How to Strength Train to Run

Have you been frustrated in the past that you’ve taken up running or you started a new training cycle and you just get injured and must stop?  In today’s blog & podcast episode, we’re going to be talking about how to strengthen your muscles to train, to run.



Click the video below to hear the LIVE training I did on this topic within the Healthy Runner Facebook Group




Well, we’re going to be talking about the first principle that I talked about with the SPARK Blueprint, (click HERE for that LIVE!) training to run! We discussed a foundation and the five principles of starting out to run stronger and healthier. Today, we’re going to dive deep into the first principle: strength training to run.


Kettlebell Strengthening On One Leg


Let’s get into it!  Strength training. We know the big principle you need is to train in order to run, right? We’re not just going to go out there and run as our only form of exercise. You need to do exercises and train your muscles in order to be able to run and be healthy so you can hit those race goals.



Why should we be training and doing specific strengthening exercises or strength training if you are a runner?


Two main reasons!


1. Prevent Injuries


Trust me, I always like a good challenge of getting an injured runner back on the pavement and out of pain recovering from an injury.  The key is when I talk to a runner months down the road, years down the road and I find out that their pain does not come back…That is GOLD!  That’s the long-term goal we’re trying to achieve here.


Remember, I’m an adult onset runner. I’ve been running for eight years now, and I pretty much have had every injury that we’ve talked about in in our previous blogs and a lot of the injuries that you guys are battling with, so I’ve been there before. I know what you’re feeling as I’ve gone through it myself as well as recovery and helping many other runners. So, this is not theoretical, but this is from experience. The goal, as well, is blending in the research that’s out there, the new research that comes out for running related injuries. That’s where you want to strengthen our muscles and strengthen ourselves in order to prevent injuries.


2. Improve Performance


The stronger you are as a runner, the better your performance will be. You’re either going to be able to run longer or be able to run faster. Do you want to get a PR? Then you want to run faster (and everyone’s got PR goals).



In order to run faster, you must have stronger muscles and specifically for you as a runner, you want to develop this strength for endurance as opposed to strength for power. It’s going to be different than a power lifter who’s going do one rep and do an overhead press than what you need as a runner. The strength and endurance you need is in your leg muscles! One of the big things we don’t want to do is ONLY run in order to get stronger.  Especially if you are a novice runner just starting out, your body goes through some adaptations.


There are a couple adaptations. The biggest one that you’re going to find initially is cardiovascular benefit right to your cardiovascular system – your heart, your respiratory system.


You’ll start to see changes, adaptations, and benefits. So maybe your resting heart rate is a little bit lower.  That’s great and I’m pretty sure everyone is aware of those changes!


You will also get a little strength benefit for your running muscles.  You will get a little stronger and your muscles will get more firm, and you’re going to get a little toned up in your legs.  Those are going to be initial benefits.


However, if you run and you don’t do any strength training, then you’re going to eventually just level off because you’re not adding the stimulus into those muscles in order to get stronger and develop that strength for endurance that you need as a runner to prevent injuries and improve performance. This is kind of the rationale to why you should add in strength training into your exercise program as a runner.


Adding in strength training will allow you to increase your mileage again and not be fearful that you will suffer that running injury again.


5 Key Muscles You Should Be Strength Training As A Runner


Let’s talk about the five muscles we discussed in the SPARK blueprint but dig a little deeper!  Let’s get into each of those muscles. These muscles are not your “gym muscles” or your beach muscles. If anyone thinks back to when they first hit the gym, probably many years ago, it was all about working your mirror or beach muscles. When I first started working out in college, it was all about the beach muscles…anyone else? We did LOTS of sets. Lots of reps for our biceps. You did bicep curls and we did bench press and every single type including incline bench, decline bench, flat bench.  We did barbell bench, we did dumbbell bench, we did every variation of the chest press or a bench press!


Now, those muscles are not going to help you prevent injuries or improve performance as a runner. That’s first and foremost.


A total body approach is a good thing that will help improve your metabolism and make you stronger. Overall, from a health standpoint, however, they’re not going to improve your running specific injury needs. That’s why we’re going to be focusing on those five key muscles tonight.


