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Running With Pain: When Is It Okay to Keep Going?

Ever started a run with a small ache and wondered, “Should I keep going or call it a day?”

The answer is not always simply yes or no. Running with pain can sometimes be managed, but how the pain behaves during and after your run matters.

When Is Running With Pain Okay?

A small, manageable ache does not automatically mean you need complete rest. One approach uses pain monitoring to help guide running activity.

For runners with existing symptoms, pain should stay mild. Should not increase during the run, and should settle back to its usual level by the following day.

Watch What Happens During Your Run

Pay attention if the pain starts changing. If an ache becomes sharper, gets progressively worse, or changes how you run. That is a reason to reduce the load or stop. Limping or changing your normal running pattern means your body is compensating, and continuing in that state is not a good idea.

The Next Day Matters Too

Your symptoms after the run can tell you whether the session was too much. If pain increases or remains worse the next day, your recent running load may have exceeded what your body could currently tolerate. In that situation, reducing volume or intensity can give you room to recover while still staying active.

You May Not Need Complete Rest

Interestingly, research on people with Achilles tendinopathy found that continuing running and jumping with a pain-monitoring approach did not produce worse outcomes than temporarily stopping those activities. Both groups improved while following a progressive rehabilitation program.

That does not mean you should simply run through pain. It means activity can sometimes continue when you monitor symptoms and adjust the load appropriately.

Know When to Get Assessed

If pain keeps returning despite adjusting your training, or you cannot run without changing your movement, it is worth getting assessed rather than repeatedly pushing through it.

If you are unsure how to manage pain while continuing to run, Amare Physio can help assess your symptoms and build a gradual return-to-running plan around your goals.

References:

https://www.ovid.com/jnls/acsm-csmr/abstract/10.1249/jsr.0000000000000362~when-is-it-safe-to-run-applying-four-pain-rules-to-running?redirectionsource=fulltextview

https://journals.sagepub.com/doi/abs/10.1177/0363546506298279

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