Learn how to prevent foot and ankle pain while training for a marathon with the help of sports medicine and sports chiropractic. Our chiropractic office in Silver Spring, MD offers expert tips for protecting your ankles and dealing with weak ankles as a runner.


Spring is coming around, so the one thing I know is that it’s time to start training for your marathons. You could already be training for the Chery Blossom 5k this month. Running a marathon is a challenging and rewarding accomplishment, but it also puts a lot of stress on your body, especially your ankles. Ankle injuries are one of the most common types of injuries that runners experience, and they can significantly impact your ability to train and compete. In this article, we will discuss the importance of ankle protection for marathon runners and provide an overview of common ankle injuries and their causes.


Why ankle protection is important for marathon runners

Marathon training involves a significant amount of stress on the lower extremities, especially the ankles. The ankle joint is responsible for absorbing the impact of each stride and providing stability during the running motion. Therefore, protecting the ankle joint is essential to prevent injuries and maintain a successful marathon training routine.

Ankle injuries can be painful and disruptive, often requiring rest and rehabilitation, which can interfere with a runner's training and progress. Investing in ankle protection and care can help to prevent these injuries and maintain a healthy running routine.

Common ankle injuries that runners may experience include:

  • Ankle sprains:
    Ankle sprains are a common injury among runners, especially during training and racing. They occur when the ankle twists or turns too far, causing damage to the ligaments that support the ankle joint. Ankle sprains can range from mild to severe and can cause pain, swelling, and instability.
  • Achilles tendonitis:
    Achilles tendinitis is another common ankle injury among runners. It occurs when the Achilles tendon, a thick band of tissue that connects the calf muscles to the heel bone, becomes inflamed and painful, usually due to overuse. Runners who increase their mileage too quickly or do not allow for adequate rest and recovery are at higher risk for developing Achilles tendinitis.
  • Plantar fasciitis:
    Plantar fasciitis is a painful condition that occurs when the plantar fascia, a band of tissue that runs along the bottom of the foot, becomes irritated and inflamed. Runners with tight calf muscles or who overpronate (roll their feet inward) are more likely to develop plantar fasciitis.


How to run without damaging your ankles

Running is an excellent way to stay fit and healthy, but it's essential to take steps to protect your ankles to avoid injuries. Here are some tips on how to run without damaging your ankles:

  • Choose the right footwear:  Wearing proper footwear is essential when it comes to ankle protection. Choose shoes that provide adequate support and cushioning to absorb the impact of each stride. Replace your shoes every 300-500 miles to ensure that they continue to provide proper support.
  • Stretch before and after your runs:  Stretching is also crucial for protecting your ankles. Focus on stretching your calf muscles, which can help to prevent Achilles tendinitis and other ankle injuries. Consider incorporating dynamic stretching into your warm-up routine to prepare your muscles for your run.
  • Gradually increase your mileage: It's important to gradually increase the intensity and duration of your runs to avoid overuse injuries. Start with shorter runs and gradually increase the distance and intensity over time. Don't try to do too much too soon, as this can put a lot of stress on your ankles and increase the risk of injury.
  • Maintain good running form:  Maintaining good running form can also help reduce the risk of ankle injuries. This includes keeping your posture tall and avoiding overstriding, which can put extra strain on your ankles. Make sure to land on the midfoot rather than the heel and maintain a quick cadence to reduce the impact on your joints. Another important factor in maintaining good form is to stay aware of any discomfort or pain in your ankles. Ignoring pain can lead to more serious injuries down the road. Take breaks as needed and seek treatment if you experience any persistent pain or swelling in your ankles.


What is runner's ankle?

Runner's ankle, also known as peroneal tendinopathy, is a common overuse injury that affects runners. This injury occurs when the tendons that support the ankle joint become inflamed or irritated, usually due to repetitive stress from running.


Symptoms of runner's ankle can include pain and tenderness along the outside of the ankle, swelling, stiffness, and weakness. Common causes of runner's ankle include overtraining, wearing improper footwear, running on uneven or unstable surfaces, and having weak ankle muscles.


