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I've been a runner since elementary school, participating in jogging club and cross-country (ES through HS), HS track, and recreational long-distance running. My knees started getting achy in my 30s when I ran over 3-4 miles at a time. I noticed more pain when running on pavement instead of the softer trail and track surfaces that I had access to in my youth. I still run but maintain a lower mileage or go to the local HS track. Many people run well into their senior years without issue but the key seems to be building in rest days, doing strength training for the lower body (even for kids), and trying to run on softer surfaces (dirt, grass, synthetic track).
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