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Struggling with Injuries? These Science-Backed Fixes Could Get You Running Pain-Free

Struggling with Injuries? These Science-Backed Fixes Could Get You Running Pain-Free

Estimated read time: 3.42 minutes (about as long as it takes to convince yourself that $80 Uber Eats is justified after your long run 🐶).

Hey Performance Nerds! Jonah here. 🤓

What if I told you your favorite fast hilly route might be 450% harder on your tissues than you think

Yep—your speed, terrain, and cadence might quietly be destroying your rehab. But the good news? Small tweaks can make a massive difference.

Here’s what we’re breaking down today:

  • Why speed work can backfire on your Achilles and Knees 🚀 

  • How terrain changes (uphill vs. downhill) shift leg damage 🦵

  • A simple cadence tweak that cuts tissue damage immediately 😳

📚 Based on: Van Hooren et al., 2024 (Scand J Med Sci Sports)

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🏃‍♂️ The Hidden Cost of Running Faster

Speed training is key for Marathon PRs—but it also increases tissue damage per step.

Running faster means:

  • More speed = More force per step  ⬆️

  • Proven Damage Increase: Research shows cumulative stress rises significantly at higher speeds.

    • Worst hit? The Achilles tendon, knees, and shins.

  • Achilles beware: If Augie (my dog) had health insurance, 90% of his claims would say: “Chased squirrels too fast, too often—zero rest days.”

Faster running = more force per step. Even with fewer steps, the increased impact leads to MORE total damage!

How to Minimize Damage When Returning From Injury:

  • Limit high-speed sessions—save them for key workouts.

  • Balance intensity—mix slow and fast runs.

  • If injured, reduce volume of speed workouts first—not necessarily mileage.

Uphill vs. Downhill: Which is Safer 🏔️

Ever noticed how your legs feel completely different after running uphill compared to downhill? 

Here's why:

Think of it this way: When you shift stress away from one area, another part of your body picks up the slack. Smart terrain choices = better injury management!

What this means for you:

  • Knee pain? Stick to uphill, avoid downhill.

  • Achilles issues? Avoid hills entirely.

  • Shin problems? Stay on flat ground.

  • Balance your terrain to avoid overloading one tissue.

Cadence: The Secret Fix? 🎵

Want a scientifically-backed way to reduce leg damage when you’re injured? Increase your cadence.

Why it Works:

  • More steps per minute = lower impact per step  ⬇️

  • Each step is gentler despite taking more steps—protecting your tissues from excessive damage.

The result? Less overall damage to every tissue

Here's the breakdown of a 10% increase in cadence:

If Achilles pain is the villain, cadence is the superhero. 🦸‍♂️ A small tweak could be your biggest weapon!

Cadence Fix Plan: (ONLY adjust if injured & working with a coach/PT)

  1. Find your baseline: Count steps for 60 seconds at your normal running pace

  2. Target: Aim to increase by no more +10 steps per minute:

Gradually increasing your cadence is smart training. Going 0-to-100 in cadence changes is like trying mystery gel at mile 23—you're playing with fire! 🏃‍♀️⚠️

  1. Implementation:

  • Use a metronome app at your target BPM (example: Metronome Beats app)

  • Create a playlist with songs matching your target cadence (visit runningbpm.com)

  • Many Garmin/COROS watches have real-time cadence feedback

  1. Only change cadence if needed—don’t fix what isn’t broken.

Practical Summary: What Should YOU Do?

If you have knee pain:

  • ✔ Slightly slow your paces 

  • More uphill, less downhill 

  • Increase cadence by 5-10%

If you have Achilles issues:

  • Prioritize slower paces (biggest impact!) 

  • Avoid uphill running completely

  • Increase cadence (huge benefit!)

If you have shin issues:

  • Stick to flat surfaces 

  • Moderately reduce speed 

  • Slightly increase cadence

🔥 The Big Win: Keep Running While You Heal

Reducing injury risk doesn’t mean cutting all training. Instead, adjust:

  • ✅ Speed (reduce force per step)

  • ✅ Terrain (shift stress between tissues)

  • ✅ Cadence (spread impact evenly)

🚨 Are Your Easy Runs Making You Slower?

Did you miss my post about why Your Easy Runs Might Be Making You Slower? You can find it below!

I won’t lie. These posts take me a while to make. If you find it helpful, share it on your story or with a friend. It helps me a ton!

Are You a True Running Nerd? Prove it.. 🧐

Welcome to the prove you’re a nerd section. Each week, I ask a question about a common running science myth.

Answer correctly, and you’ll be entered into a weekly raffle to win a package of Jonah’s favorite supplements.

Why is it not a great idea to lift heavy right before your hard runs? 🏋️‍♂️➡️🏃‍♂️

Login or Subscribe to participate in polls.

Last Week’s Results: The Real MVP of Running Power! 🏃‍♂️💥

Wow, performance nerds, you had some strong opinions on this one! 🧠🔥 The winner? Your calves! 🦶✅

Here’s how you all voted:

🟩 Calf muscles (Soleus & Gastrocnemius) 🦶100 votes (48%) 
🟨 Gluteus Maximus 🍑76 votes (37%)
🟨 Quadriceps 🦵23 votes (11%)
Hamstrings 🔗8 votes (4%)

Takeaway: Your calves are doing serious work—strengthen them to run stronger and stay injury-free! 💪🔥

Nerdy Finds of the Week 📚🧑‍🔬

This section includes my favorite research, podcasts or books about running/lifting science.

2. 💡 Key Insight:

  • Physiological resilience—the ability to resist declines in VO₂max, running economy, and metabolic thresholds during prolonged exercise—is an independent, trainable factor that can enhance marathon performance.

3. Key Research Points

  • 📊 Enhanced Prediction: Incorporating resilience into the traditional model improves marathon time predictions by accounting for fatigue-induced declines.

  • Individual Variability: Athletes show notable differences in how quickly key physiological metrics deteriorate during long-duration exercise.

  • 🏃 Training Consistency: Long-term, high-volume endurance training (spanning years) appears crucial for developing resilience.

  • 🏋️‍♂️ Resistance Benefits: Heavy strength and plyometric training may help maintain running economy and delay performance drop-off under fatigue.

  • 🔄 Modulating Factors: Biomechanical aspects (e.g., muscle fiber type) and metabolic adaptations—including potential sex differences—can influence resilience outcomes.

4. Practical Applications

  • 🏃‍♂️ Race-Pace Practice: Integrate long runs with intervals of high-intensity or progressive race-pace efforts to simulate and train for fatigue.

  • 🏋️ Strength Integration: Add 2 weekly resistance or plyometric sessions to help maintain economy during long runners

  • 📱 Personalized Tracking: Use wearable tech to monitor fatigue and performance declines, tailoring training programs to individual resilience profiles.

5. Limitations or Caveats

  • ⚠️ Evidence Gaps: Standardized, off-the-shelf tests for resilience are not yet established; most strategies are based on short-term or observational data.

  • 🤔 Need for Further Research: More rigorous, long-term studies (especially on elite athletes and sex differences) are required to validate and optimize these training methods.

Don’t forget: You + Science = AWESOMENESS 😎

Yours in science,

Jonah

P.S. - We have a crew of 15,270+ nerds here who are running FAST using science.

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