Marathon running, track & field, cycling, and hiking generate repetitive lower-limb loading that creates predictable overuse injuries. We treat the cause, not just the symptom.
Endurance sports primarily produce lower-limb overuse injuries from repetitive kinetic energy transfer. Every running stride generates 2–3x your body weight in ground reaction force — over thousands of repetitions per session. When tissue capacity can’t keep pace with training load, injury follows. Treatment requires understanding the relationship between load, capacity, and recovery — and a running assessment is often the key to identifying what’s going wrong.
Sports in this category: Marathon and distance running, Track & Field, Cycling, Hiking, Trail Running, Triathlon, Cross-Country Skiing, Rowing (endurance). At Move to Motion in Surrey, we treat athletes across all of these disciplines with sport-specific physiotherapy protocols. Serving Newton, North Delta, Cloverdale, and the greater Surrey area.
7380 King George Blvd #600, Surrey · Mon–Fri 8am–7pm · Sat 9am–2pm
Pain under or around the kneecap from repetitive impact. Usually driven by weak hip abductors, poor quadriceps control, or excessive pronation. Gait retraining and targeted strengthening resolve most cases. Knee pain →
Inflammation along the inner shinbone, common in new running programs or rapid mileage increases. Cadence correction, calf strengthening, and load management are the foundation of treatment.
Chronic irritation of the largest tendon in the body. Mid-portion and insertional variants require different loading protocols. Eccentric and heavy slow resistance exercises are the gold standard. Ankle pain →
Pain along the bottom of the foot from continuous stress, especially with first steps in the morning. Shockwave therapy, progressive loading, and custom orthotics accelerate recovery. Foot pain →
Microscopic bone tears from repetitive loading without adequate recovery. Common in the tibia, metatarsals, and femoral neck. Requires modified activity, gradual return-to-load, and addressing bone density and nutrition factors.
Lateral knee pain in distance runners, usually driven by hip weakness and crossover gait. Targeted hip strengthening (especially gluteus medius) resolves most cases without needing to foam roll the IT band.
Lateral hip pain that worsens with running, stairs, and lying on the affected side. Load modification and progressive hip strengthening — not stretching — are the evidence-based approach. Hip pain →
Anterior knee pain from saddle height issues, and lower back pain from sustained flexion. Bike fit assessment combined with flexibility and core strengthening resolves most cycling complaints. Back pain →
Your first session includes a sport-specific assessment — we evaluate not just the injured area but your entire movement chain, strength baselines, and the specific demands of your sport. From there, we build a phased rehabilitation plan: early protection and pain management, progressive loading and strength rebuild, sport-specific conditioning, and return-to-play testing.
We use objective criteria — not just how you feel — to determine when you’re ready. Hop tests, strength ratios, movement quality screens, and sport-specific drills ensure you return with confidence. If prehab could have prevented your injury, we’ll build a prevention program into your discharge plan.
Not necessarily. We often modify your training load (reduce mileage and intensity) rather than stopping completely. Cadence changes and calf strengthening can allow continued running while the tissue heals.
A running assessment identifies biomechanical inefficiencies, strength deficits, and gait patterns that increase injury risk. Correcting these before pain develops is far more effective than treating injuries after they occur.
Both, but strengthening is more important. Progressive calf raises and intrinsic foot exercises rebuild tissue capacity. Stretching provides short-term relief but doesn’t address the underlying load tolerance issue.
Only if your foot mechanics contribute to your injury pattern. We assess your gait, foot posture, and running shoes before recommending custom orthotics. Many running injuries resolve with strengthening alone.
Typically 6–12 weeks of modified activity followed by a gradual return-to-running program. The timeline depends on fracture location, severity, and underlying risk factors like bone density and nutrition.
Surrey, BC · Serving Newton, North Delta & Cloverdale · Direct Billing
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