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I want to start running. However I am afraid of damaging my feet, knees or hips by running on a regular basis. So what are the most important things to have in mind to avoid any dangers for my joints from the beginning.

I should mention that I am not overweight on the contrary, I am in very good shape and 27 years old. However I don't have any running experiences. Perhaps I should add that I like it to work out hard.

The running distances I have in mind are 4km - 8km, so I don't want to run very long distances. However I would like to incorporate some interval runs and sprints into my running sessions.

It would be nice if you could add some (sports-scientific) references to your answers.

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5 Answers

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While the other answers mention several possible causes, they fail to address why. So I'm going to add my 2 cents here as well, which I'll base mainly on the results of the phd-thesis from Tine Willems from the university of Ghent (Belgium), which focused on the intrinsic risk factors for exercise related lower leg pain and Payne et al. in a study about risk factors for lower extremity injury.

The first thing you must understand about injuries, is that there are many possible causes and they all interact with each other, so it can be difficult to prevent any form injury. You can get an injury from either a single overload, that exceeds a tissue's maximum tolerance (trauma) or from repeatedly overloading, which causes an overuse injury. As you're most likely to sustain an injury in your weakest link, you want to prevent overloading it.

The factors that might cause this are divided in extrinsic and intrinsic risk factors. Amongst the extrinsic risk factors we count things like:

  • poor quality shoes, because their material properties aren't constant, they can load your joints in unexpected or simply the wrong ways.
  • hard underground surfaces, if you're an inexperienced runner, you'll probably have a poor technique as well. Especially in heavier runners, this means that when they land, they insufficiently dampen the impact by flexing all the joint. Instead, they land with a hard impact, which overloads the muscles/soft tissue around the ankle that have to bear the load.
  • exercise load, doing running as a cardio exercise is done at lower speeds and thus require less forces. Whereas, when you want to do sprint intervals, you get short intervals of high intensity during which you have very high impact forces. You're more likely to sustain a trauma at higher intensities, because you're body is no longer able to withstand the forces. However, due to various intrinsic factors, exercise load is also a problem in beginning runners, because their body has not yet adapted to the loads of running.
  • exercise frequency, if you're already risking overloading your muscles, they need sufficient rest between workouts to fully recover. However, a lot of 'fit' beginners will jump in running head of heels and overdo themselves by not giving their body sufficient rest.

Among the intrinsic risk factors are:

  • a lack of running experience, which as notes above can cause overloading, because of wrong foot placement, insufficient dampening of the impact forces and your muscles/tendons aren't adapted to running loads.
  • poor aerobic fitness, might cause altered muscle recruitment patterns, which alters the distribution of forces through the muscle-tendon complex. It also has a negative influence on your running technique and causes your body to be less capable to withstand certain loads.
  • previous injuries, if you have sustained injuries in the past and possibly rehabilitates insufficiently, you are more likely to sustain new injuries due to lax tendons, muscle strength impairment and imbalance or scar tissue.

There are several others, such as body composition (high BMI), postural stability, anatomical misalignment or a lack of joint flexibility and range of motion. However, the strongest contribution is attributed to an adverse biomechanical running pattern. The most important factors for ankle sprains were: landing too much on the lateral side of the heel, pushing off too medially and too late resupination during the roll off. Most of these will improve when you increase the strength of the muscles around your ankle and improve your rolling off (which requires some experience).

For overuse injuries the most important factor was: increased inversion (of the foot/ankle) and increase loading under the medial side of the foot. This is normally called (over)pronation, which has several negative influences. Amongst them are rotational strain on the shank, increased strain on the soft tissue and stabilizing muscles. Another risk factor was a more forward position of the COP at first foot contact, which indicates a lack of the early pronation that's required to absorb the impact forces, so this takes place further ahead in the roll off in an exeggerated form. However, while too much or too late pronation is considered a problem, the exact opposite isn't good as well. All these movements can come from a lack of muscle strength, poor control of the muscles and technique or the wrong footwear.

So what can you do?

Try to manage your extrinsic factors: so get the right shoes, try to workout on software undergrounds, use a training program or join an athletics club, that helps you rate limit your workout frequency and intensity and also ensures sufficient rest.

You'd need a checkup to see whether some of the intrinsic risk factors apply to you or not. However in all cases what you yourself can do is: make sure you get in a decent shape before you increase your pace; a decent aerobic capacity doesn't guarantee you're adapted to running. If you have a history of injuries, make sure you do additional exercises to strengthen this area. Doing yoga is a great exercise, because it mixes stabilizing joints with increasing the range of motion.

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There are many things that you can do right or very wrong when you start a running-career. Since your question focuses on feet, knees, and hips, the field of possible answers is narrowed down drastically.

