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How to work out with plantar fasciitis?

I was a distance runner in high school and college (rather a good one too) and about 3-4 months ago decided to start getting back into it as part of my attempts to get fit again. I started slow with one of those Couch-to-5K apps, and it's been really satisfying slowly getting better again.

 

However: About 2 months ago I started having some arch and heel pain—the dreaded plantar fasciitis. Rest and calf/ankle stretches made it go away fairly quickly, plus the added benefit of a week where I had the flu so was almost entirely off my feet, and it was never really terrible—usually just tightness in the morning that was pretty manageable. However after all that rest with 0 pain, I started running again this week, and holy cow is it back with a vengeance. I can hardly walk in the mornings, I limp around pathetically and running is definitely out of the question.

Beyond calf stretching and buying better cushioned shoe inserts, my doctor told me the best thing to do would be lose more weight. (As if I wasn't already working on that, jerk. I'm down 13lbs since December, another 20 to go. BMI currently ~27.) Anyhow, how can I lose weight and stay active when I'm required to rest my legs and feet? I feel so frustrated, and I was just starting to get excited about chipping away at my mile time.

 

I do not have a gym membership, so suggesting machines is sadly not an option. I've been running 3 days a week, going to a ballet class once a week, and using FitStar another 2-3 days. 

 

Any suggestions for activity while struggling with plantar fasciitis welcome, as well as any tips you have for recovery!

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23 REPLIES 23

In addition to stretches, you could roll a tennis ball or a frozen bottle of water under the foot.  Stretching is very important.  Ice the calf muscle too, as that is the root of the problem, not the feet.  I'm fine while moving, it's when I stop for a while, my feet remind me of the Plantar Fasciitis.  I was told to stay off my feet, so I took up bike riding in the evenings, and kayaking every other weekend, to give the feet a break from hiking.  When it gets to the point of not being able to walk, I go back to the foot doctor for a shot in the heel.  It's painful for the first few days, then it's better.  I have to do that about once a year, because (as the doctor put it) I cannot seem to stay off my feet.  I have custom orthotics too, which help a great deal.  The cushion insoles are not recommended, as they cause the condition to worsen.  Quality shoes are a must as well.  Don't give up, there is always something you can do, to burn calories, besides running. 

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Hi @meg5168

 

Just wondering.... have you consulted a doctor or Physio for this matter? 

 

I had Plantar when I started my 1/2 marathon training. Couldn't even put my foot down at that time. Always started a day with sharp pain. So I consulted my physio. The root cause of my problem was my ankle wich I twisted couple of years ago. (of course not healed properly). After that so many cramps on my calves and finally ended with plantar. My physio did some dry needling on my calves and also on my foot. Within couple of weeks, It's gone. 

 

Why am I saying this? May be, the problem is some where which you don't remember or identify. A professional can help you.

 

Good luck

Bhuvana 

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@Bhuvana I have not, but I am planning to if this continues!

I strongly suspect the problem is related to a lot of issues with unbelievable tightness in the backs of my legs—I've always had issues with this, in both running and ballet (I'm one of those people who has always been barely able to touch their toes no matter how fit I was.) My calves and also my IT band and hamstrings are a nightmare; I've only done stretching, some PT, and loads of foam rolling in the past, but I've had several people recc accupuncture and needling though I admit the idea scares me a little! But I will look into it, thank you!

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Try biking and see how it feels. I was able to bike when walking caused pain.

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@meg5168. I suffered with PF for almost a year so I understand your pain. I was in the same boat. I knew that losing weight would help but how could I exercise when I could barely walk? I finally got relief when I found night splints at Wal-Mart. After the very first night of wearing them I noticed improvement. I used them for about six weeks and the pain was virtually gone which is when I started my workout routine. That was 7 months and 56 pounds ago and I have been pain free since. 

Don't give up. You'll find the solution that works for you!

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Try this

 

Reclined Leg Stretch What it Does: Reclined Leg Stretch provides a safe stretch for the hamstrings and the tissue that runs along the back of the hip, thigh and calf, which tugs on the sole of the foot when it gets tight. How to Practice: Lie on your back, legs together. Strongly extend through the heels. Keep the left leg pressed on the ground as you bend the right knee to the chest. Place a strap around the arch of the right foot and hold the strap loosely in both hand

Dr.Gandhi
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I struggled with a slightly torn PF and achilles tendon for almost 2 years.  It would feel a bit better and I would try walking and did more damage.  I strongly recommend seeing a professional for advice- but someone who specializes in this.  As others have said, it can be connected to many other muscles and tendons.  The first doc I went to said it would take over a year to heal, because of my age and weight.  Turns out he was not entirely right - professional athletes often struggle over a year with it.