I want to make sure you are strengthening the number one important muscle…


1. Gluteus Maximus


The glutes! Everyone knows the glute max, the big muscle in the back of your hip!  That’s the biggest muscle that we have in our bodies. It is the most powerful.


Bridge Exercise To Target Glutes!


Your glutes are super important, especially if you are a runner who has had a history of back pain or hamstring pain. That top of the hamstring pain that means that your hamstrings are dominant, meaning you’re using your hamstring a lot and you’re not turning on your glutes.  To find out more about treating hamstring pain in runners click THIS BLOG ARTICLE


You need to be re-educating those glutes! Turning on the glutes is a very important thing to work towards healing from injury. And then making sure you’re strengthening your glutes is important going forward from an injury prevention and maintenance standpoint.


So – what are some exercises that you can do?


First thing that I highly recommend is you turn them on or isolate those muscles. Figure out how to contract those muscles, because when you’re doing your leg press in the gym, you’re seated in the extension and you’re not using your glutes at all.


When you’re doing some of your other muscle exercises, you’re probably not fully actually contracting that muscle in your dominant with their hamstrings.


How do you get the signals from your brain? Send them to the glutes to be able to contract. I have a series of exercises that I put together that has worked well with the runners that I help.  Here is the exercises that may help you!



They don’t look very hard, but they’re hard because you need to concentrate when you’re doing them to feel good. You want to feel the burn in your glutes. And if you don’t feel that burning your glutes, you’re not doing it properly, so it’s a matter of turning them on, activating them and then strengthening from there.


Now we want to add your lunges and reverse lunges. You could be doing a dead lift picking up bar from the floor, or if you’re doing a deeper lunge or deeper squad. Those are all hip dominant exercises, meaning your hip muscles actually work more so that would actually work your glutes because your glutes work from your hip joint! That is why you should be contracting and activating your glutes when you are training in order to run.


Glutes are first and foremost! They are very important to exercise and a very important muscle!


2. Gluteus Medius


Your gluteus medius is a fan shaped muscle that comes on the side of your hip, so that’s the muscle that keeps your pelvis level.


Gluteus Medius Muscle (side of hip)


When you’re contracting this muscle it kicks your leg out to the side, raising your leg up. Every time you’re standing on one leg as a runner, your gluteus medius is contracting. If you’re only doing exercises in one plane, like knee extension on the knee curl machine in the gym, you might not be activating the gluteus medius. If you are doing the seated hip abductor machine in the gym, you may not be using this muscle like you do in running because your hip is in a flexed position and you are probably activating more of your TFL (tensor fascia latae) muscle in the front of your hip. This muscle connects to your IT band.


Those of you who have that chronic IT band syndrome, chances are you’re dominant in your TFL muscle, and you’re not activating the gluteus medius muscle on the side and toward the back part where it connects to your gluteus maximus.


The first exercise I would recommend to activate this muscle is called “The humbler”.  It looks very easy, but it’s suprisingly very hard if done correctly.  I call it the humbler because you can take someone who thinks they are strongest person out there, and they do that exercise and are instantly humbled by how weak they are 🙂 .  Check out the video below to see how to perform this exercise correctly.



Another way you can work your gluteus medius muscle is doing a side-step (almost like a crab walk) with a band around your knees or your ankles. You’ll feel a great burn with this too!  Click THIS LINK to view how to perform this exercise


3. Deep Hip Rotator Muscles (Piriformis)



Your external rotators are the guys deep in your butt area. These muscles go deep under the glute max.


The bigger one of the external rotators is the piriformis muscle. I’m sure you’ve heard about this muscle. It’s going to be a key muscle to strengthen especially if you get front of the knee cap pain or what we call patellofemoral syndrome.  This is also a key muscle to strengthen if you tend to get shin splints or posterior tibial tendonitis. This is ankle tendonitis on the inside part your ankle and honestly, even planter fasciitis and achilles tendinopathy. For any ankle tendonitis issue, this muscle is very important because this is your anti-pronation muscle.  Read my previous blog article on 3 tips to combat ankle and foot pain by clicking THIS LINK.


