Heel spurs are often a secondary result of chronic plantar fasciitis, which has lasted many months. — Filepic
For runners, the thrill of a race can quickly turn into a painful struggle when plantar fasciitis strikes.
This common yet debilitating foot condition affects countless athletes, turning every step into a sharp reminder of their limitations.
But why are runners, in particular, so vulnerable to plantar fasciitis, and what can be done to prevent it?
Plantar fasciitis is an inflammation of the thick band of tissue that runs across the bottom of the foot, connecting the heel to the toes.
This band, known as the plantar fascia, serves as a cushion for your foot and plays a vital role in walking and running.
When this tissue becomes irritated or overstretched, the result is intense heel pain that can sideline even the most seasoned runners.Sneaky causes of heel pain
Runners are particularly at risk due to the repetitive stress placed on the feet.
Overuse, especially in high-impact activities like running, can cause micro-tears in the plantar fascia.
This constant strain on the tissue leads to inflammation, pain, and in some cases, even bone spurs.
But it’s not just about running long distances.
Runners who suddenly increase their intensity or distance, or switch to harder surfaces, are especially vulnerable.
Poor running form, improper footwear, and lack of stretching can further aggravate the problem.
The plantar fascia is a thick band of tissue that connects your heel bone to the base of your toes. — Los Angeles Times
Going ouch! at every step
One of the telltale signs of plantar fasciitis is sharp, stabbing pain in the heel, which is often felt first thing in the morning or after sitting for extended periods.
For runners, the pain may initially subside after a warm-up, only to return with a vengeance after the run or prolonged activity.
The pain can range from a dull ache to an excruciating discomfort that makes even walking a challenge.
For athletes who push through the pain, the injury can worsen, leading to chronic issues that can sideline them for weeks or even months.
Here are some tips to check if you’re at risk and to spot the red flags, if any.
> Increased training intensity: Runners who suddenly ramp up their mileage or intensity without proper conditioning are more likely to suffer from plantar fasciitis.
> Improper footwear: Wearing shoes that don’t provide enough cushioning or support can wreak havoc on your feet, making you more susceptible to injury.
> Running on hard surfaces: Pavement, concrete and even synthetic tracks can put extra strain on your feet, triggering inflammation in the plantar fascia.
> Tight calves or Achilles tendons: Flexibility matters. Tight muscles in the lower leg can increase the tension on the plantar fascia, making it more prone to injury.
> Foot posture issues: Whether you have flat feet, high arches, or an abnormal gait, these factors can contribute to improper stress on the plantar fascia.
Protect your feet
The good news is that plantar fasciitis can be managed – and even prevented – with the right steps.
Start by properly warming-up and stretching before every run.
Focus on strengthening the muscles in your feet, calves and ankles to support the fascia.
And invest in proper footwear designed for your foot type to reduce strain.
If you’re already experiencing symptoms of plantar fasciitis, don’t ignore the pain.
Rest, ice and over-the-counter anti-inflammatory medications can help alleviate inflammation, but a visit to a foot specialist is crucial for a tailored treatment plan.
Plantar fasciitis doesn’t have to be the end of your running career.
By recognising the risks, taking preventative measures and seeking professional care when needed, you can keep running strong and injury-free.
Remember, a little caution today can keep you on your feet tomorrow.
Don’t let heel pain steal your stride – take action now, and keep chasing those running goals.
Dr Azammuddin Alias is a consultant orthopaedic surgeon (foot and ankle). For more information, email starhealth@thestar.com.my. The information provided is for educational and communication purposes only, and should not be considered as medical advice. The Star does not give any warranty on accuracy, completeness, functionality, usefulness or other assurances as to the content appearing in this article. The Star disclaims all responsibility for any losses, damage to property or personal injury suffered directly or indirectly from reliance on such information.
