Running training, strength and injury for runners

May 15, 2025

A complete guide for runners

Running is one of the most accessible and effective forms of exercise—but it also comes with a high risk of injury, particularly when the body is pushed beyond its current capacity. Injury often occurs when forces generated during running exceed the tolerance of muscles, tendons, bones or cartilage—sometimes reaching up to eight times your body weight.


Elite runners tend to have efficient biomechanics—short ground contact time, high cadence, stiff leg spring, and powerful hip and knee drive. However, most recreational and even competitive amateur runners don’t naturally adopt these patterns. Instead, they often exhibit longer stance times, lower cadence, minimal lift, and a more audible, energy-wasting stride. But regardless of your running form, engaging in the sport—whether it’s a casual jog or a competitive half marathon—is far better than doing nothing.


Still, smart training and thoughtful adjustments to strength, technique, and recovery can significantly improve performance and reduce injury risk.



1. Strength and Conditioning


Running generates ground reaction forces of 2.5–3+ times your body weight, with the calf absorbing a large portion of that load. While it may seem that high-rep, endurance-style strength work would be most appropriate, your road and trail running already provides endurance stimulus. What your body often lacks is maximum strength and explosive power.


Heavy resistance training with low repetitions and plyometric (jump-based) exercises have been proven to:

• Strengthen muscles, tendons and bones

• Improve load tolerance

• Enhance running propulsion and speed

• Reduce injury risk


Aim for 2-3 strength training sessions per week, even if this means replacing a run. A tailored program, ideally prescribed by a running coach, physiotherapist, or qualified trainer, will yield the best results.



2. Load Management


Injury risk increases when training load spikes too quickly. Load includes more than just weekly mileage—it also encompasses speed sessions, hill work, races, strength training, and even lifestyle factors like sleep, stress, and physical jobs.


To manage load:

• Progress gradually

• Schedule adequate recovery between sessions

• Monitor your response to training over 24–48 hours

• Avoid back-to-back hard sessions


Understanding your body’s recovery signals helps avoid overtraining and cumulative stress that can lead to injury.



3. Should You Run While Injured?


It depends. If running aggravates the injury and risks long-term damage—stop. In other cases, continuing to run at a reduced volume and intensity may actually aid recovery. A general rule: if your pain stays below 3/10 on a pain scale, and doesn’t worsen during or after a run, it’s often safe to continue under supervision.


Exceptions include bone stress injuries and severe tendon issues, which usually require complete rest. Always consult with a physiotherapist or health professional to determine your best course of action. Cross-training can be an excellent alternative during recovery.



4. Monitor Your 24-Hour Response


Use a 24-hour pain response rule: if pain does not settle within 24 hours after a session, reduce your load. Also be cautious of compensatory running patterns that may offload one area but overload another, increasing injury risk elsewhere.



5. Personalised Training Plans


One-size-fits-all training plans from clubs, friends or the internet are rarely ideal. Every runner is different. Your age, injury history, strength, flexibility, and goals all affect what works for you. Custom plans and exercises, guided by a qualified professional, are key to safe and effective progress.



6. Foot Strike Pattern


Changing your foot strike (e.g. from heel to forefoot) can redistribute forces and alter injury risk. However, abrupt changes—especially in runners who overstride—can lead to new issues. If you’re injury-free and running well, there’s often no need to change your strike. If changes are necessary, make them gradually with expert guidance.



7. Overstriding and Cadence


Overstriding is a common issue that increases load on joints. One of the simplest ways to reduce this is by increasing cadence—the number of steps you take per minute. Try increasing your cadence by 5% using a metronome or app and assess for improvements in comfort or performance. Note: if your cadence is already around 175–180, further increases may offer little benefit.



8. Plyometrics for Runners


Plyometric exercises—like jumping, hopping, and bounding—train tendons to store and release energy efficiently. This spring-like quality is essential for running economy and speed. Even small amounts of plyometric work can improve your propulsion and resilience to injury.



9. Don’t Ignore Psychological Load


Stress, lack of sleep, and life pressures can impact recovery just as much as physical training. These psychological stressors can delay healing by up to 60%. Factor them into your training plan and ensure you’re supporting both your body and mind.



