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The Top 5 Injuries Rockville Centre Runners Should Watch For

Rockville Centre is a vibrant, active community—home to runners of all ages who hit the pavement for everything from casual morning jogs to full marathon training. Whether you're logging miles at Hempstead Lake State Park or sprinting through local neighborhoods, running offers incredible benefits for both physical and mental health. But even seasoned runners can experience setbacks in the form of injury.

READ: Why Consistent Physical Therapy Is Key to a Long, Healthy Golf Season

While running might seem like a straightforward activity, it places repetitive stress on specific muscles and joints. Without proper form, strength, and recovery, these stresses can turn into nagging injuries that keep you off the road longer than you'd like. The good news? Most running injuries are preventable—and highly treatable when addressed early.

In this article, we’ll break down the top five injuries Rockville Centre runners should be aware of, how they develop, and what role physical therapy can play in both recovery and prevention. Whether you’re a seasoned runner or just starting out, knowing what to look for can keep you running strong for the long haul.

running physical therapy, pt for runners, gait analysis
  1. Runner’s Knee (Patellofemoral Pain Syndrome)

Runner’s knee is one of the most common injuries seen in both beginner and experienced runners. It presents as pain around or behind the kneecap, often worsening with activities like squatting, climbing stairs, or sitting for long periods with bent knees. For runners, it usually flares up during or after longer runs.

This condition often results from poor alignment of the kneecap, muscle imbalances in the quadriceps or hips, or improper running mechanics. When the forces acting on the knee aren’t evenly distributed, irritation develops over time.

Physical therapy plays a key role in treating a runner's knee. At Trident Physical Therapy, we begin with a detailed movement assessment to identify the root cause of your discomfort. Strengthening weak muscles—especially the glutes and hip stabilizers—along with modifying running technique, helps alleviate stress on the knee and prevent future flare-ups.

  1. Shin Splints (Medial Tibial Stress Syndrome)

Shin splints are another frustrating issue for runners, especially those increasing their mileage or intensity too quickly. This injury causes aching or sharp pain along the inner edge of the shinbone (tibia) and is often worse at the beginning of a run or during impact-heavy training.

Common contributors include overtraining, running on hard surfaces, worn-out shoes, and poor biomechanics such as overpronation. If ignored, shin splints can progress into more serious issues like stress fractures.

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Physical therapy helps by addressing these risk factors early. At Trident Physical Therapy, we use gait analysis to evaluate your running form and identify stress points in your stride. A tailored rehab program may include soft tissue work, flexibility training, and a gradual return-to-run plan—ensuring you build endurance without sacrificing form or function.

  1. Achilles Tendinitis

Achilles tendinitis is a common overuse injury that affects the tendon connecting your calf muscles to your heel bone. Runners typically feel pain, stiffness, or swelling in the back of the ankle, especially during push-off or after periods of rest.

This condition often develops from a combination of tight calf muscles, sudden increases in mileage, or poor running form that overloads the tendon. Without proper intervention, it can lead to chronic pain or even tendon rupture.

At Trident Physical Therapy, treatment focuses on reducing inflammation and restoring balanced movement. Hands-on techniques like soft tissue mobilization, eccentric strengthening exercises, and ankle mobility work are combined with gait retraining to offload the Achilles tendon and prevent recurrence. The earlier it’s addressed, the faster and more complete the recovery.

  1. Plantar Fasciitis

Plantar fasciitis is a painful condition that affects the thick band of tissue running along the bottom of the foot. Runners with this injury typically experience sharp, stabbing pain near the heel—especially with the first few steps in the morning or after long periods of standing.

The condition is often linked to tight calf muscles, poor foot mechanics, inadequate footwear, or a sudden spike in running volume. Over time, repetitive strain on the plantar fascia causes inflammation and microtears, making each step feel more uncomfortable.

Physical therapy focuses on relieving tension in the surrounding structures and improving foot mechanics. At Trident Physical Therapy, we incorporate soft tissue release, stretching, and strengthening for the foot and lower leg. We also evaluate your running stride and shoe support to ensure long-term relief and prevent flare-ups.

  1. IT Band Syndrome

Iliotibial (IT) band syndrome is a frequent cause of lateral knee pain in runners. It occurs when the thick band of connective tissue along the outside of the thigh becomes tight or inflamed, rubbing against the outer knee with each stride.

This condition often stems from poor hip strength, faulty mechanics, or excessive downhill running. While it may start as a mild irritation, it can quickly become a persistent issue if not treated early.

At Trident Physical Therapy, we take a comprehensive approach that includes strengthening the glutes and core, improving running alignment, and using manual therapy to address tissue tightness. Our goal is to not only relieve your pain but also correct the imbalances that caused it—helping you return to pain-free miles with confidence.

READ: When to See a Physical Therapist for Golf-Related Injuries

When to Seek Help from a Running Specialist

It’s easy to brush off early signs of discomfort as “normal” for runners—but persistent pain, swelling, or changes in your stride are signals that something’s off. Ignoring these red flags can turn a minor issue into a chronic injury.

If you find yourself modifying your training, skipping runs, or relying on pain relievers just to get through workouts, it’s time to seek expert help. A running specialist understands the unique demands of your sport and can tailor a plan that gets you back on track—safely and efficiently.

At Trident Physical Therapy, we work with runners of all levels to treat injuries and prevent them from recurring. From gait analysis to sport-specific rehab, we provide one-on-one care that’s designed to meet your goals and keep you moving forward.

Keep Running, Stay Injury-Free

Running is one of the most accessible and rewarding forms of exercise, but it comes with its own set of risks—especially when small issues go unchecked. By understanding the most common running injuries and how they develop, you’re already one step ahead in protecting your health and performance.

The good news? You don’t have to manage pain or setbacks alone. Whether you're dealing with runner’s knee, plantar fasciitis, or just want to run more efficiently, the team at Trident Physical Therapy is here to help. Our tailored approach, rooted in movement analysis and hands-on care, helps Rockville Centre runners recover faster and avoid future injuries.

Ready to run stronger and smarter? Contact Trident Physical Therapy today to schedule your running assessment or gait analysis.

Matthew Barle