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Endurance Sports Medicine

Ready to go the distance?

Using science to perfect the art of endurance sports Ohio State’s Sports Medicine Endurance Medicine team specializes in treating common injuries that affect endurance athletes. Due to the repetitive nature of some of these activities, a slight misalignment can create inefficiency or pain, but when evaluated promptly and appropriate measures are taken, many injuries can be treated early, preventing time away from competition and/or activity. Our expert analysis programs are helping athletes correct their technique, improve biomechanics and prevent injuries.

How our specialists can help you

Whether you’re a runner, cyclist or swimmer (uninjured or injured), we’ll watch the way you move, particularly how these movements impact your joints. Select your sport below to view a few examples of what we assess and how improper or unbalanced movement can limit your ultimate race potential.


Flexibility/functional analysis
Identifies areas of muscle tightness, joint instability, movement pattern dysfunction and muscle strength to help us hone in on body segments during run analysis.

Stride length
Inappropriate stride is not only inefficient, but loads unnecessary stress on muscles and joints.

Foot strike
The dispersion of shock across your foot has an impact all the way up your body. All foot strike patterns have their own advantages and disadvantages. We can help suggest the best strike pattern that fits you.

Core stability/hip drop
Excessive hip adduction and femoral internal rotation may contribute to knee pain and Iliotibial (IT) band injury.

Foot & ankle pronation/supination
If your foot doesn’t optimally distribute the force of impact on the ground as you run, certain muscles may overcompensate, leading to pain and inflammation.

Leg stability
Knee flexion at foot strike reduces the vertical elevation of the body by lengthening the contraction of the quadriceps.

Too much movement may lead to lower body misalignment and/or back pain.


Flexibility/functional analysis
Identifies segmental movement dysfunction and helps relate areas of impairment with areas of pain (for example, hip flexor muscle tightness can cause back pain with cycling).

Saddle height
A saddle too low increases pressure on knees, increasing risk for patellar tendinitis or generalized knee pain.

A saddle too high increases the risk of saddle sores and Achilles tendinitis from pointing your ankles/toes too long.

Forward reach distance
Improper reach can increase shoulder pain or cause hip joint pain from your hands being too close or too far away from your hips.

Aim for between 90 and 110 revolutions per minute for efficiency and to decrease stress on joints and muscles.

Core stability
Helps support the trunk with prolonged upper extremity weight bearing and can decrease risk of low back pain and saddle sores (by decreasing hip rocking while seated).

Foot position
Proper cleat position can help decrease risk of Achilles tendinitis, knee pain, IT Band pain, and can improve efficiency.

Shoulder position
Proper shoulder position helps to decrease neck pain caused by upper trapezius muscle tightness and reduce numbness in the arms and hands.


Hand placement
Correct entry into the water prevents excessive internal rotation of the shoulder which can increase shoulder pain and pinching of the rotator cuff muscles.

Body roll
Using larger muscles in the core to power the stroke provides better arm recovery and injury prevention, and increases efficiency with swimming.

Catch and pull through
By working to develop a high elbow catch technique, plus good swimming posture, excessive shoulder load can be avoided.

Position relative to water surface
Proper swim posture can eliminate low back pain and increase the functional use of the core.

Kick technique
Anterior Knee pain can be common with repetitive flutter kick, breaststroke kick and flip turns. We can analyze your stroke to ensure proper alignment.

Schedule your expert analysis

Depending on the outcome of your running gait analysis, bike fitting or swimming stroke analysis, you’ll receive recommendations on postural, form and/or gear modifications and exercises to prevent injury and training advice. Learn more about Ohio State’s Sports Medicine Endurance Medicine team and how you can experience the science behind your sport by clicking a link below.