Pain With Running on Hard Surfaces

Running offers benefits to your body, such as strengthening your heart and lungs and burning calories to help you maintain a healthy weight. But running can take a toll. The repetitive strain on your body, starting from your feet all the way to your lower back, can cause aches and pains. This can be especially true if you run on hard surfaces, such as concrete.

Running on pavement can be hard on your lower legs.
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Hard Surface’s Effect

Running involves your feet repetitively striking the ground, absorbing shock through your foot to your knees, hips and lower back. When your feet strike a hard surface like concrete, the ground does not absorb any of the shock; instead, this vibration is reflected up through the foot at a greater intensity than if you were running on a surface like an indoor track intended for running or a treadmill. Over time, the impact from running on hard surfaces can translate into increased injury risk.

Injury Examples

Frequently running on hard surfaces can lead to inflammation like Achilles tendonitis, a condition where the tendon that connects the heel bone to your lower leg becomes inflamed, causing heel pain. Hard surfaces also can cause shin splints, an inflammation of the tendons and muscles in the front and outside of the leg. Fat pad impingement occurs when the cushioning fat pad underneath the kneecap becomes wedged between the kneecap and the lower leg bone, or tibia. This can occur when the leg is straightened and your foot hits the hard surface. Repetitive impact also can lead to stress fractures in the small bones of the foot or ankle, which can ultimately result in significant breakage.


If you experience pain after running, rest your legs and ice any areas where you feel pain. Taking an anti-inflammatory medication such as ibuprofen also can help. You do not have to eliminate running on hard surfaces entirely: Instead, try to alternate days where you run on harder surfaces with a day spent running on a treadmill, indoor track or gym floor built to absorb shock. Purchasing new shoes with supportive heel or wearing a custom-fitted orthotic or heel pad also may help your foot better absorb shock from hard surfaces.


If you continue to experience pain while running on hard surfaces after two to three weeks of home treatment, see your doctor. Pain that seems to be getting worse or developing additional symptoms also can indicate the need to see a physician. He can evaluate you to ensure your pain is not because of an underlying condition that must be treated using medications, physical therapy or surgery.

Is This an Emergency?

If you are experiencing serious medical symptoms, seek emergency treatment immediately.
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