星期五, 23 5 月, 2025

Managing Lower Back Pain for Runners

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Lower back pain is a common issue for many runners, despite research suggesting it only accounts for 7-11% of all running injuries. At a recent “Ask the Doc” event, I heard numerous complaints about tightness, pain in the back, hips, buttocks, and calves, as well as burning sensations or weakness radiating down the legs. Even though these symptoms are often attributed to other areas, lower back pain is a frequent culprit that needs attention.

What Does a Lower Back Injury Look Like?

Many runners are surprised to learn that lower back pain doesn’t always manifest directly in the back. Symptoms such as tightness, cramping, pain, or a pulling sensation can be felt anywhere from the feet to the lower back, and these may indicate an issue in the spine or lower back region. Often, runners seek help for pain in their legs or feet without realizing the root cause could be originating from their back.

Common Causes of Lower Back Injuries in Runners

  1. Poor Running Form
    Improper posture and running mechanics can contribute to back pain. For example, leaning too far forward from the hips or landing with your foot too far in front of your body with a straight knee can put unnecessary strain on the spine and surrounding tissues, leading to tension and discomfort.
  2. Postural Issues and Strength Deficits
    Issues like standing too upright, increased pelvic tilt, or overpronation can lead to core weakness and gluteal inhibition. When the core and hips aren’t properly supporting the back, it’s more vulnerable to injury. Muscle imbalances, such as tightness around the hips, can also affect the alignment and function of the spine.
  3. Tight Muscles
    Tightness, especially in the hips, can limit the body’s range of motion and force the back to compensate. Reduced hip extension, in particular, is often linked to lower back pain, as tight hip flexors can prevent the proper range of motion, leading to extra strain on the back during running.

What to Do If Lower Back Pain Is Impacting Your Running

  1. Strength Training
    Strength training is crucial for building the muscles that protect and support your back. Stronger muscles are better equipped to handle the repetitive forces involved in running, reducing the risk of injury. Weak muscles tend to fatigue faster and contribute to poor movement patterns, which can exacerbate pain and lead to further issues.
  2. Get a Gait Analysis
    If you believe your running form is contributing to your pain, or if you’ve been dealing with pain for an extended period, consider having your gait analyzed by a physical therapist. Often, a small change in running mechanics can significantly reduce discomfort and improve overall performance.
  3. Be Proactive About Pain
    Don’t ignore pain. It’s a warning sign that something is wrong. Many runners fear that physical therapists, doctors, or chiropractors will force them to stop running, but that’s not usually the case. The sooner you address the issue, the sooner you can return to running pain-free.

Regardless of the cause of your back pain, it’s essential to address it promptly to prevent it from impacting your running. By strengthening the right muscles, correcting your form, and seeking professional help when necessary, you can continue to enjoy running without the discomfort of lower back pain.

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