2 January 2025

How to manage pain when running

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Running for the most part should be pain free. Running can often come with discomfort, but not all pain is created equal. Differentiating between acceptable discomfort and harmful pain is critical to avoid injury while maintaining performance. Using a pain scale from 0 to 10 can help runners assess and manage pain.

Acceptable Discomfort:

  • Minor stiffness or soreness, particularly early in a run or after a tough workout
  • General fatigue or mild muscle tightness that improves with movement ‘DOMS” (delayed muscle onset soreness).

Unacceptable Pain:

  • Pain that is sharp, stabbing, or sudden.
  • Discomfort that causes limping or alters your running form.
  • Pain that lingers or worsens post-run.
  • Swelling, redness, or visible signs of injury.

Pain Scale

Guidelines for Managing Pain

Monitor Pain Progression: If pain worsens during a run, stop immediately. Pain that fades as you warm up may be acceptable, but persistent discomfort is a warning sign.

Rest and Recover: Take a break if discomfort persists beyond 1-2 days. Overuse injuries often start with tolerable pain that can escalate without rest.

Listen to Your Body: Pain above a 4 on the scale or pain that disrupts daily activities signals the need for rest and possibly professional advice.

Seek Medical Help: If pain is sharp, localised, or lasts more than a few days despite rest, consult a healthcare provider to rule out injuries like stress fractures, tendonitis, or strains.

Conclusion

“OK pain” is mild and transient, whereas pain that persists, worsens, or alters movement should not be ignored. Using a pain scale and listening to your body can help you safely navigate discomfort, stay injury-free!

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