Expert Advice: Beating Plantar Fasciitis So Bad I Can’t Walk

May

2

by Joe Armeli | Doctor of Physical Therapy

Learn how you can help your plantar fasciitis so bad you can't walk.

Imagine a dedicated runner, Sarah, who's been hitting the pavement for years. She's always brushed off the occasional foot pain as typical post-run soreness, but recently, she's noticed that it's become more intense. Sarah has ignored the symptoms of plantar fasciitis for so long that now she can barely walk, let alone run. As she hobbles around her home and at work, she wonders what went wrong and how she can get back on her feet again.

But fear not! If you find yourself in Sarah's shoes, there are solutions and coping strategies to provide temporary relief and make plantar fasciitis more tolerable. Moreover, there are also permanent solutions to help you rid yourself of this debilitating condition.

My Plantar Fasciitis Hurts so Bad. Why Can’t I walk? 

The reason you can't walk with plantar fasciitis is your bodies natural protective mechanism.

First, it's important to understand what plantar fasciitis is. This condition occurs when the plantar fascia, a thick band of tissue connecting the heel bone to the toes, becomes inflamed due to excessive strain. Inflammation can cause severe pain, making walking nearly impossible in extreme cases.

Now that you know that plantar fasciitis results from irritation of the plantar fascia, you might wonder why the condition can become so severe that walking is no longer possible.

The reason lies in our body's natural protective mechanism. Walking puts additional stress on the plantar fascia, which can worsen plantar fasciitis. To prevent further damage or even rupture, our body recognizes the severity of the condition and attempts to protect us. Our body is clever in knowing that humans can only tolerate so much pain. As a result, it sends pain signals to our brain when we walk, encouraging us to stop walking and allow the plantar fascia to rest and heal.

Symptoms of Plantar Fasciitis and Identifying Severe Cases

Plantar fasciitis typically develops progressively, beginning as a minor annoyance and potentially worsening into a debilitating condition. For some individuals, it may progress to a stage where their plantar fasciitis is so severe that they cannot walk. The stages of plantar fasciitis are usually characterized by distinct sets of symptoms.

Plantar fasciitis develops in stages. The last stage of plantar fasciitis is often when it gets so bad you can't walk.

Stage 1: Early Plantar Fasciitis

Symptoms: Mild discomfort in the heel or arch of the foot, pain during initial morning steps or after periods of rest.

Stage 2: Advanced Plantar Fasciitis

Symptoms: Increased and persistent pain, discomfort throughout the day, and limited mobility due to the severity of pain.

Stage 3: Chronic Plantar Fasciitis

Symptoms: Continuous and debilitating pain, disruption of daily activities, diminished quality of life, difficulty walking.

Treatment Options for Plantar Fasciitis So Bad You Can't Walk

Treatment options for plantar fasciitis for those who have severe plantar fasciitis can be divided into coping strategies for pain relief and permanent solutions to rid your plantar fasciitis. There are also some tools available out there that may help you get some relief. 

Coping Strategies for Managing Severe Plantar Fasciitis Pain

Fast pain relief for plantar fasciitis can be provided by: using a frozen water bottle on your arch, using ice on your plantar fascia, using heat on your plantar fascia, and massaging your arch.

When plantar fasciitis pain becomes unbearable, and walking feels like a Herculean task, it's essential to have a game plan to ease the discomfort. While these strategies may provide some immediate relief and take the edge off, remember that they're not a long-term solution. 

  1. The Icy Touch: Applying ice to your plantar fascia can help reduce inflammation and numb the pain. Use an ice pack or even a bag of frozen peas wrapped in a towel to avoid direct contact with your skin.
  2. Roll it Out: A frozen water bottle for plantar fasciitis serves as an excellent makeshift ice pack and a massage tool. Gently roll it under your foot, focusing on the most painful areas, to alleviate discomfort and promote blood flow.
  3. Warm it Up: Utilizing heat therapy for plantar fasciitis can aid in relaxing the muscles in your feet and enhancing circulation within the foot's arch. To experience soothing relief, apply a heating pad or a warm towel, but be careful not to heat the area excessively.
  4. Massage: A massage for plantar fasciitis can provide significant relief for your sore feet. Utilizing your hands or a massage gun, target the painful areas while being cautious not to inflict additional discomfort. Massaging the affected areas not only relaxes the muscles but also enhances circulation and alleviates tension in tight spots.
  5. Stretch it Out: Incorporating stretches for tight calves and plantar fascia into your daily routine, especially in the morning or at night, can help relieve tension and discomfort. 

Tools For Plantar Fasciitis Pain Relief When it is So Bad You Can’t Walk 

Tool such as orthotics and night splints are helpful tools for helping you deal with plantar fasciitis pain when it is so bad you can't walk.

