some of the fastest sprinters struggle to run a few miles because they were just built to do something else.
I am in my mid-twenties and I love running but I keep hearing lately how some people have had to give up on it as they grow older... and I would really love for this to be a part of my life as long as possible. What are some tips and tricks you have learned along the years to minimize the damage on your knees/the rest of your body?
Thank you !!��
Often times running injuries that have nothing to do with a fall, break or sprain, are related to faulty posture. By this I do not mean your running form—although this is incredibly important for you to get right—but the way your joints are aligned.
It seems to be the case that runner’s knee, and most other forms of semi-chronic pain are a result of, in particular, poor pelvic mechanics. There are a number of reasons for this, including lifestyle, but also because there ARE natural, universal, and ignored asymmetries in the human body.
Most rehabilitation and strength training programs treat the body as a symmetrical unit. It is anything but! This is often why standard of care physical therapy does not work, or the same injury comes back to haunt after some time.
If you want to learn more of have any questions, feel free to send a DM to me on IG: Project_Rehumanize
Best of luck!
Any sharp or stabbing pain: stop running immediately and walk.
Rest on rest days. Don’t “run through the pain.” Eat something other than junk.
I’ve been running for 26 years and this about sums it up. True recovery is key. Be smart about training as well as treating injury. You will always bounce back and you will bounce back faster if you treat things early. When you let things go, and run through them too long, is when you develop a chronic problem or do long term damage.
Probably should add something about stretching but I'm not sure in my case that stretching has helped with injury prevention. Maybe because I (sometimes) stretch I haven't gotten injured, but I just as often don't stretch as I do. Now, flexibility-wise, yikes. I'm as flexible as a desk lol.
99% of the people who tell you they had to give up running as they aged is an excuse, not the actual reason they stopped running.
People make up a lot of excuses to refrain from admitting they are just too lazy, or they just lose interest and go to something else.
Running doesn't damage your knees or the rest of your body.
Do you follow a consistent / progressive stretching or mobility routine, and / or do you follow a consistent / progressive resistance training routine?
I'm (33F) training for my first marathon in October and am finding that the soreness is now becoming more localized pain. Sometimes it's a hip or knee or ankle and not consistent but enough where I'm concerned on my long runs. I have done halfs so I fuel and hydrate similarly to how I do for those.
What do you do to avoid injuries while training? I'm resting 2 days a week right now and sleep plenty (teacher on summer break) so I'm just curious what some vets do to keep moving?
Consistent strength training, and religious foam rolling/lacrosse ball action to the glutes, hips, and legs before every run and often again before bed. Most issues start with poorly functioning hips/glutes so if you can keep those happy while training appropriately you should be in much better shape to tolerate the work.
Stretching and mobility work are very important.
Lots of foam rolling as a daily habit, also to release any tension.
You can't afford to allow tension to build up in your body. Release it and stretch it out with PNF stretches.
An amount of strength training will help too (also with mobility).
Rolling, mobility, and strength training has made a huge difference for me. After my last injury I made a rule for myself that I’m not allowed to run again after a run until I get a rolling session in. If I’m too busy to keep up with the maintenance, I’m too busy for an injury. I have a similar rule when it comes to my strength and mobility.
I have similar issues. Does someone have a list of exercises to be shared that help this
I found these video really useful: https://m.youtube.com/watch?v=GcZJhNi2yOM&pp=ygUQcnVubmVyIGV4ZXJjaXNlc9IHCQnNCQGHKiGM7w%3D%3D
https://youtu.be/y6SeNMF1Pp0?si=Py6VyUW_HeEphM9N
https://m.youtube.com/watch?v=wH1qSqXAm_Y
They're all created by PT clinics/doctors of physical therapy, so it's not some of the bull**** advice you get from some other channels.
Thank you so much!
35F teacher too! Strength training is so important to stay injury free. If you’re getting pains in your hips and knees it’s likely due to weak glutes. Incorporate lots of single leg exercises like bridges, squats, lunges, dead lifts. Also add in some banded exercises like monster walks, lateral leg lifts, etc.
I’m gonna give you the magic secret, or what has worked for me anyway.
Do the myrtl routine daily, lunge matrix if you have time, and the gambetta leg circuit once or twice a week.
I plan to get up to the 5-10k distance range per run, and it would be good to have extra tips (besides on reading articles on the internet and a book on running called ‘Chi Running’) on this topic.
