Orthopaedic Innovation

Knee running injuries: causes, symptoms & treatment options

Proven, trusted Orthopaedic surgery to get you back to living your life sooner

What are knee running injuries?

Running places repetitive stress on the knees, making runners more prone to injuries that cause pain, swelling, and reduced mobility. These injuries can develop gradually due to overuse or suddenly from improper technique, muscle weakness, or poor footwear.

Common types of knee running injuries

Runner’s knee (patellofemoral pain syndrome)

Pain around the kneecap, often due to muscle imbalances or poor running mechanics.

Iliotibial band syndrome (ITBS)

Pain on the outer side of the knee caused by inflammation of the iliotibial band (a thick tissue running down the thigh).

Meniscus tear

A tear in the cartilage that cushions the knee joint, often caused by twisting movements.

Tendonitis

Inflammation of the patellar tendon (just below the kneecap) due to repetitive strain.

Stress fractures

Small cracks in the bone caused by overuse and repetitive impact.

What causes knee running injuries?

Overuse and repetitive impact

Running long distances without proper rest.

Poor running form

Incorrect foot placement or posture.

Weak or tight muscles

Muscle imbalances can put excessive strain on the knee.

Worn-out footwear

Lack of proper support increases stress on the knee joint.

Running on hard surfaces

Increases impact and stress on the knees.

Common symptoms of knee running injuries

Pain

Pain during or after running – Often worsens with activity.

Swelling or stiffness

Can make movement difficult.

Clicking, popping, or grinding sensations

Especially in runner’s knee or meniscus tears.

Tenderness around the knee

May indicate tendonitis or ITBS.

How are knee running injuries diagnosed?

A doctor or specialist may diagnose the injury using:

Physical examination

Assessing movement, swelling, and tenderness.

X-rays

To rule out fractures or bone damage.

MRI or Ultrasound

To check for soft tissue injuries like meniscus tears or tendonitis.

Treatment options for knee running injuries

Non-surgical treatments (no surgery needed)

Rest & activity modification

Avoiding running until the pain improves.

Physiotherapy  and strengthening exercises

Focuses on improving flexibility and muscle support.

Ice & compression

 Reduces swelling and inflammation.

Supportive footwear and orthotics

Ensures proper foot alignment.

Pain relief medication

Anti-inflammatories like ibuprofen can help reduce discomfort.

Steroid or platelet rich plasma (PRP) injections

Steroid injections help reduce inflammation and pain in the knee, while PRP injections use concentrated growth factors from your own blood to promote tissue healing and repair.

Shockwave therapy

A painless procedure where shockwaves are passed into the injured part of the knee to help speed up the healing process.

Surgical treatments (when surgery is needed)

Surgery is only required for severe cases, such as:

Meniscus repair

If a meniscus tear is large and causes instability.

Tendon repair

If a patellar tendon tear has occurred.

Recovery & Rehabilitation

Mild injuries

Often improve in a few weeks with proper rest and therapy.

Moderate injuries

May require 6-12 weeks of rehabilitation.

Severe injuries (surgery required)

Recovery can take several months, depending on the procedure.

When should you see a specialist?

If knee pain persists despite rest, affects daily activities, or worsens over time, it’s important to seek medical advice.

Meet your knee specialists

At Orthopaedic Innovation, our world leading surgical team offers a range of treatment options for people experiencing knee injuries from running.
Locations

The Harley Street Hospital,
19 Harley Street,
London, W1G 9QJ
The Cromwell Hospital,
164-178 Cromwell Road,
London SW5 0TU
The London Independent Hospital,
1 Beaumont Square,
London E1 4NL
Medical disclaimer
The information provided on this website is for informational purposes only and should not be considered medical advice. It is not intended to replace consultation with a qualified healthcare professional. While we strive to provide accurate and up-to-date information, medical knowledge is constantly evolving, and individual cases may vary. Any surgical or non-surgical treatments discussed on this website should be considered in consultation with a medical professional who can assess your individual needs and medical history.
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