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299. IT Band Syndrome: When to Run, When to Rest, and How to Fix It Faster

Healthy Runner Podcast

Release Date: 04/29/2026

299. IT Band Syndrome: When to Run, When to Rest, and How to Fix It Faster show art 299. IT Band Syndrome: When to Run, When to Rest, and How to Fix It Faster

Healthy Runner Podcast

Struggling with IT band pain while running and wondering if you should stop… or push through? In this episode, I’m breaking down exactly what you should do if you’re dealing with IT band syndrome as a runner. Because here’s the truth most runners don’t hear: 👉🏼 You do NOT always need to stop running. But you DO need to know how to adjust your training the right way. As a running physical therapist and coach, I’ve helped hundreds of runners get out of that frustrating start stop cycle and back to consistent, pain free running. And the runners who recover the fastest are not...

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298. She Started Marathon Running at 50… Now Coach Colleen Masse Has Run 22 (And 6 World Majors) show art 298. She Started Marathon Running at 50… Now Coach Colleen Masse Has Run 22 (And 6 World Majors)

Healthy Runner Podcast

Most runners think once you hit 50… your best running years are behind you. It’s time to slow down. Run less. Lower expectations. But what if that’s completely wrong? In this episode, I sit down with RRCA Certified Running Coach and Spark Healthy Runner coach, , who started marathon training at 50… and has since completed 22 marathons, including all six World Marathon Majors (Berlin, London, Tokyo, Chicago, New York, and Boston). But this isn’t just a story about big races. It’s about what’s actually possible when you train smart, stay consistent, and build a strong, durable...

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297. Stronger Strides: 6 Recovery Tips That Actually Work for Half Marathon Runners with Dr. Duane Scotti, PT, PhD, DPT show art 297. Stronger Strides: 6 Recovery Tips That Actually Work for Half Marathon Runners with Dr. Duane Scotti, PT, PhD, DPT

Healthy Runner Podcast

  Still feeling sore, tired, and beat up after your runs? It’s probably not your training… It’s your recovery. Most runners think recovery means stretching or foam rolling… But real recovery is what allows your body to adapt, get stronger, and stay injury free. 👉🏼 Training is the stimulus 👉🏼 Recovery is where adaptation happens Miss this… and you don’t get fitter — you just get more fatigued. 🎯 In This Episode, You’ll Learn: ✔️ Why you’re still sore after long runs ✔️ How many rest days you actually need ✔️ The most powerful recovery tool...

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296. Running Through Perimenopause with Coach Emily Fox: Why Your Pace, Energy, and Body Are Changing show art 296. Running Through Perimenopause with Coach Emily Fox: Why Your Pace, Energy, and Body Are Changing

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If you’re a female runner and lately running feels harder than it used to, you’re not alone. More fatigue. Slower pace. Longer recovery. Sleep disruption. Changes in body composition. For many women, these shifts begin during perimenopause, a stage that can start earlier than most runners realize. The problem is that most training plans never account for these hormonal changes, leaving many runners feeling frustrated and wondering if their best running days are behind them. The good news is they are not. In this episode, Dr. Duane Scotti sits down with our newest addition to the Spark...

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295. Can You Run With Achilles Tendonitis? (Why Rest Might Be Making It Worse) show art 295. Can You Run With Achilles Tendonitis? (Why Rest Might Be Making It Worse)

Healthy Runner Podcast

  If you’ve been told the only way to fix Achilles tendonitis is to stop running… this episode might completely change how you think about healing. One of the biggest myths in the running world is that you can’t run with Achilles pain. But in most cases, total rest doesn’t build a stronger tendon, it actually reduces its load tolerance and keeps you stuck in the frustrating start-stop injury cycle. In this episode, I break down: - Why total rest can make Achilles tendinopathy worse - The real reason your pain keeps coming back - The 3 signs it’s SAFE to run with Achilles pain -...

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294. Run Pain-Free: 3 Strength Training Secrets for Half Marathon Runners show art 294. Run Pain-Free: 3 Strength Training Secrets for Half Marathon Runners

Healthy Runner Podcast

What’s the real goal of half marathon training? It’s not pace. It’s not mileage. It’s preventing breakdown. Because if you’re injured heading into race day… you won’t hit your goals. In this episode, Dr. Duane Scotti breaks down why strength training is the most misunderstood and most powerful tool in half marathon training. You’ll learn: ✅ Why 7 out of 10 half marathon runners get injured ✅ How strength training increases durability and prevents common running injuries ✅ The simple weekly strength structure that works for busy runners ✅ How strength improves running...

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293. Hip Pain Relief for Women Runners: Why It Keeps Coming Back & How to Fix It with @TheHipDocSarah show art 293. Hip Pain Relief for Women Runners: Why It Keeps Coming Back & How to Fix It with @TheHipDocSarah

Healthy Runner Podcast

Does your hip pain disappear with rest… only to return a few miles into your next run? You are not alone. In this episode, Dr. Duane Scotti sits down with physical therapist, run coach, and hip specialist Dr. Sarah from Legacy Rehab and Performance to break down why hip pain is so common in women runners and why traditional advice like rest and stretching often fails.   You will learn: - The top reasons hip pain keeps coming back in women runners - Why stretching alone does not fix the real problem - How hip, core, and glute strength influence running mechanics - The key strength...

