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Sports Injuries

Running Injuries: Causes, Treatment & How to Recover

Vineet Bansal
Medically Reviewed By
Vineet BansalCLINICAL DIRECTOR / PRINCIPAL MUSCULOSKETAL & SPORTS PHYSIOTHERAPIST
Last reviewed on 23 August 2026
Running Injuries: Causes, Treatment & How to Recover

Running can be wonderfully simple.

You put on your shoes, head outside and start moving.

But anyone who has trained seriously for a 5K, 10K, half marathon or marathon knows that running becomes considerably more complicated when the kilometres start adding up.

Maybe your knee starts hurting halfway through a run.

Perhaps your shins ache after you've increased your weekly mileage.

Your heel might be painful when you first get out of bed.

Or you may notice that your calf, hamstring or hip has started feeling tighter every time you run.

The frustrating part is that runners often don't know whether they should rest, keep running, change their training or see someone about it.

And that's exactly what this guide is here to help with.

At ACE Physio Sports, we work with runners and active individuals across Singapore who want to stay active while managing pain, recovering from injury or returning to running after time away.

This guide explains the most common running injuries, why they happen, what symptoms to pay attention to, how physiotherapy can help and how to return to running without simply repeating the same cycle of pain and rest.

Why Do Running Injuries Happen?

One of the most common assumptions is that running itself is bad for your knees or joints.

It isn't that simple.

Running is a physical load, and your body needs time to adapt to that load.

Problems can develop when the demands placed on your body increase faster than your muscles, tendons, bones and joints can tolerate.

For example, you might:

  • Suddenly increase your weekly distance.
  • Add long runs after mostly doing short runs.
  • Start running hills.
  • Introduce speed sessions.
  • Increase both mileage and intensity at the same time.
  • Return to running after several months away.
  • Add running on top of a demanding gym programme.
  • Continue training despite persistent symptoms.
  • Have insufficient recovery between harder sessions.

This is why a runner who has been comfortable at 10 km per week can suddenly develop pain after jumping to 25 or 30 km.

The issue isn't necessarily that running is harmful.

The issue may be that the body hasn't had enough time to adapt to the new workload.

Current Singapore running guidance similarly emphasises gradual mileage progression, strength training and recovery rather than simply pushing through increasing distance.

What Are the Most Common Running Injuries?

Running injuries can affect almost any part of the lower limb.

The most common problems runners ask us about include:

  • Runner's knee
  • Shin splints
  • Achilles tendon pain
  • Plantar fasciitis
  • Calf strains
  • Hamstring injuries
  • Hip pain
  • IT band-related pain
  • Ankle pain
  • Foot pain
  • Stress injuries of the bone

The important thing to remember is that pain in one area doesn't always mean that the problem started there.

For example, knee pain may be influenced by changes in training load, strength, movement or previous injuries elsewhere in the lower limb.

Similarly, foot or ankle symptoms can sometimes change the way someone runs and subsequently affect the knee or hip.

That's why a good running assessment looks at the whole movement chain, rather than simply treating the painful spot.

1. Runner's Knee

Runner's knee is a common way of describing pain around or behind the kneecap, often referred to clinically as patellofemoral pain.

You may notice:

  • Pain during or after running.
  • Discomfort when going downstairs.
  • Pain after sitting for a long time.
  • Pain during squats or lunges.
  • Aching around the front of the knee.

Some runners notice symptoms particularly when they increase their distance, introduce hills or return to running after a break.

It doesn't necessarily mean that something is "wrong" with your kneecap.

The way your knee responds to load can be influenced by several factors, including training volume, strength, recovery and movement.

2. Shin Splints

Shin splints, commonly referred to as medial tibial stress syndrome, typically cause pain along the inner portion of the shin.

They are particularly common when runners suddenly increase their mileage or return to running after a period of inactivity.

You might notice:

  • Aching along the inside of the shin.
  • Pain during or after running.
  • Tenderness after increasing mileage.
  • Symptoms that become more noticeable as training continues.

Shin pain shouldn't automatically be dismissed as "just shin splints", however.

A very specific area of bone tenderness, pain that persists at rest or night pain can require further medical assessment because bone stress injuries can present differently.

Singapore's SingHealth also highlights the importance of assessing running mechanics and using appropriate strengthening and rehabilitation for shin-splint presentations.