The tendons are tiny and there isn't much blood flow so they don't heal like a muscle.

That said, there is a lot you can do (some of which I only learned a year later).  The two docs that helped most were a Physical Therapist and a Podiatrist who worked with this a lot.  It took me a bit of time to find some that would actually think outside the box and see me as an individual and not just give me the same old treatment. Some rehab docs are good at this.  

One thing you need to know is if it is torn.  I know when I pushed myself I did more damage as the pain was like a burn - more tearing.  You do not want to do that.  If it isn't torn, just strained, it will heal faster.  You also need to know if your achilles is involved.  A professional can help with that.  If it isn't, they can make sure it doesn't get injured as it is more vulnerable now.  

The list of what helped:

ice for pain - takes away inflammation so it can heal.  A bag of frozen veggies works.

perfectly fitting shoes (I had trouble wearing any shoes for a long time, the pain was so bad).  This includes either custom orthotics or, if they fit well, inserts that provide support, not cushioning.  I couldn't do this until it healed.  But mine was bad, at the connection of both tendons, and I couldn't wear regular shoes- clogs only (ugh)

exercises from a PT or other specialist.  I was started on exercises very very gradually. I found a PT who was smart and gave me a full hour and I went 3x weekly.  The exercises included my entire leg, stretching and strengthening, and focused on large muscles as well as tiny ones.  Do not do this on your own.  There is a very specific order to increasing the intensity depending on how your foot is responding.  They checked my range of motion and strength each time and watched me carefully.

It's years later, I have had no further problems and I still try to do the exercises.  It's common to have a recurrence, with it getting worse each time.  It's been 3 years for me and I am walking /hiking more than ever with not recurrence.

If getting out of bed is painful, they can recommend a night splint.  They first check to see if the achilles is involved, so that isn't hurt further.  Don't put your foot down and put weight on it after sleeping if it hurts - your muscles are cold and the damaged tendons can tear a bit.  Do the foot exercises in bed first.  

There are foot casts (very light and thin) you can wear during the day that hold your foot in position gently so you can move but still protect the tendons.  Again, a PT or specialized doc can help. 

The tennis ball is great, after the inflammation is minimized.  Some people need a smaller and slightly softer ball.  You will need to keep your muscles and tendons strong and stretched.

I ate well, thinking about giving my muscles great nutrition.  And I drank a lot of water.  Having gone through periods of not thinking about my nutrition, I am convinced that eating really healthy helped me heel faster and keep the pain away.  

You might be able to swim or ride a bike.  Meanwhile, you can do upper body workouts, some core.

Good luck

 

 

 

 

The activity that seems impossible today, will soon be your warm-up
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I had the dreaded PF for about 14 months, it was horrible.

Some of the things I did to eradicate it:

* Used a foot roller (Restore/Gaiam brand)  I used it cold, and/or hot on different occasions.  (A softball works too!)
* Used both a Strassburg sock, with a stiff insole (Superfeet), and a PF splint.  Swapped one for the other over the course of the first few months!
* S-t-r-e-t-c-h-e-d my calf muscles, and plantar several times each day.  (Standing calf stretch with a gentle lifting of the heel, just until you feel the stretch in the plantar.)
* Began each day with foot circles (while still in bed!)  rotate foot in circles in, and out.  Try to splay your toes as much as you can...you will realize just how little you stretch your feet!!!  (I still do this every morning!)
* Took Aspirin when needed.

For exercise:  The elliptical saved me!  Cycling worked too, as did gentle swimming.

I hope you're over PF soon Smiley Happy

Belle
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I feel your pain, I am currently walking around with planter faciitis. I do all the stretching everyone is speaking about, have massage balls for feet and orthotic insoles (Dr Sholls). When I have a real bad day and need to get my exercise in, the elliptical at the gym seems a bit better to use. My feet are way better than in the beginning and I have lost some weight, not sure if weight loss is the thing that is making it better or all of the above. Hang in there. 

