Running Physical Therapy for Shin Splints and Runner’s Knee

Running Physical Therapy Irvine, CA

Running physical therapy can help with shin splints, runner's knee, and other common running injuries. Typically, pain and injuries develop when one overtrains since the body does not have time to adapt. Whether a runner is preparing for their first 5K or a marathon, pain along the shins or around the kneecap can quickly stall progress. Understanding the causes of these common issues is the first step toward getting back to the sport.

Why does running cause shin and knee pain?

Shin splints cause pain along the inner part of the shinbone. It may feel sharp, dull, tender, or aching. Regardless, shin splints often happen when a runner suddenly adds more miles, more hills, or faster intervals to a weekly routine without enough rest or proper technique. The muscles and bone tissue can become overworked from the repeated impact, particularly when running on concrete, asphalt, and other hard surfaces.

Runner’s knee, or patellofemoral pain syndrome (PFPS), is another common hurdle from overtraining. This condition causes pain around or under the kneecap. It often occurs when the muscles in the hips and thighs do not properly support the knee during the stride. Or if the leg muscles are weak or tight, the kneecap may not track smoothly. This results in irritation while running or even while walking down stairs.

What happens during a physical therapy visit for running injuries?

During the first visit, a physical therapist (PT) asks questions about recent training changes, shoe age (quality of the shoes), and where the pain starts during a run. They check the strength of the hips, the flexibility of the calves, and the balance of the feet. Next, the PT will assess the entire chain of movement, from the hips down to the toes. 

The evaluation provides a clear picture of why certain areas are experiencing excessive stress, such as when a tight calf is pulling on the shin. All of this information is then used to tailor running physical therapy to the patient's unique needs.

How running physical therapy helps with shin splints

The first step in managing shin splints is to rest, either by taking time off from running or reducing mileage. The next step is to make the legs more resilient by strengthening the calves and the small muscles in the feet that support the arch. In running physical therapy, the patient will learn targeted stretches and exercises to achieve this without aggravating their shin pain.

The PT can also provide guidance on training surfaces and footwear. Switching to a softer trail or replacing worn-out shoes can make a major difference.

How a physical therapist treats runner’s knee

Kneecap pain often responds well to a plan that builds strength in the surrounding muscles. Because the hip and the knee work together, strengthening the glutes and quadriceps is a primary focus. Running physical therapy helps the knee track correctly by improving how these large muscle groups control the leg with every step.

The physical therapist may also suggest small changes to the running stride. Increasing the step rate or shortening the stride length can reduce the force that hits the knee with each footstrike. These adjustments, combined with a structured exercise plan, allow the runner to build mileage without the return of sharp or nagging knee pain.

Moving forward with a stronger stride

Choosing running physical therapy empowers runners to take control of their recovery. The goal is to help the runner return to the sport with better form and a lower risk of future setbacks. Contact Orange County Physical Therapy OCPT, Inc. for more information.

Request an appointment here: https://irvine.ocptclinic.com or call Orange County Physical Therapy OCPT, Inc. at (949) 777-5301 for an appointment in our Irvine office.

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