From indoor tracks and treadmills, endurance athletes and amateur runners are taking to the beautiful outdoors. As activity levels increase and miles add up, runners may experience pain, weakness, or fatigue, limiting their workout. Whatever the reason, runners can find themselves hitting a wall or plateauing throughout training. Many times symptoms are ignored and athletes push through. With that said, there are effective treatment options that can occur as training continues. One effective treatment for endurance athletes is trigger point dry needling.