3. Achilles Tendon Pain

The Achilles tendon connects the calf muscles to the heel.

Running, jumping and repeated pushing off the ground place considerable load through this tendon.

Achilles tendon problems can cause:

  • Pain above the heel.
  • Morning stiffness.
  • Pain at the beginning of a run.
  • Tenderness after exercise.
  • Stiffness after sitting or resting.
  • Pain that gradually becomes more persistent.

A common mistake is to completely rest until the pain disappears and then immediately return to the same training volume.

Tendons generally respond to appropriately progressed loading, which means rehabilitation often needs to gradually rebuild their capacity rather than relying solely on rest.
For more information on how we treat and know more about Achilles Tendon Injury Refer our Achilles Tendon Page.

4. Plantar Fasciitis and Heel Pain

Pain underneath the heel is another common complaint among runners.

Plantar fasciitis can cause particular discomfort with the first steps after getting out of bed or after prolonged sitting.

Running volume, footwear, training habits and individual factors can all influence symptoms.

Importantly, not every case of heel pain is plantar fasciitis.

That's why persistent heel pain is worth assessing rather than simply assuming you know the diagnosis.

Singapore's multidisciplinary guideline for plantar fasciitis specifically recommends looking at factors such as activity, footwear and loading while using an individualised management approach.
To get detailed information about how our team treats Plantar Fasciitis and heel pain refer this page links please - Plantar Fasciitis

5. Calf Pain When Running

Calf pain can range from general muscular fatigue to a more significant strain or tendon-related problem.

You might notice pain:

  • During acceleration.
  • When running uphill.
  • During sprinting.
  • When pushing off.
  • After suddenly increasing your running distance.

If the pain appeared suddenly during a sprint or fast run, especially with a sharp sensation, it's important not to assume it's ordinary post-run soreness.

A proper assessment can help determine whether you are dealing with muscular overload, a strain or another problem. Learn more how ACE Physio Sports treat by clicking here Calf Strain.

6. Hamstring Pain

Hamstring problems are particularly common in runners who combine endurance running with faster sessions, sprinting or sport.

You may experience:

  • Pain at the back of the thigh.
  • Tightness during running.
  • Pain during acceleration.
  • Discomfort when stretching the leg.
  • Symptoms after a sudden increase in speed work.

Returning to running after a hamstring injury should involve more than simply waiting for the pain to disappear.

The hamstring needs to progressively tolerate the demands that running places on it.
To know more about How we treat hamstring pain proceed on this page Hamstring Pain Relief.

7. Hip and Groin Pain

Not all running injuries occur below the knee.

Some runners develop pain around the hip or groin, particularly when increasing distance, hills or speed work.

You might notice discomfort:

  • At the front of the hip.
  • Around the groin.
  • On the outside of the hip.
  • After longer runs.
  • When lifting your knee.
  • During hills or faster running.

Hip and groin pain can have several different causes, so persistent symptoms shouldn't simply be treated as "tight hip flexors."
Learn more about what conditions we treat under Groin Pain and Hip Pain here.

8. Ankle and Foot Pain

Your feet and ankles absorb repeated loads every time you run.

Pain may develop around:

  • The heel.
  • Arch of the foot.
  • Outside of the ankle.
  • Inside of the ankle.
  • Forefoot.
  • Toes.

Changes in training, previous injuries, footwear and the amount of time spent running can all be relevant.

If your ankle or foot pain is affecting how you run, it's worth addressing it early rather than allowing the altered movement to become your new normal.

Learn more how we serve and types of Ankle Pain and Foot Pain in our clinic.

Is It Normal to Feel Pain When Running?

This is probably one of the most important questions in the entire article.

Not every sensation during or after running means you've injured yourself.

You may experience normal muscle fatigue, especially after a new or harder session.

But persistent or worsening pain deserves more attention.

A useful question isn't simply:

"Does it hurt?"

Instead ask:

"What happens to the pain when I run, and what happens afterwards?"

For example:

If mild discomfort remains stable and settles quickly after activity, it may be very different from pain that progressively worsens during the run and remains elevated for hours afterwards.

Similarly, pain that repeatedly returns at the same distance or intensity can be useful information.

Your body is essentially telling you that the current training load may not be matching its present capacity.

Should You Stop Running If You Have Pain?

Not necessarily.

