How to Do Cardio with Plantar Fasciitis Safely

Updated On:

May

26

Joe Armeli | DPT

A picture of cardio machines at a gym with text overlay how to perform cardio safely with plantar fasciitis.

Key Points: 

Low-Impact Cardio Exercises: 

  • Swimming: Offers a full-body workout with minimal foot stress. Use interval and steady-pace swimming to maintain fitness.
  • Cycling: Provides a good cardiovascular workout without impacting the feet. Include interval training and hill simulations.
  • Elliptical Training: Low-impact and foot-friendly; integrate intervals and steady-paced training to mimic running.

Safety Tips:

  • Warm-up and stretch thoroughly, especially the calves and feet, to prevent exacerbating plantar fasciitis.
  • Wear supportive footwear with proper arch support and consider orthotics to minimize stress on the plantar fascia.

As a professional deeply involved in the rehabilitation of common injuries, I've encountered the challenges of maintaining cardiovascular fitness while managing plantar fasciitis.

This condition, which manifests as heel pain and discomfort under your foot, is not only one of the most prevalent injuries among runners but also a significant hindrance that can disrupt your training regimen.

However, it's crucial to understand that you don't have to sacrifice your cardiovascular health due to this setback. In this guide, I'll share effective strategies and low-impact cardio exercises that allow you to stay fit without aggravating your plantar fasciitis.

Understanding Plantar Fasciitis

The anatomy of the plantar fascia. The plantar fascia is a band that runs along the bottom of your foot.

Plantar fasciitis involves inflammation of the plantar fascia, causing pain usually concentrated in the heel. This condition presents with a couple of main symptoms in runners; pain in the mornings or after long periods of time on your feet. It's essential to know how to take care of your feet and reduce the pain associated with plantar fasciitis to continue leading an active lifestyle.

Low-Impact Cardio Exercises for Individuals with Plantar Fasciitis

Having plantar fasciitis doesn't mean abandoning cardio exercises. Here are some low-impact exercise options that you can incorporate into your routine:

Swimming

Swimming is a form of cardio you can do safely if you have plantar fasciitis.

Swimming is an excellent low-impact exercise option that won't aggravate your plantar fasciitis. The water's buoyancy supports your body weight, minimizing the stress on your feet and giving your legs a good workout without causing pain.

To create a swimming program that mimics a running workout, you can use interval training or steady-pace swimming.

Here's some simple swimming program ideas:

1. Warm-Up: Start with a light swim for about 5-10 minutes to get your heart rate up and your muscles warm.

2. Intervals: Now, start your interval training. Swim one lap (or the length of the pool) at an increased speed as if you were running at a higher pace. Then, swim the next lap at a slower, more relaxed pace, akin to walking. Repeat these intervals for about 20-30 minutes.

3. Steady-Pace Swimming: To mimic a long, steady-paced run, incorporate a section of your workout for prolonged swimming at a steady, moderate pace. For instance, after completing your interval training, reduce your speed to a pace that you can maintain for a prolonged period, such as 20-30 minutes. This endurance segment mirrors the sustained, steady pace of a long run, training your body to be efficient at a sustained output level over time.

4. Cool Down: Finish off your swimming workout with a slower, relaxed swim for about 5-10 minutes. This will help bring your heart rate back down gradually.

Remember, the key to an effective swimming workout is maintaining good form. Keep your body straight and use your whole body to propel yourself through the water. Just like in running, you want to engage not only your legs but also your core, arms, and chest. Swimming can also provide a full-body workout, strengthening muscles that may not be utilized as much in running.

Cycling

Cycling is a safe form of exercise for cardio if you have plantar fasciitis.

Cycling while recovering from plantar fasciitis can be a superb alternative to maintaining cardiovascular fitness while decreasing the stress on your plantar fasciitis.

With some tweaks to your cycling routine, you can simulate the intensity and endurance of a running workout. 