Conclusion


When injury strikes, it’s tempting to zoom in on the painful area alone. But successful recovery—and prevention—requires a broader lens. Weaknesses, past injuries, poor strength, and training errors often contribute more than we realise.


Whether you’re new to running or an experienced athlete, remember:

• Strength matters

• Load must be managed

• Rest is part of progress

• Pain is a message, not a weakness


Listen to your body, train smart, and seek expert support when needed. If you’re consistently in pain or unsure how to progress safely, book an assessment with a physiotherapist or running specialist to get back on track—stronger and smarter than before.


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Knee pain is one of the most common musculoskeletal complaints we see at Weaver Physiotherapy & Sports Injury Clinic in Northwich, Cheshire. From runners and athletes to office workers and retirees, knee problems can affect anyone. While many people are familiar with conditions such as arthritis, meniscus tears, or ligament injuries, one often-overlooked cause of knee swelling and discomfort is a Baker’s Cyst. Also known as a popliteal cyst, this condition can cause swelling behind the knee, stiffness, and reduced mobility – and if untreated, it may lead to ongoing pain or limit your ability to exercise, walk comfortably, or perform daily activities. In this in-depth guide, we’ll explain what a Baker’s Cyst is, the symptoms to look out for, why it develops, and most importantly – how physiotherapy can help you manage, treat, and prevent it. What is a Baker’s Cyst? A Baker’s Cyst is a fluid-filled swelling that develops behind the knee, in the popliteal space. It occurs when excess joint fluid (synovial fluid) escapes from the knee joint and collects in a small sac behind the knee. This fluid build-up is often a result of an underlying knee problem, such as: • Osteoarthritis (wear and tear of the knee joint) • Rheumatoid arthritis • Meniscus injuries (cartilage tears) • Ligament injuries • Knee joint inflammation The cyst itself is not dangerous, but it can be painful, restrict movement, and cause the back of the knee to feel tight – especially when bending or straightening the leg. Symptoms of a Baker’s Cyst Some people with a Baker’s Cyst may not experience symptoms at all, especially if the cyst is small. However, when symptoms do occur, they may include: ✔️ A noticeable lump or swelling behind the knee ✔️ Tightness or stiffness in the back of the knee ✔️ Pain or aching, particularly when straightening or bending the leg ✔️ Reduced flexibility and mobility ✔️ Swelling in the calf (if the cyst bursts and fluid leaks down the leg) In rare cases, a ruptured Baker’s Cyst can mimic the symptoms of a blood clot (deep vein thrombosis – DVT), with sudden calf swelling, pain, and redness. If you experience these symptoms, urgent medical assessment is required. Causes: Why Do Baker’s Cysts Develop? A Baker’s Cyst does not develop in isolation – it usually results from knee joint changes or injury that causes excess fluid production. Common causes include: 1. Arthritis • Osteoarthritis is a major cause. As the cartilage wears down, the joint becomes inflamed, leading to fluid build-up. • Rheumatoid arthritis, an autoimmune condition, can also trigger joint swelling and cyst formation. 2. Sports Injuries • Damage to the meniscus (cartilage) can irritate the joint and lead to cysts. • Ligament injuries (ACL, MCL) may also increase fluid build-up. 3. Overuse or Repetitive Strain • Runners, cyclists, and people who frequently squat or kneel may place repetitive stress on the knee joint, contributing to cyst formation. 4. Underlying Inflammation • Any condition that causes inflammation within the knee joint (including gout) can lead to synovial fluid leakage and cyst development. Diagnosis of a Baker’s Cyst At Weaver Physiotherapy & Sports Injury Clinic, our Chartered Physiotherapists carry out a detailed assessment to identify whether your knee pain and swelling are caused by a Baker’s Cyst, or another condition. The process may include: 🔹 Clinical assessment – checking your symptoms, medical history, and examining the back of the knee for swelling. 🔹 Ultrasound scan – often recommended to confirm the diagnosis. 