overuse injuries

8 Stretches to Help Runners Bounce Back from Overuse Injuries

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Medically reviewed by Misty Seidenburg

Running is a great way to stay active and fit. However, as a repetitive, weight-bearing, high-impact activity, it also puts considerable strain on the body. According to some estimates, up to half of runners experience an injury each year, temporarily preventing them from running. Without time to recover, repeated stress on the body can lead to painful overuse injuries.

If you are sidelined with a running injury, try these stretches to promote healing and prevent re-injury.

What Is an Overuse Injury?

Our bodies have a natural process called mechanotransduction—this is just a fancy way of saying that we’re constantly breaking down old tissue and building new tissue. When we move and exercise, our body breaks down old tissue because of the stress we put on it.

Then, when we rest, the tissues heal and grow back stronger. But if we don’t give our body enough time to recover, too much tissue breaks down without enough time to rebuild. This can cause an imbalance, and if it happens too often, it can lead to overuse injuries.

Risk factors for overuse running injuries include:

  • Lack of conditioning
  • Improper form
  • Muscle imbalances
  • Previous injury
  • Running too frequently
  • Running too far or fast
  • Not warming up before activity

Unlike sudden acute injuries, overuse injuries develop gradually. Slight pain, discomfort, and inflammation while running is typically the first sign that something is wrong. Left untreated, pain may progress and intensify until it is noticeable, even when you stop running.

 

Common Running Overuse Injuries

Runners are susceptible to several overuse injuries affecting the lower body’s bones, muscles, tendons, and ligaments. The most common overuse injuries for runners include:

If you have pain during or after running, it is recommended that you seek professional help for an accurate diagnosis. Running through the pain is never advised, as it can lead to more severe damage and long-term mobility issues. Once you have identified the source of your pain, a physical therapist can provide an evidence-based treatment plan to rehabilitate your injury and help you safely resume running.

Stretches for Running Injury Prevention and Recovery

Whether you are a casual jogger or a competitive long-distance runner, stretching should be an essential part of your training program. Short and tight muscles cannot fully extend, increasing the risk of musculoskeletal damage. Stretching keeps the muscles long and flexible, which allows for a healthy range of motion in the joints.

Now, let’s get to stretching. Try these simple yet effective movements to increase flexibility.

Pre-Run Stretches

Bent-Knee Forward Swing

This stretch targets the hip flexors, the muscles that connect the hip to the thighs.

  • Stand up alongside a wall or fence for support.
  • Stand on your right leg as you bend your left knee in front of you at a 90-degree angle, using a gentle, fluid motion.
  • With your hips facing forward, swing the knee toward your chest.
  • Now, swing your leg back behind you.
  • Repeat for 10 reps and switch sides.

Straight-Leg Lateral Swing

This stretch targets the hip and thigh muscles that stabilize the pelvis and move the legs.

  • Stand up beside a wall or fence for support.
  • Stand on your right leg as you lift your left leg and swing it out to the left with a gentle, fluid motion.
  • Next, swing the leg across the body to the right side, stopping in front of your body.
  • Repeat for 10 reps and switch sides.

Side Lunge

This stretch engages the hip muscles and the muscles that stabilize the core.

  • Stand up with your legs apart slightly wider than shoulder width but not too far so that you feel a stretch.
  • Keep both feet pointed forward and bend your left knee as you sit back in your hips.
  • Shift your weight to the right foot as you step to the right, keeping your core engaged.
  • Return to standing.
  • Repeat for 10 reps and switch sides.

Arm Swing

Arm swings warm up the muscles of the shoulders, chest, and upper back muscles used during running.

  • Stand up straight as you move both arms like a windmill.
  • Start making small circles with your arms and gradually increase momentum, making larger circles.
  • Do this for 30 seconds.

Downward Dog

This yoga pose is a satisfying stretch for the lower body from the back down to the feet.

  • Begin on all fours with your hands shoulder-width apart and your feet hip-width apart.
  • Keep your arms and legs straight to create an inverted V-shape.
  • Gently shift your weight from side to side to get a deeper stretch while pushing your glutes upward.
  • If your hamstrings are extra tight, you can bend your knees slightly to ensure your feet are stable on the floor.
  • Hold this for 30 seconds before releasing.