1. Warm-Up: Initiate with a five to ten-minute warm-up at a relaxed pace to stimulate blood flow to your muscles and prepare them for exercise. This phase is similar to a leisurely jog at the start of a running workout.

2. Interval Training: Post warm-up, you can commence interval training. This involves alternating periods of high-intensity cycling with periods of low-intensity cycling or rest. You might cycle hard for one minute, then cycle at a slower pace for two minutes for recovery, and repeat this sequence throughout the core portion of your workout. These intervals mimic the high-intensity periods in a run, where you might sprint or run uphill.

3. Steady-Pace Cycling: To mimic a long, steady-paced run, incorporate a section of your workout for prolonged cycling at a steady, moderate pace. For instance, after completing your interval training, reduce your speed to a pace that you can maintain for a prolonged period, such as 20-30 minutes. This endurance segment mirrors the sustained, steady pace of a long run, training your body to be efficient at a sustained output level over time.

4. Hill Simulation: Most stationary bikes allow you to adjust the resistance, emulating the effect of running uphill. Spend part of your workout at a higher resistance to mimic this challenging aspect of a running workout.

5. Cool Down: Just as in running, it's crucial to cool down after a cycling workout. Spend five to ten minutes cycling at a slow pace to lower your heart rate gradually. 

6. Adjust to Your Fitness Level: The versatility of cycling, both stationary and otherwise, is that it's entirely adjustable to your fitness level. Increase or decrease the time and intensity of your intervals and your steady-pace cycling as needed, and always remember to listen to your body.

By following these steps, you can create a cycling program that closely mirrors a running workout without causing substantial pain to your sensitive feet or aggravating your plantar fasciitis.

Elliptical Training

Using an elliptical is a form of exercise that can help maintain cardio while you have plantar fasciitis.

Elliptical training with plantar fasciitis, due to its low-impact nature, is another good alternative for individuals who suffer from plantar fasciitis. The flowing movement reduces the stress on your feet, reducing the risk of exacerbating this painful condition. Below is how to adjust your elliptical training to mimic a running workout:

1. Warm-Up: Start your workout with a warm-up of around 5-10 minutes at a gentle pace. This time allows your body to prepare for the impending workout, increasing your blood flow and warming up your muscles.

2. Interval Training: Similar to cycling, you can incorporate interval training into your elliptical routine. Try periods of high-intensity exercise, where you increase your speed and resistance, followed by periods of lower intensity for recovery. For example, you might work hard for two minutes, lower the pace for two minutes, and repeat.

3. Steady-Pace Training: To simulate long, steady-paced runs, after your interval training, lower your speed to a comfortable, sustained pace. You should aim to maintain this pace for an extended period, such as 20-30 minutes, similar to a long, steady-paced run.

4. Resistance and Incline Adjustments: Most ellipticals allow you to adjust resistance and incline. Alter these settings throughout your workout to mimic the changing terrain of an outdoor run. By increasing the resistance, you will simulate uphill running, while increasing the incline will engage different muscle groups.

5. Cool Down: Finish your elliptical session with a 5-10 minute cool-down period. Lower your speed and resistance to bring your heart rate down gradually. Afterward, consider doing some stretching and strengthening exercises for your legs and calves, which can help with plantar fasciitis.

6. Personalize Your Workout: Like cycling, the elliptical workout can be tailored to your fitness level. You can increase or decrease the intensity and duration of your intervals and steady-pace training as needed. Remember, the key is to avoid pushing yourself to the point of pain. It's all about working out smarter, not harder when dealing with plantar fasciitis.

Safety Tips for Cardio with Plantar Fasciitis

Regardless of the cardio exercises you choose, safety should always be a priority. Here are some tips:

Warm-Up and Stretch

Properly warming up and stretching is vital when you suffer from plantar fasciitis. The link between tight calves and plantar fasciitis is well-documented, as tightness in these muscles can pull on the plantar fascia, increasing the tension and the potential for inflammation. Therefore, incorporating targeted stretches can contribute significantly to fixing plantar fasciitis with stretching techniques.

