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Physiotherapy for Runners

Physiotherapy for Runners: Race Day Preparation for Injury Management

Whether you’re gearing up for a marathon or recovering from a training mishap, understanding physiotherapy’s role in running is essential for every athlete. Physiotherapy offers a strategic advantage, enhancing your performance and increasing your enjoyment of this widespread sport.

In this blog, we are going to discuss the mechanics of running, including customized training regimens and physiotherapy treatment modalities. We’ll also cover crucial aspects of injury prevention and management. Moreover, we’ll explain how physiotherapy for runners can revolutionize the approach to race day preparation, making it a transformative element of your running routine.

Understanding the Mechanics of Running

Although similar to walking in terms of being a locomotor activity, running entails complex biomechanics that significantly differentiate it from simple walking. At its core, running involves a higher degree of energy expenditure as a runner needs to generate sufficient force not only to propel the body forward but also to maintain the balance and movement of the head, arms, and trunk. This energy output helps them increase running speed, requiring greater muscular and joint effort to absorb the shock of repeatedly striking the ground with increased force.

Critical Requirements for Effective Running

  • Enhanced Balance: Running demands superior balance as the body must maintain stability while moving at high speed and transitioning between contact and flight phases.
  • Increased Muscle Strength: Strong muscles are crucial for generating the necessary force for speed and endurance and protecting joints from the impact of running.
  • Extended Joint Range of Movement: A greater range of motion in joints like the hips, knees, and ankles allows for more efficient stride patterns and power generation.

Running is a high-impact activity that repeats with every step, putting considerable stress on muscles, joints, and ligaments. To optimize performance and prevent injuries, understanding these biomechanical demands is crucial. 

A physiotherapist plays an important role in preparing runners for these physical challenges. They help develop tailored strategies that improve strength, flexibility, and aerobic capacity, ensuring that runners can perform at their best, efficiently, and without injury. 

Pre-Race Physiotherapy Assessment

The path to any race day can begin well before you line up at the start; for example, with a complete pre-race physiotherapy assessment. This initial evaluation is essential for setting the stage for a successful and injury-free run. 

During this assessment, a physiotherapist will thoroughly evaluate your current physical condition, focusing on posture, muscle strength, flexibility, and any existing injuries or areas of pain that could impact your performance. Here are the key elements of the pre-race physiotherapy assessment:

Correct Posture and Alignment 

The first step often involves a detailed observation of your posture and body alignment. Many runners overlook the critical role that posture plays in running efficiency. Poor posture or misalignment can lead to overuse injuries by placing undue stress on certain structures. By correcting these issues, a physiotherapist can help you run more efficiently and reduce the chance of injury.

Muscle Strength and Balance 

It is not uncommon for runners to develop imbalances in muscle strength, where certain muscles are stronger than others. These imbalances can lead to a higher likelihood of injury during intense training or the race day. A physiotherapist will assess muscle strength and balance, identifying any asymmetries. Addressing these can enhance your performance and durability by ensuring your body can handle the demands of your training regimen and race demands.


This is another essential element for effective running, crucial to maintaining a proper range of motion of your joints. This affects everything from your stride length to your ability to absorb and respond to the intense impact of running. A physiotherapist will work with you to create a stretching routine tailored to your specific needs, which will aid in maintaining optimal form throughout your training and on race day.

Injury Prevention 

If you have a history of running-related injuries, the assessment will also focus on preventive strategies to minimize the risk of these problems reoccurring. For runners, particularly those new to the sport, the chance of injury can be higher without proper preparation. A physiotherapist may introduce specific exercises and stretches designed to strengthen vulnerable areas and correct biomechanical inefficiencies. 

Optimizing Your Physiotherapy-Based Regimen

After a thorough physiotherapy assessment of your condition, your physiotherapist is ready to create a personalized training plan. This plan addresses any weaknesses, enhancing your running performance while reducing the likelihood of injury. Here’s a closer look at the components of such a physiotherapy plan for runners:

Strength Training

This is a fundamental element of a runner’s training regime. It targets muscle imbalances and enhances overall muscular power, which is crucial for performance and injury prevention. Strong muscles better support the joints and reduce the risk of overuse injuries. 

Core Stability

Your physiotherapist will use exercises to strengthen your core muscles. This fortification helps you maintain an upright and stable posture throughout your running, which is vital for performance and injury prevention.


To lessen the impact on your joints while maintaining cardiovascular fitness, your physiotherapist may recommend cross-training activities such as swimming or cycling. These activities offer a high-intensity cardiovascular workout with a low impact on the joints, providing a balanced fitness regimen that supports running performance. 

Injury Management in Running

Despite best efforts, injuries are a common challenge in the running. Whether it’s a persistent discomfort or a more acute condition, physiotherapy is an effective way to manage these injuries. Here’s how physiotherapists contribute to effective injury management:

Treatment Modalities

Physiotherapists have access to an array of physiotherapy treatment modalities that are essential in treating running injuries. These include:

Manual Therapy: This is a hands-on approach that involves techniques such as massage, mobilization, and manipulations to improve joint mobility, reduce pain, and enhance muscle function.

Ultrasound Therapy: This method uses sound waves to stimulate the affected area. It promotes tissue healing and helps reduce inflammation and pain.

Electrotherapy: Physiotherapy techniques like Transcutaneous Electrical Nerve Stimulation or electrical muscle stimulation relieve pain and promote muscle function through controlled electrical impulses.

Training Modifications

If you are injured during training, your physiotherapist will adjust your training plan. These modifications ensure that you can continue training within your physical limits and stay on track for your upcoming race.


This blog has explained how physiotherapy for runners is an important step in race day preparation and injury recovery. By understanding running mechanics, using treatment modalities, and adopting preventive measures, runners can greatly enhance their performance and overall experience.
Bridgwater Physiotherapy is dedicated to supporting athletes in achieving their peak performance through therapeutic services. We focus on injury prevention and recovery, ensuring athletes can continue to give their best in the running field with optimal health and reduced risk of injury. Contact Us Today!