Category Archives: Avoiding Injury
Good news! My plantar fasciitis is improving and I am past the acute phase and into the recovery phase.
During the early part of the acute phase the main focus was to control inflammation and decrease pain. I rested my foot and was off running for 7 days. I also kept walking to short distances. I used Ibuprofen to reduce swelling and help with the pain, as well as cold massage, using a frozen water bottle or a cold can of soft-drink and rolling my foot on top of the bottle over the painful area. Just take a frozen water bottle and massage your foot, here’s an instructional video:
My physiotherapist worked on my calf muscles to release tension and reduce stress on my plantar fascia, and prescribed stretches to relax the plantar fascia and elongate my calf and Achilles. In the latter part of the acute phase, I focussed on my stretches and massage to ease up my calves and stretch my Achilles, continuing foot stretches and using tennis and golf-ball massage to really get into the plantar fascia. Here’s a video showing the technique I used for my tennis ball and golf ball massage:
You can also ‘double up’ with cold and massage to help alleviate symptoms. To do this I put a couple of golf balls in the freezer and then used them to massage my foot as shown in the tennis ball video.
Active Rest: Don’t recover on your couch!
‘Active rest’ is key during the latter part of the acute phase so you don’t lose fitness and strength, so it’s important to find alternative forms of training that keep your fitness levels up but do not stress the fascia. For my active rest I got back on the bike so my cardio fitness was maintained, though I have read that a lot of people choose swimming as it has no impact. Whatever you choose, make sure it is a low or nil impact exercise that will get blood and oxygen flowing, which assists to speed up your body’s repair.
As it has now been a few weeks and the condition is improving I have also started football training again as I find the ‘fartlek’ type training on grass good for my cardio fitness, without the impact of running on pavement or the long repetitive straining that comes with long running on the pavement. I have found taping for support and compression to be useful too. Here is a video which shows you how to replicate the taping that my physio did for me. I do the first part of the taping with the anchor strap and cross straps, the optional ‘top of foot’ taping restricts my movement too much and I don’t find it necessary.
There are other taping techniques which provide even more support, however I wouldn’t recommend it on the basis that if you need that much taping on your foot just to complete ‘active rest’ activities, then your active rest activity is far too stressful, or you are still too early in the acute phase to be doing active rest.
Onwards and upwards: the recovery phase
Looking ahead to the recovery phase I have been doing some research and also speaking to my physiotherapist as to how best to recover and ensure an ongoing reduction in the stress on my plantar fascia. This mainly revolves around stretches and exercises to elongate my calves while keeping them strong, and to keep my plantar fascia elongated. However, while doing some research on the condition the other night I found out two keys things which can exacerbate the problem which were outside of the physical recovery processes I am undertaking:
As I mentioned in one of my earlier posts, I first started this blog because instead of going running I found myself injured and talking about running instead. As you’ve guessed from the title of this post, an attack of Plantar Fasciitis has laid me up for the last four weeks or so. (GFs eyes roll due to excessive melodrama…). Ok, not laid up. Just not running and generally being mopey and looking for sympathy from aforementioned GF. I’ll explain later why sympathy is currently hard to come by…
So how can this post help you? Well, I made two basic mistakes which you should learn from: