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Overtraining Syndrome: The Nightmare Every Runner Fears

Overtraining Syndrome: The Nightmare Every Runner Fears

In the world of running, there’s a silent threat that many overlook until it’s too late. It’s not an injury that happens in an instant, but a gradual, creeping menace that can derail even the most dedicated runner’s progress. This threat is known as overtraining syndrome, a condition that occurs when a runner trains beyond their body’s ability to recover.

Often ignored or misunderstood, the overtraining syndrome is indeed the nightmare every runner fears. In this article, we will delve into the depths of this issue, shedding light on its causes, symptoms, and most importantly, how to prevent it from turning your running dream into a nightmare.

1. Understanding Overtraining Syndrome: Exploring the Depths

Overtraining syndrome (OTS), as the name suggests, is a physical condition that arises when an individual, in this case, a runner, exceeds their body’s capacity to recover from strenuous exercise. It’s a state of chronic fatigue, where the body is pushed so hard that it can no longer recover or adapt, leading to a decline in performance and potentially serious health issues.

Symptoms

The symptoms of overtraining syndrome can vary widely among individuals, but some common signs include:

  • Persistent muscle soreness
  • Decreased performance
  • Increased susceptibility to injuries
  • Changes in sleep patterns
  • Mood swings
  • Loss of enthusiasm for running
  • General fatigue
  • Decrease in muscle strength, coordination, and overall work capacity
  • Change in appetite
  • Feeling of depression

It’s important to note that these symptoms can be subtle and may not appear immediately, making overtraining syndrome a tricky condition to identify.

Causes

Overtraining syndrome is primarily caused by an imbalance between training and recovery. This imbalance can occur when a runner increases their training volume or intensity too quickly, not allowing their body enough time to recover. When the body doesn’t have sufficient time to rest and repair itself, it can lead to a state of constant fatigue and decreased performance, which are characteristic symptoms of overtraining syndrome.

In addition to the imbalance in training and recovery, several other factors can contribute to the development of overtraining syndrome:

  • Poor Nutrition: Proper nutrition is crucial for recovery as it provides the body with the necessary nutrients to repair and build muscles. A diet lacking in essential nutrients can hinder recovery and lead to overtraining.
  • Lack of Sleep: Sleep is a vital part of recovery. During sleep, the body undergoes various restorative processes, including muscle repair and growth. Lack of quality sleep can impede these processes, contributing to overtraining.
  • Stress: Both physical and mental stress can contribute to overtraining. High levels of stress can interfere with recovery and increase the risk of overtraining.


Understanding the overtraining syndrome is crucial for every runner. It’s not just about pushing your limits, but also about listening to your body and giving it the rest it needs.
Remember, more is not always better when it comes to training. Balance is key.
In the following sections, we will delve deeper into how to identify, prevent, and deal with overtraining syndrome.

Avoid Overtraining - Strive for balance, don't just push your limits.

2. The Impact of Overtraining on Runners

Overtraining syndrome doesn’t just affect a runner’s physical health; it can also have profound effects on their mental well-being. Let’s explore these impacts in more detail.

Physical Effects:

The physical effects of overtraining syndrome can be severe and far-reaching. It can lead to a significant decrease in performance, making it harder for runners to maintain their usual pace or finish their regular distance. Overtraining can also lead to persistent muscle soreness, increased risk of injuries, and a weakened immune system, making runners more susceptible to illnesses. In extreme cases, overtraining syndrome can lead to hormonal imbalances and disturbances in the menstrual cycle in female runners.

Mental Effects:

The mental effects of overtraining syndrome are equally concerning. Runners may experience mood swings, irritability, and a loss of enthusiasm for running. They may also suffer from increased levels of stress and anxiety, and in some cases, even depression. Overtraining can also lead to sleep disturbances, including insomnia, which can further exacerbate these mental health issues.

It’s important to remember that running is not just about physical endurance, but also about mental resilience. Overtraining syndrome can undermine both, turning a source of joy and accomplishment into a source of stress and frustration.

3. How to Identify Overtraining

Recognizing the signs of overtraining syndrome is crucial for every runner. It’s important to listen to your body and be aware of any changes that could indicate overtraining. Here are some tips to help you identify the signs:

1. Persistent Fatigue: One of the most common signs of overtraining is a feeling of constant tiredness or fatigue that doesn’t improve with rest. If you’re feeling unusually tired all the time, it could be a sign that you’re pushing yourself too hard.

2. Decreased Performance: If you notice a decline in your running performance, such as slower times or difficulty completing your usual distance, this could be a sign of overtraining.

3. Increased Resting Heart Rate: An increased resting heart rate can be an early sign of overtraining. Regularly monitoring your resting heart rate can help you spot any unusual increases.