Treatment options for runner's ankle may include rest, ice, compression, and elevation (RICE therapy), anti-inflammatory medication, physical therapy, and orthotics. In severe cases, surgery may be necessary to repair the damaged tendons or ligaments.


If you experience symptoms of runner's ankle, it's important to seek medical attention promptly to prevent further damage and ensure proper healing.


How to protect your ankles when running

The ankles are essential for running, and protecting them should be a top priority for any runner. Here are some tips to prevent ankle injuries while running:


  1. Wear Proper Footwear: Investing in a good pair of running shoes that provide adequate support and cushioning can help reduce the impact on your ankles.
  2. Use Ankle Braces or Compression Sleeves: Ankle braces or compression sleeves can provide extra support and stability to the ankle joint, reducing the risk of injury.
  3. Strengthen Your Ankles: Strengthening your ankle muscles through targeted exercises can help to prevent ankle injuries. This can include exercises such as ankle circles, heel raises, and balancing on one foot.
  4. Maintain Good Running Form: Proper running form can help to reduce the stress on your ankles. Make sure to keep your posture upright, land midfoot, and avoid overstriding.
  5. Seek Professional Help: A sports medicine physician or sports chiropractor can help identify any underlying issues or weaknesses that may put you at risk for ankle injuries. They can also provide customized treatment plans and exercises to strengthen and protect your ankles.

Sports chiropractic can also help to prevent and treat ankle injuries by utilizing manual therapies and exercises that improve ankle joint mobility and stability. Additionally, chiropractors can address any imbalances or restrictions in the surrounding muscles and joints that may contribute to ankle pain or injury.


Dealing with weak ankles as a runner

Weak ankles can be a significant challenge for runners, as they increase the risk of ankle injuries and can hinder performance. Common causes of weak ankles include a lack of proper ankle-strengthening exercises, previous injuries, and genetic factors.


To strengthen your ankles, incorporate exercises such as calf raises, ankle rotations, and balance exercises into your training routine. Resistance bands and weights can also be used to add resistance and increase the intensity of your ankle-strengthening exercises.In addition to exercises, stretching is also essential for maintaining healthy ankles. Incorporating dynamic stretches before running and static stretches after running can help to increase flexibility and reduce the risk of injury.


Sports chiropractic can also be an effective tool for addressing weak ankles and preventing injuries. A sports chiropractor can evaluate your ankle strength and flexibility and develop a treatment plan that includes exercises, stretches, and manual therapies to improve your ankle health. By taking steps to strengthen your ankles and seeking professional care when needed, you can protect yourself from ankle injuries and perform at your best as a runner.


How sports medicine and sports chiropractic can help prevent and treat ankle injuries

Sports medicine and sports chiropractic can be valuable resources for runners who want to prevent ankle injuries and treat existing ones. Here are some ways that these disciplines can help:

  • Evaluate your gait and running form: Sports chiropractors and sports medicine specialists can evaluate your gait and running form to identify any issues that may be contributing to your ankle pain or injury risk.
  • Provide treatment for injuries: If you do experience an ankle injury, a sports medicine specialist or chiropractor can provide treatment options such as chiropractic adjustments, physical therapy, or other modalities to help you recover and get back to running.
  • Offer guidance on injury prevention: Sports medicine specialists and chiropractors can guide injury prevention, including tips on proper footwear, stretching, and strength training exercises.



Protecting your ankles is crucial for any marathon runner. Ankle injuries can be painful and disruptive, potentially derailing your training and racing goals. By investing in proper footwear, stretching, and gradually building up your running routine, you can reduce the risk of ankle injuries.


If you are dealing with weak ankles, exercises and stretches can help strengthen them, and sports chiropractic care can provide additional support and prevent future injuries. If you're looking for sports medicine or sports chiropractic care in Silver Spring, MD, contact our office to schedule an appointment and take the first step towards protecting your ankles and achieving your marathon goals.




Byron  Lam

Byron Lam

Chiropractor, CCSP®, FR® Spine

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