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What Marathon Runners Need From Spinal Care

Joey Lee Chiropractor Consult Sarah

February 17, 2026

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Westside Sports Chiro

Marathon runners subject their spines to tremendous stress through repetitive impact and sustained posture over 26.2 miles. The vertebrae, discs, and surrounding musculature endure forces that can lead to misalignments, muscle tension, and chronic pain patterns. Many athletes overlook spinal health until problems emerge, often discovering that lower back issues directly impact their running performance. Proper spinal care extends beyond treating existing injuries—it becomes a critical component of training optimization and career longevity that most runners never fully understand.

Understanding the Physical Demands of Marathon Training on Your Spine

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While marathon training builds cardiovascular endurance and mental fortitude, it simultaneously subjects the spine to repetitive mechanical stress that can accumulate over thousands of training miles.

Each footstrike during running generates impact forces that travel through the kinetic chain, placing considerable strain on spinal structures. This repetitive loading often manifests as lower back pain, particularly in the lumbar region where forces concentrate during forward propulsion.

Common injuries among distance runners include muscle tightness in the hip flexors and hamstrings, which can pull the pelvis out of proper alignment.

Without intervention, these biomechanical compensations create a cascade of dysfunction throughout the spine.

Chiropractic care addresses these issues through targeted adjustments and soft tissue therapy, helping runners maintain ideal spinal mechanics and reduce the risk of chronic pain or performance-limiting injuries.

Common Spinal Issues Marathon Runners Face During Training

As marathon runners accumulate training miles, they frequently encounter specific spinal complications that can derail their performance goals. Lower back pain represents the most prevalent issue, stemming from repetitive impact and poor running mechanics.

Spinal misalignments develop when muscle tightness and improper form create imbalances throughout the kinetic chain, affecting hip and knee function.

Herniated discs pose serious concerns, causing radiating leg pain that can severely limit training capacity. Sciatica frequently accompanies disc problems, resulting from nerve compression in the lumbar region. These conditions markedly elevate injury risk if left untreated.

Regular chiropractic adjustments effectively address these complications by targeting root causes rather than symptoms alone. Professional intervention helps improve spinal alignment, restoring proper biomechanics essential for efficient running.

Without proactive management, minor issues progress into chronic pain patterns that compromise long-term athletic performance.

Pre-Race Chiropractic Assessments and Alignment Corrections

Strategic pre-race chiropractic assessments serve as critical preventive measures that can determine the difference between peak performance and race-day disappointment.

These thorough evaluations identify spinal misalignments that compromise running form and efficiency, allowing practitioners to implement corrective measures before competition begins.

The assessment process examines posture, gait, and overall alignment to understand each runner's unique biomechanics. Through tailored adjustments, chiropractors address underlying tension in critical areas including hips, knees, and lower back.

This targeted chiropractic care directly supports injury prevention by correcting imbalances before they manifest as performance-limiting problems.

When combined with proper stretching and warm-up protocols, pre-race chiropractic assessments optimize muscle balance and enhance readiness for marathon exertion.

This proactive approach reduces overuse injury risks during both training phases and actual competition.

Active Release Techniques for Marathon-Related Muscle Tension

Marathon runners frequently develop stubborn muscle tension and adhesions that compromise their biomechanical efficiency and increase injury susceptibility. Active release techniques specifically address these soft tissue complications by applying targeted pressure while moving affected muscles through their complete range of motion.

This specialized approach within chiropractic care effectively breaks down scar tissue, releases tight muscles, and enhances circulation—critical factors for peak performance during training and competition.

Chiropractors trained in active release techniques can identify specific tension patterns and muscular imbalances that impede running efficiency and elevate injury risk. Regular sessions considerably improve flexibility and range of motion, essential components for marathon success.

Additionally, these techniques accelerate recovery times, enabling marathon runners to resume intensive training sooner with reduced post-workout discomfort, ultimately supporting consistent preparation for long-distance events.

Post-Marathon Recovery Protocols and Spinal Realignment

Following the intense physical demands of completing a marathon, runners experience significant spinal misalignment that requires immediate attention to prevent prolonged recovery periods and potential long-term complications.

Post-marathon recovery protocols emphasize spinal realignment as a critical component for effective healing. The repetitive impact and physical stress from 26.2 miles creates substantial misalignment throughout the spine.

Chiropractic care serves as an essential intervention, helping restore ideal joint function and muscle balance. These adjustments alleviate discomfort while addressing the root cause of post-race pain.

Regular spinal realignment treatments accelerate recovery timelines, allowing runners to resume training schedules more quickly.

Prompt attention to spinal misalignment helps reduce risk of chronic injuries and maintains performance levels. This proactive approach prevents future complications, ensuring runners can continue competing effectively while preserving their long-term athletic careers.