Don't do too much too soon, you'll be surprised how quick you go from feeling fine on a run, to feeling awful
Just chill out, don't rush it, don't try and hugely outdo yourself. Eat good, train consistently, and you probably won't get injured
Always have at least one rest day.
Do core training exercises one or two days a week.
Make sure you are working on flexibility
And just start of slow and build up
HAVE FUN
>Always have at least one rest day.
Per week?
1-2 rest days per week is a great starting point (that's what I did in my fall marathon cycle) but more importantly is listening to your body and giving yourself a rest day when you feel like you need it.
I've had weeks where I was like "oh I don't want to take Friday off, I just rested on Monday" but then end up overtraining and sitting out 3 days the week after. Not worth it!
I did my first 70 mile week this week and still fit in a rest day and am glad I did.
Per day!
Run slow and easy for almost all runs. That's the main tip and the rest are far behind.
Adding to this, "slow and easy" is highly individualistic. What's slow for one person may be blazing fast for another. Listen to your body and don't focus on achieving X per minute pace.
This is why I loved getting my garmin. I didn’t realize how hard I was running until I started targeting heart rate zones rather than pace. I run way slower than I used to but I don’t feel like I’m dead after my runs anymore.
Buy good running shoes and stay aware of your surroundings.
If you can afford it and you have access, a "wellness appointment" at a good PT can make a lot of difference.
There are common strength and flexibility issues that can lead to running problems, and if you can head them off ahead of time it's a great thing to do.
My PT did an detailed strength and flexibility check, and then we went outside and she watched me run for while to see fi there was anything she noticed there.
I understand running is a high impact sport. I have ran a full marathon and can easily run 10 to 15 Km any-day. But i genuinely have a doubt. Whenever i am running regularly, there is some part of my body paining. Be it knee, lower back or ankles.
Whenever i stop running for sometime, all the pain disappears. Am i doing something wrong here? Does everybody experience pain when they are running regularly?
The pain is all good if you are in to athletic profession. But me being a businessmen. Taking that pain to office is very uncomfortable throughout the day.
What are your thoughts on this? How do you guys avoid these common pain.
It's hard to say without more details about injuries themselves. Even if you run 10k daily, you shouldn't feel pain anywhere in the body.
I would recommend you look for imbalances in your lower body. Mainly in the hips. Try standing on one leg and squatting (single leg squat), if your knees start to wobble and bend inwards then your hips/glutes are the issue. Similarly look at other single leg movements.
Another thing I would recommend is to warm-up pre-run, stretch after run, and incorporate strength training. In the past, I had developed IT band issues because I was skipping on pigeon stretch (I used that one for post-run glutes stretch). After resting and resuming the stretch all is good in my running world.
Thanks for the advice, i will try this.
You can't run daily without minor issues. But you need to know when an issue is transient and when it is an actual problem. Usually you can judge that if the same issue persists for more than a week, or you need to push through pain on a daily basis.
Do you also do strength training regularly ?
No
Warm up, diet, recovery, proper running form, cool down, stretching and massage, rest, sleep. If you do all them i guess you will be fine. Atleast it works for me.
how to prevent injuries in long-distance running
Key Considerations for Preventing Injuries in Long-Distance Running
Proper Footwear: Invest in high-quality running shoes that provide adequate support and cushioning. Make sure they fit well and are suited to your foot type and running style.
Gradual Mileage Increase: Follow the 10% rule—do not increase your weekly mileage by more than 10% to avoid overuse injuries. Gradually build your distance to allow your body to adapt.
Warm-Up and Cool Down: Always start with a proper warm-up to prepare your muscles and end with a cool-down to aid recovery. Incorporate dynamic stretches before running and static stretches afterward.
Cross-Training: Include low-impact activities (like cycling, swimming, or yoga) in your training regimen to strengthen different muscle groups and reduce the risk of overuse injuries.
Listen to Your Body: Pay attention to any signs of pain or discomfort. If you experience persistent pain, take a break and consult a healthcare professional if necessary.
Strength Training: Incorporate strength training exercises, particularly for your core, hips, and legs, to improve stability and reduce the risk of injury.
Hydration and Nutrition: Stay hydrated and maintain a balanced diet rich in nutrients to support your training and recovery.
Recommendation: Consider following a structured training plan that includes rest days and cross-training. This will help you build endurance while minimizing the risk of injury. Additionally, regular visits to a physical therapist or sports coach can provide personalized advice and adjustments to your running form.
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