Common Running Injuries: Try PT First
By Dr. John Mishock, PT, DPT, DC
Running is one of the most popular and accessible forms of exercise, offering numerous health benefits—from cardiovascular fitness to stress reduction. However, with its repetitive and high-impact nature, running can also lead to a range of overuse injuries that sideline even the most dedicated athletes.
At Mishock Physical Therapy & Associates, we specialize in helping runners of all ages and ability levels overcome pain, restore movement, and get back on track faster—without the need for unnecessary imaging, medications, or specialist referrals. With Pennsylvania’s Direct Access law, runners can start physical therapy immediately, often saving time and money.
Common Running Injuries We Treat
Runner’s Knee (Patellofemoral Pain Syndrome): Caused by poor kneecap tracking, this condition results in dull, aching pain around the kneecap, especially during stairs, squatting, or prolonged sitting. Incidence: 16–25% of all running injuries.
Shin Splints (Medial Tibial Stress Syndrome): Characterized by pain along the inner edge of the shinbone, this overuse injury often stems from rapid increases in training volume or poor foot biomechanics. Incidence: 13–20% of running injuries
Achilles Tendinopathy: A chronic condition involving stiffness and pain in the Achilles tendon usually felt in the morning or after a run. It often results from improper loading or weak calf muscles. Incidence: Up to 10% of running-related conditions
Plantar Fasciitis: Heel pain is caused by inflammation of the plantar fascia, a thick band of tissue under the foot. Pain is often worse in the morning or after periods of inactivity. Incidence: 10% lifetime prevalence among runners
IT Band Syndrome (Iliotibial): Pain along the outer knee or thigh is caused by friction where the iliotibial band crosses the knee. It is often related to hip muscle weakness and improper running mechanics. Incidence: 7–14% in long-distance runners
Stress Fractures: Tiny cracks in bones (commonly in the foot, tibia, or hip) that develop from repetitive force and insufficient rest. Early detection and treatment are key. Incidence: 6–10% of running injuries, more common in females.
Hip Pain and Gluteal Tendinopathy: Pain in the outer hip due to tendon or bursa repetitive stress. Weakness in gluteus Medius can cause faulty mechanics leading to knee, back, and foot pain. Incidence: Up to 10% of runners, especially females over 40
Sacroiliac (SI) Joint Dysfunction: Pain on one side of the small of the low back. Due to pelvic and sacroiliac joint malalignment. Incidence: Accounts for 13–30% of low back/pelvic pain in runner.
How Mishock Physical Therapy Makes a Difference
Immediate Access. Faster Recovery.
Under Pennsylvania’s Direct Access law, you don’t need a physician referral to begin physical therapy. That means:
• No waiting weeks for an appointment with a specialist
• No unnecessary imaging unless clinically indicated
• Lower out-of-pocket costs and fewer copays
We can begin treatment immediately, helping reduce inflammation, restore mobility, and address the root cause before the injury worsens.
Individualized Treatment for Runners
Our physical therapists don’t just treat symptoms—we analyze your entire kinetic chain, including:
• Gait mechanics
• Strength imbalances
• Running form
• Footwear and training load
With hands-on techniques, neuromuscular re-education, and personalized corrective exercises, we focus on both recovery and prevention, helping runners return stronger and more resilient.
Reducing Pain and Restoring Function
Our goal is to help you feel better and move better. Treatment may include:
• Manual therapy to improve joint and tissue mobility
• Targeted strength training for glutes, core, and lower extremities
• Taping or orthotic recommendations
• Return-to-run progression planning
Most runners experience a noticeable reduction in pain within the first few sessions, with improved running mechanics and function throughout care.
Cost-Effective, Research-Based Care
Physical therapy is proven to be a cost-effective solution for musculoskeletal pain. Studies show that early PT intervention leads to:
• Fewer doctor visits
• Reduced need for prescription medication
• Lower imaging and surgical rates
At Mishock PT, we utilize evidence-based care to promote healing and minimize healthcare costs for you and the system.
Running Toward a Healthier Future
Whether you’re training for your first 5K or chasing a marathon personal best, running should be enjoyable, not painful. If you’re dealing with pain or injury, don’t wait. Let Mishock Physical Therapy help you run stronger, smarter, and pain-free starting today.
We can help!
If pain is limiting you from doing the activities you enjoy, give Mishock Physical Therapy a call: locations in Gilbertsville (610-327-2600), Skippack (610-584-1400) , Phoenixville (610-933-3371), Boyertown (610- 845-5000), Limerick (484-948-2800) at www.mishockpt.com or request your appointment by clicking here.
Dr. Mishock is one of only a few clinicians with doctorate-level degrees in both physical therapy and chiropractic in the state of Pennsylvania. He has also authored two books; “Fundamental Training Principles: Essential Knowledge for Building the Elite Athlete”, “The Rubber Arm; Using Science to Increase Pitch Control, Improve Velocity, and Prevent Elbow and Shoulder Injury” both can be bought on Amazon or train2playsports.com.