Injury Prevention Through Regular Chiropractic Maintenance

While post-race recovery addresses immediate spinal concerns, proactive chiropractic maintenance offers marathon runners a preventative approach to injury management.

Regular chiropractic care focuses on identifying and correcting spinal misalignments before they develop into serious problems. This proactive strategy considerably reduces overuse injuries like plantar fasciitis and Achilles tendonitis that commonly plague distance runners.

Chiropractors develop personalized treatment plans emphasizing injury prevention through enhanced body alignment and biomechanics enhancement. Research demonstrates that runners receiving consistent chiropractic care experience fewer injuries and improved performance due to enhanced joint mobility and reduced muscle tension.

Regular adjustments promote ideal nervous system function, essential for muscle coordination and recovery processes. This all-encompassing approach enables marathon runners to train more effectively while maintaining reduced inflammation and pain levels throughout their training cycles.

Biomechanical Analysis and Gait Optimization for Runners

Through thorough biomechanical analysis, chiropractors can identify subtle movement inefficiencies that compromise running performance and predispose athletes to injury.

Gait enhancement addresses critical issues like overpronation and supination, which contribute to plantar fasciitis and runner's knee. This specialized chiropractic care evaluates stride length discrepancies and frequency patterns that affect speed and endurance capabilities.

Running mechanics assessments reveal specific weaknesses requiring targeted interventions. Chiropractors utilize this data to develop personalized training plans addressing individual biomechanical imbalances.

The analysis focuses on posture and alignment corrections that considerably reduce injury risk during marathon preparation and competition.

Regular biomechanical evaluations enable continuous refinement of running technique. This systematic approach to injury prevention through performance enhancement guarantees runners maintain ideal form throughout their training cycles, maximizing both safety and athletic potential.

Nutrition and Sleep Recommendations for Spinal Health

Beyond mechanical adjustments and training modifications, marathon runners require extensive nutritional strategies and sleep protocols to maintain ideal spinal health throughout their competitive seasons.

Proper nutrition emphasizes balanced carbohydrates, proteins, and healthy fats from whole foods rich in vitamins and minerals. Anti-inflammatory foods like fatty fish, nuts, berries, and leafy greens reduce training-related inflammation while supporting recovery. Hydration remains vital, with runners needing 16-24 ounces of water two hours before runs and consistent fluid replenishment afterward.

Quality sleep demands 7-9 hours nightly for tissue repair and inflammation reduction. Sleep positioning directly affects spinal health through proper alignment.

Runners should sleep on their backs with supportive pillows or side-sleep with pillows between knees to minimize lower back strain, optimizing recovery processes essential for sustained performance.

Personalized Treatment Plans for Long-Distance Running Athletes

Since each marathon runner presents unique biomechanical patterns, injury histories, and performance objectives, healthcare providers must develop individualized treatment protocols that address specific spinal health needs rather than applying generic approaches.

Personalized treatment plans begin with thorough gait analysis and postural assessments to identify misalignments affecting performance. Targeted chiropractic adjustments improve joint mobility while reducing pain and optimizing biomechanical function for long-distance demands.

Rehabilitation exercises focus on strength training for key muscle groups and enhancing flexibility to correct imbalances from repetitive running motion. These plans incorporate nutrition guidance ensuring adequate fueling for performance and recovery during intensive training cycles.

Regular evaluations allow providers to adjust protocols based on changing training regimens, performance goals, and emerging physical challenges, effectively reducing injury risk throughout the marathon preparation process.

Conclusion

Marathon runners require thorough spinal care that addresses the unique demands of long-distance training. Through regular chiropractic assessments, personalized treatment plans, and active release techniques, runners can maintain ideal spinal alignment and prevent injuries. Combining biomechanical analysis with proper nutrition and sleep protocols creates a holistic approach to spinal health. This integrated care model enables marathon athletes to perform at their peak while minimizing the risk of spine-related complications throughout their training and racing careers.

Testimonials

Real Stories, Real
Results

Sarah T.
"I've been struggling with chronic shoulder pain for years, but after just a few sessions at Westside Sports Chiro, I've experienced a dramatic improvement. Their personalised approach and advanced techniques have truly made a difference in my recovery. I couldn't be happier with the results!"
Sarah T.

