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Why Running Injury Physios Should Understand Running Coaching

5/28/2026

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At Acland Street Physiotherapy and Melbourne Running Clinic, we believe physiotherapists who treat running injuries should understand running coaching principles.

Running injuries are rarely caused by one issue alone. Knee pain, Achilles pain, shin splints, plantar fasciitis, hip pain and calf injuries often involve a combination of training load, running technique, strength, recovery, footwear, surfaces and running goals.

That is why runners need more than pain relief. They need a clear plan to keep moving, recover safely and return to running with confidence.


Running Injuries Are Often Training Load Problems

Many running injuries occur when the body is asked to do more than it can currently tolerate.

Common triggers include:
  • increasing weekly kilometres too quickly
  • adding speed work or hills too soon
  • returning to running after time off
  • changing shoes or running surface
  • training for an event
  • not allowing enough recovery

A diagnosis is important, but the key question is often: why did this injury happen now?

A running-focused physiotherapist can assess both the injury and the training plan.

Why Coaching Knowledge Matters in Running Injury Treatment

Injured runners often ask:
  • Can I still run?
  • How far should I run?
  • What pace is safe?
  • Should I avoid hills?
  • When can I return to intervals?
  • How do I rebuild my long run?
  • Do I need to change my running technique?

These are both physiotherapy and running coaching questions.

A physiotherapist who understands running can help modify training, guide return-to-run progressions and reduce the risk of the same injury returning.

Running Technique, Strength and Return-to-Run Planning

At Melbourne Running Clinic, we assess running injuries by looking at the whole runner, not just the painful area.

This may include:
  • clinical assessment of the injury
  • running gait analysis
  • training load review
  • strength and mobility testing
  • footwear and surface discussion
  • return-to-run planning

Running technique can matter, but it is not always the main issue. Sometimes small changes to cadence, stride length, hill exposure or training structure can help. Other times, the priority is strength, tendon capacity, recovery or better load management.

Common Running Injuries We Treat

At Acland Street Physiotherapy and Melbourne Running Clinic, we commonly help runners with:
  • runner’s knee
  • Achilles tendinopathy
  • shin splints
  • plantar fasciitis
  • calf strains
  • hip pain
  • hamstring injuries
  • ITB-related knee pain
  • foot and ankle pain
  • stress fracture risk management

Our goal is not simply to stop pain. Our goal is to help runners return safely, build capacity and understand how to reduce future injury risk.

Physiotherapy for Runners in St Kilda and Melbourne

If you are a runner with knee pain, Achilles pain, shin pain, foot pain, hip pain or recurring running injuries, a running-specific physiotherapy assessment can help you understand what is causing the problem and what to do next.

At Acland Street Physiotherapy and Melbourne Running Clinic in St Kilda, we combine physiotherapy, running gait analysis, strength rehabilitation and running coaching principles to help runners recover and return with confidence.

​Running injury treatment should not just be about rest and exercises.
It should be about helping you keep running, return safely and perform better over time.
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    Author


    ​Barry Nguyen
    ​Founder & Principal Physiotherapist at Acland Street Physiotherapy & Melbourne Running Clinic

    Barry is an Australian qualified physiotherapist with over 20 years clinical experience in sports and musculoskeletal injuries.

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