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292. How I Conquered the Dopey Challenge Feeling Strong, Durable, and Healthy (2026 RunDisney Marathon Weekend Recap) show art 292. How I Conquered the Dopey Challenge Feeling Strong, Durable, and Healthy (2026 RunDisney Marathon Weekend Recap)

Healthy Runner Podcast

Most runners go into RunDisney Marathon Weekend just hoping to survive it. In this episode, I share how I completed the 2026 Dopey Challenge, four races totaling 48.6 miles and finished feeling strong, durable, and pain free. This is not just a race recap. It is a breakdown of the exact training, fueling, recovery, and race strategy decisions that allowed my body to handle four consecutive race days without breaking down. You will hear: - How I structured training after a recent marathon - Why patience and pacing mattered more than fitness - How I approached fueling and recovery across all...

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291. Why Runners Don’t Follow Through on Their Half Marathon Goals (And How 2026 Can Be Different) show art 291. Why Runners Don’t Follow Through on Their Half Marathon Goals (And How 2026 Can Be Different)

Healthy Runner Podcast

Join If you’ve trained for a half marathon before but didn’t follow through, this episode will change how you think about training. In this episode of the Healthy Runner Podcast, Dr. Duane Scotti breaks down the real reason half marathon training falls apart for so many runners (it has nothing to do with motivation or discipline).  Most runners are committed and driven, but they’re missing a system that actually fits real life. You’ll learn why relying on motivation leads to burnout, how skipping strength and recovery increases injury risk, and what it really takes to stay...

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290. RunDisney Marathon Weekend: 7 Race Week Essentials for Dopey Runners show art 290. RunDisney Marathon Weekend: 7 Race Week Essentials for Dopey Runners

Healthy Runner Podcast

Preparing for RunDisney Marathon Weekend or taking on the Dopey Challenge?  Dr. Duane Scotti breaks down the 7 race week essentials that every Disney runner must know from how to taper the right way, to what to eat each day, to the weather, packing, and logistics that make RunDisney so unique. Learn how to avoid the common mistakes that drain energy, derail race week, or increase your injury risk, and instead run each magical mile with confidence, gratitude, and joy. Whether you're running the 5K, 10K, Half, Full, Goofy, or Dopey, this episode will help you feel prepared, strong, and...

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More Episodes

[Download] The IT Band Fix for Runners 

Struggling with IT band pain while running and wondering if you should stop… or push through?

In this episode, I’m breaking down exactly what you should do if you’re dealing with IT band syndrome as a runner. Because here’s the truth most runners don’t hear:

👉🏼 You do NOT always need to stop running.

But you DO need to know how to adjust your training the right way.

As a running physical therapist and coach, I’ve helped hundreds of runners get out of that frustrating start stop cycle and back to consistent, pain free running. And the runners who recover the fastest are not the ones who completely rest… they’re the ones who follow a structured plan.

Inside this episode, I’ll walk you through my Pain Traffic Light system so you know exactly when to run, when to modify, and when to rest.

Then I’ll show you a step by step return to run plan so you can keep your fitness, avoid setbacks, and actually fix the root cause of your IT band pain.

 

If you’ve ever asked yourself:

-Should I run with IT band pain?

-How long should I rest IT band syndrome?

-Why does my outer knee hurt when I run?

 

This episode is for you.

 

🎯 What You’ll Learn

- Why your IT band is NOT the real problem

- The biggest mistake runners make with IT band syndrome

- How to tell if you should run today (green, yellow, red light)

- Exactly how to modify your runs without losing fitness

- A 3 phase return to run protocol that actually works

- How cadence and stride impact IT band stress

- The role of hip strength in fixing IT band pain for good

 

🎁 Download my free ITB guide here!

 

If you’re ready for structured strength plans, progressive return-to-run programming, and coaching support so you’re not guessing week to week, join the Healthy Runner Academy waitlist 

 

Return to Running Program without IT Band Pain here

 

🎥 5 Minute Warm Up Before Running (Follow Along)

Listen to my previous episode on conquering marathon training without IT Band Syndrome here!

Listen to my previous episode on unraveling the mystery between Runners Knee vs. ITBS here 

Listen to my previous episode on 4 can’t miss tips for IT band syndrome here! 

Listen to my previous episode on run walk run with Jeff Galloway here

Watch how Josmany went from IT band injury to pain-free marathon here

Watch how Stephanie went from IT band pain with every long run to conquering the 48.6 mile Dopey Challenge in Disney here

 

Want to work with Dr. Duane as your running physical therapist and coach with structured achilles rehab, strength, nutrition, and a run plan with full support and accountability to overcome your IT Band Syndrome and keep it from coming back again? Book a call and learn more about Healthy Runner coaching here 

 

Connect with Dr. Duane: 

- Instagram - @sparkhealthyrunner

- Sign up for the Healthy Runner Newsletter

- Join our Healthy Runner Facebook Community

- Subscribe to our YouTube Channel

- duane@sparkhealthyrunner.com

- www.sparkhealthyrunner.com

 

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