4 Tips to Avoid Running Injuries

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Come 5 April, thousands of runners will take to Singapore’s streets to run for a greener future.  The NTUC Income Run 350 has become a veritable fixture in Singapore’s running calendar – and this year’s fully-subscribed race just proves it.  Organised by Young NTUC, the youth wing of Singapore’s National Trades Union Congress, Run 350 aims to raise awareness of the need to lower the world’s carbon footprint.

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Dr Mok Ying Ren conducts a pre-race clinic for runners of the NTUC Income Run 350.

Asia 361 was invited to Run 350’s third and final pre-race running clinic on 21 March, conducted by Singapore’s most famous running siblings, Dr Mok Ying Ren and his sister Ying Rong. Dr Mok is not only Singapore’s top marathoner and a double SEA Games Gold medallist, he is also a medical doctor.  Ying Rong’s sporting career, while nascent, is no less illustrious – she has had multiple podium finishes in the Singapore marathon and is currently a physiotherapist in training.

You will be hard-placed to find a running family which has married their work and sporting interests so well.  Both have amazingly self-coached to success, so they have a deeply personal understanding of the trials and tribulations of an athlete’s journey.

Injuries Galore!

The fact is that 85% of  runners get injured at one time or another.  The running clinic focussed on strengthening exercises to help those who run regularly prevent from getting hurt, ie. pre-habilitation, or ‘prehab’. The exercises were also useful rehabilitation for people like me, who already have chronic nagging injuries.

Common issues which plague runners include knee pain, the number one affliction, followed by feet and ankle injuries.  There are others like shin splints, iliotibial band syndrome etc.  It is really hard to determine the multiple factors behind injuries as everybody has a different body and running style. There are also intrinsic factors such as gender (watch it, ladies!).  Women have wider hips which place more stress on the knees, while an example of an extrinsic factor would be one’s choice of shoes and insoles.

Common causes of injury and pain are weak glutes (the buttocks, weak shin muscles, tight foot muscles and poor balance.)  We were introduced to four methods to address these weaknesses – these are simple exercises which make use of commonly available low-cost props.

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Ying Rong (right) teaches the audience how a simple theraband can help strengthen one’s butt muscles.

Strategy 1: Strengthen the Glutes with an Elastic Band

With the help of an enthusiastic volunteer, Ying Rong showed us how a simple theraband, an elastic band commonly available in sports stores with different resistance levels, could help strengthen one’s butt muscles. Banding one’s ankles together and raising one leg sideways at a time could help prevent one’s knee from moving in, prevent excessive pronation and improves running efficiency.  Three sets of 15 repetitions per leg, an undemanding task for even the super-frazzled executive to complete in the office once a day, will show results in due course.

Strategy 2: Strengthen the Calves with Calf Raisers

Next, we were taught how to strengthen our calves.  With the front half of both feet on an elevated surface, such as a simple kitchen stool, go up on tiptoe, then remove one foot and go down slowly on the other.  The time taken to go up and go down should be in the ratio of 1:3. For example, you could go on tiptoe for two seconds and lower yourself on one foot for six seconds.  Do 3 x 10 repetitions per leg while feeling the stretch in your calves.

I started off trembling violently when I tried this, but I was told I should improve in some days with stronger calves.

Go up on tiptoe on an elevated surface.

How to do a calf raiser: Go up on tiptoe on an elevated surface.

Strategy 3: Strengthen the Foot with a Massage

Don't forget the foot, which the entire body lies on.  Rub the fleshy underside on a rolling pin or a golf ball, which I find hits target areas better.

Don’t forget the foot, which the entire body lies on. Rub the fleshy underside on a rolling pin or a golf ball, which hits target areas better.

The next exercise was for the foot, which Dr Mok pointed out is ironically often ignored, even though it is the part of the body which takes the most impact striking the ground.  Runners sometime suffer from plantar fasciitis, an extremely painful condition affecting the heel and underside of the foot when the tissue at those areas gets inflamed.

We were told to examine the abductor allucis muscle, the fleshy arched part on the base of the foot which faces inwards.  Rub that part of the foot on a rolling pin or golf ball up and down for a minute before and after a run, and it will improve one’s arch support, balance, weight shift and running efficiency.  This exercise even works for those with existing injury – but be gentle.  The key thing to note is you should feel slight discomfort to work the affected area, but once you feel intense pain, you know you have gone too far.

Strategy 4: Skip your Woes Away!

The last tip of the day was also the most aerobic for those who need to work up a sweat but cannot run.   As someone who cannot go without an exercise regime for more than a week, I frequently pack a skipping rope on my overseas trips when I am not familiar with the safety, or lack thereof of my surroundings.

Ying Rong affirmed the usefulness of this tool today.  Not only does it pack a cardiovascular workout, it strengthens the muscles around the ankle and shin.  It teaches you neuromuscular coordination and how to land near your centre of gravity.  One minute a day can help improve all of these and promote a good posture.  Never underestimate the importance of a good posture – those with a really bad one find themselves unable to run for extended periods of time.

We ended off the session with a 5.5 km training run from the NTUC Centre to Marina Barrage and back, with a scenic route along Marina Promenade that passed by Singapore’s iconic Marina Bay Sands convention centre (where I later had gelato to convince myself that I had to make up for the energy expended) and Gardens by the Bay.  This will form part of the 21.1 km route for Run 350.

The running clinic ended off with a training run along the scenic Marina Promenade.

The running clinic ends off with a training run along the scenic Marina Promenade.

These four tips were useful to all of the enthusiastic runners in the room, more importantly, I found that frequent travellers will find them simple to implement anywhere at minimal cost, even in the comfort of your hotel. Prior to this, I never knew about the exercises beyond the skipping rope. During the Q&A session, I learned studies have shown that runners who switch to forefoot running (the popular thing nowadays) tend to have fewer knee problems, but sometimes more ankle problems.  I also learned about the use of rigid tape and kinesiology tape to reduce pain and activate selected muscles.

Such sharing sessions by our top athletes could really save runners the pain of learning from personal experience.  To those taking part in Run 350 and other forthcoming runs, don’t forget to prehab!

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About Author

When not checking out new hotels or restaurants, Singapore-based writer Fen spends her time reading obsessively about and travelling to destinations with unpronounceable names. She also can't stop getting sentimental about vanishing trades and documenting them for posterity.

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