Running With Plantar Fasciitis: A Comprehensive Guide

May

18

by Joe Armeli | Doctor of Physical Therapy

The article will help guide someone on how to run with plantar fasciitis.

Running, a sublime testament to the human spirit's endurance, holds a special place in the hearts of many. It's an activity that challenges us yet rewards us with a sense of accomplishment and inner peace. But as every runner knows, the path is often lined with hurdles. One such hurdle that many runners face is plantar fasciitis, a persistent source of heel pain.

This comprehensive guide aims to shed light on plantar fasciitis and provide practical strategies to manage it, empowering you to continue your running journey with confidence and resilience.

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 is a condition characterized by irritation of the plantar fascia, a thick band of tissue that runs across the bottom of your foot, connecting your heel bone to your toes.

Depending on the stage of your plantar fasciitis, this irritation results in stabbing pain that usually occurs with your first steps in the morning or after prolonged periods of standing or sitting. It's a common affliction among runners, particularly those who log many miles or suddenly ramp up their running intensity.

Why does running exacerbate plantar fasciitis? 

When running, each foot strike generates a force up to three times your body weight. This constant pressure can cause micro-tears in the plantar fascia, leading to irritation and pain. Additionally, high arches or tight calf muscles add to the strain on the plantar fascia, increasing the likelihood of developing plantar fasciitis.

The Runner's Experience with Plantar Fasciitis

Plantar fasciitis can lead to missing training days.

To understand the runner's journey with plantar fasciitis, we need to delve into the unique challenges it presents. Running, by its very nature, places tremendous stress on the feet. When plantar fasciitis enters the equation, each footfall can feel like stepping on a nail. The repetitive impact can exacerbate the pain, transforming each mile into a grueling test of will.

The physical pain is just one aspect of the story. The condition often brings an emotional toll as it disrupts training schedules and interferes with performance goals. The journey is personal and different for everyone - while some might step back and allow their body to heal, others will grit their teeth and bear the pain. With this article I will give you teeth gritters the best ways to manage your plantar fasciitis while continuing to run. 

Managing Plantar Fasciitis for Runners 

Plantar fasciitis might seem like a formidable adversary, but armed with the right strategies, you can effectively manage this condition and continue running. Here are some approaches to consider:

Rest and Recovery

Using the elliptical, cycling, and weight lifting are all alternate methods to stay in shape while recovering from plantar fasciitis.

The first line of defense against plantar fasciitis is often rest. Running is a high-impact activity, and continuous running with plantar fasciitis can intensify the condition. Rest allows the irritated plantar fascia to begin the healing process, reducing pain and preventing further injury. I am not suggesting taking a break from running; however, what I am suggesting is to add an extra rest day or slow down your progression. 

Chose one day during your running week and substitute it with a low-impact activity like swimming, cycling, the elliptical, or weight training

Stretching and Strengthening 

Squats, calf raises, and toe squeezes are all examples of strength training that needs to be done if you are running with plantar fasciitis.

If you are going to try and run with plantar fasciitis incorporating plantar fasciitis-specific exercises routinely can help alleviate the symptoms of plantar fasciitis. Regularly stretching the plantar fascia and Achilles tendon can help mitigate the tightness and discomfort associated with this condition. Meanwhile, you should be performing strengthening exercises so that the intrinsic foot muscles, calves, and hip muscles can provide better support for the plantar fascia, reducing the strain on the arch while running and helping prevent future plantar fasciitis flare-ups.

Plantar fasciitis rehab program

Proper Footwear 

Proper running shoes are needed if you are going to run with plantar fasciitis.

The right shoes can make a significant difference in managing plantar fasciitis while running. Research has shown us, shoes with proper arch support and cushioning can help distribute the impact forces of running more evenly across your foot, reducing the stress on the plantar fascia. In some cases, orthotic inserts might also be recommended to provide additional support. 

Choosing the Right Shoes

Knowing your anatomy of a running shoe can help you chose the right shoe for running with plantar fasciitis.

Shoes are more than just fashion statements. When it comes to running, especially with plantar fasciitis, they serve a critical function. The right running shoes can provide the necessary support and cushioning, reducing the pressure on the plantar fascia.

