From Shin Splints to Plantar Fasciitis: The Runner’s Guide to Overuse Injuries

Running is one of the most efficient and rewarding ways to stay fit—but it’s also one of the most repetitive. Over time, the same motion, the same muscles, and the same ground reaction forces can take a toll, especially when rest and recovery aren’t balanced with training load.

At Princeton Sports and Family Medicine, P.C. in Lawrenceville, New Jersey, we work with runners every day who are pushing their limits—and sometimes their luck. In this blog, we’ll break down the most common overuse injuries, what early warning signs to watch for, and how to know when to push through versus when to pull back.

What Are Overuse Injuries?

Overuse injuries develop gradually over time from repetitive microtrauma, often without a clear “injury moment.” They typically result from:

• Sudden increases in mileage or intensity

• Inadequate recovery or sleep

• Poor running mechanics or footwear

• Strength imbalances or mobility deficits

The good news? Most overuse injuries are preventable—if caught early and managed correctly.

Common Overuse Injuries in Runners

1. Shin Splints (Medial Tibial Stress Syndrome)

Feels like: Dull, aching pain along the inner shin
Early signs: Soreness at the start of a run that eases with movement
Push or pull?

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.