Running places repeated loads through the feet, ankles, knees, hips, and lower back, and when movement patterns are not well aligned, this load may travel unevenly through the body.
Over time, this sometimes contributes to discomfort, reduced performance, or recurring injuries.

Many runners assume pain is simply part of training; in reality, ongoing aches or niggles may relate to your running gait. If you run frequently, understanding the signs of a poor running gait can be a useful starting point if something feels off.
For personalised advice, contact our team at The Foot Clinic today.
What is a Running Gait?
Running gait refers to the way your body moves with each stride, from foot strike through to push-off. This includes:
- How your foot contacts the ground
- How your ankle and knee track
- How your hips and pelvis move
- How weight transfers from one leg to the other
No two runners move exactly the same. Certain patterns, however, may place increased stress on specific structures.
According to Sports Medicine Australia, running-related injuries often develop due to a combination of training load, biomechanics, footwear, and recovery habits.
Common Signs of a Poor Running Gait
A running gait that places uneven load through the body does not always cause immediate pain. Symptoms often build gradually.
Some common signs include:
Recurrent injuries
Repeated issues such as plantar heel pain, Achilles discomfort, shin soreness, or knee pain may suggest altered movement patterns during running.
If injuries return despite rest or modified training, gait may be a contributing factor.
Uneven shoe wear
Shoes that wear down faster on one side or in specific areas sometimes reflect how weight transfers through your feet.
While shoe wear alone does not diagnose gait issues, it often provides useful clues.
Foot or ankle discomfort during or after runs
Persistent soreness in the feet or ankles may be a sign of excessive rolling inwards or outwards, limited ankle mobility, or altered push-off mechanics.
Certain medical sources note that foot pain in runners is common and may relate to biomechanics, training load, or footwear.
Knee or hip pain
Pain around the knees or hips may develop when the lower limb does not track efficiently during the stance phase, and can sometimes be linked to weakness or control issues higher up the kinetic chain.
Lower back tightness
Running gait involves the entire body. If the pelvis or hips move asymmetrically, the lower back may absorb extra load.
Reduced efficiency or fatigue
Some runners notice they tire quickly or struggle to maintain form over longer distances, reflecting inefficient movement patterns that demand more energy.
Factors That may Influence Running Gait
Running gait rarely changes for a single reason. It often is a mix of:
- Foot structure
- Muscle strength and flexibility
- Previous injuries
- Training volume or intensity
- Surface changes
- Footwear selection
Growth spurts in younger runners or age-related changes in tissue capacity may also influence biomechanics over time, which is why some people may prefer to get a biomechanical assessment done as part of this process.
What a Gait Assessment Involves
A professional running gait assessment usually involves observing your walking and running patterns, often supported by video analysis on a treadmill. Your podiatrist will also assess joint mobility and muscle strength and discuss your training habits and injury history.
Together, this information helps identify where the load concentrates through your body and which structures may be working harder than intended.
At The Foot Clinic, Zebris 3D gait analysis forms part of a broader podiatry evaluation, supporting personalised management strategies rather than one-size-fits-all recommendations.
How Podiatry Care may Assist
Following an assessment, management plans vary depending on findings and goals. This may involve exercise programs targeting strength or control, footwear guidance, custom orthoses where appropriate, advice around training modification, and strategies to better manage load.
The aim is to support more efficient movement and reduce unnecessary strain on vulnerable tissues.
Here, it is important to understand that changes take time. Symptoms often improve gradually as the body adapts to new movement patterns.
When to Seek Assessment
Consider professional review if pain persists beyond normal post-run soreness, injuries return despite rest, or there is ongoing stiffness, imbalance, reduced running tolerance, or concern about recurring niggles.
Early assessment may prevent minor issues from becoming more complex in the long run.
Supporting Your Running Long Term
Good running health involves more than gait alone. Recovery, sleep, nutrition, gradual training progression, and strength work all play important roles.
A podiatry assessment provides one piece of the puzzle, helping runners better understand how their bodies manage load with each stride.
Ultimately, understanding your running gait often marks the first step toward more comfortable and sustainable running. Get started with a running gait analysis in Cottesloe, Perth today.
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