While Heartbreak Hill is not the steepest climb a runner will face, its position in the course means most people reach it already carrying fatigue from the first seven kilometres. A body that has been prepared for the specific demands of hill running, through targeted strength work and smart pacing, tends to handle that climb with far less strain than one that has only trained on flat ground.
This guide covers how to build the strength, hill-specific fitness and race-day pacing strategy needed to get up Heartbreak Hill feeling in control, rather than simply surviving it.
Heartbreak Hill Training: Build Strength Before Race Day
Hill running places extra demand on the calves, glutes, hamstrings and hips compared with running on flat terrain. Structured strength training has been associated with improved running economy and a reduced injury risk in distance runners (Blagrove et al, Sports Med, 2018). For runners preparing for Heartbreak Hill, useful exercises to include in a weekly routine are squats and split squats, step-ups, lunges, calf raises and core strengthening work.
Progression matters more than intensity in the early weeks. Increasing hill running volume too quickly, particularly alongside a rise in overall running distance, can overload muscles and tendons before they have had time to adapt. A sports injury prevention assessment can help structure this progression around an individual runner’s current strength and running history, since a load one runner can manage within a fortnight may take another runner six weeks to build toward safely.
Smart Heartbreak Hill Training Sessions
One dedicated hill session per week in the lead-up to City2Surf is generally enough to build the specific fitness Heartbreak Hill demands, without adding unnecessary fatigue to the rest of a training week. Sessions should start with shorter efforts on a gentler gradient and progress gradually toward longer climbs that better replicate the length of Heartbreak Hill itself.
During these sessions, effort should stay controlled rather than sprinted, since a sudden spike in heart rate early in a climb tends to compound fatigue rather than build fitness. Maintaining a higher cadence with shorter steps, rather than lengthening the stride uphill, has been associated with better running economy on inclines (Barnes and Kilding, Sports Med, 2015). Confidence on hills also tends to build with repetition. The more familiar a climb feels, the less mentally taxing it becomes on race day.
Pace Yourself on Race Day
One of the most common mistakes runners make on Heartbreak Hill is attacking it too early, matching a flat-ground pace on an incline where that pace is simply not sustainable. Effort should stay the priority over speed. As the gradient increases, pace will naturally slow, and fighting that is more likely to lead to a slower finish than a faster one.
On the day, starting the climb conservatively, taking shorter and quicker steps, and keeping the shoulders and arms relaxed rather than tense can all help conserve energy for the final kilometres of the course. Runners who have practised this pacing strategy during training sessions tend to find it far easier to execute under race-day fatigue and adrenaline.
Prepare Your Body for City2Surf
Whether the goal is a personal best or simply finishing a first City2Surf, preparing the body is just as important as preparing the training plan itself. A running assessment can help identify strength imbalances or movement inefficiencies before they turn into an injury, particularly under the additional load that hill running places on the lower limbs.
Common Questions
How Many Weeks Before City2Surf Should Hill Training Start?
Most runners benefit from starting dedicated hill sessions at least six to eight weeks before race day, giving the body time to adapt gradually to the additional strength and cardiovascular demand.
Do I Need Strength Training If I Am Already Running Regularly?
Running alone does not fully prepare the muscles and tendons for the specific demands of hill climbing. Strength training two to three times per week alongside a running programme has been associated with improved running economy and a lower injury risk in distance runners (Blagrove et al, Sports Med, 2018).
What Should I Do If I Feel Pain During Hill Training?
Pain that persists beyond a training session, rather than settling with rest, is worth having assessed by a physiotherapist before continuing to train through it, since early assessment can often prevent a minor issue from becoming a more significant injury.
How BeFit Can Help
At BeFit Training Physiotherapy, our Sydney physiotherapists can complete a running assessment to identify strength and movement imbalances, build a hill-specific strength programme tailored to your current training load, and provide guidance on pacing and recovery in the lead-up to City2Surf.
Book an appointment at BeFit Training Physiotherapy — no referral needed.
Edgecliff: (02) 9327 7749 | Coogee: (02) 7205 2805 | befittrainingphysio.com/book-now
References
Blagrove, R.C., Howatson, G., Hayes, P.R. Effects of Strength Training on the Physiological Determinants of Middle- and Long-Distance Running Performance: A Systematic Review. Sports Med. 2018.
Barnes, K.R., Kilding, A.E. Strategies to Improve Running Economy. Sports Med. 2015.
Lauersen, J.B., Bertelsen, D.M., Andersen, L.B. The Effectiveness of Exercise Interventions to Prevent Sports Injuries: A Systematic Review and Meta-Analysis. Br J Sports Med. 2014.
Australian Physiotherapy Association. Clinical guidelines. physiotherapy.asn.au.


