However, runners with pain reported significantly greater years of running experience and significantly greater weekly running distance than runners without pain. This cross-sectional survey revealed that approximately

one in five recreational runners is participating with current pain. In the group as a whole, BMS-354825 order the weekly running distance and the number of years of running experience were associated with the presence of musculoskeletal pain prior to a race. However, gender also had a strong influence. Although men reported longer running experience, higher running distance per week, and higher body mass index, the prevalence of running-related musculoskeletal pain was higher for women. The prevalence of musculoskeletal pain prior to the race among the women (27%) was significantly greater than the prevalence among men (20%). The knee was the most commonly reported location of running-related musculoskeletal pain. Pain in this location often reflects running-related overuse injuries such as tendinopathy or patellofemoral Sirolimus clinical trial pain syndrome (Fredericson and Misra 2007). The median duration of the pain reported was approximately one month. The median pain intensity of 3 points on a 0–10 numerical rating scale represents mild pain. These outcomes suggest chronic musculoskeletal conditions with mild pain intensity, which is typical of overuse injuries. Although these findings

can be considered a concern for clinicians and sports-related professionals, the consequences for amateur athletes of participating in training sessions and races despite their pain is unknown as this research question

remains poorly investigated. Therefore prospective cohort studies recruiting a representative sample of runners in order to determine the consequences of our findings are needed urgently. Although the prevalence of symptoms reported in other studies can be considered substantial, the data reveal only part of the problem. Injuries in prospective studies have usually been defined as time-loss injuries, ie, injuries that preclude the athlete from training and competing. In doing so, the problem of overuse injuries is partly neglected, because overuse injuries do not necessarily no lead to cessation of participation. Nevertheless, such injuries can cause pain and impaired function and are associated with tissue damage (Bahr 2009). The athlete does not always recognise such symptoms as an injury. Our results suggest that a significant number of recreational runners are unknowingly suffering an overuse injury while still participating in training sessions and races. This may be a contributing factor to the high reported incidence of running-related injuries, as an existing injury may be exaggerated through continued participation. We examined whether the respondents’ years of running experience, their weekly running distance, and the number of training sessions per week were associated with the presence of pain prior to race participation.