4. Mood Changes: Overtraining can also affect your mood. If you’re feeling irritable, anxious, or depressed, it could be a sign that you’re overtraining.

5. Sleep Disturbances: Overtraining can lead to problems with sleep, including difficulty falling asleep or staying asleep. If you’re experiencing sleep disturbances, it could be a sign of overtraining.

6. Frequent Illness or Injury: Overtraining can weaken your immune system, making you more susceptible to illnesses and injuries. If you’re getting sick or injured more often than usual, it could be a sign of overtraining.

10 Signs that indicate overtraining in running
10 Signs of Overtraining in Running

4. Preventing Overtraining

Preventing overtraining syndrome is all about balance and listening to your body. Here are some strategies that can help runners avoid falling into the overtraining trap:

1. Gradual Increase in Training Load: Avoid increasing your training volume or intensity too quickly. A common rule of thumb is the “10% Rule,” which suggests not increasing your weekly mileage by more than 10% from the previous week.

2. Adequate Rest and Recovery: Rest days are just as important as training days. They give your body a chance to recover, adapt, and get stronger. Make sure to schedule regular rest days in your training plan.

3. Listen to Your Body: Pay attention to how you feel during and after your runs. If you’re feeling unusually tired, experiencing persistent muscle soreness, or noticing a decline in your performance, these could be signs that you need more rest.

4. Nutrition and Hydration: Proper nutrition and hydration play a crucial role in recovery. Make sure you’re eating a balanced diet and staying hydrated, especially after long runs.

5. Quality Sleep: Sleep is when your body does most of its recovery and repair work. Aim for 7-9 hours of quality sleep each night.

6. Cross-Training: Incorporating other forms of exercise, such as swimming, cycling, or strength training, can help improve your overall fitness and reduce the risk of overtraining.

7. Mental Health: Don’t forget about your mental health. Activities like yoga, meditation, or simply taking time to relax and do things you enjoy can help reduce stress and prevent overtraining.


Remember, every runner is different, and what works for one person may not work for another. It’s important to find a balance that works for you and aligns with your running goals. If you suspect you’re overtraining, don’t hesitate to seek advice from a healthcare professional or a running coach.

Boost Running Performance: Prevent Injuries with the Down Week Rule

5. Dealing with Overtraining

If you find yourself in the grip of overtraining syndrome, don’t despair. There are several steps you can take to recover and get back on track. Here’s what you can do:

1. Rest and Recover: The first and most important step in dealing with overtraining is to rest. Your body needs time to recover and heal. This might mean taking a complete break from running or significantly reducing your training load.

2. Nutrition and Hydration: Proper nutrition and hydration are crucial for recovery. Make sure you’re eating a balanced diet with plenty of protein to aid muscle recovery. Also, stay hydrated to help your body function at its best.

3. Seek Professional Help: If your symptoms persist despite taking time off and focusing on recovery, it may be time to seek professional help. A sports medicine professional or a qualified coach can provide guidance and help you develop a plan to safely return to running.

4. Gradual Return to Running: Once you start feeling better, resist the urge to jump back into your previous training routine. Instead, gradually increase your training volume and intensity, giving your body time to adjust.

5. Listen to Your Body: Moving forward, make sure to listen to your body. If you start to feel the symptoms of overtraining again, take it as a sign that you need to back off and rest.


Remember, overtraining syndrome is a serious condition that can have long-term effects on your health and performance. It’s important to treat it with the seriousness it deserves. With patience, proper recovery, and a balanced approach to training, you can overcome overtraining syndrome and return to the joy of running.


Concluding Remarks on Overtraining Syndrome

In this article, we’ve taken a deep dive into the world of overtraining syndrome, a condition that poses a significant threat to runners. We’ve explored what overtraining syndrome is, its physical and mental effects on runners, and how to identify its signs. We’ve also discussed strategies for preventing overtraining and dealing with it if you’re already in its grip.

Remember, running is a journey, and like any journey, it’s not just about the destination but also about how you get there. Overtraining syndrome can turn this journey into a nightmare, but with the right knowledge and approach, you can keep this threat at bay.

So, listen to your body, balance your training with adequate rest, and don’t hesitate to seek help if you suspect you’re overtraining. After all, the true victory for a runner is not just crossing the finish line, but doing so while maintaining their health and well-being.

Run smart, run healthy, and keep the nightmare of overtraining syndrome at bay.


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Shin Splints: The Runner’s Nightmare – Defeat Pain with Prevention & Treatment

Shin Splints: The Runner's Nightmare - Defeat Pain with Prevention and Treatment

If you’re a runner, you’re probably familiar with the discomfort and pain that comes with shin splints, or shin pain while running. Shin splints are a common injury among runners, caused by the repetitive stress of running on hard surfaces or wearing improper footwear. In this post, we’ll discuss the causes of shin splints, how to prevent them, and the best treatment options for runners who experience this painful condition.