Post-Run Stretches

Quadricep Stretch

Stretching the quadricep muscles is important because they stabilize the knees and propel the body forward.

  • Begin standing with your feet together.
  • Raise your right foot off the ground as you grab it with your right hand.
  • Bend your knee as you pull your right heel toward your glutes. Keep your knees together.
  • Hold for 20-30 seconds and repeat on the other side.

Seated Calf Stretch

This stretch can help prevent shin splints by releasing the calves, which are the first point of impact when running.

  • Sit on the floor and straighten your right leg out to the side.
  • Bend your right leg so your right foot touches your inner tight on the left leg.
  • Hinge at your hips as you reach over to touch the big toe on your right foot.
  • Flex your right foot and shift your toes toward you to stretch your calves and Achilles tendon.
  • Hold for 20-30 seconds and repeat on the other side.

Hamstring Stretch

Runners often experience tight hamstrings due to poor form or overly long strides. This stretch releases and relieves painful hamstrings.

  • Lie on your back with your feet stretched out before you.
  • Raise your right leg toward you, holding the back of your thigh for support.
  • Slowly and gently bring your leg closer to you.
  • Hold for 30 seconds and release.
  • Repeat on the other leg.

 

Safe Stretching Tips

Make stretching a daily practice. While you won’t be fully flexible overnight, you will notice significant improvements with time and dedication. Once you do, stay consistent with your stretching routine to maintain optimal flexibility. Remember, your commitment to stretching is a vital part of your running journey.

Stretch before and after running. As noted above, pre- and post-workout stretches serve different purposes. Stretching cold muscles may defeat the purpose, causing injuries when trying to prevent them.

Instead, take a 10-minute walk to increase blood flow to the lower extremities, making stretching safer and more effective.  After the body is warm, perform the sport-specific dynamic stretches above to prepare the body for exertion.

Static stretches are positions you hold in place for several seconds. They reduce stiffness and improve circulation, range of motion, and flexibility. Consistent static stretching can improve your running performance over the long term because flexible muscles move faster and have more power.

You might be surprised to learn that your hydration levels also impact the flexibility of your muscles and connective tissues. When you are hydrated, your muscles are more pliable, so stretching is easier and more effective. The Mayo Clinic recommends a daily intake of about 11.5 cups of fluids for women and 15.5 cups for men for proper hydration.

Whether stretching before or after a run, always listen to your body. Start slowly and gradually increase the depth and intensity of the stretch. Never push through pain. Stop if a movement becomes uncomfortable. Overstretching can lead to more tissue damage that takes longer to recover from.

Recovering from an overuse injury on your own can be challenging. It’s hard to know how and when to resume activity after a running injury. The recovery process typically involves rest, physical therapy, and a gradual return to running. Physical therapy offers safe and supervised injury rehabilitation using evidence-based techniques to rebuild the injured tissues, relieve pain, and promote healing.

Physical therapy is not just for recovery, however. It’s also a powerful tool for injury prevention. By adopting proper form and increasing strength, balance, and coordination, you can run further, faster, and more efficiently, reducing your risk of getting hurt. With physical therapy, you’re taking proactive steps towards your running goals.

A physical therapy evaluation is the first step to healing and preventing overuse injuries. Find a physical therapy clinic near you or request an appointment online today.

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Medically reviewed by

Misty Seidenburg

Vice President of Clinical Programs

Dr. Misty Seidenburg has been a practicing physical therapist since 2006 after obtaining her Doctor of Physical Therapy Degree from Gannon University. Dr. Seidenburg completed an Orthopedic Residency in 2009 and subsequent Spine Fellowship in 2010 where she discovered a passion for educating clinicians. Since 2019, she has developed and refined several post-professional residency and fellowship programs and currently serves as the Vice President of Clinical Programs for Upstream Rehab Institute. She serves on several APTA committees to help advance the profession, is adjunct faculty at Messiah University, and is also a senior instructor and course developer for the Institute of Advanced Musculoskeletal Treatments with a special interest in exercise integration. Outside of work, she enjoys challenging herself with new adventures and is currently competing as an endurance athlete.

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