Secondary Logo

Journal Logo

Institutional members access full text with Ovid®

Running Dose and Risk of Developing Lower-Extremity Osteoarthritis

Gessel, Trevor MD; Harrast, Mark A. MD

Current Sports Medicine Reports: June 2019 - Volume 18 - Issue 6 - p 201–209
doi: 10.1249/JSR.0000000000000602
Training, Prevention, and Rehabilitation/Section Articles

Whether or not running leads to the development of knee and hip osteoarthritis has been a much-debated topic and is often a question patients pose to their physicians. Recent literature adds to a growing body of evidence suggesting that lower-dose running may be protective against the development of osteoarthritis, whereas higher-dose running may increase one's risk of developing lower-extremity osteoarthritis. However, running dose remains challenging to define, leading to difficulty in providing firm recommendations to patients regarding the degree of running which may be safe. Furthermore, when counseling patients regarding their risk of developing lower-extremity osteoarthritis secondary to running, clinicians must consider many additional factors, such as the numerous health benefits from running and individual risk factors for developing osteoarthritis.

Lower-dose running may protect against osteoarthritis, whereas higher-dose running may lead to the development of osteoarthritis.

Department of Rehabilitation Medicine, University of Washington School of Medicine, Seattle, WA

Address for correspondence: Trevor Gessel, MD, Sports Medicine Center at Husky Stadium University of Washington, 3800 Montlake Blvd, NE Box 354060, Seattle, WA 98195-4060; E-mail:

Copyright © 2019 by the American College of Sports Medicine.