Sep 25, 2026 · 1 hr 41 min · 13 segments
Dr Chris Bramah joins Jake Dearden to break down the science behind running performance, injury prevention and becoming a more resilient runner. From running technique and cadence to strength…
Chris BramahGuest
So your volume-based injuries are those when athletes are trying to chase lots of long, slow miles.

And particularly like what we call runner's knee, so it's the patellofemoral joint.

Whereas you runner's knee patellofemoral pain is pain in the front, localized around that sort of patella region.

I mean, if someone gets ITB syndrome, my general advice is shut that down because those are ones that are absolute nightmare to work with sometimes if you let them get out of hand.

And primarily it's because when you're doing slower and longer miles, we see the knee joint is the one that takes the most brunt of like absorbing force and returning it.

And then the opposite end of the spectrum is we see like your speed based injuries.

So obviously sprinters, you're going to see hammies, but in like your, uh, endurance runners, those who have more percentage of track based workouts, um, or middle distance runners who are trying to run a lot of their runs at faster paces, the load actually shifts to the Achilles.

like, interestingly, and this is, I guess, the geek in me, a few years ago, we did a couple of studies that looked at when you increase speed, what happens to stress on joints? And basically we found the knee, the faster you run, the more the stress was reduced on the knee.

So your volume-based injuries are those when athletes are trying to chase lots of long, slow miles.

And particularly like what we call runner's knee, so it's the patellofemoral joint.

Whereas you runner's knee patellofemoral pain is pain in the front, localized around that sort of patella region.

I mean, if someone gets ITB syndrome, my general advice is shut that down because those are ones that are absolute nightmare to work with sometimes if you let them get out of hand.

And primarily it's because when you're doing slower and longer miles, we see the knee joint is the one that takes the most brunt of like absorbing force and returning it.

And then the opposite end of the spectrum is we see like your speed based injuries.

So obviously sprinters, you're going to see hammies, but in like your, uh, endurance runners, those who have more percentage of track based workouts, um, or middle distance runners who are trying to run a lot of their runs at faster paces, the load actually shifts to the Achilles.

like, interestingly, and this is, I guess, the geek in me, a few years ago, we did a couple of studies that looked at when you increase speed, what happens to stress on joints? And basically we found the knee, the faster you run, the more the stress was reduced on the knee.
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