Remember when your foot goes flat and it flattens out when you run, especially for those that have super flat arches, or you overpronate a lot. You may have been told to use orthotics or us a stability running shoe. If you have been told that in the past, then chances are you would benefit from strengthening your hip external rotators. You need to use these muscles to prevent that excessive motion. By strengthening these hip rotator muscles you will decrease the stress down lower in the chain and will prevent those injuries we’ve been talking about.


There are some great simple exercises that you can do to strengthen this muscle at home. Hip activation wise, the clamshell lying on your side, where you’re opening like a clam shell is a great starter. You can add a little resistance by using a band around the knees but make sure you don’t add the band too fast. A lot of times I see people jump to the band when they’re not actually activating the muscle correctly. You want to make sure you’re activating, turning that muscle on, and then progress your resistance. Add the resistance band and then you can do some standing progressions which we will get to in a later blog 😉.


4. Quadriceps


Our fourth muscle is going to be the quads.  The quad muscle group is going to be on the front of the thigh. I think you guys know where your quads are probably by now. There are four muscles involved and that’s why they’re called the “quads”.


The 4 Muscles That Make Up The Quad


Keep in mind the rectus femoris is a two-joint muscle. This muscle is hip flexor as well as a knee extensor. A lot of time this muscle can be short and tight because of those actions.


Let’s get to strengthening the quads. Why is it important to strengthen your quad?  To have proper tracking of your kneecap!  So again, if you are someone who has had a patellofemoral pain and issues with your kneecap with tracking, then strengthening your quads can improve tracking as well as improve your performance. Let’s be honest here, the stronger your quads are then the easier it is to control your body weight with downhill running.  Here is a great exercise to work on strengthening your quads:




A great example of the function of the quad muscles when you run downhill is if you think back to when you finished your first long race and you get that delayed onset muscle soreness (DOMS), that peaks at 24- 48 hours after your race. I know everyone’s been there before, right? Have you been there before, especially as you’re going down stairs? You know where your quads are in the front of your thigh, and you feel them burning when you’re coming down the stairs, because your quads are controlling your body weight as you go down. This same concept applies when you do downhill running and you are doing some hills and you’re going downhill; your quads are contracting over and over again!


Therefore, you as a runner should improve your turnover time as you’re going downhill to minimize and not fight the hill. This way you’re not having to use that rapid quad contraction. A lot of people who have done the Boston marathon can speak to this. I hear that for the downhill running you really need to train your quads to be able to tolerate the rigor of the Boston course. Quad strengthening not just running hills in of itself, but also strengthening your quad muscles would be important, especially those that are considering doing a hilly race such as Boston.


5. Calf Muscles (Gastrocnemius/ Soleus)


Next up we have our calf muscles.

The Calf Muscle Complex


The calf is made up of 2 muscles that are very important because they connect to your Achilles tendon. A lot of runners I see do not have the endurance of their calf muscle, meaning as a runner, you should be able to perform 25 single leg calf raises up and down nice and slow. You want to make sure you’re keeping your knee straight when you do this quick test on your own. If you don’t have the endurance of that muscle, then that could lead to compensations and usually more stress to the Achilles and the planter fascia.


So, think about doing some calf raises, even though it seems so easy and silly. But if you test yourself, see if you can do 25 calf raises, you just might be surprised that you can not complete 25!


If you can’t, you need to work on the endurance of these muscles. You don’t need a fancy machine to do that. You literally just use your body weight as resistance, and then you can progress. Perform on the floor to start and then off the edge of a step like THIS VIDEO as a nice progression. And then you could add resistance by either holding a kettle bell, holding a dumb bell or doing it in a machine at the gym.


We have a question from our live training in the Healthy Runner Facebook Group – a viewer wants to know what’s our take on weight training?


