Dear Runners, we need to talk. The statistics with runners and injuries is enough to make someone not want to lace up. However, much of the injuries runners encounter are 100% preventable. Sure, there’s a percent of runners who will be injury-prone for reasons they cannot control – one leg slightly longer than the other, a trauma from years ago, overuse from a childhood activity, and poor genetics. But that’s a small percent of runners. YOU are often responsible for those aches and pains. This isn’t about pointing blame, but informing, educating and perhaps preventing injuries in the future by making different choices.
- Most runners, novice and experienced alike, tend to try to skip some crucial training steps. We can sometimes get away with blowing through or skipping some things, but it’s usually a matter of time before it backfires. You may not feel the consequence until weeks or months later. Here are some things we can all do to improve our running experience – we’ll feel stronger, faster, fitter, healthier, and be able to make this sport a life-long activity instead of one sidelined with injury.
- Start slowly and build base mileage. If you are new to running, start SLOWLY. Accept where you are and start there. It takes time to adapt to stress. Marathoners, it’s pretty risky (and stupid) to go from sitting on the couch to being 20-16 weeks out from a marathon. BEFORE the official training begins, you should have anywhere from 4-12 weeks of base mileage under your belt. Many marathoners skip this. Think about it – in marathon training you’ll be doing some speed runs and some long runs – both of which are high stress. If you don’t slowly prepare for the simple stress of 20-30 miles of easy running BEFORE that, you are in for a world of pain. This is why I never want my runners to rush their marathon training. Plan ahead. WAY ahead. It’s always better to do something right.
- If you feel little aches and pains, don’t ignore them! They are signals that something isn’t happy. Address it asap. If caught early, most little problems can be managed. If ignored, it will most likely turn into a big problem. Going to a doctor or physical therapist shouldn’t be seen as a bad thing or failure. Quite the contrary – it means you are proactive in your training needs.
- Lots of runners talk, and make it sound “badass” when they’ve pulled their bodies through races injured. Honestly, they aren’t badass. They are idiots. And them “bragging” about this achievement does nothing good for this sport. I’ve done some pretty dumb things in my running career, and I’d be the first to say “Don’t do what I did. It wasn’t worth it.” Part of this macho culture has stemmed from the plethora of races out there and peer pressure. It’s stupid to race every weekend, or back-to-back days. Yes, I’ve done it. Not in years, and there’s good reason. Pick and choose. You’re a human. If you want to be out there and it’s a social activity, volunteer or cheer.
- Work on your weaknesses and don’t compare yourself to other runners. Some runners can run every weekend and somehow appear to never be injured – but they are not the norm. I’d also wager a guess that at some point will backfire, or they could race better if they raced less. Spend time working on your weaknesses. If you have incredibly tight hamstrings, don’t ignore that! If running causes discomfort in your foot, figure out why. If you are proactive about your body, you’ll reduce injury risk big time. I’ve found many of my athletes (and myself) have benefited greatly from serious strength training.
With my private clients, I try to be like a hawk in terms of keeping an eye on aches and pains. I also stress on day one that I want them telling me the second something doesn’t feel normal. At Mile High Run Club, I see hundreds of runners per week, so obviously I don’t know the individuals on a super personal level. I am asked probably a dozen times per week (so almost once per class) about injuries. Many runners expect me to diagnose them. That’s a tough one. First, I can’t diagnose I’m not a doctor, and that’s way beyond my realm of expertise. And second, that runner decided to sign up and show up for a tempo run – so that means they think whatever is plaguing them can be run through without consequence. The amount of times I say “rest for a few days and then see a medical professional” is outrageous. I’m also asked pretty frequently by runners for my opinion on them running a race incredibly undertrained or injured. The answer and advice should be a no-brainer, but it’s not. Because running is something “everybody does” or “pushes through.” Or they signed up and can’t stomach the idea of not crossing the starting line. If it wasn’t a priority to train for, or something hurts, the race shouldn’t happen. If you are wanting to run a race and are clearly injured, ask yourself two questions: will I be in pain out there – and – will this race make the injury worse? If the answer is “yes” to either one, don’t lace up. If you don’t know the answer, you need to talk to a medical professional.
Running isn’t bad for us – not our knees, our feet, or heart, etc. But doing literally ANYTHING with poor form, a bad plan, or without balance – that’s bad. Too much cross training, too much lifting, too much water, too many vegetables – it turns the good thing into a bad thing.
Lastly, don’t compare yourself to anyone else. Your body may need different things than the next runner. Basic training principles apply to all of us, but you are unique. I would recommend you spend your time with fellow runners and coaches who promote and support good habits. It will make it easier to feel less peer pressure. If everyone in your camp is injured, overtrained, or simply burned out, be careful. We are often a reflection of the people we choose to spend our time with. I intentionally choose to prioritize running, racing and socializing with runners who are healthy and have what I’d call a “healthy outlook” on most things running, nutrition and life.
Before you decide to be a “streaker,” pause for a hot second and ask yourself WHY? This time of year, running streaks are very popular. It makes sense. It’s getting colder, its often dark, peak goals are in the past, and runners are looking for motivation or accountability to be active. Toss in social media, and most runners will decide to commit to a streak without a second thought.
The off season. Most runners are really bad at this. It’s incredibly tempting to cross that goal finish line fired up and ready to dive into the next goal. Even if legs feel great within a day or two of that goal race, it’s important to relax and PAUSE. I completely understand that post-marathon high. I clearly remember days after my first marathon, signing up for two spring marathons with all the enthusiasm in the world. We feel invincible, fired up and inspired. PAUSE. Injury risk is incredibly high within the days/weeks following that goal marathon. Even if you FEEL good, trust that there are things that are broken down and rebuilding. Remember that just like the hard work and the taper, a reverse taper is necessary. The best marathoners in the world take an off season. None of us are the exception. How long or dramatic of an off season an athlete needs will vary. But when in doubt, be conservative.
Running is often a sport or activity associated with injuries. And for good reason – the percent of runners in physical therapy, on the injured list, or running through pain is alarmingly high. While doing anything repetitive and strenuous isn’t without injury risk, I’d argue that many injuries can be prevented. It’s always my first priority to keep my runners healthy, as an injured runner simply can’t achieve their goals. I’d also say that I am asked more about injuries than anything else with my runners at Mile High Run Club, and I see literally hundreds of runners each week. Preventing injury can be tough because it takes self control, a clear plan, and a good sense of your own body and what signals to listen to. 
