Major heel pain after running

fdlafon
fdlafon Posts: 259 Member
My husband is training for his firs ever 5k and has stumbled upon an issue. A pretty serious one.

Starting about a week ago, all of a sudden, after running (actually the next day upon waking up) he has serious heel pain. Like that makes him hobble to walk. No pressure allowed on the heel type of pain.
He took a few days off from running, and thought he was ok. Ran again yesterday, and woke up today with the same excrutiating pain in the heel. He said today that even when he puts pressure on the 'ball' of his foot up by the toes, he feels pain in the heel.

Can anyone help explain this?

He has a knee issue that he has had all of his adult life, so he sees a doctor on a normal basis for this, and just saw him on Monday. Well, he didn't mention this issue, because it wasn't bothering him on Monday, but he was placed on a high dose of anti-inflammatory, and a muscle relaxer (as needed) for the knee.

I feel so bad for him. I am hoping someone may be able to help if you have experienced such a thing.
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Replies

  • iuangina
    iuangina Posts: 691 Member
    This sounds like plantar fasciitis. I developed a pretty nasty case of this and tendinitis and ended up in 12 weeks of PT. The only way to make the pain go away completely is to stop running (which I never did - so I wake up in pain every morning). There are lots of stretches on the internet that he can do BEFORE getting out of bed that will help with the pain. Advil works for the pain, but you don't want to get into the habit of taking it everyday.
  • CarsonRuns
    CarsonRuns Posts: 3,039 Member
    It's Plantar Fasciitis, a very common running injury.

    Google it for things you can do. Some of them are.

    Never go barefoot, even when you first get out of bed.
    Roll the foot on a frozen water bottle.
    Stretch the calves.
  • CarsonRuns
    CarsonRuns Posts: 3,039 Member
    The only way to make the pain go away completely is to stop running (which I never did - so I wake up in pain every morning).

    Untrue. I ran through my ART treatments at the encouragement of my doctor. If this aliment is treated properly, you don't need to shut it down completely for it to go away.


    ETA:

    http://activereleasetechnique.com/ <----ART, it's like magic, only real.
  • ZombieChaser
    ZombieChaser Posts: 1,555 Member
    I'm going to start off by saying that very few of us MFP'ers are doctors...

    That being said, I would suggest to your husband to get his heel x-ray'ed for the possibility of a chip in the heel bone. For the time being, don't walk on it!

    Other causes could be poor footwear, or simply taking on too much too quickly. But I would start with an x-ray first to rule out a chip.

    Hope he gets back out there soon!
  • Fitwam
    Fitwam Posts: 275 Member
    Yep, plantar fasciitis..and it's horrible. I have just been recently diagnosed. I too was running and preparing for a 5k. Finally went to the podiatrist...he has me doing lots of stretches, sleeping in a boot (you can get them off the footsmart.com page), and icing in the morning and evening. Sometimes it feels better, sometimes it flares up and really hurts!
    I don't want to give up running either! I have read it can take up to 4 months or longer to fully recover. I would just encourage as other posters have mentioned to do the stretches and ice. Tell him to listen to his body.... If he doesn't feel any sort of relief soon I would suggest he mention it to his doctor next visit or see a podiatrist.
  • thebigcb
    thebigcb Posts: 2,210 Member
    I doubt its a chipped heal. Save your money and skip the xray

    Its sounds like Plantar, had it and had the same syptoms

    Hit the physiotherapist
  • Sox90716
    Sox90716 Posts: 976 Member
    I'm going to start off by saying that very few of us MFP'ers are doctors...

    That being said, I would suggest to your husband to get his heel x-ray'ed for the possibility of a chip in the heel bone. For the time being, don't walk on it!

    Other causes could be poor footwear, or simply taking on too much too quickly. But I would start with an x-ray first to rule out a chip.

    Hope he gets back out there soon!

    Sound advice! I had the same issue three years ago. I switched to barefoot shoes and changed my running style. The heel, knee and shin splint problems stopped. Hope he's out running soon!
  • thebigcb
    thebigcb Posts: 2,210 Member
    Yep, plantar fasciitis..and it's horrible. I have just been recently diagnosed. I too was running and preparing for a 5k. Finally went to the podiatrist...he has me doing lots of stretches, sleeping in a boot (you can get them off the footsmart.com page), and icing in the morning and evening. Sometimes it feels better, sometimes it flares up and really hurts!
    I don't want to give up running either! I have read it can take up to 4 months or longer to fully recover. I would just encourage as other posters have mentioned to do the stretches and ice. Tell him to listen to his body.... If he doesn't feel any sort of relief soon I would suggest he mention it to his doctor next visit or see a podiatrist.

