Managing Plantar Fasciitis for Runners with Cross Training

Updated On:

September

13

Joe Armeli | DPT

Runner who is cross training due to plantar fasciitis with text overlay "cross training for runners with plantar fasciitis"

Have you ever felt a stabbing pain shoot through the bottom of your foot during a run? Or hobbled out of bed in the morning from heel discomfort? If so, you're likely familiar with the agonizing condition known as plantar fasciitis.

This repetitive strain injury plagues many runners, causing chronic irritation of the plantar fascia tissue. The pain can derail training and drain the joy from running. Popping ibuprofen only masks the problem temporarily. Altering your gait to avoid pain can lead to compensation injuries. It's a frustrating cycle that can feel impossible to overcome.

But here's the good news - cross training provides the solution. A targeted cross training program builds strength and stability in the feet and lower legs without the repetitive impact of running. Low-impact aerobic exercise enhances overall fitness. Cross training can help manage plantar fasciitis, restore your running, and get you back hitting the pavement pain-free.

What is Plantar Fasciitis?

Showing the anatomy of the plantar fascia

Plantar fasciitis is an overuse injury that causes irritation and pain in the plantar fascia - the thick band of tissue that runs across the bottom of your foot. This tissue connects your heel bone to your toes and creates the arch of your foot. 

When the plantar fascia becomes irritated, usually due to repetitive strain from running, it can cause sharp stabbing pain under the heel or arch, especially when taking the first steps in the morning or after periods of inactivity. The pain typically worsens with more activity. Studies have found plantar fasciitis is a common running injury, affecting around 10% of runners. If untreated, it can become a chronic long-term condition.

Why is Cross Training Important for Runners with Plantar Fasciitis?

If you're a runner suffering from plantar fasciitis, cross training is essential for managing this aggravating foot injury. The constant pounding of run after run overloads the plantar fascia tissue, causing inflammation and pain. But completely resting the foot can lead to deconditioning. This catch-22 makes cross training crucial.

Cross training provides the solution by building fitness, strength and balance without further taxing your plantar fascia. It allows recovery between runs while enhancing your capabilities as a runner. 

Here's how cross training uniquely benefits injured runners:

  • It maintains cardiovascular fitness while giving plantar fascia a break from impact.

  • It strengthens lower leg muscles that support the foot's arch and stabilize strides.

  • It corrects muscle imbalances that contribute to poor foot mechanics.

  • It improves running economy once back running by enhancing power and efficiency.

  • It boosts neuromuscular coordination to smooth out gait timing and alignment.

  • It increases joint stability and impact absorption capacity for easier miles.

Cross training works hand-in-hand with targeted foot rehab to relieve plantar fasciitis flare-ups. By filling fitness gaps, it addresses the root causes that can trigger this frustrating condition for runners.

When to Take a Break from Running Due to Plantar Fasciitis and Start Cross Training 

Showing a runner who needs to take a break from running due to plantar fasciitis. While they are taking a break from running they are cross training with an elliptical machine while their plantar fasciitis is healing.

Taking a break from running after plantar fasciitis can be the hardest part of recovery. However, you have to realize that sometimes your body needs to heal and your plantar fasciitis can not do this unless you take the stresses of running off of it. 

Here are some signs it may be time for a runner with plantar fasciitis to take a break from running and focus on cross training:

  • Sharp, stabbing heel pain that doesn't resolve between runs. Lingering pain is a clue you need more rest.

  • Pain during runs that worsens as the run progresses. This indicates overuse irritation.

  • Pain and stiffness right when you wake up or take first steps after sitting. Your fascia hasn't relaxed.

  • Worsening limp, form or compensation to avoid pain. Your gait is being altered.

  • Loss of running performance. Inability to hit paces indicates you're in pain.

  • Lack of progress in PT or home treatments. Time off may be needed.

The earlier you take a break and cross train, the sooner your plantar fascia can recover. Don't try to push through worsening pain.

Choosing the Right Cross Training Activities for Runners with Plantar Fasciitis

Showing a runner suffering from plantar fasciitis cross training with cycling, an elliptical, yoga, strength training, a rowing machine, and swimming

The key is choosing options that maintain overall fitness but remove impact stress on the plantar fascia. This allows your plantar fasciitis to heal while avoiding detraining.