What we do know with the biology of aging is that as we age, we do tend to lose muscle, so losing muscle has been associated with a lot of the comorbidities and decline in function in the elderly population. There’s a big push in medical professions now, especially PT, and I wouldn’t say a big push, but it’s more of the recent push is to strength train for the elderly. The old philosophy was you don’t want to do strength training, you don’t want to have elderly patients lift weights because they’re going to get hurt. However, we now know that the negative consequences of not building muscle as we age is far greater than anything that you can hurt by lifting weights. So, if you do it progressively and safely, then that’s going to be a great benefit to not only your muscle, but also your bone health. Then think about us as runners!


I’m sure everyone has heard of a runner who has had a stress fracture before, right? If you’ve had any broken bones in your history, if you’ve ever fallen and broken a bone or broken multiple bones, if you’re a postmenopausal, female and you might have some low bone density, if you have a little osteopenia or if you have osteoporosis: then strength training is essential for you as a runner to build-up tissue and prevent the decline in bone density as we age. As we age, those things (bones and muscles) will get weaker and that leads to fractures with a trivial fall. If you want to look at bone health as well as muscle health, that’s where strength training really comes in.


So again, like everyone thinks of running as only a cardiovascular type of activity in which it is great for your heart.  It’s great for your cardiovascular system. Maybe you have high blood pressure, maybe you have a history of family related cardiac disease. I know I do. All the males on my mom’s side of the family have a very big cardiac history. So, I love that I’m staying healthy and I have exercised since I was a kid and in college and took up running because that’s hopefully going to help prevent me from suffering one of those cardiac issues later in my life.  Running is great for cardiovascular, muscular, and bone health!  The things that I talked about today are really to teach you what muscles that you’re probably not using in the gym, and these are your running specific muscles.


Let’s recap the five muscles we talked about today!


1. The glute max! We want to make sure we’re doing some strengthening for that, especially for that back pain or hamstring pain that we talked about.


2. We talked about the hip abductors and the Gluteus Medius muscle! This one is important especially if you’ve had any pain or outside of the hip pain. If you’ve been told you have greater trochanter bursitis (which is very common), you need to strengthen that Gluteus Medius muscle!


3. External rotators! We talked about the importance of these, especially if you’re an over pronator, where your feet go in and your arches collapse. You want to make sure you’re using that clamshell exercise.


4 and 5! We also talked about the quads being important as well as the calves.

Those are your five running specific muscles! They are going to help you get stronger as a runner to prevent injury and improve performance.


Remember, this is in the context of you training in order to run! Also remember the other principles that we talked about. This is the first principle of the SPARK Blueprint: Strengthening!



The SPARK Physical Therapy Commitment

No long waits or multiple trips to providers’ offices every week. We see you either onsite at a partnering gym or in the comfort of your home when it is convenient with your schedule.

One on one for a full hour with your Doctor of Physical Therapy, every visit. We provide you with a customized plan specifically designed for you, based off your unique injury and goals.

Full transparency in what you pay. You will never get a bill from us a couple of months after your visit.

Access and availability to you! Have a question about your pain or exercise program? Get an answer from your therapist directly.


Love To Jump On A Call!


If you’re in the greater Hamden, CT area and are a runner that has been dealing with injuries we can help. We’d love to chat for a few minutes and see if you are a good fit for what we do. Fill in this CONTACT REQUEST LINK  and we’ll set up a free-minute phone consultation with a doctor of physical therapy


Thank you for taking the time to read,


– Duane Scotti, PT, DPT, PhD, OCS


A special thanks goes out to Allie Eldridge, SPT for her contributions to this article


Duane & Allie

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Have you ever felt pain in your foot and wondered if you have a stress fracture? Do you want to know how to tell if you have a stress fracture? In this episode, I had the pleasure of talking with Podiatric Foot and Ankle Surgeon, runner, and triathlete, Dr. Elizabeth Bondi, DPM from Northern Illinois Foot… View ArticleRead More

Running Through Winter and COVID-19

Are you a fair-weather runner?  Are you wondering how to run in the winter?  Is it bad for you to run in the cold? Are you wondering what to wear when running in the cold?   In this episode, we learn about how to stay healthy and running through the winter and during COVID-19 with… View ArticleRead More

