Guide to Running Injury Treatment: Which doctor is right for you?

February 18, 2026

Whether you’re a novice runner, a recreational racer, or an elite competitor, running injuries are a constant risk that cannot be ignored. While sometimes pain and mild injuries self-resolve with rest and basic first aid, persistent pain is a telltale sign that you need professional attention. Finding the right doctor for your injury is key to getting fast and effective results.

We created this guide to help you find the appropriate specialist to treat your running injury, fix your gait, boost your performance, and get you back on the road in record time.

Incidence and Common Types of Running Injuries

Injury rates and types can vary widely from one runner population to another – a novice runner may experience different types of injuries compared to a seasoned recreational runner or a competitive running athlete. Awareness of the types of injury risks can help you avoid them.

In general, running injury incidence per year ranges from 30-50% or more (systematic review on runner injuries). Rates tend to be lower in novice runners, and higher in marathon/long distance runners, and recurrent injuries are not uncommon. In terms of volume, estimated injuries occur at rates between 8-18 injuries per 1000 hours of running.

Factors affecting injury include:

  • Sudden increases in speed, distance or volume.
  • History of prior injuries (double the risk)
  • Training errors
  • Lifestyle factors including sleep, nutrition, and hydration.

RUNNING INJURY AWARENESS

1
NOVICE RUNNERS
  • Lower injury rates (30-50% annually).
  • Common: Shin splins, knee pain.

2
INJURY RISKS
  • iconSudden increases in speed, distance or volume.
  • iconHistory of prior injuries (double the risk)
  • iconTraining errors
  • iconLifestyle factors (sleep, nutrition, and hydration)

3
MARATHON/DISTANCE RUNNERS
  • Higher injury rates.
  • Common: Stress fractures, plantar fasciitis, IT band syndrome.
  • Recurrent injuries frequent.

Injuries typically affect structures of the lower extremities, most often involving the knee, lower leg, ankle and foot. Knee injuries are most common in recreational and marathon runners, while foot and ankle injuries are common in ultra-distance runners. However, secondary injuries can translate upward along the kinetic chain, affecting the hip, spine, thorax and shoulders.

The most commonly reported running injuries include:

  • Patellofemoral pain syndrome (aka runner’s knee) – this is a common knee injury that accounts for 25-30% of all running injuries.
  • Achilles tendinopathy is common in both general and distance runners.
  • Medial tibial stress syndrome (shin splints) accounts for up to 20% of running injuries.
  • Plantar fasciitis affects the foot and heel, with a prevalence of 5–17%.
  • Iliotibial (IT) band syndrome manifests as lateral knee and hip pain, occurring in 5-8% of runners.
  • Other less prevalent injuries include acute ankle sprains, stress fractures, hamstring strains, and calf injuries.
Patellofemoral pain syndrome

Achilles tendinopathy

Medial tibial stress syndrome

Plantar fasciitis

Iliotibial (IT) band syndrome

Other less prevalent injuries

Doctors Who Treat Running Injuries

Dedicated runners can be significantly impacted by injury, and choosing the appropriate specialist is critical for effective recovery. Because running injuries often involve multiple contributing factors, care that integrates diagnostics, gait analysis, and rehabilitation within a coordinated model may be beneficial. While symptom management is often an important first step, unresolved biomechanical or movement-related factors may contribute to persistent or recurrent running injuries. Comprehensive evaluation and rehabilitation help address these contributing factors and reduce the risk of future injury.

Sports Medicine Specialist

Sports medicine doctors have specialized training in diagnosing, treating, and preventing sports-related injuries. They work with athletes and physically active people to restore function and performance, and they often have a multidisciplinary approach that includes physical therapy.

Orthopedic Surgeon

An orthopedist specializes in structural injuries to the bones, joints, muscles, connective tissues and nerves. They provide critical surgical interventions for severe injuries like fractures, ligament tears, and tendon ruptures, but they also provide non-surgical treatment options.

Podiatrist

Podiatrists specialize in injuries to the foot and ankle, with expertise in foot mechanics. They treat issues like plantar fasciitis, Achilles tendonitis, and acute foot injuries. Some podiatrists are also surgeons, and they often prescribe custom orthotics.

