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:
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Rapidly generate force (walk → run)
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Absorb and control force (run → walk)
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Coordinate timing between muscles and joints
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Maintain posture and alignment under fatigue
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:
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Improve acceleration mechanics
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Enhance eccentric control during deceleration
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Strengthen single-leg stability
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Reinforce proper posture and cadence
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Reduce abrupt loading spikes
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:
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Stand tall
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Drive one knee up to hip height
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Maintain upright posture
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Alternate slowly and deliberately
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:
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Skip forward with controlled knee lift
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Land softly under your center of mass
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Focus on quick, light ground contact
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:
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Step into a lunge with control
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Maintain knee alignment
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Push through the heel to return
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:
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Balance on one leg
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Hinge at the hips
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Keep spine neutral
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Return with glute engagement
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:
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Double-leg calf raises
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Single-leg calf raises
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Slow, eccentric lowering
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:
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Jog lightly
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Gradually shorten stride
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Maintain upright posture
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Smoothly transition to walking
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:
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Use a metronome
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Practice maintaining cadence as you slow and re-accelerate
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Focus on shorter, quicker steps
Injury benefit:
Decreases braking forces and joint stress.
When to Perform These Drills
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Before run/walk sessions as part of a dynamic warm-up
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On non-running days as movement prep
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During return-to-run programs following injury
Even 5-10 minutes can make a meaningful difference.
Common Mistakes to Avoid
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Skipping drills because they feel “too easy”
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Performing drills sloppily or too fast
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Ignoring single-leg work
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Using drills only after pain starts
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.
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