1. What Are Shin Splints?

Shin splints, also known as medial tibial stress syndrome, are a common overuse injury that affects the lower leg. They occur when there is inflammation and pain along the inner edge of the tibia, which is the large bone in the lower leg.

Shin splints are typically caused by repeated stress on the muscles, tendons, and bones in the lower leg, particularly during activities that involve running, jumping, or other high-impact exercises. This can cause small tears in the muscles and tendons that attach to the tibia, leading to inflammation and pain.

The lower leg is made up of several muscles and tendons, including the anterior tibialis, the soleus, and the gastrocnemius. These muscles are responsible for dorsiflexion and plantarflexion of the foot and ankle, and they are attached to the tibia and fibula bones in the lower leg.

There are two types of shin splints: medial and anterior.
Medial
shin splints are the most common and occur along the inside of the tibia, while anterior shin splints occur along the front of the tibia. The type of shin splints a person experiences depends on the specific muscles and tendons that are affected by the injury.

Medial tibial stress syndrome (shin splint) diagram showing the Tibialis Anterior, Tibia, Gastrocnemius Muscle and the Soleus Muscle.
Shin Splints Diagram

Disclaimer: This post is not medical advice and is not intended to provide diagnosis or treatment for any medical conditions. Please consult a physician or other health care professional for your specific health care and/or medical needs or concerns.


2. Symptoms That Runners May Experience

Shin splint is a common condition that affects runners and other athletes who engage in high-impact sports. The symptoms of shin splints can vary in severity but generally include:

  1. Pain along the inner edge of the shinbone (tibia): This is the most common symptom of shin splints. The pain is typically described as a dull, aching sensation that is felt along the inner edge of the shinbone and may be tender to the touch.
  2. Swelling: Some runners may experience swelling in the area where the pain is located.
  3. Redness: The skin in the affected area may appear red or inflamed.
  4. Numbness or tingling: Some runners may experience numbness or tingling in the foot or toes.
  5. Difficulty walking or running: The pain and discomfort of shin splints, or shin pain while running, can make it difficult for runners to continue with their normal training routine.

3. Shin Splint Causes In Runners

The causes of shin splints, or shin pain while running, in runners may include:

  1. Overtraining: Overtraining is a common cause of shin splints in runners. When a runner increases their mileage, intensity, or frequency of their runs too quickly, their lower leg muscles may not have enough time to recover, leading to inflammation and pain.
  2. Footwear: Worn-out or poorly fitting shoes can increase the risk of developing shin splints. Shoes that lack proper arch support or cushioning can put more strain on the lower leg muscles. It is important for runners to wear running shoes that fit properly and have adequate support and cushioning.
  3. Running on hard surfaces: Running on concrete, asphalt, or other hard surfaces can increase the impact and stress on the lower leg muscles, leading to shin splints. Runners should vary their running surfaces, including softer surfaces such as grass or dirt trails, to reduce the impact on their legs.
  4. Muscle imbalances: Imbalances in the muscles of the lower leg can lead to shin splints. Weakness or tightness in certain muscles can cause other muscles to compensate, leading to overuse and inflammation. It is important for runners to address any muscle imbalances with targeted strengthening and stretching exercises.
  5. Flat feet or high arches: Individuals with flat feet or high arches may be more prone to developing shin splints. Flat feet can lead to overpronation or excessive inward rolling of the foot. On the other hand, high arches can lead to underpronation or insufficient inward rolling of the foot. Both of these conditions can put extra stress on the lower leg muscles.
  6. Running form: Poor running form can lead to excessive stress on the lower leg muscles, causing shin splints. Overstriding, or landing with the foot too far in front of the body, can increase the impact on the lower leg muscles. Landing on the heel instead of the midfoot or forefoot can also increase stress on the lower leg. Runners should focus on proper running form, including landing on the midfoot or forefoot, to reduce the risk of developing shin splints.

These factors can contribute to excessive stress on the lower leg muscles, leading to inflammation and pain along the inner edge of the shinbone. It is important for runners to address these causes by gradually increasing their training, wearing proper footwear, varying their running surfaces, addressing muscle imbalances, and focusing on proper running form to prevent the development of shin splints.

10 Signs that indicate overtraining in running
10 signs that indicate overtraining in running

5. Treating Shin Splints

Shin splint pain, or shin pain while running, is usually felt along the inner edge of the tibia and can be worsened by physical activity. The treatment for shin splints can vary based on the severity of the injury, which may be caused by running or other activities that stress the shins. Nonetheless, there are various options available to alleviate pain and promote healing.