I have 21 years of running experience, the last 6 years as a member of a local athletics club. You can Google the science behind running, and also find some links to the science behind specific areas here on fittness.stackexchange.com. For example, you can look at this question I asked about running shoes, which has a good answer with links to a scientific article behind it.

Now to some more specific advice:

  1. Get some good running shoes!!! All your weight will be put on your feet - actually just one foot at a time - over and over during a run. This is the alpha and omega when it comes to running. This point can't be stressed too much, so I'll say it again: Get some good running shoes!!!
  2. Start up slowly, and join a running club with experienced coaches, or find an experienced runner to start with. People often tend to start out on their own, since they are ashamed of the (bad) physical state they're in. Don't be. Run with others who know how to run, and ask for their advice. If you tell them you are a beginner who needs guidance, they will gladly give it to you.
  3. Giving your body time to recover is at least as important an activity, as the running itself. When running, you strain your body and induce numerous small "damages" to your body. This is actually a good thing - when your body repairs and recovers, it rebuilds the damaged parts to be slightly stronger than before. That's how your physical condition improves. But don't overdo it!!! "No pain, no gain" is not the right mantra when you start up on running, and it certainly doesn't mean "More pain, more gain". This leads us to the next point...
  4. Listen to your body. Running can be - and should be - a lot of fun. Don't push yourself more than what your body can deliver. If you have aches other than ordinary muscle pain after exercise, something is not right, and you should ask a doctor, physio therapist or the like. You'll just damage yourself. Take it easy, have fun, make sure you don't run faster than a speed where you still are able to talk. That's also why it's a good idea to run together with others - as long as you can talk, you're not pushing yourself too hard.

Take care and have fun :-)

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Definitely do some shoe research. It looks like my IT Band Syndrome, was caused by my newer running shoes, which corrected one problem. But now after a few months caused an over use injury, they were causing under-pronation(subpination). – user295734 Mar 8 at 14:43

Two things from my running experience:

  1. Its going to take a lot of running before you have to worry about long term injury. To prevent injury, listen to your body. Know where running impacts your body. This can be a lot of things. I sometimes get plantar fasciitis (soreness under my feet) when doing long distance training. Sometimes it can even impact my carpal tunnel. -- The good news is if you run regularly, you'll learn your weak spots. You'll figure these things out and target those areas for preventative intervention (different shoes/knee brace/change in gait/etc). Unless you have a serious fall, your joint pains start very slowly, may change, or go away entirely. You'll know where your body is the weakest starting with innocuous pain and if something bad is happening its a very gradual and almost always a preventable decline. In my experience, its much easier to twist/hurt/injure something suddenly and badly in most sports compared to running.

  2. Do meditative/stretching yoga along with your running. You'll find a lot of the complaints surrounding joint issues are really the result of excess muscle tension pulling on your tendons/ligaments. Doing meditative, relaxed yoga will make running more comfortable and reduce your risk for injury.

Its also worth pointing out that I've done mild running 5km+ everyday for 5+ years and am no worse for the ware. My body appears to have become acclimated to running. Its part of my homeostasis now. I only start to experience issues when I begin training for long distance events -- something outside my body's expected norm.

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If you're worried about joint issues, running on grass or dirt is better than pavement since it's softer and has more give under your feet. See if there's a cross country course or other flat, grassy area such as a soccer or football field near where you live. If you run somewhere that isn't maintained for exercise purposes watch out for anything that can trip you up, like acorns or sticks, holes from ground-dwelling creatures, or sprinklers.

All-weather tracks rank in between grass and pavement for give, and some are better than others. It depends on what they're laid on. Some have rubber underneath for extra spring, and some have just concrete, which won't be much better for your joints than sidewalks.

I know some people run on beaches for this same reason, but I don't have any experience with them since I live in the Midwest.

Another benefit, or downfall depending on your outlook, the softer the surface you run on, the more work it takes to maintain the same speed as on harder surfaces.

And don't forget tips like @yellowblood's and to stretch regularly and get enough water and nutrients to sustain your running.

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I'm not running at all but I know the following tips:

  1. Small steps are better than bigger steps, less impact on your joints.
  2. It is best not to "jump" too high - always imagine as if you have a very low ceiling above you.
  3. Don't run on empty stomach (i.e. hungry) - you will get dizzy and you you will become tired too quickly.
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#3 depends on the distance being run. Short runs I wouldn't worry about it. You can sometimes do more damage eating right before a run. – Doug T. Mar 17 '11 at 20:55
+1 small steps and high cadence – rmx Mar 18 '11 at 13:51

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