When it comes to maintaining your cardio routine while managing plantar fasciitis, stretching out your calves and feet before and after your workout is key. This can help minimize the risk of further inflaming the plantar fascia. 

But your stretching routine shouldn’t be confined to just before and after workouts. An effective way to start is by implementing morning stretches for plantar fasciitis into your daily routine. Starting your day by focusing on the health of your foot can prepare it for the demands of the day. Morning stretches can help to loosen up the plantar fascia, reducing the classic stabbing pain associated with the first steps after a period of rest.

By being diligent with your stretching routine, you can manage the pain associated with plantar fasciitis, reduce inflammation, and continue to maintain your cardiovascular fitness.

Wear Supportive Footwear

The role of footwear in managing and mitigating plantar fasciitis can't be overstated. It's crucial to ensure you wear shoes that provide sufficient arch support. The arch of your foot, which the plantar fascia supports, absorbs a significant amount of stress and impact during daily activities and exercises. Therefore, wearing shoes with proper arch support can help distribute this pressure evenly across your foot, reducing the strain on the plantar fascia.

But supportive footwear goes beyond merely picking the right shoes. Orthotics, or custom shoe inserts, can play a critical role in managing plantar fasciitis. Orthotics are designed to fit the contours of your foot precisely, ensuring better weight distribution and reducing pressure on sensitive areas.

Remember, everyone's feet are unique, and what works for one person may not necessarily work for another. It's always recommended to consult with a podiatrist or physiotherapist to determine the best footwear and orthotics for your specific needs. By investing time and thought into your footwear choices, you can make substantial strides in managing the symptoms of plantar fasciitis while still pursuing an active lifestyle.

Plantar Fasciitis Recovery Program and Your Path to Recovery

While there are plenty of cardio exercises that can be done without worsening your condition, if you want to fix the root cause of your plantar fasciitis, you need to be performing an exercise program specifically designed for plantar fasciitis.  This program should target the muscles and tendons in your lower body, primarily the foot, and ankle, to provide better support and resilience.

To further aid in your journey to recovery, an insightful resource worth considering is my exercise program for plantar fasciitis, the eBook "The Plantar Fasciitis Fix". This comprehensive guide is specifically designed to tackle the root cause of your plantar fasciitis and provide immediate relief.

It not only offers an easy-to-follow exercise program specifically catered towards strengthening the lower body and alleviating the pain caused by plantar fasciitis but also provides detailed descriptions of each exercise and explains why they are important.

In addition, the eBook is equipped with a dedicated section focused on methods to gain immediate relief from the stabbing pain associated with plantar fasciitis. This resource provides a holistic approach towards dealing with this sensitive foot condition and can be a great companion in your journey towards better foot health.

Remember, every step you take toward recovery counts. Strengthening exercises and reliable resources like "The Plantar Fasciitis Fix" can significantly accelerate your path to a pain-free life.

Conclusion 

Having plantar fasciitis doesn't mean you have to give up on your cardio workouts. With the right impact exercises and a focus on conditioning exercises and strength training exercises, you can maintain your cardiovascular fitness without causing additional pain. Remember to start walking before you run, and always listen to your body to avoid putting too much stress on your feet.

References

1.
Bolívar YA, Munuera PV, Padillo JP. Relationship Between Tightness of the Posterior Muscles of the Lower Limb and Plantar Fasciitis. Foot & Ankle International. 2013;34(1):42-48. doi:10.1177/1071100712459173

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About the author, Joe Armeli DPT

I'm Joe Armeli, a Doctor of Physical Therapy, Certified Athletic Trainer and Certified Strength and Conditioning Specialist, a movement enthusiast, and a fellow runner. I'm here to help you achieve your physical health and performance goals, whether you're just starting to run or are a seasoned vet. For questions or concerns, email me at [email protected]. Look forward to hearing from you!

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