The Dreaded F-Word

September 7, 2015

There’s a word we runners dread. It starts with an “F.” Well, actually a “P” and an “F.” Plantar Fasciitis.

Ugh. There is nothing quite like inflamed fascia on the bottom of our foot.

Plantar fasciitis is one of the most common running foot injuries and causes of heel pain … and I’ve got a minor case of it that I’ve been battling for a few months now. Luckily, it isn’t preventing me from running, but I’m ready to say adios to it. ASAP.

Plantar fasciitis is caused by inflammation in our plantar fascia, which is the thick band of tissue that runs along the bottom of our foot, connecting the toes to the heel. Every time we land on our feet it stretches, and every time we push off it contracts. Pulling and too much tension on the fascia can create inflammation … and hence, pain. Tight calf muscles can also be a culprit. When I was getting a sports massage a week ago, the therapist told me I had some of the tightest calves she’d ever worked on. Bingo!

Most people describe plantar fasciitis as causing an acute pain in the heel, with the worst pain often occurring in the morning just after getting out of bed. My case is not very painful in the morning, but rather it is worst after a long or intense run. It subsides fairly quickly, thankfully. The pain is generally on the inner side of the heel (which mine is) toward the center or farther up toward the arch.

Last week, I decided to attack my PF head-on with a trip to the drug store and more diligence throughout the day. Here’s what I’ve been doing to treat plantar fasciitis:

  • Rolling my foot on a tennis ball every day to loosen up the fascia
  • Foam rolling and stretching my calves daily.
  • Icing my foot after a run (15 minutes at a time) – ideally you would do this about three times per day
  • Getting a sports massage as often as possible (twice this month, including Graston on my foot and calves)
  • Applying Tiger Balm (my new favorite thing!) to my foot and other sore spots
  • Using kinesiology tape to ease the pain while I run – below is a good video I watched on YouTube to help me apply it correctly.

Sports medicine physician Dr. Jordan Metzel and the author of one of my favorite running injury prevention books Running Strong, also suggests a few tips for how to treat plantar fasciitis. I love his advice that you can typically continue running as long as your pain doesn’t change your running form:

  • Find activities like pool running, biking, swimming or the elliptical machine that do not cause pain to stay active while you treat the inflammation in your plantar fascia.
  • Pump your ankle up and down 10 to 15 times before getting out of bed every day to loosen your Achilles tendon and fascia before you stand.
  • Wear shoes with good arch support first thing in the morning, and consider purchasing foot splints to wear while you sleep. Orthotics for your running shoes may also be helpful.
  • See a sports doctor if your symptoms haven’t improved in two weeks.

Have you ever had plantar fasciitis? If so, how long did it last and what did you do to get rid of it?

Comments

Wendy@Taking the Long Way Home

Fighting it as we speak. This is round 2 for me. A few years ago it got so bad I had to have shockwave treatment on my left heel. I’m hoping to avoid that this time. There’s a few things I’m doing that you didn’t list…

One thing I’d add is that I put my feet on a heating pad in the morning to loosen them up. That seems to help a ton.

I have compression socks for my arches too–Feetures makes PF compression sleeves. I wear them all day long. Looks great with dresses…lol…

And I do lots of downward dogs–stretches out the achilles and the bottom of the feet.

I sure hope both of us move past this malady asap!

rUnladylike

Ugh Wendy! I hope you don’t have to fight this for too much longer. Thanks for sharing the other tips that work for you! Compression sleeves are a great addition. Thinking of you! xo

Christine @ Love, Life, Surf

Oh no! Plantar fasciitis is the worst! I really hope that you’re able to nip it in the bud. Oddly, I got a really bad case of it after I had my first son (and wasn’t running at all!). Now, every time I feel a twinge in my foot, I immediately up the foam rolling and trigger point work on my calves, ice, stretch and do foot exercises. I also second teh Feetures PF compression sleeves. Feel better soon!

Frank McDonald

I’m sorry to hear about plantar fasciitis. I think many runners will appreciate the advice on treatment and possible causes. I’ve been lucky to mostly avoid any bad cases since I began running. My wife suffered badly several years ago after walking on sand dunes and had great pain and difficulty walking for a couple of months.