When selecting running shoes, consider these factors:

  • Arch Support: The shoes should have good arch support to distribute impact forces evenly across your foot, reducing the strain on the plantar fascia.
  • Cushioning: Adequate cushioning can help absorb the shock of each footfall, decreasing the stress on your heel and plantar fascia.
  • Fit: The shoes should fit well, with enough room in the toe box to allow your toes to move freely.
  • Heel Counter: A firm heel counter can provide additional support and stability, helping to control the foot's pronation, which can otherwise exacerbate plantar fasciitis.

In some cases, over-the-counter or custom orthotic inserts might be recommended to provide additional support and cushioning.

Adjusting Your Running Form and Technique

Proper running technique is important when running with plantar fasciitis.

An often overlooked aspect of managing plantar fasciitis is your running form and technique. The way you run can either alleviate or exacerbate the strain on your plantar fascia. Here are a few tips to optimize your running form:

Foot Strike

While running with plantar fasciitis you should try and avoid running with a heel strike.

Foot strike refers to how your foot lands with each step. Some runners naturally land on their heels (heel strike), others on their midfoot, and some on the balls of their feet (forefoot strike). Research shows running with a heel strike generates a significant amount of impact with each step and can contribute to plantar fasciitis. Transitioning to a midfoot or forefoot strike can help distribute these forces more evenly and reduce the strain on your plantar fascia.

Cadence

A good running cadence for running with plantar fasciitis is around 170 - 180 steps per minute.

Cadence refers to the number of steps you take per minute. Research suggests a higher cadence (more steps in less time) with shorter strides can reduce the impact forces on your plantar fascia, helping to manage plantar fasciitis. A good running cadence is around 170-180 steps per minute. 

Body Alignment

Good running posture is critical for running with plantar fasciitis.

Proper body alignment ensures that the forces generated by running are evenly distributed across your body, reducing the strain on your plantar fascia. Aim for a tall, upright posture with a slight forward lean from the ankles, not the waist.

Ice and Massage

While running with plantar fasciitis you should be using icing and massage to manage your symptoms.

Applying ice to the plantar fascia can help reduce irritation and ease the pain associated with running with plantar fasciitis. Ice constricts the blood vessels, reducing the flow of blood and thus the irritation in the area.

Massaging the arch of your foot can also provide relief. It helps to stretch the plantar fascia, increase blood flow to the area, and promote the healing process. It can also help break down scar tissue that may have or is trying to form, improving its flexibility.

Icing is best done after a run, while massage can be done before or after a run. 

Warming Up and Cooling Down

Before you hit the trail or the treadmill, it's crucial to prepare your body for the demands of running, especially if you're dealing with plantar fasciitis. A proper warm-up decrease the risk of plantar fasciitis by preparing the plantar fascia for the impact of running. It also has the added benefits of getting you ready for your run by increasing your body temperature, enhancing muscle flexibility, and improving your overall running performance. It can also potentially 

A warm-up routine should ideally start with a low-intensity activity like walking or cycling to raise your body temperature. This should be followed by specific stretching and strengthening exercises targeting your feet and lower legs.

Similarly, a cool-down walking or stretching phase after running is equally essential. It allows your body to gradually transition from an active state to a state of rest, preventing a rapid drop in blood pressure and aiding in recovery.

Consulting a Healthcare Professional

While these strategies can help manage plantar fasciitis, it's important to remember that they're not a substitute for professional medical advice. Everyone's experience with plantar fasciitis is unique, and what works for one person may not work for another. If your symptoms persist, worsen, or significantly interfere with your daily activities, it's essential to consult with a healthcare professional.

Conclusion

Running with plantar fasciitis can be a challenging journey, but with the right strategies, you can manage this condition and keep moving forward. Remember, everyone's experience is unique, and what works for one person may not work for another. It's essential to listen to your body and consult with a healthcare professional if your symptoms persist.

With understanding, patience, and resilience, you can navigate the path of running with plantar fasciitis and continue to enjoy the rewarding journey of running.

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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