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I have PF because of a bone spur on my heel. Hard plastic inserts and the calf/plantar stretches help. After I run, I'll stretch, put on a compression sock I bought for the PF, and elevate my foot for a good bit of time.

 

You could just freeze a bottle of water and roll it under your foot, too. That's helped me a lot.

 

Good luck!

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I've also had problems with this. As a yoga and dance teacher, I need to be on my feet (typically in my bare feet or shoes with out arch support). So my arches take a beating. I've found some great ways to treat angry foot ligaments and facia using dance tools. 

Capezio puts out a great arch support that can even be worn even while in toe shoes. I wear them when I teach yoga, dance or run around the house with out shoes. Not to mention they are only $12! http://www.capezio.com/arch-arch

Have you tried using the physio bands for dancers? Bun Heads has them in three different strengths. There are other companies that also make them. This are just the ones I use. I'm sure your dance teacher can show you how to use them. They are designed to strengthen your arches and ankles.

As for tight calves and legs in general. Well these become par for the course the more time you spend in releve. Give yoga a try. A good yoga teacher will help you get your body warmed up and then stretched out safely. These are also yoga asanas (poses) that help me to strengthen your arches and lengthen your muscles. 

As mentioned in a previous reply the tennis balls and the frozen water bottle are awesome when you are hurting.

Take care and keep dancing!

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Meg5168:  If it is in only one foot chances are that leg is longer than the other leg causing the longer leg to hyper-pronate which stresses the Plantar Fascia.  Stand with equal weight on both legs and have someone check the height of your Illiac crests.  Place magazines under your shorter leg until the crests are level and measure the height of the magazines.  Place a full length lift in the shorter leg.  The other causes of your problem is tight heel cords and lack of big toe extension on the problem foot.  Check your running shoe's wear pattern. Chances are you are hitting more laterally at heel strike on the offending foot causing Hyper-pronation.  Make sure your shoe's have a firm heel counter to help prevent the hyper-pronation.  Change Dr's he is a fool

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I have found all these thinks worked for me too.  I also put on a good cushion sneaker (slip on style) when I get out of bed in the morning until I get a bit of walking in.

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I was lucky enough to get physical therapy for my PF along with some other physical therapy after cancer and my motorcycle wreck.  I used to teach C25k classes before the cancer, and I'm determined to again. 
Rolling a ball under your foot- use a golf ball, it is harder and smaller and really gets in there to break up the tightness.  My therapist also recommended Vasyli Dananberg insoles (available from Amazon). They support the whole foot so your heels don't tighten up so much.  These two things have made a tremendous improvement and I am now back to rather active workouts, and walking 3 - 5 miles. 

As for working out at home without running, I am going this workout through the winter and have lost 17 pounds since Jan. along with using Fitbit to help track calories. 
http://superhealthy365.com/10-week-no-gym-home-workout-plan/


Good luck, I know what horrible pain you're in.

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Having had chronic PF for the last 30+ years, I can not emphasize the importance enough, of wearing the right shoes. For me, that means a pair of comfort moccasins. Mine are real leather, and have a good built in arch support, with good flexibility in the ball of the foot. Because they are slip on shoes, they cause me to grip the insides with my toes when I walk, to keep them on my feet, and that helps me a lot. And despite them already having good built in arch support, I do have an additional arch support insert in them, because I have high arches and need it.

 

In fact, I own multiple arch support inserts, because I have to change the type I use, as needed. Some days are best with just a foam one, some days I need extra support from one with a rigid piece of plastic in them. But I don't wear a full foot supports, because that impedes my ability to bend at the ball of the foot, making my problem worse. Your mileage may vary, and you need to experiment and find what works for you.

 

When you are in pain, take the time off and rest your feet, as your doctor recommended. Do the stretching exercises and foot massaging recommended by others here.

 

Perhaps get yourself a couple of hollow rolling pins that can be filled with water, and keep one in your freezer, while using the other with hot water. Alternate using them for pain relief, setting one on the floor and rolling it with the arch of your foot. (socks on for the ice, unless you want frostbite!) Use the frozen one for no more than 15 minutes, wait 45 minutes, then use the hot one for 45 minutes, wait 15 minutes, then repeat the frozen one. Keep doing this till your feet feel good again.

 

Once they have healed enough, start slowly with the walking...not too much, and not too fast. Always start each walking session with a warm up for your feet, by walking slowly, with more exaggerated steps, going heel to toe, picking up your toe higher when you place your heel down, rolling off the toe with your heel higher off the ground. It's good for stretching out your feet before you get into a normal pace of walking. I do this for about a block.

