Running Cadence & Injury Risk | Running Physio Tokyo | Club 360
- sam17903
- 46 minutes ago
- 3 min read
Running injuries are rarely caused by just one thing.

At Club 360, when runners come to us with pain that keeps returning — whether it’s knee pain, calf tightness, Achilles discomfort, or hip issues — the cause is almost never as simple as a single weak muscle or a need for rest.
Running injuries are typically multifactorial. They are influenced by training load, strength and conditioning, recovery and sleep, and running mechanics. For runners in Tokyo, especially those balancing busy work schedules or training for events like marathons or HYROX, these factors often overlap.
One of the simplest and most informative metrics we assess during a running physio assessment is running cadence.
Not because cadence is a magic fix, but because of how strongly it influences load distribution across the lower body.
What Is Running Cadence?
Running cadence refers to the number of steps you take per minute while running.
Many runners already have access to this information through devices such as Garmin or other running watches. Cadence can also be measured manually by counting steps over a short time period and calculating the average per minute.
Recreational runners commonly fall somewhere between 150 and 165 steps per minute, although cadence varies depending on height, speed, and running experience. There is no single “ideal” cadence. What matters is how cadence affects loading on the body.
Why Running Cadence Matters for Injury Risk
When cadence is relatively low, runners often spend more time on each step and experience higher peak forces with every foot strike. Over time, this can increase stress on the same tissues repeatedly.
In clinical practice, lower cadence is commonly associated with increased loading across multiple areas of the lower body, not just one joint. These commonly include the knee, hip, calf, and Achilles tendon.
Rather than load being shared efficiently, certain tissues may be overloaded again and again, particularly when training volume increases or recovery is limited. This is one reason runners often report pain that moves between areas instead of staying in a single location.
For runners dealing with a persistent running injury in Tokyo, this pattern is something we see frequently.
How Small Cadence Changes Can Help Runners
One of the reasons cadence is such a useful tool in running injury management is that small changes can produce meaningful shifts in load.
Instead of completely changing how someone runs, we typically start by measuring their current cadence using a running watch or step count. From there, we trial a modest increase of around 5 steps per minute.
If this adjustment is well tolerated, we may gradually progress toward an increase of up to 10 steps per minute, particularly for runners starting around the 160 range.
The goal is not to run faster. The aim is to reduce peak loading and distribute forces more evenly across joints and tissues. This often allows runners to continue training while other contributing factors are addressed.
Cadence Is Not a Standalone Fix
It’s important to be clear that cadence changes alone do not “fix” running injuries.
Cadence is a tool used as part of a full running assessment, which may also include strength testing, training load analysis, recovery and sleep considerations, and overall movement capacity.
When used appropriately, cadence adjustments can help manage symptoms and reduce aggravation, but they are most effective when combined with a broader, individualised plan.
This approach is particularly relevant for HYROX athletes and endurance runners in Tokyo, where training demands are high and time for recovery is often limited.
What This Means for Runners and HYROX Athletes in Tokyo
If you are training for road running events, HYROX, or endurance-based fitness and dealing with a niggle that isn’t settling, cadence is one of the first factors worth assessing.
This is especially true if pain returns as training load increases, symptoms shift between areas like the knee and Achilles, or rest alone has not resolved the issue.
At Club 360, assessing running cadence is a routine part of how we help runners in Tokyo stay active while managing injury risk properly. The goal is not to stop people from running, but to help them run smarter and more sustainably.
Final Thoughts
Running injuries are rarely random, and they are rarely caused by a single factor.
Running cadence is a simple, measurable variable that can influence how stress is distributed across the lower body. When used thoughtfully, it can be a powerful part of injury management and long-term performance.
If you are dealing with a running injury in Tokyo or preparing for an event like a marathon or HYROX and want clarity around what may be contributing to your symptoms, a proper assessment can make all the difference.






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