The Full Answer

Most overuse running and cycling injuries (IT band syndrome, patellofemoral pain, plantar fasciitis, Achilles tendinopathy) stem from a mismatch between training demands and the body's capacity to adapt, rather than from a single traumatic event. A commonly cited guideline is to avoid increasing weekly training volume by more than roughly 10% at a time, though individual tolerance varies with prior training history, biomechanics, and recovery.

What the Current Evidence Shows

Research consistently links sudden increases in training load — mileage, intensity, or frequency — to elevated injury risk in runners and cyclists, more so than any single "correct" weekly mileage number.

Who May Benefit

When Surgery May Be More Appropriate

Dr. Tortland's Perspective

Dr. Tortland sees this pattern often in active patients in the Farmington Valley: an injury that seems to "come out of nowhere" almost always traces back to a training change — a new season, a race buildup, a new bike fit — in the weeks beforehand. Identifying that change is often more useful than treating the symptom in isolation.