By far the largest complaint I get from runners about running
is that it is so hard on their knees. Secretly, inside of me, I
have my own complaint about running that is a little different.
It is that running is blamed for all the knee problems when in
actuality it is not running that is causing the injuries, it is
the way people run. Every time someone's knee goes out and
their friends ask them how it happened, they are quick to
respond, "It happened the other day while I was running." The
truth is that if you can work on your running technique so that
there is minimal impact or undue stress to your knees, you will
never have knee problems. It is as simple as that.Here are some ways to protect those precious knees and insure
that you can run for many more years without the worry of
having to give it all up someday because your knees are toast.
Avoid a heel strike. Don't over stride and let your feet get
ahead of you. Always make it a point to stay ahead of your feet
and let your legs swing to the rear, not forward. If you are
reaching with your legs as you swing them forward, your feet
will land in front of you and you will be putting on the brakes
with every foot strike. Then all of the shock of hitting the
road goes right up your legs to your knees, which were never
designed to act as shock absorbers. Eventually your knees will
get tired of taking all that abuse and begin to complain. If
they do, I suggest you listen to what your body is trying to
tell you, and change your stride mechanics or you could end up
on the bench.
To avoid this, always lean from your ankles and let your stride
open up behind you so that when your feet swing forward they
land underneath or slightly behind your center of mass instead
of in front of you.
Don't pick up your knees when you run. That's right. Pay no
attention to the advice of all those running magazines that
tell you to pick up your knees and reach forward for a longer
stride. When you pick up your knees, your lower leg will swing
forward and your heel will come down in front of your body and,
as I just said previously, you will be putting on the brakes
every time your foot hits the ground.
What to do: Keep your knees swinging low. At the back end of
each stride, bend your knees and let your heels float up behind
you. You should always be thinking, "knees down . . . heels up."
Lean forward from your ankles and land on your midfoot.
Remember, any time your foot comes down in front of your body,
you are putting the brakes on and the shock of that
deceleration is going straight into your knees.
Keep your knees soft and bent during the landing and support
phases of your stride. I see many runners over stride and then
straighten their knees when they land. This creates an
incredible amount of impact to the heel and the knee.
Keep your feet pointed in the direction you are running: If
your feet splay out to the side as you run, it could create
knee pain while running any distance because you are torquing
your knee with every foot strike. This will eventually over-
stretch the medial ligaments and tendons of the knee and lead
to pain and/or injury (medial meniscus tendonitis). You will
feel it as a sharp pain on the inside (medial side) of your
knee.
Here is what happens. If your feet splay out with every step,
you will land on the outside edge of your heel and your ankle
will collapse inward. This causes over-pronation and creates a
torque in your lower leg that is equivalent to someone grabbing
your ankle and twisting it to the outside almost 1800 times
every 10 minutes! (That is the number of strides you will take
with each leg if you run a 10-minute mile with a 36 inch
stride.) It does not take very many miles of running this way
for your knees to start feeling the stress. Running this way
could eventually hyperextend the medial ligaments and tendons
of your kneecap.
What to do: Learn to run with your feet pointed in the
direction you are headed. But do not just point your foot
forward. Rotate your entire leg inward towards your centerline
until your feet are parallel and pointing forward. This will
strengthen your adductors (the muscles that run along your
inner thighs) and straighten out your legs. This allows your
knees to hinge in the direction they were designed to, instead
of twisting as they bend.
Running with your feet turned out will also affect the
illiotibial band which is attached at its lower end to the
lateral side of your tibia just below your knee. Lateral pain
in your knees is more often an illiotibial problem and is often
mistaken for a knee problem.
If your feet turn out, your heel will strike on the lateral
side and your ankle will pronate as your ankle supports your
weight. If your feet splay out a lot, it will probably feel
like you are pigeon-toed when you try to point your feet
forward. If that is the case, rotate your legs medially only as
far as you can, without feeling discomfort. Increase the amount
you rotate your legs inward in small increments over a number
of weeks or months, to give the muscles, tendons, and fascia in
your legs, feet, and knees time to adjust to the new direction
of movement. Changing the biomechanics of your body takes time
and persistence, but it is well worth it if you never have to
deal with knee pain again.
Taking good care of your knees should be a high priority,
especially if you want to continue to enjoy running year after
year. Reducing torque and impact are the two best places to
build a life insurance policy for your knees. Start today and
your knees will thank you every time you put on your running
shoes.