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Back pain: how to treat it and get back to running

Accueil » Back pain » Back pain: how to treat it and get back to running

  • 10/01/2022

Have you ever wondered how Forrest Gump managed to run 25,000 kilometers without ever suffering from back pain? Well, it’s very simple. He did it gradually, and got his body accustomed to running.

Rob Pope wanted to find out for sure and reproduced dear Mr. Gump’s crazy journey.

Let’s put ourselves in the context of a common situation. You are running gradually and everything is going well. Except that, all of a sudden, while trying to tie your shoes one morning, without warning, you throw your back out and suddenly have to change your half-marathon plans!

Did you know it’s estimated that four out of five adults will experience pain in the back area at least once in their lifetime?

But don’t panic! We’ll break down the back pain associated with running, and give you tips on how to get back to running without pain!

Upper or lower back pain, muscle pain during or after running: why is your back hurting when you run?

Back pain from running can be caused by a number of factors, including poor posture or running technique, inadequate running gear (shoes), the running surface or overtraining.

Most of the time in non-traumatic cases, pain often comes with a sudden change, such as when you increase your training volume too quickly. Your body doesn’t have enough time to adjust to the pressure that is being put on it.

We are talking about external physical factors, but internal changes, such as a stressful event, insufficient sleep leading to increased fatigue, and others, should also be considered!

Existing health problems or back problems can also contribute to the development of back pain when running.

The stages of back pain

Whether you’ve had a lumbar sprain, disc disorder, low back pain, or just plain old spinal pain, these ailments have a few things in common.

Although we sometimes use different terms, it is estimated that 85 to 90% of back problems are non-specific, meaning that there is no structure we can easily blame for the cause of the pain.

This is also true for medical imaging, as there is not always a strong correlation with how the pain presents.

The acute phase causes an important inflammation sequence, which often results in severe pain. You are probably also very limited in your movements and activities.

You sleep very poorly and it quickly becomes a vicious circle. Perhaps you are also worried or stressed about the situation?

The experience is usually unpleasant. You may have heard a lot of conflicting advice, so you are not sure what you should or should not do.

Although the pain can feel very alarming, back pain is rarely a cause for concern. In fact, less than 1% of back pain cases involve serious pathologies such as cancer or fractures.

Pain acts as a protective mechanism, much like those orange cones to warn you of upcoming roadwork. Pain also does not have a direct correlation with the severity of the injury. This means that more pain does not necessarily mean more damaged structures.

Are herniated discs and running related? What are the symptoms?

Running does not actually increase the risk factor for developing a herniated disc. In short, runners are not more at risk than other individuals.

A herniated disc is often the result of a sudden impact, a wrong movement or a prolonged load.

Pain is the main symptom of disc herniation. It is usually localized in the lower back, but can also radiate to the buttocks or leg. The pain can be accompanied by feelings of stiffness, tension or weakness.

Staying in a static position for long periods of time, whether sitting or standing, is often very painful and uncomfortable.

If you are suffering from an acute herniated disc, running is not recommended. On the other hand, complete rest of activities is not recommended either; the rest must be partial. Once the acute phase is over, you can gradually resume activities such as walking, at your own pace.

Alternate walking and running, stop if you feel pain, do not push.

Ask your healthcare professional for advice. He or she will be able to guide you back to your usual training routine.

Can I run with sciatica?

Sciatica is caused by impact or pressure on the sciatic nerve, a large nerve that starts in the buttocks. Sciatica is characterized by a sensation of radiating pain and numbness in the back of the leg.

During the acute phase of sciatica, it is strongly recommended to avoid running temporarily. For most people, the activity is irritating because of the repetition of the back/pelvis/hip movement. Often, when suffering from sciatica, walking alone is already complicated.

Partial rest should be the rule. Once the pain has subsided, you can gradually resume your activities, starting with walking. Then you can increase the load, and increase your stride to a running/walking interval.

