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Patient Education 4 min read

Should Runners Be Strength Training?

By Dr. Dana LaPeze, DPT, OCS, CSCS, PCES

Should Runners Be Strength Training?

Should you strength train as a runner?

Short answer: Yes.

Long answer: If you want to stay healthy, run faster, and keep doing this long term, it's one of the most important things you can do.

"But running is my leg workout..."

Running is AMAZING for cardiovascular health but it is NOT the same thing as building strength.

Your heart and lungs adapt quickly. Your tendons and joints? Much slower.

So what tends to happen is this: you feel great from a conditioning standpoint, but your knee starts to ache. Or your Achilles feels tight every morning. Or your hip gets angry after long runs.

That's usually not because running is "bad." It's because your body doesn't quite have the strength capacity to handle the load you're putting on it.

Why strength training actually reduces injury risk

Running is essentially a series of single-leg mini-hops. With every step, you're absorbing 2-3 times your body weight through one leg. If you don't have the strength to control your hip, knee, ankle, trunk, that force has to go somewhere.

And that's when injuries like these tend to appear:

  • IT band irritation
  • Achilles tendinopathy
  • Plantar fasciitis
  • "Random" knee pain
  • Low back tightness
Strength training increases your body's ability to tolerate load. When your capacity is higher than the demand, injuries are much less likely to happen.

"...But won't lifting make me slower or bulky?"

Short answer: No.

In fact, appropriate strength training often improves:

  • Running economy
  • Stride efficiency
  • Hill performance
  • Sprint speed
Most runners actually under-load in the gym. Bodyweight exercises are a great starting point, but progressive strength is what really builds capacity and resilience in your body. You're not going to bulk up from lifting 2-3 days per week. You're going to become more durable.

So, what should runners actually focus on?

When working with runners, these are the priorities:

  • Glutes - This helps control knee position, allow for full stride length, and improve force transfer.
  • Calves - Your soleus works hard during distance running and is often undertrained.
  • Hamstrings - Important for speed and controlling your stride.
  • Lateral hip musculature - Very important in controlling the position of your knee and load through your foot.
  • Core control - Bracing, anti-rotation, and learning how to manage pressure.
  • Single-leg strength - Because running is single-leg (split squats, step downs, RDL variations).

How often?

Ideally 2-3 times per week. During higher mileage phases, you can adjust volume slightly, but strength work should rarely be removed completely. That's often when small aches start creeping back in.

When strength training becomes non-negotiable

Strength training is necessary if you:

  • Are increasing mileage
  • Are over 30
  • Have a history of recurring injuries
  • Notice pain that "warms up" but comes back later
  • Want to get faster without just adding more miles

Exercise of the Month: Lateral Step Down

If there was one exercise to pick that transfers really well to running, this would be high on the list.

Why it matters

When you are running, you are pretty much on one leg the entire time. Every time your foot hits the ground, your body has to control your pelvis and knee over that one leg. Lateral step downs replicate that single-leg loading position in a controlled way.

If your hip isn't strong enough to control the position of your knee, you'll often see the knee collapse inward. Over time, that can contribute to lateral knee pain, patellar pain, IT band irritation, and more. This exercise trains your hip to control that position before it becomes a problem.

How to do it

  • Stand sideways on a box or step (start with 4-8 inches).
  • Shift your weight onto the leg that's staying on the box.
  • Slowly bend that knee and tap your opposite heel to the floor.
  • Keep your hips level and don't let one side drop.
  • Watch that your knee stays in line with your second toe (don't let it cave inward).
  • Drive back up through the heel to return to standing.
Move slow on the way down. Control is more important than depth.

Start with 2-3 sets of 8-10 reps per side.

Ready to move better and feel better?

Book a free discovery call with Dr. Dana LaPeze to discuss your goals and see if Reform PT is the right fit.