Avoid outdoor injuries
With summer around the corner, physiotherapist Stuart Mailer explains how to keep fit and well on your outdoor runsDoes running outside, up hills or on uneven terrain put more strain on my body? If so, why?

Running on uneven terrain places extra stress on your joints and muscles as you try to maintain your balance and stability during each stride. Also, if you’re running on soft ground, such as grass, you have to work harder to run at the same pace as you would on a road. However, your reduced speed on grass will give the same muscular demand and workload, without the same pounding. This increased muscle work and demand for balance increases the stress on your body.
Changing your running style is difficult and should only be undertaken with a running coach. It will also affect your running economy and efficiency, so improving other areas may be more suitable. Increasing stability can help in reducing the likelihood of an injury. Try balance, pelvic stability and core exercises.
What sort of injuries am I at risk of sustaining if I run on uneven ground?
There may be a higher chance of an ankle injury on uneven terrain, for example a ligament sprain if you twist your ankle. However, you may also suffer from knee or back injuries. The body positions in off-road running up hills, for example, can increase the load on your vertebrae and contribute to back pain. Also, when you land on your foot, there’s an increased demand for your muscles to keep your knee stable and prevent your knee from rolling inwards.How can I avoid injury? Should I change my running style?

