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Runner’s Injuries in Horsham
Clinical Soft Tissue Treatment
Common Running Injuries Treated in Horsham

Why Runners Develop Recurring Injuries
Running is repetitive by nature.
Every kilometre places hundreds of controlled impacts through:
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Foot and ankle
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KneeHip
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Pelvis
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Spine
If even a small asymmetry exists, such as lateral pelvic tilt or hip rotation imbalance that repetition magnifies it.
Minor imbalance + repetition = overload.
Common Running Injuries
Seen in Horsham
Frequently treated presentations include:
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Lateral knee pain (often labelled
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IT band syndrome)
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Gluteal tendinopathy
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Persistent hamstring tightness
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Hip flexor overload
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Lower back stiffness following long runs
Many of these trace back to pelvic mechanics (see Chronic Lower Back & Pelvic Imbalance).

Repetitive Strain & Biomechanical Asymmetry
Runners often:
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Increase mileage quickly
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Change footwear
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Run on cambered roads
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Return too soon after minor discomfort
But the real issue is often upstream control:
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Glute med weakness
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QL dominance
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Reduced thoracic mobility
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Hip rotational restriction
Without correcting these, symptoms tend to cycle.
Why Rest Alone Doesn’t Solve It
Rest reduces inflammation.
It does not correct:
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Pelvic tilt
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Femoral tracking
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Load distribution
That’s why many runners feel better then relapse at similar mileage.
Clinical Soft Tissue Approach for Runners
Treatment focuses on:
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Assessing pelvic and hip alignment
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Releasing dominant tissue (QL, TFL, hip flexors)
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Restoring gluteal activation
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Improving thoracic rotation
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Modifying load intelligently
The aim isn’t to stop running.It’s to restore efficiency.
FAQ: Runner’s Injuries
Is IT band syndrome common in runners?
Yes — but the IT band is rarely the root cause. Pelvic and hip mechanics usually drive lateral knee pain.
Should I stop running completely?
Not always. Load adjustment is often more effective than full cessation.
Does changing shoes fix it?
Sometimes it helps symptomatically. It rarely corrects underlying biomechanical imbalance.
Why does pain start at a certain distance?
Fatigue exposes imbalance. When stabilisers tire, compensation increases.
Can treadmill running make it worse?
Yes — but the IT band is rarely the root cause. Pelvic and hip mechanics usually drive lateral knee pain.
Why does my lower back tighten after longer runs?
If pelvic control reduces under fatigue, the quadratus lumborum may increase activity to stabilise the spine. This can lead to post-run stiffness or one-sided lower back discomfort.
Can tight hip flexors affect my running?
Yes. Shortened hip flexors can influence pelvic tilt and lumbar loading, altering stride mechanics and increasing lower back or anterior hip strain.
Is recurring tightness a warning sign?
Often, yes. Persistent tightness usually indicates protective guarding or mechanical inefficiency rather than simple flexibility limitation.
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