The study, which followed participants over a 16-week training cycle, highlights a mounting prevalence of injuries as race day nears. Common points of failure include the feet, knees, and hips, with damage frequently affecting muscle, tendon, and fascia. Despite the high rate of physical disruption, many athletes attempt to push through symptoms without intervention.

Theodore Levarda, founder of Morningside Acupuncture, notes that timing is the primary factor in recovery. Runners who seek help while restrictions are still minor typically require significantly fewer visits than those who wait until an injury forces them to stop entirely. The clinic combines traditional acupuncture with dry needling to address conditions like Achilles tendinopathy and iliotibial band syndrome. For marathoner and sports nutritionist Lottie Bildirici, the integration of these techniques has become a standard part of training maintenance rather than a last-resort reactive measure. Treatment plans generally span three to ten sessions, functioning in tandem with strength work and medical oversight.