The R.I.C.E. Method

Shin splints, which are characterized by pain and tenderness in the lower leg, or shin muscle soreness, can be effectively treated with the R.I.C.E. method. The R.I.C.E. method involves Rest, Ice, Compression, and Elevation.

  • Rest – The first and most important treatment for shin splints is rest. This means avoiding any activities that cause pain in the affected area. It’s important to give your body time to heal and recover before returning to your normal activities.
  • Ice – Applying ice to the affected area can help reduce inflammation and pain. You can do this by wrapping an ice pack in a towel and placing it on the shin for 15-20 minutes at a time, several times a day.
  • Compression – Wearing compression socks or wrapping the affected area with a compression bandage can help reduce swelling and promote healing.
  • Elevation – Elevating the affected leg can also help reduce swelling. You can do this by propping up your leg with pillows or sitting with your legs elevated.
Bodyprox Shin Splint Ice Pack - Do your regular activities comfortably

Over-the-counter Pain Relievers

Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or aspirin, can help relieve pain and reduce inflammation.

Notice: It is important to note that this information is not intended as medical advice, and you should always consult a healthcare professional before taking any medication for your condition.

Physical Therapy

If rest and self-care treatments do not improve your shin splints or sore shin muscles, a physical therapist can provide exercises to strengthen the muscles in the affected area and improve flexibility. They can also help you adjust your running technique to prevent further injury.

Stretches

Stretching can help alleviate pain and discomfort associated with shin splints, or shin pain while running, by improving flexibility and increasing blood flow to the affected area. Here are some stretches that can be effective in treating shin splints:

  1. Toe raises: Stand with your feet hip-width apart and slowly raise up onto the balls of your feet. Hold for a few seconds, then slowly lower back down. Repeat for 10-15 repetitions.
  2. Calf stretches: Stand facing a wall and place your hands on the wall at shoulder height. Take a step back with one foot and press your heel into the ground. Hold for 30 seconds, then switch sides and repeat.
  3. Soleus stretch: Sit on the ground with your legs extended in front of you. Bend one knee and place the sole of your foot on the ground. Gently pull your toes back towards your knee to feel a stretch in the lower calf. Hold for 30 seconds, then switch sides and repeat.
  4. Achilles tendon stretch: Stand with your hands on a wall and place one foot behind the other. Keep both feet flat on the ground and bend your front knee. Lean forward to feel a stretch in your Achilles tendon. Hold for 30 seconds, then switch sides and repeat.

Remember to stretch gently and avoid any movements that cause pain. Stretching can be a helpful component in treating shin splints, but it’s important to also rest and allow time for the affected muscles to heal.

Standing Calf Stretch Exercise-For Plantar Fasciitis
Calf Stretch

Orthopedic Care

In severe cases, orthopedic care may be necessary. This may include custom-made shoe inserts (orthotics) to provide better support and alignment. It may also involve surgery if the shin splints are caused by a more serious underlying condition.

It’s important to seek medical attention if the pain persists or worsens, or if you experience other symptoms such as swelling, redness, or numbness in the affected area. These could be signs of a more serious injury or condition that requires medical attention.

It’s important to note that shin splints can be caused by a variety of factors, including overuse, improper footwear, and biomechanical issues. So, if you are experiencing symptoms of shin splints, it’s important to rest, ice, and elevate the affected leg, and to seek medical attention if the symptoms persist or worsen.

4. Preventing Shin Splints

To prevent shin splints, you can take the following tips and strategies:

  1. Choose the right shoes: Make sure that you are wearing running shoes that fit properly and provide adequate support and cushioning for your feet. Look for shoes that are designed specifically for running and have good shock absorption.
  2. Avoid hard surfaces: Running on hard surfaces like concrete or asphalt can increase the impact on your shins and lead to shin splints. Try to run on softer surfaces like grass, dirt, or a track.
  3. Stretching and strengthening exercises: Incorporate stretching and strengthening exercises into your workout routine to help prevent shin splints. Focus on stretches that target the calves, hamstrings, and hip flexors. Strengthening exercises that target the lower legs and ankles, such as calf raises and toe taps, can also help.
  4. Gradually increase the intensity of your workouts: Avoid overdoing your workouts. Gradually increase the intensity and duration of your runs to avoid putting too much stress on your shins.
  5. Cross-train: Incorporate other activities into your workout routine to help reduce the impact on your shins. Swimming, cycling, and yoga are all low-impact activities that can provide a good workout without putting too much stress on your shins.
  6. Rest and recovery: Allow your body time to rest and recover between workouts, especially if you experience shin pain while running. Take at least one or two days off each week and listen to your body if you start to experience pain or discomfort.

By following these tips and strategies, you can help prevent shin splints and keep running pain-free. However, if you do experience pain or discomfort in your shins, it’s important to take a break from running and seek medical attention if necessary.