This is where running rehabilitation differs from the old-fashioned idea of "rest until it doesn't hurt."

For some injuries, reducing or temporarily stopping running may be appropriate.

For others, a runner may be able to continue with a modified programme.

That could mean:

  • Running shorter distances.
  • Reducing speed.
  • Avoiding hills temporarily.
  • Increasing rest between sessions.
  • Replacing one run with cycling or another lower-impact activity.
  • Reducing overall training load.

The right decision depends on the injury, symptoms and individual circumstances.

The goal is not necessarily zero activity.

The goal is finding a level of activity that allows the body to recover and gradually become capable of handling more again.

When Should a Runner See a Physiotherapist?

Consider getting assessed if:

  • Pain keeps returning every time you run.
  • Symptoms are progressively worsening.
  • You have changed the way you run because of pain.
  • You are limping.
  • You can't complete your normal distance.
  • Pain continues well after your run.
  • You have recently increased your training substantially.
  • You're preparing for a race but an injury is getting in the way.
  • You've tried resting but the problem returns as soon as you start running again.

You don't necessarily need to wait until you are unable to run.

Sometimes an earlier assessment can help identify the factors contributing to the problem before it becomes a much bigger interruption to your training.

A Singapore Runner's Perspective

Running in Singapore comes with its own practical considerations.

The climate is hot and humid for much of the year, and runners may need to adapt their training accordingly.

You may also be balancing running with:

  • Long working hours.
  • Gym training.
  • Family commitments.
  • Weekend races.
  • Commuting.
  • Limited recovery time.

That means your total physical load matters.

A 30 km training week doesn't exist in isolation if you're also lifting weights four times a week, playing football on Sunday and sleeping poorly during a busy work period.

Your body experiences the combined workload.

This is one reason two runners can follow the same training plan but respond completely differently.

What About Runners Training Around East Coast?

For runners around East Coast, Katong, Marine Parade and Bedok, running can easily become part of a regular weekly routine.

If you're increasing your distance along routes around East Coast Park or preparing for a longer-distance event, it's tempting to focus entirely on hitting the next mileage target.

But progression isn't only about adding kilometres.

It is also about building the strength and capacity needed to handle those kilometres.

If your knee, shin, calf, ankle or foot has started complaining as your training increases, that's information worth paying attention to.

What Happens During a Running Injury Assessment?

If you've been dealing with running pain for a few weeks, one of the first questions you may have is:

"What will a physiotherapist actually do?"

A running assessment shouldn't simply involve pressing on the painful area and telling you to stretch it.

The goal is to understand why the problem may have developed and what your body currently needs to get back to running.

Your physiotherapist may ask about:

  • When the pain started.
  • Where you feel it.
  • Whether it occurs during or after running.
  • How far you can currently run.
  • Whether your running distance has recently changed.
  • Changes in speed or hill training.
  • Your other sports and gym activities.
  • Previous injuries.
  • Your footwear and running environment.
  • Your upcoming race or training goals.

You may then go through movement and strength assessments relevant to your symptoms.

The assessment might include looking at things such as:

  • Single-leg control.
  • Hip and lower-limb strength.
  • Calf strength.
  • Balance.
  • Mobility.
  • Functional movements.
  • Running mechanics where appropriate.

The important thing is that there isn't one universal running assessment.

Someone with Achilles pain doesn't need exactly the same assessment as someone with knee pain.

Do You Need a Running Gait Analysis?

Not every runner who has pain needs an elaborate treadmill analysis.

Sometimes a clinical assessment provides enough information to understand the main factors contributing to the problem.

In other situations, watching you walk or run can provide useful additional information.

A gait assessment may look at:

  • Cadence.
  • Stride characteristics.
  • Foot and ankle movement.
  • Knee movement.
  • Hip control.
  • Running posture.
  • How your movement changes when you become fatigued.

But running form shouldn't be treated as a search for one "perfect" technique.

There is no single running style that every healthy runner has to copy.

The more useful question is:

Is there something about this runner's movement, workload or capacity that is relevant to their symptoms?

That's a much more individualised way of looking at running injuries.

How Does Physiotherapy Treat Running Injuries?

There isn't one treatment that works for every running injury.

Depending on your assessment, physiotherapy may involve a combination of:

Exercise Therapy

Exercises can help rebuild strength, control and capacity around the affected area.