"I've been struggling with chronic shoulder pain for years, but after just a few sessions at Westside Sports Chiro, I've experienced a dramatic improvement. Their personalized approach and advanced techniques have truly made a difference in my recovery. I couldn't be happier with the results!"
mike li
Great knowledge and experience , Great job Jason!!Definitely will recommend
N “Neens” A
Wow! What an amazing experience! Dr Joey is absolutely brilliant! He was able to diagnose & treat a multitude of issues I have with my neck, back, shoulders & ankle. He was compassionate and understanding with all my concerns and I am forever grateful! There aren’t enough gold stars to show how amazing he is!
DJ NIKCO
I travel 2 hours each way every 2 weeks to see Jason and its worth it! He works with the whole body and is able to give detailed answers to all my questions. My injury was super complex as I have seen many specialists but no one has made any progress but now with jason I continue to see improvement each session! High Recommend.
Ralph
Good vibes as soon as you walk in,professional service,attention to details in adressing issues and providing plenty of explanation and a professional approach to move forward.muchly recommended 👍
Lyle Tacadena
Jason! He knows his stuff! I've had knee pain for months and with one treatment, the pain went from 90% to 10%. Hoping he can work his magic on the rest of the body. Amazing work and THANK YOU!
Shanny Ho
Thankyou Jason for your wealth of knowledge. I saw Jason as a new patient for a chronic issue I have had for quite a few years! It has stopped me from moving as much as I have in the past as the pain associated afterwards was always debilitating: tightness in the hips, pain on pressure on the heel of the foot. Just with the treatment provided in one session it feels better the day after with weight on the heel and my hip feels much more agile. Hopefully with the next couple of appointments I’ll be back to cycling and lifting !
Gordon Holloway
With my experience with Jason great personality very reliable and trustworthy he listens to your problems and I would recommend him to anyone. Thank you.
Ramzy Shublaq
Easily the best of the best in the business. I have been seeing Jason for over a year and he has helped me more than any other health practitioner. I am also a PT and currently refer a lot of my clients in to him, and they have all had glowing reviews and feedback. Thanks Jason ✌🏼
CHUNG-WEI TSAO
Thanks to Jason's treatment, I feel liberated after each session, and he also tells me how I can take care of myself, which is very useful , I wish I could meet him earlier.
Country life “Dragon” In Sydney
Jason is amazing i felt releif from a long time neck shoulder and foot pain from first session , he take his time treating his patients , very professional. i have been with my previous chiropractor for years spend too much money and i didn’t benefit , thank westside clinic for best service and treatment
Steve L
I had the pleasure of visiting Jason this past Saturday, and I must say, it was a fantastic experience. Jason is not only incredibly skilled but also honest and informative. I appreciated how he took the time to explain everything clearly and made sure I understood the treatment plan. What impressed me most was Jason's dedication to his craft and his genuine concern for his patients' well-being. He didn't rush through the session; instead, he took the time to address my concerns and tailor the treatment to my specific needs. I purposely waited more than 24 hours before writing this review to let the effects of the session settle and to give an honest opinion after a workout. I can confidently say that I feel a significant improvement, and I am grateful for Jason's expertise. If you're looking for a chiropractor who combines skill with a caring attitude, I highly recommend Jason. Thank you, Jason, for a truly exceptional experience!
Raffi Omer
Dr Jason Lee the man with full knowledge and experience. Highly recommend this place. If don't want to drag your pain with continuous appointments please come and visit place your well see the difference in 2 sessions..
John
Jason addressed my neck and shoulder issue in just one session and is now making significant improvements to my lower back. His expertise is evident, and I highly recommend him.
Jason Fong

Have been visiting Jason at Westside Sports Chiropractic for several months now and am really impressed with his thorough assessment and treatment. He takes the time to understand the root cause and focuses on correcting that, not just a short term fix. I've seen a lot of improvement in my condition so far. Would highly recommend.

Tim Booth

Jason is fantastic. He knows his stuff and every issue I have brought to him has been solved with a logical approach and with confidence.I wish I had found him much sooner then I did.Highly recommended.

Travelling Soldier

Jason is a wholistic health professional. Saw him for a long standing shoulder pain. Clear ultrasounds and x-rays. He accurately diagnosed the underlying cause and offered rapid yet sustainable relief in just one session. Now looking at rehab with him in the on-site gym and continue to strength and conditioning long term. Glad I called in !

Oscar Marulanda

I’ve been in treatment with Jason for over a year. I went with a back injury and Jason basically “fixed” me. Along the way, he has provided guidance and advice about how to improve my back.Recently, I have sessions with Joey. His skills and experience are aligned with Jason’s which made you feel comfortable that either one of them is equally doing the best for you.I’ve recommended Jason to my mum, brother and brother-in-law. They all agree that Jason has miracle hands.

Daniel Eishou

Iv had 2 sessions with Jason, iv had neck/shoulder a shoulder issue for years now. He has no joke found the issue given me things to work on and only after 2 sessions it actually feels it's getting better. Very knowledgeable and the session is worth it.

Sarah T.

"I've been struggling with chronic shoulder pain for years, but after just a few sessions at Westside Sports Chiro, I've experienced a dramatic improvement. Their personalized approach and advanced techniques have truly made a difference in my recovery. I couldn't be happier with the results!"

John Lee

"I've been struggling with chronic shoulder pain for years, but after just a few sessions at Westside Sports Chiro, I've experienced a dramatic improvement. Their personalized approach and advanced techniques have truly made a difference in my recovery. I couldn't be happier with the results!"

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