When plantar fasciitis pain becomes unbearable and leaves you struggling to take a single step, it's time to consider some temporary relief options. While these tools aren't a permanent solution, they can provide the much-needed respite your feet crave. It's essential to remember that these aids should be used with a comprehensive treatment plan, as relying on them alone might be like putting a band-aid on a more significant issue. 

  1. Night Splints: Research shows using a night splint for plantar fasciitis can significantly improve the morning discomfort experienced by those suffering from this condition. This helpful device maintains a gentle stretch in your foot throughout the night, preventing the plantar fascia from becoming tight. As a result, you'll likely notice reduced pain and stiffness when taking your first steps in the morning.
  2. Orthotics: Evidence shows custom-made or over-the-counter orthotic inserts can be a lifesaver for those struggling with plantar fasciitis pain. These inserts provide essential arch support, cushioning, and shock absorption that can alleviate some of the pressure on your plantar fascia. Slipping a pair of orthotics into your shoes can be the difference between hobbling in agony and walking comfortably.

Permanent Solutions to Treating Severe Plantar Fasciitis 

When plantar fasciitis becomes so severe that walking seems impossible, it's time to consider committing to a rehab program that can rid your plantar fasciitis. Keep in mind that patience is key. Permanent relief from plantar fasciitis takes time. 

Plantar fasciitis rehab program

The first step in this rehab plan is to strengthen your foot core. A weak foot core could be the culprit behind your plantar fasciitis, so focusing on exercises that improve intrinsic foot muscle strength is essential. Toe curls, heel raises, and arch lifts are just a few examples of exercises that can help you achieve a stronger foot core.

Next up is calf strength, which is often overlooked but plays a crucial role in alleviating plantar fasciitis pain. Strengthening the calf muscles can help take the pressure off the plantar fascia. Incorporate exercises like standing calf raises and seated calf raises into your routine to enhance your calf strength.

Tight calves can also contribute to plantar fasciitis, so it's essential to address this issue as part of your rehab plan. Stretching exercises like the classic runner's stretch, where you place one foot forward and lean against a wall, can help loosen up those tight muscles.

Lastly, it's vital to address further up the chain at the hips. The hips play a major roll in the mechanics of your feet. Strong hips correctly align your feet and take pressure off yoru plantar fascia. 

If You Can’t Relief Your Plantar Fasciitis

Corticosteroid injections, PRP injections, and surgeries are available when nothing else helps your plantar fasciitis that is so bad you can't walk.

Sometimes, plantar fasciitis can be so severe that it feels like you're walking on pins and needles, making it nearly impossible to carry out daily activities. If you've committed to rehabbing your plantar fasciitis but haven't found relief, consider more advanced options.

Surgeries for Severe Plantar Fasciitis

  • Plantar Fasciotomy: A plantar fasciotomy surgical procedure involves making a small incision in the plantar fascia, the band of tissue that runs along the bottom of your foot. By partially releasing the tension in the tissue, a plantar fasciotomy can provide significant relief from pain and improve mobility. This option is typically considered when conservative treatments have failed to alleviate symptoms after several months.
  • Gastroc Recession: A gastroc recession is a surgical procedure aimed at lengthening the calf muscles, which can contribute to plantar fasciitis. By loosening the tightness in these muscles, the procedure can help alleviate the strain on the plantar fascia and provide relief from pain. This surgery may be recommended for individuals who have difficulty stretching their calf muscles despite regular stretching exercises.

Injections for Stubborn Plantar Fasciitis

  • PRP Injection: Platelet-rich plasma (PRP) injections for plantar fasciitis involve using your body's growth factors to promote healing in the plantar fascia. During this procedure, a blood sample is drawn and processed to isolate the platelets and growth factors. These substances are then injected into the affected area, stimulating the healing process and potentially reducing pain. PRP injections are a relatively new treatment option and are still being studied for their effectiveness in treating plantar fasciitis.
  • Corticosteroid Injection: If the pain becomes unbearable and other treatments have proven ineffective, a corticosteroid injection for plantar fasciitis may provide relief. This method can offer quick, though temporary, respite from the inflammation related to plantar fasciitis. However, it's important to remember that corticosteroid injections should be used cautiously, as excessive use could weaken the plantar fascia and potentially lead to additional harm.

Lifestyle Changes for Plantar Fasciitis So Bad You Can’t Walk

How Footwear Choices Impact Plantar Fasciitis and Walking Comfort

The right footwear can be your best ally or worst enemy in the fight against plantar fasciitis. The wrong shoes can turn a stroll into a painful hobble. 

