A discussion on all things running: Part 2

In part 1 of this little series, we looked at the effect of fatigue on biomechanics, and the effect of injury on biomechanics.

Let's now turn it around and take a look at the effect of biomechanics on injury, is there link?

For years I have been saying that the amount of pronation is unimportant, but the timing of pronation is very important. Surprisingly a brand new study agrees with me. Yippee!

Biomechanical Factors Associated With Achilles Tendinopathy and Medial Tibial Stress Syndrome in Runners
Becker J et al.  Am J Sports Med (2017) 45, 2614-2621.

Epidemiological studies report that between 25% and 75% of all runners will sustain an injury in any 1-year period. These numbers are open to argument and fluctuate wildly depending on which paper you read. My mate Martyn Shorten recently presented data suggesting that 60% of runners will NEVER be injured, but that is another discussion!

These injuries are predominantly caused by overuse, again a term open to wide interpretation. Personally, I believe it is repitition, which is a little different to overuse, that is the problem, again, another discussion!

Medial tibial stress syndrome (MTSS) and Achilles tendinopathy (AT) are 2 examples of such injuries and have been consistently reported as among the 5 most common injuries sustained by runners.

Simon Bartold
Director of Bartold Clinical