🔹 MRI scan – if an underlying injury such as a cartilage tear is suspected. Early diagnosis is key. Many patients believe they just have “knee swelling” without realising it’s linked to an underlying joint issue. How Physiotherapy Helps Baker’s Cyst Physiotherapy is one of the most effective ways to manage and treat a Baker’s Cyst. While draining the cyst or surgery is sometimes required in severe cases, the majority of patients benefit from conservative treatment that targets the root cause. At Weaver Physio, our approach focuses on: 1. Pain Relief & Swelling Reduction • Manual therapy to ease stiffness • Ice, compression, and elevation strategies • Advice on activity modification to avoid aggravation 2. Improving Knee Mobility • Gentle stretching exercises to restore range of movement • Targeted flexibility work for the hamstrings and calf muscles 3. Strengthening Exercises • Quadriceps strengthening to improve joint support • Glute activation to reduce stress on the knee • Core stability to enhance overall lower-limb mechanics 4. Correcting Biomechanics • Video Gait Analysis and biomechanical assessment (part of our Runner’s MOT service) • Identifying imbalances in walking or running that may contribute to knee overload 5. Treating the Underlying Cause • If arthritis is the cause, we’ll develop a long-term joint management plan • If it’s due to a sports injury, we’ll provide a tailored rehabilitation programme Home Management Strategies Alongside professional physiotherapy, patients can often manage symptoms at home with: ✔️ Rest & Activity Modification – avoiding deep squats or repetitive knee strain ✔️ Ice Therapy – applying ice packs to reduce swelling ✔️ Compression Supports – knee braces can help control fluid build-up ✔️ Gentle Exercises – as advised by your physiotherapist When is Surgery Needed? Surgery is rarely the first option for Baker’s Cyst. It is usually only considered if: • The cyst is very large and painful • Conservative treatments have failed • The underlying cause (such as a meniscus tear) requires surgical repair In such cases, a surgeon may drain the cyst (aspiration) or repair the damaged structures inside the knee. Can a Baker’s Cyst Burst? Yes. In some cases, the cyst can rupture, releasing fluid into the calf. This can cause sudden pain, swelling, and bruising in the lower leg. It may resemble a DVT (blood clot), so it’s important to seek urgent medical advice to rule this out. Recovery Timeline Recovery depends on the underlying cause: • Minor cases: Symptoms may improve in a few weeks with rest and physiotherapy. • Arthritis-related cases: Long-term management is required, but physiotherapy helps control pain and mobility. • Sports injuries: Recovery may take 6–12 weeks, depending on the severity of the meniscus or ligament damage. At Weaver Physio, we’ll give you a personalised recovery plan so you know exactly what to expect at each stage. Preventing Baker’s Cyst While not all cases can be prevented, you can reduce your risk by: 🔹 Maintaining strong quadriceps, hamstrings, and glutes 🔹 Avoiding repetitive high-impact activities without proper recovery 🔹 Wearing appropriate footwear for your activity 🔹 Seeking physiotherapy early if you experience knee swelling or stiffness Why Choose Weaver Physio for Knee Pain? At Weaver Physiotherapy & Sports Injury Clinic in Northwich, Cheshire, we are specialists in diagnosing and treating knee injuries and conditions such as Baker’s Cyst. Here’s why patients across Cheshire – including Northwich, Knutsford, Winsford, Middlewich, Tarporley, and Frodsham – choose us: ✔️ 70+ years of combined clinical experience ✔️ Experts in sports injuries, arthritis, and musculoskeletal pain ✔️ Access to advanced services such as Shockwave Therapy, Acupuncture & Video Gait Analysis ✔️ Tailored rehabilitation plans that get to the root cause of your pain ✔️ Trusted by runners, athletes, and the local community Our goal is simple: to help you recover faster, prevent future injuries, and get back to living pain-free. Book Your Appointment If you’re struggling with knee pain or suspect you may have a Baker’s Cyst, don’t ignore the symptoms. Early treatment can make a huge difference in your recovery and long-term knee health. 📞 Call us today on 01606 227484 🌐 Visit us at http://www.weaverphysio.com Weaver Physiotherapy & Sports Injury Clinic – Your Trusted Partner in Recovery, Performance & Pain-Free Living.
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