For a runner, this might involve:

  • Calf strengthening.
  • Quadriceps strengthening.
  • Hamstring exercises.
  • Hip strengthening.
  • Single-leg exercises.
  • Balance work.
  • Core training.
  • Plyometric exercises.

The exercises should progress as your capacity improves.

Manual Therapy

Hands-on treatment may sometimes be used to help manage pain, stiffness or muscle-related symptoms.

It can be useful as part of a broader rehabilitation programme, but it shouldn't be the entire plan when the underlying issue requires progressive loading or strength development.

Load Management

This is often one of the most important parts of running rehabilitation.

You may not need to stop running completely.

Instead, your physiotherapist may help modify:

  • Distance.
  • Pace.
  • Frequency.
  • Hills.
  • Intervals.
  • Recovery days.
  • Other sporting activities.

The objective is to find a training level your body can currently tolerate and then progressively build from there.

Why Strength Training Matters for Runners

Some runners worry that strength training will make them slower or interfere with their running.

For most recreational runners, the bigger issue is often the opposite: they don't do enough strength work to support their overall training.

Strength training can complement running by developing the muscles and tissues that help you tolerate repeated loading.

It can include exercises for:

  • Calves.
  • Quads.
  • Hamstrings.
  • Glutes.
  • Hip muscles.
  • Core.
  • Feet and ankles.

Singapore's HealthHub recommends muscle-strengthening activity alongside aerobic exercise as part of the Singapore Physical Activity Guidelines.

The exact exercises and amount of strength training should still be appropriate for your current fitness level and running goals.

How Much Should You Run While Recovering From an Injury?

This is one of the questions where there isn't a universal answer.

The right amount depends on:

  • Your injury.
  • Your current symptoms.
  • Your running history.
  • Your strength and capacity.
  • How symptoms respond during and after running.
  • Your upcoming goals.

For some runners, a temporary reduction in running is appropriate.

For others, continuing with a modified running programme can be part of rehabilitation.

For example, instead of running 8 km at your usual pace, your programme might temporarily involve a shorter and easier run with more recovery between sessions.

The important thing is to avoid the cycle of:

Pain → complete rest → feeling better → immediately returning to previous mileage → pain returns.

A more useful approach is often:

Reduce the aggravating load → build capacity → gradually reintroduce running → progressively increase training.

How Do You Return to Running After an Injury?

Returning to running should be a progression rather than a single decision.

You don't necessarily go from:

"I haven't run for six weeks"

straight to:

"I'm doing my normal 10 km."

A gradual return might look something like:

Step 1 — Everyday Movement

You can comfortably perform normal activities without significant symptoms.

Step 2 — Strength and Capacity

You rebuild the strength required for running.

Step 3 — Walk/Jog

Short periods of easy jogging can be introduced depending on the injury.

Step 4 — Increase Running Time

Running duration gradually increases while symptoms are monitored.

Step 5 — Increase Distance

Once your body is tolerating the workload, distance can gradually increase.

Step 6 — Reintroduce Speed

Intervals, tempo running or faster work can come later.

Step 7 — Return to Your Normal Training

Your usual programme is gradually restored.

The exact progression is different for every injury.

What If You Have a Marathon Coming Up?

This is where runners often make a difficult decision.

You've spent weeks or months training.

Your race is approaching.

And suddenly your knee, shin, Achilles or foot starts hurting.

The temptation is understandable:

"I've already trained this much. I just need to get through the race."

But trying to ignore an injury simply because race day is approaching isn't always the best strategy.

Instead, consider:

  • How severe are the symptoms?
  • Are they getting worse?
  • Can you run normally?
  • How does the pain behave after running?
  • How much training have you missed?
  • What is your realistic current capacity?
  • Can your training be modified?

A physiotherapist can help you assess the situation and determine what can reasonably be maintained, modified or temporarily stopped.

Sometimes the best outcome isn't achieving the exact training plan you originally wrote.

It may be getting to the start line healthy enough to participate—or deciding that recovery needs to take priority.

Running in Singapore's Heat and Humidity

Singapore adds another factor that runners need to consider: the environment.

Running outdoors in hot and humid conditions can increase the physical demands of a session.

That doesn't mean you have to stop running outdoors.

It means your training needs to account for the conditions.

