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This article will answer the question ‘how does changing my running posture help reduce running injuries?’

What is Running Posture?

It is simply the position of your upper body, head and arms as you run. It can vary depending on the incline your are running up or the type of running you are doing too.

 Why does it matter?

It is estimated that over 68% of runners in any one year have a running related injury during that 12 months (Source: Runners World 2009 poll). That seems high but even if it is  +/- 10% that is still most of us at some point have had a running injury

If we optimise our running posture we can run more efficiently. This in turn will reduce the load on muscles, tendons and joints. It is the overloading of these that can cause most running related injuries around the hip, knee and ankle such as hip bursitis, ITB syndrome, runners Knee, patella femoral pain syndrome, achilles tendonitis, plantar fasciitis, heel spurs. recurring calf and hamstring strains.

Running slightly flexed at the hips?

Less efficiency

If you run more like the image on the left then your hip flexors – the muscles that make you bend at the waist- are constantly engaged and shortened. This means that when you run you do not get full extension at the hip and the leg does not straighten. In turn you do store as much potential energy in that muscle which is then turned to kinetic energy as it propels you forward to your next step. This means that you are wasting energy with every step.

Greater load on calf and quad muscles, heels and knees

With less extension in our hips our bodies tend to compensate by increasing our stride length. This in turn means that we tend to heel strike rather then plant our mid foot when we run. It creates a greater impact on our heels and increases the load on our calf muscles. With greater load going through heels and calf muscles you can become more prone to achilles tendonitis and plantar fasciitis.

Greater strain on the Knee

Patella Femoral Pain Syndrome (PFPS) occurs in 22.7% of the general population. Research has shown that this can be caused by increased internal rotation at the hip. Hip Flexor contraction whilst running slightly bent forward will cause increased internal rotation. So whilst often these injuries are multi- factorial it is highly likely that this will be part of the cause.

What to do next?

If you are running pain free and rarely have injuries then my advice would be to continue  as you are. However if you do tend to suffer regular running injuries then a review of your running posture may help.

When we were kids we had natural extension at our hips but unlike top athletes life gets in the way and we tend to have sedentary jobs which encourage constantly tight hip flexion. After all we are sitting down for long periods of time. So rediscover child like running! (and always look when you cross the road)


Changing your Running Posture

  • Look up when you run
  • Keep your shoulder back and chest forward
  • Keep your arms relaxed
  • Don’t lean forward at the hips and try and keep your body in a more upright position

Stretch your Hip flexors before and after every run and am and pm e.g. before and after work. If you want to change the way your hip flexors work you need to retrain them and that takes repetition.

This exercise is very good at doing just that- do each one 10-15x am and pm for best results and before running. If any pain then just stop.

Assessment of Running Posture

If you would like me to assess your running posture and provide you with specific exercises to help reduce running injuries and treat any existing problems then please get in touch.

Hugo Firth Osteopath and Sports Injury rehab specialist (GOsC 8887) BOst, BSc, MA