If your symptoms resemble sciatica, make an appointment with one of our physiotherapists. He or she will be able to relieve your pain and help you return safely to your activities and to running.

Can you run if your back hurts? How to treat back pain?

With emerging back pain, you may want to take a few days off and use the strategies that help you best manage your pain to get through the initial inflammatory phase.

Change positions more often if sitting is a problem.

When suffering from pain, you can use distraction strategies to move your focus away from the pain. Doing breathing and relaxation exercises can help calm your nervous system.

In the following days, a more active approach is often appropriate. We strongly recommend that you resume your daily activities and try to stay active after a lower back injury. This will help you in your recovery process.

Complete rest for several weeks is not the answer!

Here are some examples of exercises you can do if you feel relief.

Download the exercises to relieve your back pain

Preventing lower back pain may not be the right way to put it. Rather, we should talk about reducing the risk of recurrence.

Most back pain episodes will last a few weeks, but it is not unusual for it to take up to 3 months.


This healing process may be marked by short episodes of pain, as recovery is not always linear, and this is not alarming.


Now that you have overcome the acute phase, you can finally return to your favourite sport: running.


Here is the advice we give to all our patients who want to start running again. It applies even if you still have some back pain.


But do not forget to listen to your body and respect your limits!

1 - Find your walking baseline (starting line/level)

You are the one living with your pain every day, so you know better than anyone how much activity you can do within your personal pain tolerance without it becoming too irritating.

Tolerable means that you can have a little pain, but it doesn’t become too annoying.

Non-irritable means that your pain does not flare up significantly within 24 hours of doing the activity. In other words, it means that you can return to your normal pain level quickly.

If 15 minutes of walking is tolerable and does not irritate you, then that is your baseline!

2 - Walk frequently

Grab your running shoes and, while respecting your baseline, go for a regular walk! Your goal is to go often, almost daily, while respecting your symptoms.

3 - Gradually increase the volume of your walks

Increase your walking intervals by a few minutes. Gradually build up to your usual running time or distance.


The key is to go gradually, adding a few minutes at a time.

4 - Do lower limb and core strengthening exercises

Whether it’s for lower back pain or to stay in shape for running, exercise is always a good idea! Here are some strengthening options that you can do every day as long as you feel well.

This is an example. You can adjust it to suit your fitness level. Adapt it to your physical condition.

Download the strengthening exercises

5 - Increase your speed

If you feel comfortable, you can go for the walk/run intervals directly and move on to step 6.


Otherwise, you can do some walking sessions at a slightly faster speed as a first step.

6 - Do split running programs

A split running program, like the one from the Runner’s clinic, is a good way to get back into running with walking intervals. Aim for a good pace to gradually get your body used to small doses of running.

Example: Start with 5 min of walking followed by intervals of 1 min of walking and 1 min of running repeated 3 times. Then, add one more interval each time you go out! So: 3x 1:1, 4x 1:1, 5x 1:1, etc.

Download the split running program

7 - Have fun!

Of course the important thing is to do an activity that you enjoy while respecting your personal limits. Go at your own pace and have fun!

Always keep in mind that our advice is general and cannot replace a consultation with a health professional like our physiotherapists.

If you don’t have any strategies to help you reduce your pain, do not hesitate to contact us.

Please note that if you have had a significant trauma or a neurological loss of function, you should start with a medical consultation.

We strongly urge you to seek emergency medical attention if your back pain comes with a loss of urinary or bowel function and a loss of sensation in the perianal or genital area.

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This article was written under Ariane's supervision.

Ariane graduated from McGill University in Physiotherapy in 2009. She works with people with orthopedic injuries and in vestibular rehabilitation.
She has worked with different clienteles, including athletes like runners, and non-athletes. She has also worked with professional dancers and is a yoga teacher.
Besides running after her daughter, she loves nature, working out, yoga and a good dose of laughter.

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