Jump Training For Running

Have you been frustrated that you should be training in order to run, but you’re not sure what exactly you should be doing? We are here to answer your questions about jump training or what we call plyometric training!     I’m going to sharing with you something I didn’t even get in PT school…. View ArticleRead More

Runners! Prevent Injuries with Soft Tissue Care

  For the past 16 years, I have worked with many runners and have been fortunate enough to be able to run for the past 8 years… BUT It hasn’t been all medals and flowers. In this blog post, I am going to answer some of the common questions I get from runners on how… View ArticleRead More

5k and Half Marathon | 3 Can’t Miss Tips

Do you know what the best way to prepare for a half marathon is? Do you know what you should do before a 5k? This week’s Healthy Runner Podcast answers those questions for you!   In episode 29, I had the pleasure of talking with running coach Cat Aniballi! She is so passionate about running… View ArticleRead More

Iliotibial Band Syndrome Treatment and Prevention: 5 Things You Need To Know!

Do you struggle with running at the same level you used to be able to do a couple of years ago? Do you have knee pain when you hit the pavement for your run? In this article we’re going to cover the 5 things you need to know about Iliotibial Band Syndrome!   If you… View ArticleRead More

Coronavirus COVID-19 [Keep Running With Social Distancing]

What Can I Help You With During These Uncertain Times…? Are you in need of some mental relief (like me) and are looking to get in some exercise during this time of social distancing? Are you a runner who wants to stay healthy now more than ever for the benefits of your immune system while… View ArticleRead More

Is Running Bad For You?

Have you Been Told To Stop Running?     In today’s article we’re going to talk about something that we hear all too common. If you’re a runner and you’re going to other medical professionals, no matter who it is, whether it’s a physical therapist, chiropractor, orthopaedic surgeon – we’ve heard this story a lot…. View ArticleRead More

What Test Should My Doctor Order?

In this article we will be discussing the one test your doctor must order for you when you are in pain as well as what to expect during your first physical therapy appointment.  You could be a runner, dancer, gymnast, or an aerial circus artist who is having pain in your knee, foot, or shoulder. … View ArticleRead More

Run Nutrition: How To Fuel For A Long Run

Have you ever felt drained during the last couple of miles during your long run or you can’t keep your pace at mile 10 for a half marathon or mile 20 for a full marathon?   In this article, we will be taking a deep dive into how you can fuel for a long run… View ArticleRead More

#WeJustFeltLikeRunning | Physical Activity Is A Human Right

Hello Healthy Runners! This week is filled with some incredible content for you. We have a double dose jam packed inspiring episode here with not 1, but 2 guests to talk to you about a very important topic!    I was fortunate enough to hear Nicole Ver Kuilen’s amazing journey and story first hand and… View ArticleRead More

Shin Splints | How To Get Back To Running

Have you ever been on a run and wondered…why does the front of my leg hurt when I run?  Were you thinking to yourself, should I run through shin pain?  This can be common for new runners just starting out or can occur in experienced runners who are really stepping up their training with heavy… View ArticleRead More

The Truth About Running and It Being Bad For Your Knees

Is running bad for your knees?  Will I get arthritis from running? Are you new to running or considering starting to run and you have had knee pain in the past, are you wondering if you can safely run even if you are not a “runner”? Or have you been running for years now and… View ArticleRead More

3 Steps To Overcome Age Related Aches and Pains

Runners! Do You Have Nagging Injuries?  Do you wake up every morning with an achy pain on the bottom of your foot when you get up to go brush your teeth?  Or are you a runner who has been feeling knee cap pain during your runs, going up and down stairs, and when you squat? … View ArticleRead More

Run Through Coronavirus | Strength Training For Running | SPARK Your Sole Virtual Race Series

Do you still need a kick start to getting your running fitness back? Have you been struggling to get your motivation back to be consistent for your runs?  Would you like more energy, motivation and finally get rid of your aches & pains for those mental clearing runs? In this Healthy Runner Podcast episode, we… View ArticleRead More

Soft Tissue Care For Runners [Foam Rolling, Stretching, Massage, Dry Needling]