Some top low-impact cross training choices include:

  • Swimming: Provides a full-body workout to build fitness while eliminating impact. Works the whole kinetic chain through propulsive movements.
  • Cycling: Develops powerful leg muscles with zero impact. Builds cardio endurance from steady paced rides to high intensity intervals. Strengthens key muscles like quadriceps and calves. Read more about Cycling for Plantar Fasciitis
  • Elliptical Training: Mimics running motion while removing excessive pounding on feet and joints. Adjust incline and resistance for varied intensity. Read more about elliptical training for plantar fasciitis
  • Rowing: Works legs, core, back and arms in a low impact, rhythmic motion. Rowing engages over 80% of muscles for comprehensive training.
  • Yoga: Improves flexibility, core strength, balance and muscular endurance. Restorative poses gently stretch tight running muscles.
  • Strength Training: Exercises like heel raises, calf presses, and resistance band pulls target foot and lower leg muscles for added support. Read more about strength training for runners with plantar fasciitis

Cross Training Frequency for Runners with Plantar Fasciitis

So now you know the benefits of cross training for plantar fasciitis, but how often should you cross train?

Phase

Recommended Frequency

Initial Rest Period

1-2 weeks of cross training only, no running

Transition Back to Running

Gradually substitute 1-2 run days for cross training

Maintenance

1-2 cross training sessions per week in addition to running

Cross training for 1-2 weeks while taking a break from running initially is a good approach. After this 1-2 week break you can slowly start to substitute out cross training for running. For general running health I recommend always cross training 1-2 times a week.  

Read more about returning to running after plantar fasciitis

The key is listening to your body and cross training as needed to manage your symptoms. When plantar fasciitis flares up, scale back running and do more cross training. As the pain subsides, slowly reintroduce running. Avoid overdoing any one activity.

With a smart balance of running and low-impact cross training, you can keep making forward progress in your fitness without aggravating your plantar fasciitis. Be patient, adaptable and stay consistent.

Workout Plans

Below are some workout plans you can copy or use for ideas for your cross training sessions:

Elliptical

Training Component

Details

Warm up

5 minutes at an easy pace

Interval Training

5 x 3 minutes hard effort at 80-90% max HR, 1 minute easy recovery

5 x 2 minutes tempo effort at 70-80% max HR, 1 minute easy recovery

Cooldown

5 minutes at an easy pace

Total Time

40 minutes

Swimming

Training

Component

Details

Warm up

400 meters easy mixed swimming

Interval Training

10 x 50 meters sprint freestyle on 1:30 interval

5 x 100 meters moderate pace freestyle on 2:00 interval

4 x 50 meters sprint breaststroke on 1:30 interval

Cooldown

400 meters easy mixed swimming

Total Yards

1500

Cycling

Training Component

Details

Warm up

10 minutes easy cycling

Interval Training

10 x 90 seconds hard intervals at 80-90% max HR, 90 seconds easy recovery between intervals

5 x 3 minutes at moderate tempo 70-80% max HR, 2 minutes easy recovery between intervals

Cooldown

5 minutes easy spinning

Total Time

45 minutes

Common Mistakes of Cross Training for Runners with Plantar Fasciitis

While crosstraining can provide your plantar fasciitis the rest it needs to heal while maintaining your cardio vascular endurance and overall fitness there are some pitfalls you will want to avoid.

Here are some common pitfalls to avoid when cross training with plantar fasciitis:

  • Continuing high-impact activities like running or jumping. These will exacerbate plantar fascia inflammation.
  • Progressing too quickly with weights or resistance. Gradually build strength to avoid overstressing the tissue.
  • Neglecting rest days. Rest is crucial between cross training days to allow recovery.
  • Ignoring pain signals. Back off if a cross training activity causes pain.
  • Resuming running too soon. Ease back into runs gradually after 1-2 weeks of cross training.
  • Refusing to modify or stop painful movements. Don't push through if it hurts.
  • Using poor exercise form and mechanics. Causes compensation injuries.
  • Not stretching and rolling after workouts. Failing to care for fascia will aggravate it.
  • Wearing poor footwear. Cross train in proper supportive athletic shoes.
  • Cross training on depleted energy. Eat properly to fuel workouts and recovery.

The key is choosing complementary activities that don't exacerbate plantar fascia pain. Progress slowly, listen to your body, and avoid overdoing any one thing too soon. Patience and consistency will pay off.

Conclusion

If you're a runner struggling with the nagging pain of plantar fasciitis, cross training is a powerful tool to have in your arsenal. Implementing a strategic blend of low-impact cardio, strength training, flexibility work, and focused foot rehab can help relieve your symptoms and get you running pain-free again.

Remember, the key is consistency and patience. Don't try to push through worsening pain or return to running too soon. Listen to your body and adjust your cross training program as needed. Scale back when plantar fasciitis flares up and gradually reintroduce running as you improve.

With smart, adaptable cross training, you can continue strengthening your entire body while allowing your irritated plantar fascia time to rest. Use the workout ideas in this guide to maintain your fitness. Stick with it, and soon you'll be logging miles with happiness once again.

While it can be frustrating at times, plantar fasciitis does not have to spell the end of your running goals. Cross training keeps you moving forward, bringing you one step closer to crushing your next PB. You've got this!

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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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