Love to Run? Here's How to Help Prevent Shin Splints and Runner's Knee
Running is one of the simplest ways to stay active and improve your health. It can strengthen your heart, boost your mood, improve endurance, and support overall well-being. Whether you're training for your first 5K, preparing for a marathon, or simply enjoy a morning jog, taking steps to prevent injury can help keep you running strong.
Many running injuries develop gradually from repetitive stress rather than a single accident. Two of the most common overuse injuries are shin splints, which cause pain along the shinbone, and runner's knee, which typically causes pain around or behind the kneecap. While these conditions are common, many cases can be prevented with proper training, recovery, and conditioning.

Why Do Shin Splints and Runner's Knee Happen?
Every time your foot strikes the ground, your muscles, joints, and bones absorb impact. Increasing your mileage too quickly, wearing worn-out shoes, skipping strength training, or not allowing enough recovery time can put extra stress on your legs and knees, increasing your risk of developing shin splints or runner's knee.
"The most common mistake runners make is doing too much, too soon," says Bindesh Shah MD, PIH Health orthopedic specialist. "Building mileage gradually and giving your body time to recover can significantly reduce your risk of overuse injuries."
Tips to Help Prevent Running Injuries
Whether you're new to running or a seasoned athlete, these habits can help lower your risk of shin splints, runner's knee, and other overuse injuries:
- Increase your mileage gradually. Follow the 10% rule by increasing your weekly mileage by no more than 10%.
- Wear supportive running shoes. Replace your shoes every 250 to 500 miles to ensure they continue providing proper cushioning and support.
- Schedule rest days. Recovery allows your muscles, bones, and joints to repair, helping prevent overuse injuries.
- Stretch before and after your run. Focus on your quadriceps, hamstrings, and calves to maintain flexibility and reduce muscle tightness.
- Strengthen your core, glutes, and legs. Strong supporting muscles improve running form and help reduce stress on your knees and lower legs.
- Ice sore knees after running. Applying ice for 15 to 20 minutes may help reduce pain and inflammation after a run.
Listen to Your Body
Some muscle soreness after a workout is normal, but pain that continues during or after your runs is not. Shin splints often begin as aching pain along the front of the lower leg, while runner's knee may cause discomfort around the kneecap, especially when running downhill, climbing stairs, or sitting for long periods.
“Remember,” advises Dr. Shah. “Ignoring persistent pain can allow a minor injury to become more serious and may lengthen your recovery.”
When to See an Orthopedic Specialist
If shin pain, knee pain, or another running-related injury doesn't improve with rest, ice, and reduced activity, it's time to seek medical care. An orthopedic specialist can determine the cause of your symptoms and recommend treatments to help you recover safely and return to running.
If persistent pain keeps you from running, schedule an appointment with a PIH Health orthopedic specialist at PIHHealth.org/Orthopedics.