Think about:

  • Time of day.
  • Hydration.
  • Session intensity.
  • Duration.
  • Shade and route.
  • Weather conditions.
  • How your body is responding.

Sport Singapore's official sports-safety guidance specifically discusses hydration, overheating, weather conditions and preparing properly before and after outdoor sporting activity. This is a useful reference for runners training in Singapore.

Should You Change Your Running Shoes?

This is another question runners frequently ask.

The short answer is:

Sometimes, but shoes aren't always the explanation for an injury.

A shoe that is worn out, uncomfortable or unsuitable for your foot and running needs may contribute to problems.

But changing shoes isn't a guaranteed treatment for knee, shin or foot pain.

If you're suddenly experiencing pain after increasing your running volume, changing your training load may be more important than buying another pair of shoes.

When choosing running shoes, comfort and suitability for your individual needs are generally more useful considerations than searching for one universally "best" shoe.

Can You Prevent Running Injuries Completely?

Unfortunately, no.

Even runners who train carefully can get injured.

But you can reduce avoidable problems by giving your body enough time to adapt.

Some practical habits include:

Increase Training Gradually

Avoid suddenly multiplying your weekly distance.

Don't Increase Everything at Once

If you're increasing mileage, introducing hills and adding speed sessions simultaneously, you're changing several variables at once.

Strength Train

Build strength alongside your running.

Take Recovery Seriously

More training isn't automatically better training.

Pay Attention to Persistent Symptoms

A problem that repeatedly appears at the same point in your run shouldn't simply be ignored.

Don't Copy Someone Else's Training Plan Blindly

Your friend may be able to run five days a week.

That doesn't mean your body is ready for the same workload.

A Simple Example: When a Runner Keeps Getting the Same Knee Pain

Imagine a recreational runner who notices knee pain every time they reach around 5–6 km.

They stop running for a week.

The pain disappears.

They start running again.

A few sessions later, it returns.

So they stop again.

This can become an exhausting cycle.

The question isn't simply:

"How do we get the pain to disappear?"

A better question is:

"Why does the problem keep returning when this runner reaches a certain workload?"

An assessment might reveal that the runner's recent mileage has increased significantly, their strength programme has changed and they're also playing another sport on weekends.

Instead of repeatedly resting until the pain disappears, rehabilitation can address the person's overall training load and physical capacity.

That is the difference between simply managing today's symptoms and working towards a more sustainable return to running.

What If Running Pain Keeps Coming Back?

Recurring pain deserves attention.

If your symptoms disappear every time you stop running but return whenever you resume your normal training, your body may not yet have regained the capacity needed for that workload.

This doesn't necessarily mean you're permanently injured.

It may simply mean the progression needs to change.

A physiotherapy assessment can help identify:

  • What is aggravating the symptoms.
  • What activities you can currently tolerate.
  • Which areas need strengthening.
  • How your running load should be modified.
  • How to progressively return to your previous level.

Check out how our team provide sports injury rehabilitation services.

When Running Pain Needs More Than Physiotherapy

Most running aches aren't emergencies, but some symptoms shouldn't simply be managed through an online article or routine physiotherapy.

Seek appropriate medical assessment if you have symptoms such as:

  • Severe or rapidly worsening pain.
  • Inability to bear weight.
  • Significant swelling after an injury.
  • A suspected fracture.
  • Severe pain following major trauma.
  • Numbness or significant weakness.
  • Chest pain, severe shortness of breath or fainting during exercise.
  • Other symptoms that make you feel seriously unwell.

And if you're unsure whether your symptoms are suitable for physiotherapy, getting an appropriate medical assessment is the safer choice.

The Goal Isn't Just to Run Without Pain

For a runner, recovery isn't necessarily finished the first time you complete a pain-free 5 km.

The bigger question is:

Can you gradually return to the amount of running you actually want to do?

If you normally enjoy:

  • 5 km weekend runs,
  • 10 km races,
  • half-marathon training,
  • marathon preparation,

then rehabilitation should eventually consider those real-world goals.

A successful recovery should ideally leave you with more confidence in your body and a better understanding of how to manage your training.

That's much more useful than simply being told:

"You're fine now. Go run."

A Runner's Story: When Rest Wasn't Solving the Problem

Consider a common situation.

