I Have Knee Arthritis. Can I Still Run?

The answer is, “yes,” “maybe” or “no.” Thus, it really depends on your situation, and fortunately, a period of relative rest may only need to be temporary.

Here’s the really good news: several recent studies have indicated that running a reasonable number of miles does not cause knee osteoarthritis and may actually have a protective effect.

If you are a runner and your knee is symptomatic, then our role is to help you reduce or eliminate your symptoms and safely return to running. We know that running has numerous health benefits, not only including protection of the joints, but also calorie burning, weight control, improvement of cardiovascular health and many mental health benefits.

As a patient though, it’s sometimes difficult to know when you need to stop running for a while, what’s a reasonable amount of running for your body and what treatment options may be available to not only reduce your symptoms, but also to protect your knees on a long-term basis.

That’s where we come in! We love treating runners and understand how you think. We typically focus on a nonsurgical and minimally-invasive approach to your care.

Physical therapy, bracing, footwear changes, custom orthotics, medications, supplements, and various injections can all play a role in the treatment of knee osteoarthritis. One of the best long-term treatment options, especially for those with mild to moderate osteoarthritis, would be platelet plasma (PRP) injections. These can have a very protective effect for the knee, and not only by reducing symptoms, but also by slowing or stopping the deterioration of the cartilage within the joint. Only a couple weeks of rest are typically required after these PRP injections.

Check out a few blogs on PRP as well as running as it relates to knee osteoarthritis:

https://www.impactsportsnashville.com/blog/2023/8/5/our-top-5-treatments-for-knee-oa

https://www.impactsportsnashville.com/blog/2023/5/12/five-keys-to-successful-outcomes-with-prp-injections

https://pubmed.ncbi.nlm.nih.gov/36875337/

As always, let us know if we can be of assistance to you!

F. Clarke Holmes, M.D.

You Want To Run in the Turkey Trot, and You Haven’t Even Been Exercising: 5 Tips

Turkey Trot races can be a ton of fun, a great way to celebrate the holiday with the masses and can jump start the winter “get back into shape” mindset. Fortunately, many of these races attract a wide variety of competitors, many of which are not even currently exercising. So, these tips are directed towards those individuals.

1) Update your footwear: If your shoes are greater than a year in age or show wear on the tread, then it’s time to get new shoes ASAP. Choose a high-quality shoe store where an actual shoe-fitting can be done. Just remember, if you’re not paying at least $75, you’re probably getting a lower quality shoe.

2) Start with run-walk intervals, especially if you’ve not run in a good while: Start with intervals of three minutes of walking and then one minute of running. Consider training every other day for the first 2 weeks, then you can start to train daily. Each week, you can phase out some of the walking and add more running. Your ratio can go from 2:1, then 1:1 and eventually, to a majority of running. However, if you don’t consider yourself a big runner, there’s nothing wrong with doing intervals during the race or simply just walking the race.

3) Set realistic goals: It’s less than four weeks to Thanksgiving, and you’re not even exercising. Thus, your goal is to simply to get to the finish line. Don’t put an emphasis on your time either. Enjoy the process of training, getting back into shape and accomplishing a goal on or around Thanksgiving day.

4) Get the race-day wardrobe ready: Pay attention to the weather report a few days before the race. Don’t forget about something to keep your head warm as well as high-quality socks and gloves, especially if the temperature is going to be in the 40s or lower.

5) If you want to do this race with company, then find some friends and family who have a similar pace to you: Don’t plan on competing in a race with a peer who is much faster or slower than you. This can certainly steal your joy and/or put you at risk for injury.

As always, let us know if we can be of any assistance to you!

Clarke Holmes, M.D.