a 96% satisfaction rate for sore feet worldwide - express delivery

The Epidemiology of Marathon Running Injuries

by MASS4D® Prescription Orthotics August 12, 2018

The Epidemiology of Marathon Running Injuries

The prevalence of running injuries in marathons makes it essential for both athletes and clinicians to gain an understanding of the internal and external factors that are responsible for increasing the risk of injury.

Appropriate training and preventative programmes need to be formulated to help the athlete achieve the most out of their performance while avoiding the loss of significant training time.

Thomas Stöggl and Tobias Wunsch, from the Department of Sport Science and Kinesiology at the University of Salzburg, established that running distance is one of the strongest risk factors associated with injury; this includes sudden increases in running mileage or change in training volume/intensity.

This makes it necessary for runners to ensure they continually increase their weekly volume in the weeks leading up to the marathon in order to develop better muscle strength and endurance and reduce the risk of injury.

Offer your Patients a Custom Calibrated Insole with a 98% Patient Satisfaction Rate     know more

The authors further identified previous musculoskeletal injuries as increasing the predisposition of an individual to re-injuries in the long term, that is, if the athlete makes an early return to running events without allowing for full recovery.

An athlete’s level of experience can also determine their capability to recover from an injury, with studies reporting that runners with a running experience of more than 10 years are more likely to recover faster than amateur runners. 

Nicola et al. further highlighted the need for evaluating intrinsic and extrinsic factors in the designing of individualised rehabilitation plans by outlining specific determining factors such as running terrain, shoes, bodyweight, age and alteration in training.

The authors recommend that underlying risk factors such as strength and flexibility deficits need to be addressed through training aimed at improving flexibility of the iliotibial band, hamstring, hip flexors and gastrocsoleus complex.

The additional stress of an abnormal foot posture on the kinetic chain can facilitate the onset of overuse injuries because of the unhealthy movement of the body in conjunction with the repetitive movements of the lower limbs required while running.

A customised orthotic intervention in the form of MASS4D® foot orthotics should be incorporated as part of a preventative programme to reduce excessive pronation in runners in order to improve their performance and protect them from musculoskeletal disorders in the long-term.

Copyright 2018 MASS4D® All rights reserved. 

Offer your Patients a Custom Calibrated Insole with a 98% Patient Satisfaction Rate     know more

Related Links
Running Injuries of the Foot and Ankle
Importance of the Recovery Period in Training
Do Flat Feet Affect the IT Band?


  1. Stöggl, T., Wunsch, T. (2016) Biomechanics of Marathon Running. In Marathon Running: Physiology, Psychology, Nutrition and Training Aspects (pp. 13-19). Springer.
  2. Nicola, T. L., El Shami, A. (2012) Rehabilitation of Running Injuries. Clinics in Sports Medicine: April 2012, Vol. 31, No. 2, pp. 351-372. DOI: 10.1016/j.csm.2011.10.002


Also in Clinicians Blog

Lower Limb Injuries In Fencing
Lower Limb Injuries in Fencing

by MASS4D® Prescription Orthotics October 21, 2018

There are various injuries of the lower extremity that can occur in the sport of fencing because of, for instance, quick ‘propulsion’ and ‘dodge’ offense/defense movements and other risk factors. 

Read More

Lower Limb Injuries in Field Hockey
Lower Limb Injuries in Field Hockey

by MASS4D® Prescription Orthotics July 22, 2018

The rapid succession of movements and sudden changes in direction increases the predisposition of hockey players to injuries affecting the lower limbs. There are many other factors that can also contribute to the development of such injuries – playing position, playing surface, foot postural disparities etc.

Read More

Lacrosse-related Musculoskeletal Injuries
Lacrosse-related Musculoskeletal Injuries

by MASS4D® Prescription Orthotics June 17, 2018

Lacrosse continues to witness an immense surge in popularity causing an expansion in participation rates over the years. Since the sport attracts players with varying levels of skill and experience, it is not surprising to find a change in injury patterns that makes it necessary for clinicians to keep themselves constantly updated.

Read More