Number 1 Tip for Preventing Shin Pain and Splints While Running is: Do not do too much, too soon

6. How to Return to Running After Shin Pain and Splints

If you’re a runner who has experienced shin splints or other types of running injuries, you know how frustrating they can be. However, there are ways to recover and get back to running. In the following tips, you’ll learn some strategies for returning to running after experiencing shin splints.

  1. Listen to your body: If you experience shin pain while running, stop immediately and give your shins time to rest and recover. It’s better to take a few days off than risk making the injury worse.
  2. Gradually increase your mileage: Start by running shorter distances and gradually increase your mileage each week. This will help your body adjust to the demands of running and reduce the risk of re-injury.
  3. Choose the right surfaces to run on: Avoid hard surfaces like concrete and instead choose softer surfaces like grass or a track. If running on a hard surface, consider investing in shock-absorbing shoes or insoles.
  4. Maintain a proper stretching and strengthening routine: Make sure to stretch your calves and ankles before and after your runs. You can also perform exercises like toe raises and heel drops to strengthen your lower leg muscles.
  5. Consider cross-training: Incorporate low-impact exercises like cycling or swimming into your routine to give your shins a break while still maintaining your fitness level.
  6. Seek professional advice: If your shin splints persist or if you’re unsure about the best approach to returning to running, consider seeking advice from a sports medicine professional or physical therapist. They can provide personalized guidance and help you develop a safe and effective plan for returning to running.

➤ Conclusion:

In conclusion, shin splints can be a painful and frustrating injury for runners. However, by understanding the causes of shin splints, how to prevent them, and the best treatment options available, runners can reduce their risk of experiencing this condition and get back to doing what they love – running.


➤ Frequently Asked Questions About Shin Splints For Runners

What are shin splints?

Shin splints, also known as medial tibial stress syndrome, is a common injury that affects runners and other athletes. It causes pain and discomfort in the lower leg, specifically along the shin bone (tibia). The pain is often described as a dull, aching sensation that is felt during or after exercise.

What causes shin splints?

Shin splints are caused by repetitive stress on the shinbone and the surrounding muscles, tendons, and ligaments. This stress can be the result of overuse, improper running technique, or training too intensely, or too quickly. Runners who run on hard surfaces, such as concrete or asphalt, are also more prone to developing shin splints.

How can shin splints be prevented?

Preventing shin splints involves taking several steps, such as wearing proper footwear, stretching before and after exercise, gradually increasing training intensity and duration, avoiding hard surfaces when possible, and maintaining a healthy weight. Runners should also ensure that they have proper running form, with their feet landing underneath their bodies and their knees slightly bent.

How are shin splints treated?

Treatment for shin splints involves rest, ice, compression, and elevation (RICE). This means taking a break from running or other activities that exacerbate the pain, applying ice to the affected area, wearing compression sleeves or bandages, and elevating the leg when possible. Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can also be helpful. Physical therapy or other medical interventions may be necessary in more severe cases.

When should I see a doctor for shin splints?

Most cases of shin splints can be effectively treated with rest and home remedies. However, runners should seek medical attention if the pain is severe, does not improve with rest, or is accompanied by swelling or numbness. These symptoms may indicate a more serious injury, such as a stress fracture or compartment syndrome.

Is it a shin splint or a stress fracture that I am experiencing?

It can be difficult to determine whether you have shin splints or a stress fracture without a proper medical examination. However, there are a few key differences between the two conditions that may help you identify which one you have. Shin splints typically cause pain along the shin bone and are often the result of overuse or improper footwear. In contrast, a stress fracture is a small crack in the bone that usually causes localized pain that worsens with activity and improves with rest. If you suspect you may have either condition, it’s important to see a medical professional for an accurate diagnosis and treatment plan.


➤ References

  1. OrthoInfo – AAOS: “Shin Splints”. Published by the American Academy of Orthopaedic Surgeons.
    https://orthoinfo.aaos.org/en/diseases–conditions/shin-splints/
  2. Laura Williams — Medically reviewed by Erin Pereira, PT, DPT (July 06, 2022): “Shin Splints: Causes, Treatment, and Prevention”. Published by Verywell Fit.
    https://www.verywellfit.com/shin-splints-causes-treatment-prevention-5509375
  3. Physiopedia: “Medial Tibial Stress Syndrome”. Published by Physiopedia.
    https://www.physio-pedia.com/Medial_Tibial_Stress_Syndrome
  4. Orthobullets: “Tibial Stress Syndrome (Shin Splints)”. Available:
    https://www.orthobullets.com/knee-and-sports/3108/tibial-stress-syndrome-shin-splints (accessed 2.6.2022)
  5. Mayo Clinic Health System: “How to determine foot arch type”. Published by Mayo Clinic Health System. https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/how-to-determine-foot-arch-type
  6. University Hospitals: “Shin Splints or a Stress Fracture? How To Tell”. Published by University Hospitals. https://www.uhhospitals.org/blog/articles/2020/04/shin-splints-or-a-stress-fracture-how-to-tell
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Everything You Need To Know About Running With Plantar Fasciitis

Everything You Need To Know About Running With Plantar Fasciitis - By Need For Run

Plantar fasciitis (pronounced ‘fashee-EYE-tiss’), also known as Runner’s Heel, is one of the most common overuse running injuries. It is common among runners of all levels and all distances. About 10 percent of all runners suffer from plantar fasciitis at some point during their running life.