 

Start with a low step goal, of perhaps 3K per day for a week, then increasing that to 4K for a week, then 5K, etc.. If you wake up the next morning feeling sore at any point, rest that day, and dial back to the previous step goal for awhile. What you are looking for is the sustainable sweet spot for those shoes, where you can do it every day, consistently, without feeling pain. This is your shoe benchmark number.

 

Try different arch supports in those shoes and see if your benchmark number changes. You are looking for the combo that will give you the highest step count, consistently, without pain.

 

Every time you get a new pair of shoes, rate them by that benchmark number. Can you keep the same step count without pain? Can you consistently get a higher step count from them, without pain? If your count is lower, try them with different arch supports and see if that improves your step count. It it doesn't, throw them away. If it's higher, keep them and find their benchmark number, like before.

 

A few more tips...

 

When sitting for long periods of time, take off your shoes. Sit on the edge of your seat, not all the way back. Put your feet under the seat, back far enough that they bend at the ball of the foot.That will help keep them stretched out so that they aren't tightened up when you get up to walk around, later.

 

Always wear your shoes when walking, even around the house. Never go barefoot unless you are sitting down.

 

On those days when you have to take the time off for healing, you can still exercise...a LOT. And you don't need to go to a gym, or buy any expensive equipment. Search Youtube for "chair aerobics".

 

Olga Kobzar has 3 for people with bad/injured knees or feet. Try hers:

Paul Eugene has some good workout videos, too. Take what you learned from Olga's workouts, about the use of weights, if you find Paul's workouts to be too easy for you.

 

If you continue to have problems with your feet, that you can't live with, talk to your doctor about it, and perhaps the use of night splints.

 

Hopefully, in the long run, you will have a better prognosis than me. My problems are chronic and rather permanently disabling, forcing me to make a career change. I now work from home, freelancing, over the internet, because daily commuting by bus is a killer for my feet. But more recently, I have come upon some shoes with a good benchmark, allowing me 10K steps per day, so bought out the store's entire stock. But since I like freelancing so much, I don't plan on giving that up. 🙂

if you had low body injure, for example: hurt, weak, bad knees or feet , and spending a lot of time on a chair with workout will help you to keep your upper body strong and it is good for posture.
The cardio and strength workout on a chair was created for people with bad/injured/weak knees or feet.
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@meg5168, if you want any suggestion then you can try tennis ball to perform some exercise that will be helpful for treating plantar fasciitis. Also, you can try apple cider vinegar to cure plantar fasciitis. There is a lot you can do to cure plantar fasciitis apart from exercise and using apple cider vinegar. But, you can know more to cure plantar fasciitis at: BestFootCares.com

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To work out with Plantar Fasciitis you must first find the cause. In the
majority of cases it is caused by 1. over pronation at mid-stance. 2. A leg
length discrepancy, the longer leg over pronates because the body wants to
accommodate for this discrepancy. 3. Tight calf muscles. 4 Decreased big
toe extension causing the foot to avoid toe off there so your foot
placement is more laterally, which causes over pronation. I developed
Plantar Fasciitis after years of running because my Left leg was longer
than my Right leg. After purchasing OTC orthotics that helped maintain my
transverse arch and purchasing running shoes with a firm heel counter to
assist in rear foot stability, I ran for many more years pain free and am
still pain free. You can use ice, tennis ball, but the ultimate answer is
to eliminate the cause of the problem, or use orthotics that minimize the
stress on the transverse arch which is maintained by the Plantar
fasciittis. Injections will not help, surgery will not help. Good luck.
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I’ve had to deal with plantar fasciitis on & off for years.  Now I’m also dealing with a bone spur.  I find that using a golf ball works really well.  Proper footwear with support needed to address this makes all the difference.  Stretching is great & I ensure my muscles are warmed up before I start with the stretching.  I tend to go bare foot in the house and unfortunately this doesn’t help , so now I wear house only shoes or slippers with support & that has helped immensely.

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@impix I've been wearing OTC Orthotics for over twenty years and wear
running shoes with a firm heel counter which provides great rear foot
stability, both help prevent over Pronation which is one of the prime
causes of Plantar Fasciitis. I also never go bare foot or wear flip flops.
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