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Drills to Reduce Injury Risk in a Run/Walk Program: A Sports Medicine Doctor’s Perspective

Without adequate preparation, starting a program, increasing milage and/or intensity can increase stress on the Achilles tendon, knees, hips, and plantar fascia. The good news: specific drills can significantly reduce injury risk by improving strength, coordination, and movement control during run/walk transitions.

 

Why Drills Matter in a Run/Walk Program

Each transition requires the body to:

Drills help bridge the gap between walking and running by training the nervous system and musculoskeletal system to handle these changes smoothly.

Key Goals of Transition-Focused Drills

Effective drills should aim to:

Essential Drills to Reduce Injury Risk

1. Marching Drills (A-March)

Why it helps:
Improves hip flexor strength, glute engagement, and postural control- critical for smooth walk-to-run transitions.

How to do it:

Injury benefit:
Reduces excessive quad dominance and improves controlled acceleration.

2. A-Skips

Why it helps:
Trains elastic loading, coordination, and rhythm without full running impact.

How to do it:

Injury benefit:
Prepares the Achilles tendon and calves for repeated acceleration demands.

3. Walking Lunges (Forward and Reverse)

Why it helps:
Builds eccentric strength in the glutes and quadriceps- essential for run-to-walk deceleration.

How to do it:

Injury benefit:
Reduces knee pain and patellar tendon stress during slowing phases.

4. Single-Leg Romanian Deadlifts

Why it helps:
Improves posterior chain strength and pelvic control on one leg- the foundation of safe running transitions.

How to do it:

Injury benefit:
Decreases hamstring strain risk and improves braking control.

5. Calf Raise Progressions

Why it helps:
Calves absorb and generate force during every transition.

Progression:

Injury benefit:
Protects against Achilles tendinopathy and plantar fasciitis.

6. Deceleration Drills (Run → Slow Jog → Walk)

Why it helps:
Teaches controlled slowing instead of abrupt stopping.

How to do it:

Injury benefit:
Reduces eccentric overload on knees and hips.

7. Cadence Control Drills

Why it helps:
Improves rhythm and reduces overstriding during transitions.

How to do it:

Injury benefit:
Decreases braking forces and joint stress.

When to Perform These Drills

Even 5-10 minutes can make a meaningful difference.

Common Mistakes to Avoid

Drills are preventive tools, not just rehab exercises.

Final Thoughts

Run/walk programs work best when the body is prepared for the repeated transitions they require. Drills that improve acceleration, deceleration, and single-leg control can dramatically lower injury risk and make run/walk training safer and more effective.

From a sports medicine standpoint, the runners who stay healthy are not the ones who avoid walking- they’re the ones who train for the transitions.

At Fuse Sports Performance and  Princeton Sports and Family Medicine, P.C., our professionals specialize in sports medicine services, including run specific evaluations and training to assess your risk for injury and assist in your performance goals.

Author
Peter Wenger, MD Peter C. Wenger, MD, is an orthopedic and non-operative sports injury specialist at Princeton Sports and Family Medicine, P.C., in Lawrenceville, New Jersey. He is board certified in both family medicine and sports medicine. Dr. Wenger brings a unique approach to sports medicine care with his comprehensive understanding of family medicine, sports medicine, and surgery. As a multisport athlete himself, he understands a patient’s desire to safely return to their sport.

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