Physical Therapist

Physical therapists are not medical doctors, but they specialize in injury rehabilitation and prevention. A sports physical therapist can help you restore strength, stability and mobility after an injury, and work with you to attain pre-injury performance levels. Medical specialists often refer patients for physical therapy after surgery or other treatment.

Chiropractor

Chiropractors have in-depth training in the central and peripheral nervous systems, with an emphasis on spinal function and alignment. Impact forces from running often affect spinal structures, causing pain and reduced mobility. A chiropractor can help you restore functional spinal alignment and relieve pain due to nerve compression.

Sports Medicine Specialist
Diagnose and treat injuries to restore performance using a multidisciplinary approach.

Orthopedic Surgeon
Treat structural bone and muscle injuries through both surgical interventions and non-surgical options.

Podiatrist
Treat foot and ankle injuries using mechanics, orthotics, or surgery

Physical Therapist
Specialize in rehabilitation and prevention, restoring strength and mobility to reach pre-injury levels.

Chiropractor
Focus on spinal alignment to relieve nerve compression and improve overall body function.

The following table can help you determine the best practitioner to see for your injury:
Aspect
Description (Brief)
Primary Specialist/Doctor to See
Notes/When to Escalate

Patellofemoral Pain Syndrome (Runner’s Knee)
Pain around or behind the kneecap, often from overuse or poor alignment
Sports Medicine Physician, Orthopedic Surgeon (knee specialist), or Physical Medicine & Rehabilitation (PM&R) doctor
Start with PT; see ortho if no improvement or structural issues suspected

Achilles Tendinopathy (Tendinitis/Tendinosis)
Pain and stiffness in the Achilles tendon at the back of the heel/lower calf
Podiatrist (foot & ankle specialist), Orthopedic Surgeon (foot/ankle or sports medicine), or Sports Medicine Physician
Podiatrist often first for heel/lower leg; ortho if tear or surgery needed

Medial Tibial Stress Syndrome (Shin Splints)
Pain along the inner shin bone from repetitive stress
Sports Medicine Physician, Primary Care with sports focus, or Orthopedic Surgeon
Usually non-surgical; PT key; ortho if stress fracture suspected

Plantar Fasciitis
Heel/arch pain, especially first steps in morning
Podiatrist (foot & ankle specialist) or Orthopedic Surgeon (foot/ankle)
Podiatrist is often the go-to for foot issues; ortho for advanced cases

Iliotibial (IT) Band Syndrome
Pain on the outer knee/hip from tight IT band friction
Sports Medicine Physician, Orthopedic Surgeon (sports/knee), or PM&R doctor
Conservative first (PT, foam rolling); ortho if persistent

Stress Fracture (e.g., tibia, metatarsals, femur)
Bone micro-cracks from overload; sharp pain worsening with activity
Orthopedic Surgeon (sports or bone health specialist) or Sports Medicine Physician
Often needs imaging (X-ray/MRI); may require rest/boot/crutches; ortho for confirmation/management

Hamstring Strain
Muscle tear/pull in back of thigh
Sports Medicine Physician or Orthopedic Surgeon (sports medicine)
PT primary; ortho if severe tear or recurrent

Holistic/Integrative Therapy for Running Injuries

While there are many options for medical care after a running injury, medical doctors are often limited by their professional bias, scope of training, and restrictions imposed by health insurers that limit billable procedures. As a result, many runners return to their favorite sport, only to be injured again due to insufficient treatment and inadequate rehabilitation.

By contrast, holistic practitioners look at the whole patient, not just their new injury. Running relies on multiple systems, working in harmony to propel the body forward. New injuries often occur due to overtraining, fascial dysfunction, inefficient gait mechanics, or when previously injured tissues fail to efficiently transfer loads.

An integrative practitioner will not only fix your injury, but also address other contributing factors, along with issues that pose potential future risks. By taking a whole-body approach, a holistic sports practitioner can help improve your running performance, reduce your injury risk, and set you up for years of pain-free running enjoyment.

