Injuries of female runners

This is partly due to anatomical and hormonal differences, such as a wider pelvis and a larger Q-angle in the knees, which affects leg alignment and load distribution.

Patellofemoral Pain Syndrome

One of the most common complaints is patellofemoral pain syndrome. This condition causes pain in the area of the kneecap. Due to the altered leg axis, the kneecap can be pulled more strongly to the side, increasing stress on the knee joint.

Iliotibial Band Syndrome

Iliotibial band syndrome is also common and is often referred to as “runner’s knee.” In this condition, the tendon band on the outside of the thigh rubs over a bony prominence at the knee. This leads to stabbing pain on the outside of the knee, particularly during longer or more intensive training sessions, when climbing stairs, or after long runs. Weak hip muscles or an imbalance in the lower back often plays a decisive role.

Stress Fractures and RED-S

Stress fractures occur comparatively frequently in women. These are small injuries within the bones, most commonly affecting the tibia, the hip, or the metatarsals. Risk factors include increased training load, insufficient recovery, and low bone density. Closely related is Relative Energy Deficiency in Sport (RED-S), a condition in which insufficient energy intake can negatively affect hormonal balance and bone health. However, stress fractures can also occur in otherwise healthy women.

Contributing Factors

Common contributing factors to the injuries mentioned above include incorrect footwear, hard running surfaces, and shortened calf muscles.

Prevention and Training Recommendations

Moderate training, targeted strength training for the hips and core, and sufficient recovery are essential for injury prevention. Individually adapted running shoes and conscious training planning, including adequate nutrition and rest, can further reduce the risk of injury and ensure long-term enjoyment of running.