You have thought about it more than once. Maybe you walked past Southwark Park on a Saturday morning, watched people moving along the paths, and thought — could I do that? And then, almost immediately — no. I would hurt myself. I am not that kind of person.

Both thoughts are understandable, but the research on who gets injured running, and why, tells a different story to the one most beginners assume. Running does not require a background in athletics, an expensive gym membership, or an existing level of high fitness. It simply requires a steady, repeatable progression that respects how the body adapts to mechanical load.

Brief answer: Running offers substantial cardiovascular, metabolic, and health benefits, but novice runners need time to adapt. Starting with structured run-walk intervals, introducing simple strength work, and allowing tendons and connective tissue adequate time to remodel helps build consistency and avoids sudden spikes in training stress.

Running has real benefits — but beginners need time to adapt

Running-related injuries do occur in beginners, but that does not mean running is inherently unsafe. A systematic review of prospective studies estimated around 17.8 running-related injuries per 1,000 hours of running in novice runners, compared with around 7.7 in recreational runners. Importantly, these figures describe incidence; they do not prove that one specific training error causes most injuries.

Cardiovascular fitness can improve relatively quickly, while tendons and other connective tissues respond to repeated mechanical loading over a longer timescale. Human tendon research shows that loading stimulates collagen synthesis and turnover, but adaptation to chronic loading occurs progressively rather than after only a few sessions (Kjaer et al., 2009).

Think of it as a gap between feeling fitter and tissue capacity. Your aerobic system adapts rapidly, which can make running feel easier early on. But if training volume or intensity increases before connective tissues have reinforced their capacity, the likelihood of overload rises. A gradual, repeatable progression is generally more sensible than making large jumps simply because a run felt comfortable.

The health argument: The potential health benefits are substantial. In a large 2014 cohort study, runners had approximately 30% lower all-cause mortality and 45% lower cardiovascular mortality than non-runners after adjustment for several potential confounders. The study also found associations with lower mortality even among people reporting relatively small amounts of running. A later systematic review and meta-analysis involving more than 230,000 adults found running participation was associated with 27% lower all-cause mortality and 30% lower cardiovascular mortality compared with no running. These are observational associations rather than proof that running itself caused the reduction, but the overall direction of the evidence is encouraging.

4 practical steps you can try now

1. Start with run-walk intervals

Run-walk intervals are a practical way to start. The NHS Couch to 5K programme, for example, introduces running through short running intervals separated by walking, with recovery days between sessions. This makes the amount of running easier to control while you become accustomed to the activity. It should be viewed as a practical beginner framework rather than a proven injury-prevention formula.

2. Add some simple strength work

Strength training can be useful alongside running rather than waiting until something feels sore. In a 2024 randomised trial of novice recreational runners, a supervised hip-and-core exercise programme was associated with fewer lower-extremity injuries compared to a static-stretching control group. That does not mean every runner needs an elaborate gym programme, but simple exercises — such as single-leg glute bridges, step-downs, or calf raises two to three times a week — can support lower-limb load capacity.

3. Get a sense of your ankle movement

Stand facing a wall and move one knee forwards over your foot while keeping the heel on the floor. This simple knee-to-wall movement can give you a rough comparison of ankle dorsiflexion between sides. If one side feels markedly more restricted than the other — particularly if you also have symptoms — it may be worth exploring further. A mobility difference on its own does not predict whether you will develop a running injury.

4. Increase gradually — do not obsess over a magic percentage

You may have heard that running volume should never increase by more than 10% per week. However, the evidence does not support treating 10% as a universal, protective threshold. A 2022 systematic review covering 36 studies and more than 23,000 runners concluded that evidence linking specific training parameters to running injuries is inconsistent. The practical message is simpler: avoid sudden, dramatic jumps in distance, pace, or frequency, and adjust your progression according to how your body recovers.

When to get a clinical assessment

Starting from scratch or returning after a long break is a sensible time to understand your baseline movement. It is particularly worth seeking an assessment if:

  • You have a previous injury to your knee, hip, Achilles tendon, or lower back that has previously interrupted your activity.
  • You experience localised pain that persists for more than 24–48 hours after a run.
  • You feel a sharp or catching sensation during running that alters how your foot strikes the ground.
  • You notice marked stiffness in your lower back, hips, or feet that does not ease after moving.
  • You have tried running previously and had to stop around week three or four due to the same recurring issue.

Where do osteopathy and movement assessment fit?

At Momentum Body Clinic, the purpose of a running assessment is not to hunt for a single "root cause" or tell you that your body is out of alignment. Running injuries are multifactorial. An assessment is designed to understand the combination of factors that may be influencing your movement — including your recent training progression, past injury history, joint mobility, tissue tolerance, and single-leg stability.

Where joint restrictions or soft tissue tightness are present — such as restricted thoracic rotation, hip mobility limitations, or calf tension — hands-on osteopathic mobilisation and sports massage may help improve comfort and movement quality. When combined with load management and clear, individualised exercise advice, this creates a supportive environment for your body to adapt to the demands of running.

Our Southwark Park clinic is situated at the Athletics Track Gym on Hawkstone Road (SE16) — directly alongside a working running track used by beginners and club runners alike. We also provide consultations at our Telegraph Hill clinic on Kitto Road (SE14).

Book Initial Osteopathy

Whether you are taking your first running steps, returning after a break, or managing an uncomfortable joint, an initial osteopathy consultation can help clarify how your body is managing load and establish a realistic, individual plan.

Book Initial Osteopathy

Prefer to ask a question first? Contact Momentum Body Clinic .

A note on the evidence: Running injuries are multifactorial, and research does not support reducing every injury to one biomechanical fault or one training rule. This article provides general education rather than an individual diagnosis or treatment plan. If pain is persistent, worsening, changing how you move, or you are uncertain whether it is safe to continue running, seek an appropriate clinical assessment.

Research and guidance

  1. Videbæk S, Bueno AM, Nielsen RO, Rasmussen S. Incidence of running-related injuries per 1,000 h of running in different types of runners: a systematic review and meta-analysis. Sports Med. 2015;45(7):1017–1026. PMID: 25951917.
  2. Kjaer M, Langberg H, Heinemeier K, et al. From mechanical loading to collagen synthesis, structural changes and function in human tendon. Scand J Med Sci Sports. 2009;19(4):500–510. PMID: 19706001.
  3. Lee DC, Pate RR, Lavie CJ, et al. Leisure-time running reduces all-cause and cardiovascular mortality risk. J Am Coll Cardiol. 2014;64(5):472–481. PMID: 25082581.
  4. Pedisic Z, Shrestha N, Kovalchik S, et al. Is running associated with a lower risk of all-cause, cardiovascular and cancer mortality, and is the more the better? A systematic review and meta-analysis. Br J Sports Med. 2020;54(15):898–905. PMID: 31685526.
  5. Fredette A, Roy J-S, Perreault K, et al. The association between running injuries and training parameters: a systematic review. J Athl Train. 2022;57(7):650–671. PMID: 34478518.

This article provides general information and is not a diagnosis or personal medical prescription. Last clinically reviewed: 28 September 2026.