Get Personalized Holistic Running Injury Therapy in NYC

Running injuries are common, and people who run on a regular basis are likely to sustain more than one injury. For a lifetime of pain-free running, total injury rehabilitation is essential, and injuries that are not properly rehabilitated are sure to cause mechanical problems down the road that can take you out of the race for good.

NYDNRehab in Manhattan is your one-stop-shop for running injury care and prevention. Our high-tech running lab features advanced instrumentation to subjectively analyze your running gait in all 3 planes of motion – including the transverse plane where most running injuries occur.

We offer a broad range of sports injury services, including:

  • High-resolution diagnostic ultrasound
  • Holistic podiatry
  • Orthobiologic injection procedures
  • Regenerative energy therapies
  • Biomechanical analysis and retraining
  • Personalized physical therapy
  • Chiropractic care
  • Return-to-sports rehabilitation

1

High-resolution diagnostic ultrasound

2

Holistic podiatry

3

Orthobiologic injection procedures

4

Regenerative energy therapies

5

Biomechanical analysis and retraining

6

Personalized physical therapy

7

Chiropractic care

8

Return-to-sports rehabilitation

Our holistic, integrative approach takes us beyond the site of injury, ensuring that adjacent tissues and structures are thoroughly examined, treated, and rehabilitated. Whether you’re a novice runner, a seasoned recreational runner, or an elite competitor, NYDNRehab is the clinic of choice for 3D running gait analysis, injury prevention, and rehabilitation in Midtown Manhattan, NYC.

Get Advanced Hip Flexor Rehab in NYC contact NYDNRehab today

Request an appointment »

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Our location: 11 West 25th Street 5th floor, New York, NY 10010

Verified Expert Profiles

About the Author

Dr. Lev Kalika is a world-recognized expert in musculoskeletal medicine. with 20+ years of clinical experience in diagnostic musculoskeletal ultrasonography, rehabilitative sports medicine and conservative orthopedics. In addition to operating his clinical practice in Manhattan, he regularly publishes peer-reviewed research on ultrasound-guided therapies and procedures. He serves as a peer reviewer for Springer Nature.

Dr. Kalika is an esteemed member of multiple professional organizations, including:
  • International Society for Medical Shockwave Treatment (ISMST)
  • American Institute of Ultrasound in Medicine (AIUM)
  • American Academy of Orthopedic Medicine(AAOM)
  • Fascia research Society (FRS)
  • Gait and Clinical Movement Analysis Society (GCMAS)
  • Sigma Xi, The Scientific Research Honor Society
Dr. Kalika is the only clinician in New York certified by the ISMST to perform extracorporeal shockwave therapy. He has developed his own unique approach to dynamic functional and fascial ultrasonography and has published peer-reviewed research on the topic. Dr. Kalika is a specialist in orthobiologics, a certified practitioner of Stecco Fascial Manipulation, and serves as a consultant for STT Systems – Motion Analysis & Machine Vision.
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In this instance, an athlete was originally diagnosed with minor quadriceps muscle strain and was treated for four weeks, with unsatisfactory results. When he came to our clinic, the muscle was not healing, and the patients’ muscle tissue had already begun to atrophy.

Upon examination using MSUS, we discovered that he had a full muscle thickness tear that had been overlooked by his previous provider. To mitigate damage and promote healing, surgery should have been performed immediately after the injury occurred. Because of misdiagnosis and inappropriate treatment, the patient now has permanent damage that cannot be corrected.

The most important advantage of Ultrasound over MRI imaging is its ability to zero in on the symptomatic region and obtain imaging, with active participation and feedback from the patient. Using dynamic MSUS, we can see what happens when patients contract their muscles, something that cannot be done with MRI. From a diagnostic perspective, this interaction is invaluable.

Dynamic ultrasonography examination demonstrating
the full thickness tear and already occurring muscle atrophy
due to misdiagnosis and not referring the patient
to proper diagnostic workup

Demonstration of how very small muscle defect is made and revealed
to be a complete tear with muscle contraction
under diagnostic sonography (not possible with MRI)

image

Complete tear of rectus femoris
with large hematoma (blood)

image

Separation of muscle ends due to tear elicited
on dynamic sonography examination

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