Medicine is broken: Washington Post: Running doesn't hurt your knees, it helps them but more than 50% of docs think it hurt

This information is accurate. I’d also like to know what percentage of runners who develop knee issues run more than half of their miles on concrete sidewalks. I suspect it’s running on the hard concrete surface that is the cause of knee pain, not running itself.

Medicine is broken far beyond this. Look at the obesity denialism present in medicine as well. Disgusting.

Just look at how as "public health" initiatives increase, the health of the average American deteriorates. Your health is your own responsibility and all the "science" trusters out there want to absolve themselves of the responsibility of their life and place their fate in the hands of someone they don't know.

Excuse me, is that title supposed to be written in English?

One of my knees is chronicled in a book studied by orthopedic surgeons.

NOT running is worse for me than running. Strength, and weight management are more important.

I definitely believe strength and weight management are huge factors. It's just common sense that lugging around extra pounds will put more stress on the body.

As for running specific injuries, I could also see surfaces playing a role, e.g. twisting your knee on trails and other uneven surfaces and perhaps additional trauma with steep downhills.

How about big shoe denialism? Too close to home?

LCK told me it’s easy to complain about something you have no idea how it even works, leave alone build a better system.

Back when running shoes were, at best, a little less than what the most minimalist of shoes are now, runners with anything less than perfect biomechanics had shin splints and runner's knee. Other more serious injuries followed, they quit and everyone thought running was bad for you knees.

They make more supportive shoes and the custom orthotics that are now available runners with poor biomechanics can run healthy.

I feel like doctors are for the sick and since they constantly work with the sick population they don't really have a good understanding of healthy people and what works for them. Over time their views get skewed by having to deal with the sick and out of shape.

The obese are at a much higher risk of osteoarthritis, especially when they participate in high impact activities. if you’re morbidly obese you should lose a significant amount of weight before taking up running.
If you’re a normal weight, running and strengthening should lower your risk of OA in the long term… as you as you aren’t playing rec soccer w aggressive has-beens and tear your ACL or meniscus or something.

The study mentioned is not about doctors.

it is primarily about physical therapists. Just mentioning that again as this discussion continues based in a false premise.

Now, do I think that doing 100 miles a week on concrete is good for your knees? no. 25 miles/week on soft surfaces, absolutely yes

An unpopular thesis that has truth based on variables. You really have to be cognizant of your abilities and limits. Short 30 minute runs 3 to 4 times a week is conditioning. But even still you have to listen to your body. If you run consistently you're going to feel some type of pain. That's when you need to be aware of your routes and shoe cushioning starting hit expectancy (get new shoes regardless of what they look like). Running the same route routinely can cause knee pain. Because you're running on the tilt of the sidewalk or road, if you're a road runner, and that angle or tilt is causing the pain. To counter that I run the same route but will cross over to the other side of the road when there's no traffic. This subject has far too many variables to go through on my post. But these are some of the methods I learned to keep running for over 20 years. With rheumatoid arthritis in both knees without medication or surgery or knee injuries. And I change choose often. But running to race is an entirely different matter. And the goal brings a different priority. Some pains are going to be ignored for huge gains. But a goal of running for health and maintaining good knees is obtainable.

For the editing savages. Yes there's typos in my posts that I didn't proof read before posting. But I'm off to do some work in a hurry. I don't mind the criticism. Have at it.

OK exact same reply for me then. Most Physical Therapists are working with a population of out of shape people and not runners or athletes of any kind. The views are skewed by what you see every day.

No it’s not, and there is no obesity denialism. If anything, there is overkill in that many normal 26’ish BMI folks (who are not hardcore weigh trainers) are being classified as overweight when they are not substantially at a higher risk of anything caused by or correlated with weight compared to the “normal” BMI folks.

I do find it disturbing how much of medicine is not evidence based. Most doctors do not follow the research at all, and many lack the science and statistics background to critically consume it anyway. After med school, they learn mostly through first hand experience (i.e., very small sample sizes without controls) and through what they're told by other doctors or by marketers.

There is a group of people who fight this notion of obesity as a disease. We can call them obesity deniers. Yourself included.

Yeah, neither of your posts is unreasonable, and while running is, for the non-obese population, good for the knees, amongst runners who are seeing someone for knee problems, it is reasonable to think that their running may not be for their knees.