5 Common Running Injuries

physiotherapist observing athlete during running injury assessment

Running is one of the most popular forms of exercise across Perth’s western suburbs. From coastal paths to river trails, many people use running to maintain fitness, manage stress and support overall health.

However, the repetitive nature of running can place cumulative load on muscles, tendons and joints. Understanding common running-related injuries can help runners recognise early warning signs and seek appropriate support.

1. Knee Pain (Including Runner’s Knee)

Knee pain is one of the most common complaints among runners. Symptoms may include pain around or behind the kneecap, discomfort when running downhill, or soreness after longer sessions.

Contributing factors often include:

  • training load increases

  • reduced hip or quadriceps strength

  • altered running mechanics

  • inadequate recovery

Early management and appropriate strength work can help prevent symptoms from progressing.

Persistent knee pain during or after running may benefit from targeted knee physiotherapy to address strength deficits and movement control.

2. Achilles Tendon Pain

The Achilles tendon is heavily loaded during running, particularly with speed work, hills and sudden changes in training volume.

Achilles-related pain may present as:

  • stiffness in the morning

  • soreness at the back of the ankle

  • discomfort during or after running

Gradual load management and targeted strengthening are key components of rehabilitation for tendon-related conditions.

3. Calf Strains and Tightness

Calf muscles absorb significant force during running, especially during push-off and acceleration phases.

Runners may notice:

  • sudden tightness during a run

  • lingering soreness after training

  • reduced tolerance to speed or hills

Calf issues are commonly linked to changes in footwear, terrain or training intensity.

4. Hip and Groin Pain

Hip and groin pain can develop gradually and may be influenced by strength, control and load distribution through the pelvis and lower limbs.

Symptoms may include:

  • discomfort during longer runs

  • stiffness after sitting

  • pain when increasing speed or distance

Assessment of movement patterns and strength can help guide rehabilitation and training modifications.

Hip and groin symptoms in runners are commonly addressed through hip and groin physiotherapy focused on strength, mobility and load management.

5. Foot and Ankle Pain

Running places repeated stress through the foot and ankle complex. Common issues include plantar fascia irritation, ankle stiffness and forefoot discomfort.

Contributing factors can include:

  • training volume changes

  • footwear selection

  • reduced foot or ankle strength

  • surface variation

Addressing contributing factors early may reduce the risk of ongoing symptoms.

Ongoing foot or ankle discomfort during running may require foot and ankle physiotherapy to improve load tolerance and movement efficiency.

Why Do Running Injuries Occur?

Running injuries often develop due to a combination of factors rather than a single cause. These may include:

  • sudden increases in training load

  • reduced strength or control

  • inadequate recovery

  • biomechanical factors

  • changes in footwear or terrain

Understanding how these factors interact is important when planning rehabilitation or return to running.

How Physiotherapy Can Support Runners

Physiotherapy for running-related injuries focuses on identifying contributing factors and guiding rehabilitation through:

  • strength and conditioning

  • movement assessment

  • load management strategies

  • gradual return-to-running progressions

Physiotherapy for running-related injuries is often delivered as part of a broader sports physiotherapy program that focuses on strength, control and gradual load progression.

A structured approach aims to support long-term running participation rather than short-term symptom relief alone.

The Role of Running Assessments

A running assessment can provide valuable insight into movement patterns, strength and load tolerance when returning to running after injury. This information can help guide rehabilitation, training modifications and return-to-running decisions following injury.

Running assessments are commonly used for:

  • recurrent injuries

  • return to running after time off

  • performance-related concerns

  • load-related pain that persists despite rest

Supporting Runners Across Perth’s Western Suburbs

Runners across Mosman Park, Cottesloe, Peppermint Grove, Claremont, Dalkeith, Swanbourne, North Fremantle and Nedlands often share similar training environments, including coastal paths, river trails and local running routes.

Understanding these local demands helps guide practical rehabilitation and training advice.

When to Seek Support

If running-related pain:

  • persists beyond a few sessions

  • worsens with training

  • affects performance or confidence

  • limits daily activity

an assessment may help identify contributing factors and guide appropriate management.

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What Is Return-to-Sport Testing?