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#34 Inside the Runner’s Mind: Beliefs, Pain, and Injury Risk

Making Strides Podcast

Release Date: 11/19/2025

#34 Inside the Runner’s Mind: Beliefs, Pain, and Injury Risk show art #34 Inside the Runner’s Mind: Beliefs, Pain, and Injury Risk

Making Strides Podcast

In this episode of Making Strides, AJ and Adam dive into a study that surveyed more than 700 recreational runners before a local race. The results were eye-opening and, honestly, a little concerning. You’ll hear the two break down what runners think causes injuries, what actually matters, and how these beliefs shape training behavior and mindset. They walk through each slide from the post that inspired the episode and use it as a jumping-off point to explore running psychology, injury risk, and why good intentions sometimes steer runners in the wrong direction. What we cover: • Why runners...

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In this episode of the Making Strides Podcast, hosts Adam, AJ, and special guest Chase, a seasoned physical therapist and competitive swimmer, delve into the world of cross-training for runners. They discuss why runners are drawn to cross-training, debunk common myths, and provide actionable advice to enhance your running journey. Topics include injury prevention, enhancing performance, and the best cross-training activities. Whether you're a dedicated runner or just curious about how cross-training can fit into your routine, this episode offers valuable insights to support your fitness goals....

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Making Strides Podcast

In this episode of the Making Strides Podcast, co-hosts AJ Cohen and Adam Schwerdt discuss the intricacies of running form. They emphasize the misconception of a 'perfect' running form and explore the individuality of running styles, likening them to unique signatures. They also debunk common myths like the negative perception of heel striking and explore under-discussed topics like how changes in form can impact running economy. The hosts offer practical advice on how to potentially alter one's running form for injury prevention and performance optimization through changes in step rate,...

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Making Strides Podcast

In this episode of the Making Strides Podcast, AJ chats with Lisa Zagorski, PT, DPT, OCS to talk about "Things PTs Need to Stop Telling Patients". Here are some of the things we talked about: You need to STOP doing XYZ activity. (without offering or trying modifications first) Your XYZ hurts because your XYZ is weak. Your XYZ hurts because your XYZ [enter biomechanical reason]. You need to do some complicated warm-up or muscle activation. XYZ exercise is inherently bad for you. Eccentrics only for tendinopathy. Modalities/passive treatments in general. Dry needling fixes...

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Making Strides Podcast

In this episode of the Making Strides Podcast, AJ and Adam sit down with registered dietician, Katie Kissane to talk about iron for endurance athletes. Check it out! —— 5:00 Katie’s story and journey into dietetics 12:00 Supplementing without prior testing 14:30 AJ’s story of being anemic 15:30 Sex difference with anemia and definitions 19:45 AJ’s crazy supplement protocol 26:00 Inhibitors of absorption 30:15 What Iron does 37:00 Labs for athletes vs general population 41:15 Time frame for improvement and frequency of testing 46:00 Different forms and sources of iron —— ——...

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Episode 26: Expert Tips on Getting Faster, Strength Training, and More show art Episode 26: Expert Tips on Getting Faster, Strength Training, and More

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In this episode of the Making Strides Podcast, AJ and Adam answer some questions submitted by listeners and a few gathered from social media. Topics include strength work for runners and rehab, priorities, cramping, and getting faster. Check it out! 3:00 Strength training for the upper body 10:25 Patellofemoral pain exercise selection 18:45 What would you do if life granted you an extra hour per week? 22:20 What to do about cramping? 25: 50 How to get faster running. 33:15 Longest run we have done and highest elevation we’ve done ——  

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More Episodes

In this episode of Making Strides, AJ and Adam dive into a study that surveyed more than 700 recreational runners before a local race. The results were eye-opening and, honestly, a little concerning.

You’ll hear the two break down what runners think causes injuries, what actually matters, and how these beliefs shape training behavior and mindset. They walk through each slide from the post that inspired the episode and use it as a jumping-off point to explore running psychology, injury risk, and why good intentions sometimes steer runners in the wrong direction.

What we cover:

• Why runners say they run

Most surveyed runners run for social interaction and atmosphere, not performance or health. AJ and Adam compare that to their own motivations and the differences between recreational and competitive runners.

• The biggest injury-prevention misconception

The study participants overwhelmingly believe stretching and “the right shoe” prevent injuries. AJ and Adam explain why appropriate training load is actually the powerhouse, why strength training matters, and how media marketing shapes runner beliefs.

• Training through pain: what runners actually do

One in five runners showed up to the event with pain at rest. They dig into what this means, how different types of runners react to pain, and why so many people race while hurting.

• What happens when runners get injured

Instead of cross-training or adjusting, most runners simply stop moving altogether. AJ and Adam talk about identity, flexibility, and how a healthier relationship with running leads to better outcomes.

• The “injury–performance paradox”

Pushing for performance increases injury risk. The guys explain why that happens, how competitive runners toe that line, and how emotional flexibility and better coping tools can reduce injury risk even when training hard.

• The psychology side: obsessive vs flexible runners

The final slide looked at mindset differences. They unpack how emotional resources, adaptability, and coping skills influence injury rates far more than many runners realize.

If any of these topics hit home for you, give the episode a listen. These conversations are exactly why AJ and Adam do the work they do.

 

00:00 Intro and episode overview

02:00 Why runners say they run

08:00 Misconceptions about injury prevention

18:00 Pain at rest and showing up injured

25:00 Injured runners becoming sedentary

33:00 The injury–performance paradox

40:00 Mindset, obsessiveness, and injury risk

48:00 Final takeaways and how to get help

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