    I had same, and the boot. Only thing that worked for me is INSOLES. I wear them all the time now, no problems at all
  • iuangina
    iuangina Posts: 691 Member
    Well, I suppose your experience is different from mine - doesn't make it untrue BTW. I was shut down for 6 months because of it. My sports doc said the only way to make it go away completely is to stop and rest it.

    The only way to make the pain go away completely is to stop running (which I never did - so I wake up in pain every morning).

    Untrue. I ran through my ART treatments at the encouragement of my doctor. If this aliment is treated properly, you don't need to shut it down completely for it to go away.


    ETA:

    http://activereleasetechnique.com/ <----ART, it's like magic, only real.
  • mjhartness
    mjhartness Posts: 43 Member
    I had it too, I tried everything and then someone on here suggested I try accupuncture....I tried it and I've been pain free ever since, it took 6 sessions, but it was worth every needle and every dime. That was a year ago......It's actually quite relaxing and although a little uncomfortable at first, doesn't really hurt. Go into it with an open mind and expect results... Good luck. I know how much that hurts....There are braces that you can sleep in that stretches the tendons and lessens that awful morning pain.
  • Fitwam
    Fitwam Posts: 275 Member
    Yep, plantar fasciitis..and it's horrible. I have just been recently diagnosed. I too was running and preparing for a 5k. Finally went to the podiatrist...he has me doing lots of stretches, sleeping in a boot (you can get them off the footsmart.com page), and icing in the morning and evening. Sometimes it feels better, sometimes it flares up and really hurts!
    I don't want to give up running either! I have read it can take up to 4 months or longer to fully recover. I would just encourage as other posters have mentioned to do the stretches and ice. Tell him to listen to his body.... If he doesn't feel any sort of relief soon I would suggest he mention it to his doctor next visit or see a podiatrist.

    I had same, and the boot. Only thing that worked for me is INSOLES. I wear them all the time now, no problems at all

    I've got the insoles too...but so far still have some pain. My 5k is tomorrow and I haven't run in a couple of weeks. I am worried..so I am gonna try "wogging" walk/jogging. The boot has definitely helped me in the mornings. I don't get out of bed limping. My husband call it the PTS (pointy toe syndrome) LOL. I am glad my doctor still encouraged me to keep running and not give up!
  • LolaVersion2
    LolaVersion2 Posts: 114 Member
    Three things that helped me run through my plantar and not have to take time off:

    Ibuprofen
    rolling my barefoot like crazy on a lacrosse ball
    arch supports and metatarsal pads
  • iuangina
    iuangina Posts: 691 Member
    Invest in a Strassburg sock for sleeping.
  • kellyyjean
    kellyyjean Posts: 499 Member
    I agree, sounds like plantar fasciitis. They have product you can buy, we tried them for my son. Probably the best thing to do would be to see a doctor. They can fit a pad to your foot that you can insert in your shoes. Good luck!:smile:
  • 2April
    2April Posts: 285 Member
    I'm going to start off by saying that very few of us MFP'ers are doctors...

    That being said, I would suggest to your husband to get his heel x-ray'ed for the possibility of a chip in the heel bone. For the time being, don't walk on it!

    Other causes could be poor footwear, or simply taking on too much too quickly. But I would start with an x-ray first to rule out a chip.

    Hope he gets back out there soon!


    Sound advice! I had the same issue three years ago. I switched to barefoot shoes and changed my running style. The heel, knee and shin splint problems stopped. Hope he's out running soon!
    I agree with the barefoot shoes suggestion - should eliminate the heel strike when running.
  • CarsonRuns
    CarsonRuns Posts: 3,039 Member
    The only way to make the pain go away completely is to stop running (which I never did - so I wake up in pain every morning).

    Untrue. I ran through my ART treatments at the encouragement of my doctor. If this aliment is treated properly, you don't need to shut it down completely for it to go away.


    ETA:

    http://activereleasetechnique.com/ <----ART, it's like magic, only real.
    [/quote]
    [/quote]
    Well, I suppose your experience is different from mine - doesn't make it untrue BTW. I was shut down for 6 months because of it. My sports doc said the only way to make it go away completely is to stop and rest it.


    You said "the only way", which is not my experience, nor the experience of many other runners that I know. Therefore, this makes your statement untrue. Had you said "in my experience", then it would be a true statement.
  • thebigcb
    thebigcb Posts: 2,210 Member
    this rather difficult to break you heal bone. Bar an impact injury. Go to a physiotherapist
  • CarsonRuns
    CarsonRuns Posts: 3,039 Member
    I'm going to start off by saying that very few of us MFP'ers are doctors...

