When a runner walks into the clinic with knee pain, we must look at the knee and the surrounding structures and tissues. What seems like a knee issue often started higher up—or lower down—the chain. And if you’re only chasing the pain, you’ll probably miss the real problem. Running injuries don’t come out of nowhere. They almost always stem from a combination of factors: a training change made 4–6 weeks ago, a sleep deficit, nutritional gaps, higher stress, or simply movement