What Is Plantar Fasciitis?

Plantar fasciitis is an inflammation of the fibrous tissue (plantar fascia), which is a thick band of tissue that runs along the bottom surface of the foot from the heel to the toes. This band supports the arch of the foot and absorbs shock when running and walking.

It is one of the most common causes of heel pain. The pain from plantar fasciitis can become severe and chronic. In such cases, the pain makes running, walking, working, exercising, and performing daily activities challenging.


Disclaimer: This post is not medical advice and is not intended to provide diagnosis or treatment for any medical conditions. Please consult a physician or other health care professional for your specific health care and/or medical needs or concerns.


What Causes Plantar Fasciitis?

Although the underlying causes of plantar fasciitis are still not fully understood, plantar fasciitis is usually related to activities that put a lot of stress on your heel. Especially sports that involve running on toes, such as long-distance running, walking, ballet, and dancing.

It is common in people who are overtraining and increase the intensity of running or walking, which leads to high strain on the plantar fascia.

The stress and tension on the fascia can cause minor tears. Additionally, repeated stretching and tearing of the facia can inflame or irritate it. 

Sometimes the cause of plantar fasciitis remains unclear. But although the cause is not always clear, you can get plantar fasciitis if you:

  • Recently started exercising on hard surfaces.
  • Overstretch the sole of your foot during exercise.
  • Exercise with a tight calf or heel.
  • Start running, walking, or standing up a lot.
  • Wear shoes with insufficient support or cushioning.
  • Very overweight.
  • Your age is between 40 to 60.

Photo credit: By OpenStax College via Wikimedia Commons

As shown in the above picture, the Plantar Fascia, also known as Plantar Aponeurosis, is a strong thick band of connective tissue that runs across the sole.


Symptoms and Diagnosis of Plantar Fasciitis

➤ Symptoms:

The most common symptom of plantar fasciitis is heel pain that is worse in the morning when taking the first few steps. Pain may also increase with activity, especially after standing or walking for long periods of time. Other symptoms may include pain in the arch of the foot and pain when flexing the foot.

The list of the common symptoms:

  1. Sharp and stabbing heel pain, especially when you first get up in the morning or after sitting for a long period.
  2. Heel pain that increases after standing or walking for an extended period.
  3. Pain in the arch of the foot.
  4. Heel pain that is worse when climbing stairs or standing on your toes.
  5. Swelling and tenderness in the heel or arch area.
  6. Pain radiates from your heel to the bottom of your foot.
  7. Limping or difficulty walking due to heel pain.
Plantar Fasciitis Symptom: Sharp and stabbing heel pain

Plantar Fasciitis Common Symptom:
Sharp and Stabbing Heel Pain

➤ Diagnosis:

Your doctor will diagnose plantar fasciitis based on your symptoms and a physical examination. During the physical examination, your doctor will press on the bottom of your foot to see if it is tender. They may also ask you to walk or stand on your toes to check for pain in the arch of your foot.

Additionally, imaging can be used to diagnose fasciitis symptoms by allowing a doctor to see the affected area and identify any damage to your Plantar Fascia. This type of imaging includes X-rays, ultrasounds, and magnetic resonance imaging (MRI). These tests can help diagnose fasciitis by showing the doctor any areas of inflammation, swelling, or thickening of the fascia.
The imaging may also be used to rule out other possible causes of your heel pain, such as a fracture.


Plantar Fasciitis Treatment Options

1. Stretching Exercises

Stretching and strengthening exercises for the calf and foot muscles are often recommended to reduce strain on the plantar fascia and improve flexibility.

2. Ice and Heat Therapy

Applying ice to the affected area after physical activities or when experiencing pain flare-ups can aid in decreasing inflammation in that specific area. Conversely, using heat can help to loosen up tight muscles and enhance blood flow to the same region.

3. Orthotic Devices

Wearing custom orthotic devices or shoe inserts can help to reduce strain on the plantar fascia, provide more cushioning and support the arch of the foot.