A recreational runner starts preparing for a longer-distance race. Their normal week consists of a couple of shorter runs, but as the race gets closer, they begin increasing their mileage.

Initially, everything feels fine.

Then their knee starts aching around the fifth or sixth kilometre.

They take a few days off.

The pain settles.

So they run again.

A week later, the same thing happens.

At this point, it can be tempting to think:

"I just need to rest a little longer."

But when the same pain repeatedly returns as soon as normal training resumes, rest alone may not address the reason it keeps happening.

The more useful question becomes:

What changed, and what does the body currently need to tolerate the workload again?

That might involve looking at recent mileage, running frequency, strength, recovery, other sports and gym sessions, as well as how the symptoms behave during and after running.

This is why an individual assessment can be more useful than simply searching for a generic stretching routine online.

How Can You Reduce Your Risk of Running Injuries?

You can't guarantee that you will never get injured.

But there are sensible ways to make your training more sustainable.

1. Build Your Mileage Gradually

If you've been running 10 km per week, suddenly jumping to 30 km is a substantial change.

Your cardiovascular fitness may improve faster than some of your muscles, tendons and other tissues can adapt.

Give your body time to catch up.

2. Don't Increase Distance, Speed and Hills Together

Imagine going from:

  • 15 km per week
  • Easy running
  • Mostly flat routes

to:

  • 30 km per week
  • Intervals
  • Hill repeats
  • A long run

That's several major changes at once.

If something starts hurting, it then becomes difficult to work out which change contributed to the problem.

A more gradual approach makes it easier for your body to adapt—and easier for you to understand what works.

3. Keep Strength Training in Your Routine

Running is repetitive.

Strength training gives you an opportunity to challenge the muscles and tissues in different ways.

A runner's strength programme might include exercises targeting:

  • Calves
  • Quadriceps
  • Hamstrings
  • Glutes
  • Hip muscles
  • Core
  • Feet and ankles

The programme should evolve as your running improves.

A beginner doesn't necessarily need the same programme as a marathon runner.

4. Give Recovery the Same Attention as Training

It's easy to think that progress happens only when you're running.

It doesn't.

Your training load includes the stress of the training itself and the recovery available between sessions.

Sleep, nutrition, rest days and other activities all matter.

Sport Singapore's sports-science guidance similarly describes training load and recovery as closely connected, with training type, amount, timing and environmental conditions influencing athletic adaptation.

What About Running When You're Slightly Sore?

This is where things can become confusing.

Normal muscle soreness after an unfamiliar or harder workout is not necessarily an injury.

But soreness isn't the only thing you should consider.

Pay attention to whether:

  • The discomfort gets worse as you continue.
  • Your running pattern changes.
  • You start limping.
  • The pain becomes sharper.
  • Symptoms remain significantly elevated after the run.
  • The same pain keeps returning at a predictable distance.
  • Your performance is changing because of the symptoms.

If you're repeatedly modifying how you run because something hurts, that's a good reason to get it assessed.

Can You Run Through an Injury?

There isn't a universal yes-or-no answer.

Some injuries can be managed while maintaining a modified level of running.

Others need a temporary reduction or complete break from impact activity.

The decision depends on the injury and the individual's response to load.

Instead of asking:

"Can I run with this injury?"

a better question may be:

"What amount of running can my body currently tolerate, and how can I safely build from there?"

That shift is important because rehabilitation isn't necessarily about avoiding movement forever.

It's about progressively restoring capacity.

How Do You Know You're Ready to Increase Your Running?

Before increasing your distance or intensity, look at how your body has responded to the current level.

Some useful questions are:

Can I complete my current run without significant worsening of symptoms?

Does the pain settle appropriately afterwards?

Can I perform everyday activities normally?

Has my strength improved?

Can I perform the movements required for my next stage of training?

Am I recovering adequately between sessions?

If the answer to several of these is no, increasing your workload may be premature.

Returning to Running After an Injury

A return-to-running programme should reflect the injury and your goals.

For example, someone returning after a mild calf problem may progress differently from someone recovering from a significant knee injury.

A general progression could involve:

First: Restore Everyday Function

Walking, stairs and normal daily activities should be comfortable enough for the individual situation.

Next: Build Strength

The muscles involved in running need to regain appropriate capacity.

Then: Introduce Running

Short, easy running can be introduced when appropriate.

Increase Duration

Gradually increase the amount of running your body can tolerate.