Allie

UGH!!! PF is so awful and yes, I had a horrible case of it years ago. I ended up getting a cortisone shot which luckily helped immediately. I’ve had a few flare ups in the past but have never had another “serious” bout with it. I hope yours continues to improve and YES to help/advice from Dr. Metzl!

Judith

I’m on the mend from PF and have been doing several of the things you mentioned. I think what’s helped the most is ART therapy, calf exercises (for both strength & flexibility) and wearing a “flexibrace” I bought on eBay for under $9 at night (this thing is the BEST). I’m also careful about not further irritating the fascia so I don’t do the tennis ball — it seems to make it worse. Instead, I walk from side to side on a foam roller in my socks.

The PF started in February but really got bad in June/July until I actually started to treat it. I’ve been ramping up in marathon training, and while it’s not 100%, I don’t really think about it when I’m running any more. I mostly just notice it’s a little off after sitting around for awhile after a long or hard run and occasionally it’s still twinge-y first thing in the morning.

Hope yours resolved soon! PF truly stinks.

rUnladylike

So sorry to hear you were dealing with PF for so long. Thanks so much for sharing what has worked for you Judith!

Amber

You can do some exercises to work the intrinsic muscles of your foot! You can pour some marbles or other small objects on the ground and pick them up with your toes on the affected foot and put them back in their container, and you can also lie a towel down on the floor and scrunch it up using your toes. Sounds simple/silly but it’ll help. You can also see if any PT’s are ASTYM certified in your area and try that for faster healing. Ultrasound may also help if you visit a PT clinic. Hope you feel better!!

rUnladylike

Thank you so much for the tips, Amber!!!!

Alison @racingtales

Thankfully this is one injury I haven’t had but many friends have, and I’ve seen how debilitating and frustrating it can be. Sounds like you are keeping things under control; hope it goes for good soon!

Laura @ This Runner's Recipes

Oh no! I hope your PF heals soon, especially with how much care you’re giving it. I haven’t had PF, but I have dealt with calf and ankle injuries due to super-tight calves. I use a rolling stick on my calves several times a week because even a basic foam roll doesn’t loosen them up enough.

rUnladylike

I can’t seem to get my calves to loosen up EVER either. Nothing I try does the trick. Sigh. xo

Lee@tri*inspired*life

I battled PF a few years ago and tried lots of different things. It is hard to say the ONE thing that did the trick, but if I had to pinpoint it, it think it was stretching. Well, specifically yoga. The routine I followed regularly had us performing downward dog ALOT! It was some awesome stretching for my problem area! I have not had a reoccurrence, but every once in a while I will feel a twinge and the memories come back. Good luck dealing with your issues…it sounds like you are doing a lot of different things to address it!

Tim

I battled a really nasty case of PF early this year. It made me 12 weeks off of running to get it back to a point where I felt comfortable running again. There were a couple of things I did to make my foot get better. First being consistent icing. Second, I bought a strassburg sock to wear at night. That sock helped a TON! I am painfree now and am grateful for the purchase.

http://www.thestickfigurerunner.com/2015/04/running-week-in-review.html

rUnladylike

Thanks for the recommendation Tim. I’m glad your PF is a thing of the past. I’ll have to check that sock out. Hope you’re doing well.

Smitha @ FauxRunner

Oh No !!! Just catching up on this . I’m sorry 🙁 🙁
Have you tried freezing a water bottle and then rolling on it? I’ve heard great things about the strassburg sock as well.

CK @ Cooking Up Kefi

Two things that provided nearly immediate relief for me: 1) rolling my foot over a froZen can of vegetables 2) start on your knees with your calves behind you and your toes tucked under. Sit back slowly, bringing your butt as close as you can to Your heels so
You are getting a whole foot stretch but it’s not painful. Slowly rock back and forth for 10-20 reps as tolerated.

PF stinks but if you take care of yourself it will resolve– just don’t try any shortcuts… I tried me all, the never work 😉

rUnladylike

Thanks so much for the advice and tips. I’ve always heard of rolling on a frozen water bottle, which I haven’t taken the time to do but should. Thanks for your recommendation!