Self-treatment:
Stop running, especially in the case of severe painif pain is mild,
then reduce training load and intensity take a course (5 - 7 days)
of non-steroidal anti-inflammatory drugs (ibuprofen/voltaren/cataflam/mobic)
available from your general practitioner or pharmacist
Apply ice to the plantar fascia - for 10 minutes every 2 hours,
in order to reduce the inflammation. An effective way of icing is
to fill a plastic 500 ml Coke bottle with water, and to freeze
it. Apply the ice as instructed by rolling the bottle under the
foot
Self-massage, using arnica oil or an anti-inflammatory gel, to the
plantar fasciastretching of the gastrocnemius and soleus muscles
Return to running gradually
Full recovery is usually between six to eight weeks
Medical treatment:
Physiotherapy, if injury doesn't respond to self-treatment in 2
to 3 weeks
Orthotist or podiatrist for custom-made orthotics to control overpronation, or
to reduce stress on the heel area
X-rays - to check for a heel spur.
Orthopaedic surgeon - if injury does not respond to physiotherapy
treatment, a cortisone injection, or surgery to release the plantar
fascia may be indicated.
Alternative exercises:
Swimming, pool running, cycling (in low gear) "spinning"
Avoid any exercise that places strain onto the plantar fascia
Preventative measures:
Stretching of the gastrocnemius and soleus muscles. Hold each stretchfor
30 seconds, relax slowly. Repeat stretches two - three times per
day.
Remember to stretch well before running stretching
of the plantar fascia. Sit on the floor with one knee bent and theankle
flexed towards you. Pull the toes back towards the ankle. Hold for
30 seconds. Relax slowly. Repeat to opposite foot. Repeat 2 - 3
times per day. Remember to stretch well before running strengthening
of the muscles of the foot. 1) Pick up marbles or golf balls with
your toes. 2) Pull a towel towards you with your toes. Grab some
of the towel with your toes and pull, then release, grab, and pull
some more to loosen the plantar fascia, place a golf ball under
the foot, and roll the foot over the ball. Start with the ball
at the base of the big toe, and roll the foot forwards over the
ball, then back again. Move the ball to the base of toe and
repeat. Repeat for each toe. Always exert enough pressure so that
you feel a little tenderness. correct shoes, specifically motion-control
shoes and orthotics to correct overpronation
- always apply ice after running
- gradually progression of training
programme
- incorporate rest into training programme