Why do runners to get injured?
While there are many reasons why runner’s get injured I want to share with you what I consider the common causes based on what we treat in clinic.
Posture
I find many clients know they don’t have the perfect posture when they sit at their desks but assume their running won’t be affected. This is wrong, bad posture carries over into your run which can put extra stress on your back and knees. So its important to focus on good running posture which is upper torso straight with head balanced directly over shoulders and lower back not arched.
Training Errors
This is the number 1 cause of running injuries. Training errors basically means your are trying to run too much or too far or too quickly for your body. The body needs time to adapt from training changes and jumps in mileage, intensity or changes in terrain. Muscles need recovery time to they can handle more training demands. If you rush the process you break can down rather than build up. Running experts recommend the 10% rule, which means the maximum speed or distance (note I didn’t say speed and distance) you increase by each week is 10%. So if you run 10 miles in the first week, you run 11 miles in the second week and so on.
RICE – Rest,Ice, Compression and Elevation
All of my clients know rice. However I find too many runners focus on the I (ice), and ignore the RCE. So they tend to get stuck in a cycle of ice-and-run, ice-and-run etc without giving the muscles time to heal. Its like dieting every day until 7pm and then pigging out at the all your can eat buffet! Remember the R in RICE means rest, i.e. don’t run until the injury is better.
Related Posts

Foam Rolling Guide – Part 1
What is a foam rolling? A foam roller readily available from the likes of TK Maxx is a tool for self massage. Foam rolling is basically a cheap and easy way of keeping your muscles flexible. How do you foam roll? You place the foam roller under the area you’re targeting and use a gentle, flowing backwards and forwards motion to apply pressure to the area. How does it work? You know how if you visit us for a massage, we apply pressure to release the knots in your muscles. You use the same principle with a foam roller except you use your body weight to apply pressure. Are there any downside to foam rolling? While I fully recommend foam rolling it will never replace the precision and experience of a massage therapist. It can be difficult to target small areas with a foam roller so a spikey ball is a better alternative. How often should you foam roll? The simple answer is as much as you can. When exercising a foam roller should be used both before and after exercise for best results. Please try to remember foam rolling isn’t a chore it’s a therapy you will gain benefits from it!

Stretches for Head, Neck and Shoulders
These stretches can either be done as a complete series or individually and most of them can be done at your desk. Some will ease tension in specific parts of the body whilst others are generally relaxing. Please remember stretching should always be relaxing and never painful! To get maximum benefit from these stretches you should do them daily and hold each stretch for 15 seconds and repeat twice. Head And Neck
- Head rotation - keeping your head level, slowly turn from side to side.
- Slowly drop your head sideways moving your right ear towards your right shoulder and push down with your left shoulder - repeat on other side.
- Stand with your feet shoulder distance apart; look down towards your right foot (hold for 15 seconds), dropping left shoulder - repeat the exercise looking towards your left foot.
- Drop the lower jaw and open the mouth wide.
- Shrugging shoulders in a circular movement - forwards and then backwards.
- Raise your shoulders high and let them drap heavily; whilst letting breathing out.
- Clasp hands behind your head, with elbows back - push your chin back. Hold for 15 seconds. From this position look down and push your elbows together at the front and hold for a further 15 seconds.
- Clasp you hands and push up towards the ceiling, palms up now look down.
- Sit upright in a chair with a firm seat. Raise your arms as high as possible and remaining seated drop forward letting your head and arms hang heavily towards the floor.

What causes muscle cramps?
Unfortunately no one totally understands what causes muscle cramps. Most authorities agree that in skeletal muscles they are frequently caused by the hyper-excitability of the nerves that stimulate muscles. Rather than thinking of a single cause of muscle cramps, I find it more helpful to think in terms of risk factors. A field study of 433 Ironman triathletes suggest that those so cramped had exercised harder than usual, had a family history of cramping and had previous tension or ligament damage. Because muscle cramps often occur due to muscle fatigue the problem may be related to nerve malfunction creates an imbalance between muscle excitation and inhibition which prevents the muscle from relaxing. (see Schwellnus et al 2004). In summary although muscle cramps are likely to be related to overexertion there are other contribution factors. References Shang G, Collins M and Schwellnus M (2001). Factors associated with self-reported history of exercise associated muscle cramps in Ironman Triathletes: A case-control study, The Clinical Journal of Sports Medicine 21(3): p204-210 Schwellnus MP, Nicol J, Laubscher R et al (2004). Serum electrolyte concentrations and hydration status are not associated with exercise associated muscle cramping in distance runners, British Journal of Sports Medicine 38(4): p488-492

