David Wynne is a sports activities and musculoskeletal physiotherapist. As analysis lead of West London Physiotherapy (westlondonphysio.co.uk), he’s investigating how operating biomechanics relate to decrease limb damage.

It’s tough to evaluate the chance of damage when coaching for a marathon. Some declare it’s as excessive as 92%, however even conservative estimates counsel the probabilities are nearly one in 5. What’s not unsure is you could cut back the hazard. ‘Poor biomechanics and over coaching are the primary causes of damage,’ says Wynne. ‘However widespread accidents may be simply prevented.’ Right here’s how.

1 Runner’s knee

‘That is correctly often called iliotibial band or IT band friction syndrome. The IT band is a layer of tissue that runs alongside the outer thigh. In case your glutes and quads are weak your IT band can rub towards a sac of fluid in your knee, inflicting ache.’


‘Strengthen these muscle tissue with single-leg glute bridges, step-ups or lunges. Do three units of 15 reps, constructing as much as 4 units of eight reps with heavier weights, as soon as every week. When operating, be certain your knees don’t rub collectively.’ 

2 Shin splints

‘Medial tibial stress syndrome relates primarily to ache originating from the inside facet of the shinbone. It’s attributable to an abrupt enhance in coaching that doesn’t give the bone time to adapt.’


‘Runners growing their weekly distance by greater than 30% put themselves at excessive danger. When you uncover your base degree of endurance – which it is best to in your first run – enhance your total weekly time or distance by not more than 10% per week, and don’t enhance each without delay.’

three Achilles tendinopathy

‘The achilles runs down the again of your decrease leg to your heel and is the biggest tendon within the physique. Ache right here can come up from a change in footstrike sample in the direction of the entrance of your foot, but it surely’s additionally related to tight or weak calves.’


‘Don’t simply stretch your calf muscle tissue – strengthen them on the similar time. Stand together with your heels hanging over a step. Rise onto your toes and decrease slowly till your heel is beneath the step, then repeat. Do three units of 15 reps. You must really feel fatigue in your calves. If not, add weights.’

four Metatarsal stress fracture

‘The metatarsals are the lengthy bones of the foot and so they have to soak up giant forces, notably when operating. A sudden enhance in train depth or length can result in fracture, as can pronation, which is when your foot rolls inwards as you land.’


‘Good foot posture and management is necessary. Strengthen the intrinsic muscle tissue of your foot utilizing the STAR tour take a look at: stand on one leg and faucet the opposite leg on the bottom forwards, backwards and to both facet so far as you may. Do 5 units of 5 on every leg. For a better problem you are able to do it on an unstable floor comparable to a Bosu ball. Nonetheless, an important tip is to extend your operating distance steadily by following the 10% rule.’