Do you get tightness in your muscles or feel aches and pains during your running?  Do you know you should be doing stretching exercises to make you a better runner but you are not sure what you should be doing…😩?  We’re here to answer those questions and give you the best exercises to do in… View ArticleRead More

Coronavirus Home Workout: 3 Tips To [Boost Your Confidence] in 2020

What 3 tips did I learn during this past week of being home social distanced from my world? How did I stay active and fit and maintain my sanity?…😧 “I feel so out of control and with all the chaos going on in my house … how do I stay fit without going to the… View ArticleRead More

Healthy Nutrition During COVID-19 | What To Eat For Running

Have you been struggling to motivate yourself to prioritize nutrition during this stressful time of coronavirus?  Are you wondering how to recreate structure or reestablish your mealtimes during your day while working from home?  Personally, I know my discipline with nutrition took a back seat during this pandemic.  In this article, you will learn actionable… View ArticleRead More

Running Injury Prevention | A Coach’s Perspective with Jason Fitzgerald

Why do I keep getting injured running?  Have you wondered this before or want to know how running injuries can be prevented? Do you think your body is just not made for running?  These are the struggles and frustrations I hear often for those looking to seek a healthier lifestyle.  I even thought this myself… View ArticleRead More

“I developed IT band syndrome during my first marathon training cycle last year and ended up in physical therapy for about 3 months. I was told not to run if I had any pain at all. I lost so much time “recovering” that I ended up deferring my registration to the next year. I spent the next summer training for the same marathon when about 6 weeks out, that familiar IT band pain returned. I could barely finish a mile. I didn’t want to go back to my physical therapist because I knew what he was going to tell me. Stop running. I was so frustrated and started to feel like marathons weren’t for me. I stumbled upon the healthy runner podcast and learned that I don’t have to stop running in order to recover from injury! I was skeptical about an online physical therapy session. But I reached out to Dr. Scotti and he was able to give me the tools to mitigate my pain within the first session! I was able to complete my training cycle and made it to the finish line of my first marathon with his help! I highly recommend!”

Kendyl R. (Runner)

“I’d been dealing with Proximal Hamstring Tendinopathy (PHT) for about 4 years and had been doing PT, but still had lingering pains. I just figured I’d have to suck it up and deal with it because that was as good as I was going to get. But then, I came across a podcast of Duane being interviewed by Jason Fitzgerald on PHT and how he overcame the injury, and my curiosity was piqued. I met with him virtually and he has been a GODSEND! I’m able to sit as I type this! I can bend over and get in and out of cars without pain! And, I’m RUNNING again!!! It is amazing to be able to do things that I haven’t been able to do without pain since 2016!!! Thank you so much Duane for being an incredible PT!!”

Michelle D. (Runner)

“I suffered from IT band syndrome for four years before seeing Dr. Scotti in April 2020. Before then, I couldn’t run more than about 10 minutes without stabbing pain near my left knee. I’d seen various orthopedists, physical therapists, and chiropractors looking for some relief. My career needed me to run a mile and a half within a certain amount of time, and it was impossible to do so with the knee pain. I saw Dr. Scotti and he immediately got to work! That first visit, he helped me understand the anatomy and underlying cause of my knee pain (aka IT Band syndrome). Once I understood what was happening, the course of treatment made so much sense. Not only did he have online videos of all the recommended exercises to treat the problem, his “healthy runner” Facebook group, Podcast, and YouTube videos held a wealth of information and supplemented my plan. I soon understood that running wasn’t just a casual hobby – it’s a sport and one that deserves dedication and focus. Without his dedication to the sport and his community, I wouldn’t have realized this! Over the next few months, I had many ups and downs – victories and failures – and even some tears! Two steps forward and one step back. Dr. Scotti always checked in between appointments and tweaked my plan if needed. By August, I was regularly running 3-4 miles with barely any pain! If I did get pain, it was because my dedication and focus were lacking – and I quickly picked it back up and overcame. I’m so thankful I took another chance at having my knee looked at and trusted someone else. I run regularly now and am really enjoying it. I can’t thank Dr. Scotti enough and would highly recommend him to anyone having trouble.”

Tracy G. (Runner)

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