Common Running Injuries: What Every Runner Should Know

Medically reviewed by Dr. Sean Leo

MBBS MRCS (Edin) MMed (Ortho) FRCSEd (Ortho) Orthopaedic

Running offers numerous health benefits—from improving cardiovascular endurance to supporting weight management and reducing the risk of chronic illnesses. However, it’s also a high-impact activity that carries a significant risk of injury. Research shows that nearly 60% of runners sustain injuries each year, often due to overuse, poor technique, or inadequate recovery.

woman running

Fortunately, most of these injuries are preventable. Understanding the early signs and taking proactive steps can help you stay injury-free and continue enjoying your runs. Here’s a breakdown of the most common running injuries, how to treat them, and tips to prevent recurrence.

1. Ankle Sprain

Cause: An ankle sprain occurs when the ligaments around the ankle are overstretched or torn, usually due to an awkward landing or uneven surface.

Symptoms: Pain, swelling, bruising, and limited ankle mobility.

Treatment: Rest, ice, compression, and elevation (R.I.C.E). Balance exercises and ankle-strengthening drills aid recovery.

Prevention Tip: Stick to even running surfaces and use supportive shoes. Ankle braces or stability-focused footwear can also help.

2. Plantar Fasciitis

Cause: Inflammation of the plantar fascia (the tissue connecting the heel bone to the toes), often caused by overuse, poor foot mechanics, or improper shoes.

Symptoms: Sharp pain at the base of the heel, especially in the morning or after long periods of rest.

Treatment: Stretching, orthotic insoles, supportive shoes, and reduced training intensity. Foot-strengthening exercises can also help.

Prevention Tip: Avoid running in worn-out shoes. Choose footwear with good arch support and cushion.

3. Runner’s Knee (Patellofemoral Pain Syndrome)

Cause: Misalignment of the kneecap, weak thigh muscles, or repetitive stress from running, especially on hills or uneven terrain.

Symptoms: Pain around or behind the kneecap, especially during squats, stairs, or after sitting for long periods.

Treatment: Rest, knee-strengthening exercises, stretching, and using a knee brace if needed.

Prevention Tip: Strengthen your quads and glutes, and avoid sudden increases in training volume or intensity.

4. Achilles Tendinitis 

Cause: Overuse or tight calf muscles leading to inflammation of the Achilles tendon (which connects the calf to the heel).

Symptoms: Pain and stiffness along the back of the heel, particularly in the morning or after running.

Treatment: Rest, calf stretches, proper footwear, heel lifts, and icing the area.

Prevention Tip: Incorporate gradual increases in mileage, stretch calves regularly, and wear supportive shoes.

5. Shin Splints (Medial Tibial Stress Syndrome)

Cause: Inflammation of the muscles and tendons around the shinbone, typically from overuse or running on hard surfaces.

Symptoms: Dull or sharp pain along the inner shin during or after runs.

Treatment: Rest, ice therapy, elevation, and switching to lower-impact surfaces.

Prevention Tip: Strengthen lower leg muscles, wear shock-absorbing shoes, and avoid abrupt changes in training intensity.

6. Stress Fractures

Cause: Tiny cracks in bones (commonly the tibia or foot bones) caused by repetitive force or overtraining.

Symptoms: Localized pain that worsens with activity and improves with rest.

Treatment: Complete rest from impact activities, sometimes with crutches or a walking boot. Physical therapy may be recommended.

Prevention Tip: Alternate running with low-impact cross-training, ensure sufficient calcium and vitamin D intake, and avoid overtraining.

Tips to Prevent Running Injuries

  • Avoid overtraining: Increase mileage and intensity gradually.
  • Listen to your body: Stop running if you feel pain or discomfort.
  • Use proper footwear: Choose running shoes suited to your foot type and gait. Replace them regularly.
  • Run on forgiving surfaces: Grass, dirt trails, or synthetic tracks reduce impact compared to concrete.
  • Warm up and cool down: Include dynamic stretches before and static stretches after each run.
  • Don’t ignore pain: Early treatment can prevent a minor injury from becoming a serious problem.

Final Thoughts

Running injuries are common but not inevitable. Understanding the causes and warning signs of injuries like plantar fasciitis, runner’s knee, and Achilles tendinitis can help you stay healthy and active for the long haul.

If you’re experiencing persistent pain or discomfort, consider seeking a professional medical evaluation for accurate diagnosis and appropriate management. Early action can help prevent more serious issues down the road.