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Injury Prevention

Common Running Injuries and How to Avoid Them

Aug 27, 2026

If you run in the Highlands, you already know the rewards: empty glen roads at first light, pine-scented singletrack, and the particular joy of a long descent with the whole of Strathspey laid out below you. You probably also know the other side of it — the niggles that creep in when enthusiasm outruns preparation. Most running injuries are not bad luck. They are load-management problems, and the vast majority of them are preventable with a bit of patience and a plan.

Why Injuries Happen (and Why It's Usually Pace, Not Luck)

Bones, tendons and muscles adapt to training stress, but they adapt slowly — often more slowly than our ambitions. The single biggest cause of running injury is a sudden spike in training load: more miles, more hills, more speed, or harder surfaces than your body is ready for.

The classic guideline still holds up remarkably well: increase your weekly mileage by no more than ten percent. That means if you are running 20 miles a week, next week tops out around 22. It feels slow. It is meant to. Add a recovery week every fourth week where you drop back by a quarter, and you will build fitness far more reliably than the runner who smashes out a big week and then limps for a fortnight.

In the Highlands, load spikes often come disguised as something lovely — a spontaneous 15-mile hill day, a weekend on the West Highland Way, or the first proper trail session of spring after months on Inverness tarmac. All of those are wonderful, but they count as training stress, and your legs keep the receipts.

Shin Splints

That hot, gritty ache along the inner edge of the shin bone is usually medial tibial stress syndrome. It tends to flare when you ramp up mileage quickly, run in worn-out shoes, or suddenly swap soft ground for hard-packed estate tracks and pavement.

Practical steps that help:

  • Back off early. Reduce mileage by around a third for a week or two rather than pushing through. Pain that eases as you warm up but returns afterwards is a warning, not a green light.
  • Shorten your stride slightly. A cadence a few steps per minute quicker reduces the loading on the shin with every footfall.
  • Strengthen the supporting cast. Calf raises — both straight-legged and bent-knee — plus single-leg balance work are the bread and butter here. Aim for three sets of 12 to 15, two or three times a week.
  • Check your shoes. If yours have done more than 400 to 500 miles, or you have been saving them for "best", it is time for a new pair.

Runner's Knee

Patellofemoral pain — that dull ache around or behind the kneecap, worst on stairs and long descents — is the most common complaint we hear about on our club runs. It rarely comes from the knee itself. More often it reflects weak glutes, a wobbly pelvis, or a quadriceps that has been hammered by back-to-back downhill miles.

Two things matter most. First, build hip and glute strength: side-lying leg raises, clamshells, glute bridges and step-downs from a low box. Second, manage the descents. In the Highlands we are spoiled for hills, and downhill running is enormously demanding on the quads even though it feels effortless. If you are training for a hilly race, introduce descents gradually, and keep your steps light and quick rather than braking hard with every stride.

It also helps to vary your routes. A week made up entirely of steep, cambered hill paths is a recipe for grumbling knees; mix in some flatter riverside miles along the Ness or the Spey to give your joints a break.

Plantar Fasciitis

That sharp, stabbing pain under the heel on your first steps out of bed is the hallmark of plantar fasciitis. The plantar fascia is a thick band of tissue under the foot, and it dislikes sudden increases in load, hard surfaces, and long spells standing in unsupportive shoes.

  • Loosen it before you stand. Gently massage the sole of your foot and stretch your toes back for a minute or two while still sitting on the edge of the bed.
  • Strengthen the foot and calf. Calf raises, toe curls with a towel, and slow single-leg heel drops off a step make a genuine difference.
  • Reconsider your everyday footwear. Flip-flops and worn slippers in the house can keep symptoms simmering. A supportive pair of shoes indoors often helps more than anything you do on the run.
  • Cut back, don't stop. Complete rest rarely fixes it. Swap some runs for cycling or a swim at the local pool while it settles.

The Highland Factor: Terrain, Weather and Tired Legs

Our local routes ask a lot. Boggy moorland, rocky stalkers' paths, and miles of cambered single track all demand more from ankles, hips and knees than a smooth cycle path does. Wind and rain add another layer of fatigue, and tired legs lose the fine control that protects joints.

A few habits that serve Highland runners well:

  • Warm up on the flat for ten minutes before hitting steep ground, especially in winter.
  • Walk the steep bits without guilt. Power-hiking a climb is not failure; it is sensible pacing and it keeps your form intact.
  • Build ankle strength with balance work and short, easy sessions on uneven ground before committing to technical trails.
  • Respect the recovery week. It is the single most under-used training tool in the Highlands.

When to Rest, and When to Ask for Help

Mild soreness that settles within 24 hours of a run is normal training noise. Pain that alters your gait, wakes you at night, persists for more than a week, or gets worse as you run is not. In those cases, stop running, keep moving in ways that do not hurt, and see a physiotherapist or your GP.

Most running injuries respond beautifully to a simple combination: less load, more strength, and patience. Build gradually, keep that ten percent ceiling in mind, and you will spend far more of your year doing what you actually love — running the trails, tracks and quiet glen roads that make this corner of Scotland such a brilliant place to be a runner.