• Pain below the kneecap, generally mild at first and experienced only during running.
  • Pain will often continue during rest, if training continues.



  • Rapid changes in training load – duration, intensity, or distance.
  • Knee-dominant running technique, often associated with rearfoot strike patterns [1].
  • Increased overstride & hip adduction [3].
  • Excessive medial/internal collapse of the lower limb; can be associated with the lack of support from the running shoe.



  • Reducing overstride by increasing your cadence.
  • Reducing hip adduction by increasing your step width
  • Strength & conditioning work for your quadriceps.
  • Comfortable footwear that provides you with the needed support.


  1. Barton, C. J., Bonanno, D. R., Carr, J., Neal, B. S., Malliaras, P., Franklyn-Miller, A., & Menz, H. B. (2016). Running retraining to treat lower limb injuries: A mixed-methods study of current evidence synthesised with expert opinion. British Journal of Sports Medicine, 50(9), 513-526.
  2. Bramah, C., Preece, S. J., Gill, N., & Herrington, L. (2018). Is There a Pathological Gait Associated With Common Soft Tissue Running Injuries? The American Journal of Sports Medicine, 46(12), 3023-3031. doi:10.1177/0363546518793657
  3. Ceyssens, L., Vanelderen, R., Barton, C., Malliaras, P., & Dingenen, B. (2019). Biomechanical risk factors associated with running-related injuries: A systematic review. Sports Medicine, 49(7), 1095–1115.


This information is purely a guide to inform runners about common running injuries at a patient’s level. If your injury is acute or persistent – seek medical advice from a specialist.



At the Ministry of Cadence you will be monitored by a marker-less 3D analysis system, highlighting areas of concern. Force Plates will enable us to understand if you produce enough power to perform as you’d like. And finally, we will use a pressure mat to assess how your foot behaves.

This assessment will detail if there are any running technique related factors, or strength asymmetries that may be contributing to your injury risk.

A digital copy of your report detailing the findings of the assessment and possible ways to alter your technique to reduce your injury risk will be sent to you following the session.

So whatever you do, don’t let that niggle become a real pain. Book an appointment today.