Reintroduce Intensity

Speed work, hills and intervals usually come later.

Return to Your Goal

Eventually, training can move towards your normal distance, pace or race requirements.

The progression isn't a race.

Trying to skip stages because you feel better can sometimes bring the problem back.

What If You're Training for a Race?

Race preparation creates an additional psychological challenge.

You've spent months training.

Your race is booked.

Your friends know you're running.

You've probably already paid the entry fee.

So when pain appears, the instinct can be:

"I have to keep training."

But your race goal shouldn't automatically override what your body is telling you.

If you've developed persistent pain, an assessment can help you understand your options.

You may be able to modify your training and continue preparing.

You may need a short reduction in workload.

Or, depending on the problem, you may need a more structured rehabilitation programme.

The earlier you address a persistent problem, the more options you may have.

Running in Singapore: Don't Forget the Environment

Singapore's climate is part of the training equation.

Heat, humidity and sudden weather changes can make a familiar running pace feel substantially harder.

This is particularly important when you're preparing for longer distances.

The 2026 Singapore International Marathon's official training guidance specifically highlights Singapore's tropical climate and recommends adapting pace, hydration and fuelling to local conditions.

If you're running outdoors, consider the conditions rather than judging every session purely by pace.

A slower run on a very hot and humid morning isn't necessarily a bad training session.

Sometimes effort matters more than the number on your watch.

When Should You Get Your Running Pain Assessed?

You don't need to wait until you're completely unable to run.

Consider booking an assessment if:

  • Pain keeps returning.
  • Your symptoms have lasted more than several days and aren't improving.
  • You have started changing how you run.
  • You can't complete your normal distance.
  • Pain is becoming more frequent.
  • You're preparing for a race and an injury is interfering with training.
  • You've tried resting but symptoms return when you restart.
  • You aren't sure whether you should continue running.

A physiotherapist can assess your symptoms, movement, strength and training history and help determine what your next step should be.

Sport Singapore's own sports medicine service describes sports physiotherapy as including clinical assessment, treatment and sports-specific rehabilitation, which reflects the broader role of physiotherapy beyond simply treating pain.

Frequently Asked Questions

There isn't one single injury that affects every runner. Knee pain, shin pain, Achilles tendon problems, plantar heel pain, calf problems, hamstring injuries and foot or ankle pain are all common complaints among runners. The cause can vary significantly between individuals.
Knee pain after running can have several possible causes. Changes in mileage, running intensity, hills, strength, recovery and previous injuries may all be relevant. The location and behaviour of the pain matter, so persistent knee pain is better assessed rather than assuming it is simply "runner's knee."
Shin pain can occur when running load increases faster than your body can adapt. It is commonly associated with changes in running volume or intensity, but not every case of shin pain is the same. Persistent or very localised bone pain should be assessed because other conditions, including bone stress injuries, can cause shin symptoms.
Achilles tendon pain can be associated with repeated loading of the tendon. Runners may notice stiffness in the morning, pain around the tendon during running or discomfort after activity. A gradual rehabilitation programme can help restore the tendon's ability to tolerate load.
Not automatically. Depending on the problem, modifying distance, pace, frequency or other training may be appropriate. However, if pain is worsening, changing your running pattern or significantly affecting your ability to move, you should have it assessed.
There is no universal recovery time. A minor overload problem may settle relatively quickly, while tendon, bone or more significant soft-tissue injuries can require considerably longer rehabilitation. Recovery depends on the diagnosis, severity, training load and how the body responds to rehabilitation. Be cautious of anyone promising that a running injury will be completely fixed in a specific number of days.
Yes. Physiotherapy can help assess musculoskeletal running problems, identify factors contributing to symptoms and develop an appropriate rehabilitation programme. Depending on the individual, treatment may include exercise, load management, manual therapy, education and progressive return to running.
This is a common pattern. Rest may reduce the symptoms because the irritated area is no longer being exposed to the same load. But if your capacity hasn't been rebuilt, returning immediately to the previous workload can reproduce the problem. That's why rehabilitation often involves progressively rebuilding capacity, rather than simply waiting for symptoms to disappear.
Running InjuriesSports InjuryRunner's KneeAnkle painFoot PainCalf PainHamstrings Pain
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ACE Physio Sports Team
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23 Min Read

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