4. Arch Taping

Arch taping is an effective and non-invasive treatment for Plantar Fasciitis. The tape helps to reduce the strain on the fascia and can help to reduce pain and inflammation. The tape also helps to support the arch of the foot and can assist to relieve heel, arch, and ball of foot pain. Additionally, it can improve the alignment of the foot, which can help to prevent future injury.

5. Night Splints

Wearing a night splint while sleeping can help to maintain a stretched position of the calf and foot muscles overnight, reducing morning pain significantly.

StrictlyStability Soft Night Splint Sock For Plantar Fasciitis and Achilles Tendinitis
Night Splint Sock For Plantar Fasciitis

6. Anti-Inflammatory Medications

Your doctor may prescribe non-steroidal anti-inflammatory medications like ibuprofen, that can help reduce inflammation and pain associated with plantar fasciitis.

7. Physical Therapy

Working with a physical therapist to develop a personalized treatment plan can help to improve flexibility, reduce pain and strengthen the muscles of the foot and calf.

8. Cortisone Injections

In some cases, your doctor may recommend a cortisone injection that may help relieve the pain and decrease inflammation.


Exercises For Preventing and Treating Plantar Fasciitis

1. Calf stretches:
Stand facing a wall and place your hands on it for support. Step your right foot back about two feet and keep your heel flat on the ground. Lean into the wall and hold for 10-30 seconds. Repeat with the other leg.

Standing Calf Stretch - Exercise For Plantar Fasciitis

2. Plantar fascia stretch:
Sit on the floor with your legs out in front of you and loop a towel around the ball of your foot. Gently pull the towel towards your body until you feel a stretch in the arch of your foot. Hold for 10-30 seconds and repeat with the other foot.

3. Heel drops:
Stand on a step with your heels hanging off the edge. Raise both heels up and then lower them down. Repeat 10-15 times.

4. Toe curls:
Sit on the floor and place a towel under the balls of your feet. Gently curl your toes up and then release. Repeat 10-15 times.

5. Strengthening exercises:
Perform toe raises, calf raises, and heel raises to increase strength in your feet and calves.

6. Foam rolling:
Place a foam roller under your feet and roll your feet back and forth for 10-15 minutes. This helps stretch the plantar fascia and reduce the tension in the muscles.
This exercise also can be done with a tennis ball.


Can You Run With Plantar Fasciitis?

Yes, you can run with plantar fasciitis, however, it is important to make sure that you take the proper steps to reduce the pain and prevent any further damage to your foot. Stretching and strengthening exercises, orthotics, and wearing appropriate footwear can all help to reduce pain and prevent further injury. Talking to your doctor before beginning any running program is important if you have plantar fasciitis.

However, you should avoid increasing your running intensity and distance if you are experiencing pain from the start of your run to the end.

Plantar fasciitis can be a serious condition, and in more severe cases, running should be avoided as the high impact of the activity can worsen your symptoms and prolong recovery.

Nonetheless, if you are experiencing plantar fasciitis and you continue to run without any treatment or eliminating the cause, you may be setting yourself up for further issues down the line.


How Runners Can Prevent Plantar Fasciitis

1. Stretch and Strengthen Your Feet and Calves

Stretching and strengthening the muscles in your feet and calves can help reduce tension on your plantar fascia and help you prevent plantar fasciitis.

2. Wear Proper Running Shoes

Make sure to wear running shoes that are designed for running and provide you with the proper support and cushioning.
Choosing the right running shoes for you is important to prevent injuries. The shoes should fit your body and your running activity.

3. Increase Your Mileage Gradually

Make sure to gradually increase your mileage when running to avoid overloading the plantar fascia and causing inflammation.

4. Take Rest Days

  • Make sure to give your feet a break and have rest days in between running days.
  • It is suggested that weekly mileage should not be increased by more than 10% of the mileage from the week before.
  • A down week every three to four weeks: Reducing your weekly mileage by 30 to 60 percent every fourth week.

5. Ice Your Feet

Ice your feet for 10-15 minutes after running to reduce inflammation.

6. Wear Arch Supports

Wearing arch supports or orthotics can help provide extra support to your plantar fascia and reduce the strain on it.
Runners with high arches may be more prone to plantar fasciitis, and wearing arch-supporting products might help to prevent it.


Tips For Running With Plantar Fasciitis

  1. Stretch and warm up:
    Before running, be sure to warm up properly and stretch your calves, Achilles Tendon, and Plantar Fascia. This will help loosen the area and reduce the pain.
  2. Wear supportive shoes:
    Look for shoes that are designed to provide extra support for the plantar fascia, such as those with built-in arch support or a stiffer sole.
  3. Invest in orthotics:
    Orthotics are inserts worn in your shoes that provide additional arch or heel support. They help to reduce the strain placed on the plantar fascia.
  4. Take rest days
    Rest days are important when running with plantar fasciitis. Take a few days off each week to allow your feet to recover and heal.
  5. Apply ice:
    After running, applying an ice pack to the affected area can help reduce inflammation and pain.
  6. See a doctor:
    If the pain does not improve with home treatments, consider seeing a doctor for further evaluation. They may prescribe medication or recommend physical therapy.
Dr. Scholl’s Plantar Fasciitis Pain Relief Orthotics /Clinically Proven Relief and Prevention of Plantar Fasciitis Pain.
Plantar Fasciitis Pain Relief Orthotics

Plantar fasciitis can be pretty painful at the beginning of a run, but the discomfort usually dissipates as you get more warmed up.