The Importance of Proper Arch Support

Plantar fasciitis often stems from inadequate arch support, which can place undue strain on the plantar fascia, leading to inflammation and pain. Footwear with proper arch support can help distribute weight evenly across your feet, reducing the stress on the plantar fascia and making walking easier. So, when shopping for shoes, look for options with built-in arch support or add orthotic inserts to provide that extra cushioning.

Cushioning and Shock Absorption Matter

Walking or standing on hard surfaces can exacerbate plantar fasciitis pain, so it's crucial to choose footwear with adequate cushioning and shock absorption. Shoes with thick, comfortable soles can help absorb the impact of each step, reducing stress on the plantar fascia and providing a more comfortable walking experience. Consider options like running shoes or specially designed plantar fasciitis shoes to give your feet the necessary cushioning.

Avoiding High Heels and Flats

There are certain things you should avoid with plantar fasciitis. Wearing flats and high heels is one of them. While high heels and flats might be fashionable, they can wreak havoc on your feet if you suffer from plantar fasciitis. High heels place excess pressure on the balls of your feet, shifting your weight distribution and increasing the strain on the plantar fascia. On the other hand, flats often lack the necessary arch support, cushioning, and shock absorption to alleviate plantar fasciitis pain. 

The Role of Body Weight in Plantar Fasciitis Severity and Walking Ability

Losing weight can help make your plantar fasciitis less severe helping you walk with decreased pain.

Carrying extra pounds can be a real pain in the foot, especially regarding plantar fasciitis. The relationship between body weight and the severity of plantar fasciitis is no secret – the heavier you are, the more pressure you put on your feet, which can exacerbate this painful condition. Research shows for every pound you weigh, your feet endure approximately 1.5 times that amount of pressure when walking. 

Lightening the Load

Losing weight may be easier said than done, but shedding those extra pounds can work wonders for alleviating plantar fasciitis pain. By reducing the stress on your feet, you'll be giving your plantar fascia a much-needed break and a better chance to heal. A healthy diet, regular exercise, and a consistent sleep schedule can help you achieve your weight loss goals. Just remember to choose low-impact exercises, like running on an elliptical, weight training, or cycling, to avoid further stressing your feet..

Self-Care Tips for Plantar Fasciitis So Bad You Can't Walk

When dealing with plantar fasciitis so severe that it's difficult even to take a step, it can feel like you're stuck between a rock and a hard place. But fret not! Here are some self-care tips to help you navigate this painful situation and get back on your feet quickly.

Put Your Feet Up: Rest Breaks are Crucial

Take frequent rest breaks throughout the day to give your feet a much-needed respite. Remember, your body is good at telling you when it’s time to get off your feet. Pushing through pain will only make your plantar fasciitis worse.

Consider a Walking Boot

Sometimes, a little extra support can make a world of difference. Wearing a walking boot may give your feet the stability and cushioning they need to heal. Think of it as a temporary crutch to help you walk while your body works magic.

Stretch, Ice, and Massage Your Foot

They say good things come in threes, and when it comes to plantar fasciitis, a trifecta of stretching, icing, and massaging can provide you with some relief. Set aside some time each day to stretch your calf muscles and the arch of your foot. Follow this up with icing the affected area to reduce inflammation and gently massaging your foot to improve blood flow.

Early Intervention: Preventing Your Plantar Fasciitis from Getting So Bad You Can’t Walk 

It's essential to nip plantar fasciitis in the bud, as ignoring it can lead to a downward spiral where the pain becomes so intense that walking seems insurmountable.

Plantar fasciitis is often dubbed the "sneaky injury," as it worsens over time if left untreated. Like a ticking time bomb, the pain and discomfort can suddenly explode, making it nearly impossible to walk. Early intervention is crucial for those experiencing the telltale signs of plantar fasciitis.

Be aware of the different stages of plantar fasciitis and its symptoms, and start conservative care immediately. Addressing plantar fasciitis in its early stages can reduce the healing duration and minimize its severity, allowing you to maintain the ability to walk without discomfort.

Conclusion

In conclusion, plantar fasciitis can be a formidable foe, causing pain so severe that walking becomes a nearly insurmountable challenge. But don't throw in the towel just yet! By understanding the root cause, recognizing the symptoms, and taking prompt action, you can prevent your plantar fasciitis from escalating to a point where walking is impossible. Incorporate coping strategies, explore temporary relief tools, and commit to a comprehensive rehab program to get back on your feet. Emphasize early intervention and be proactive in managing your plantar fasciitis to avoid a "can't-walk" scenario. Remember, your feet are your foundation, so give them the care and attention they deserve. With persistence, patience, and the right approach, you can conquer plantar fasciitis and stride confidently into a pain-free future.

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 joe.armeli.dpt@gmail.com. Look forward to hearing from you!

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