Shoes For Running With Plantar Fasciitis

For those suffering from plantar fasciitis, it is important to choose running shoes that provide adequate cushioning and arch support.
Some features to look for include a wide toe box, ample cushioning, an adjustable heel counter, and an outsole designed for shock absorption.

Additionally, look for shoes with a higher drop (the distance between the heel and the forefoot) to help relieve pressure on the plantar fascia.

Some good running shoes for plantar fasciitis include the Brooks Adrenaline GTS 19, Asics Gel Nimbus 21, Saucony Triumph ISO 5, New Balance 860v9, and Hoka One One Bondi 6.

Also, for your casual and dress shoes, you should prefer shoes with more arch support.


Running With Plantar Fasciitis Frequently Asked Questions

How long does it take to recover from plantar fasciitis?

The recovery time for plantar fasciitis can vary depending on the severity of the injury. Generally, it can take anywhere from a few weeks to a few months to fully recover. However, it is important to follow the doctor’s instructions and to take the necessary precautions to reduce the risk of further injury.

Can I run with plantar fasciitis?

Yes, it is possible to run with plantar fasciitis. However, it is important to ensure you are taking the necessary precautions to prevent further injury. This includes wearing supportive shoes with good cushioning, warming up regularly before running, doing a cool down with stretching after running, and avoiding running on hard surfaces. Additionally, it is important to start slowly and gradually increase your running intensity and distance. If the pain does not improve, it is essential to rest and consult a doctor.

What are the best shoes for running with plantar fasciitis?

The best shoes for running with plantar fasciitis are those with a cushioned sole and arch support. It is also important to choose shoes that are lightweight and flexible to reduce pressure on the plantar fascia. Additionally, it is important to ensure that the shoes fit properly and provide adequate support for the foot.

How long should you stay off running with severe plantar fasciitis?

If you have severe plantar fasciitis, it is recommended to stay off running for between 2 to 6 weeks. During this recovery time, it is important to rest and receive treatment to help reduce pain and inflammation. Other fitness activities, such as cross-training, swimming, or cycling, can be done to stay active while the foot heals.


➤ References

  1. “Plantar fasciitis” on the Mayo Clinic website.
    https://www.mayoclinic.org/diseases-conditions/plantar-fasciitis/symptoms-causes/syc-20354846
  2. Thomas Trojian, MD, MMB, And Alicia K. Tucker, MD (2019). “Plantar Fasciitis“.
    American Family Physician. vol. 99, no. 12, 15 June 2019, pp. 744-750.
    https://www.aafp.org/pubs/afp/issues/2011/0915/p676.html
  3. Sara Lindberg, BS, MEd, — Medically reviewed by Lauren Jarmusz, PT, DPT, OCS (October 21, 2020): “Should You Continue to Run with Plantar Fasciitis?”. Published by Healthline’s Medical Affairs.
    https://www.healthline.com/health/running-with-plantar-fasciitis
  4. John Davis: “What are the Best Ways for a Runner to Prevent and Improve Plantar Fasciitis?“, Published by Runners Connect.
    https://runnersconnect.net/plantar-fasciitis-in-runners/
  5. Wendy Bumgardner – Medically reviewed by Erin Pereira, PT, DPT (July 16, 2020): “Your Guide to Arch Supports, Insoles, and Orthotics“.
    https://www.verywellfit.com/arch-supports-insoles-and-orthotics-3432755
  6. Neal Reynolds Sports Physiotherapist – Medically reviewed by Dr. Chaminda Goonetilleke (November 8, 2022): “Plantar Fasciitis Taping“.
    https://www.sportsinjuryclinic.net/sport-injuries/foot/heel-pain/plantar-fasciitis-taping
  7. Easing the pain of plantar fasciitis” (July 11, 2020) Published by Harvard Health Publishing.
    https://www.health.harvard.edu/newsletter_article/easing_the_pain_of_plantar_fasciitis
  8. Robin V. West, M.D. (Updated On September 09, 2013): “Ask the experts: Fitness loss, plantar fasciitis and sore hamstrings“. Published on Active.com.
    https://www.active.com/articles/ask-the-experts-fitness-loss-plantar-fasciitis-and-sore-hamstrings