    That being said, I would suggest to your husband to get his heel x-ray'ed for the possibility of a chip in the heel bone. For the time being, don't walk on it!

    Other causes could be poor footwear, or simply taking on too much too quickly. But I would start with an x-ray first to rule out a chip.

    Hope he gets back out there soon!


    Sound advice! I had the same issue three years ago. I switched to barefoot shoes and changed my running style. The heel, knee and shin splint problems stopped. Hope he's out running soon!
    I agree with the barefoot shoes suggestion - should eliminate the heel strike when running.

    PF is not the result of heel striking. It's an overuse injury, an inflammation of the fascia, that is caused by doing too much, too fast and often in the wrong shoe. Typically, it's exacerbated by extreme tightness in the calf muscle. Calf muscles that get worked even harder when you run barefoot. I think barefoot running would make it even worse.
  • Dublinmum
    Dublinmum Posts: 19 Member
    Only thing that worked for me is INSOLES. I wear them all the time now, no problems at all

    +1

    Plantar hurts like hell. He needs to stretch out his calf muscles. Do it six or seven times per day until the inflamation calms down and then make sure he stretches fully after every run. My podiatrist recommended filling a two litre plastic bottle with water and freezing it. Then roll the foot over and back on it for 10 minutes at a time. This was soothing, but the only thing that brought down the swelling was anti-inflamatories for a few days. And get heel support insoles. You can buy them over the counter - Orthoheels are very good. But if he's running a lot, he may be better to get some made to measure for his foot. Cheaper than ongoing physio and doctors bills! Good luck
  • ardrigh
    ardrigh Posts: 5
    You say he is just starting to do a 5K run, and has problems with his knee. How much running does he normally do, how much does he weigh, and more importantly, how good is his running style?

    Heel strike is a common cause for running injuries, and poor technique and/or bad pair of running shoes may be the main problem, and plantar fasciitis symptoms the result.

    If you watch him run, on grass and pavement, see if he is landing too hard on the heels - the flatter the foot when it lands, the better.

    I have had issues when I have been running from heel strike that make my heel tender for a week or so, but it comes OK again with rest. And I've done plenty of running over the years, my issue are my current weight and being unfit (thus lazy heel strike issues).

    There is no better solution to fixing injuries than fixing a poor/lazy running style.
  • cheria55
    cheria55 Posts: 26
    Ice, ice, ice! I had this problem for years and someone told me to ice my heel after running/walking. It worked slowly but surely!
  • thebigcb
    thebigcb Posts: 2,210 Member
    running wearing the insoles was painful at first, but actually helped stretch out the liaments over a few weeks
  • lauristewart
    lauristewart Posts: 379 Member
    I agree that it is Planter's. I have suffered with it off and on for years. The best thing for me have been insoles. I keep them in my workout shoes and do not run on a regular basis. I still do Insanity and Plyometrics.....my mom had it too and wore the boot while sleeping. It is sooooooo very painful!! I did go to a foot doctor to help me out...I would suggest going to the doctor for sure!!
  • iuangina
    iuangina Posts: 691 Member
    Well, the only way to never have plantar from running is to stop running. Just like the only way to ensure you don't get pregnant is to not have sex. That's all.

    Well, I suppose your experience is different from mine - doesn't make it untrue BTW. I was shut down for 6 months because of it. My sports doc said the only way to make it go away completely is to stop and rest it.


    You said "the only way", which is not my experience, nor the experience of many other runners that I know. Therefore, this makes your statement untrue. Had you said "in my experience", then it would be a true statement.
  • imacrazycatlady
    imacrazycatlady Posts: 6 Member
    PFfor sure, particularly since you say it is at its worst in the morning. I battled PF for an entire year and eventually had to have whole blood injections into the tendon to fix it. Good news is that most folks don't get it that bad. Have your hubby visit a massage therapist or preferably a neuromuscular therapist who works with athletes. The good it can do is amazing. I would also highly recommend a gait analysis. Proper running form is important. If your hubby is heel-striking, this can invite or at least aggravate PF. I would absolutely NOT recommend barefoot shoes. One needs strong feet and good form before running in minimalist shoes (a physical therapist can recommend foot-strengthening exercises) Even then, they must be introduced into your running program very slowly. They create far more problems than they solve, particularly with folks newer to running.

    Sleeping in a boot really does help a whole bunch. You can find them on Amazon, just put "plantar fasciitis" in your search. During this acute phase, have your hubby freeze a bottle of water, then roll it under his foot. Unfortunately, rest is important. If he doesn't stop running now and let the problem heal, he's gonna end up with a huge issue like I did! Good luck!
  • jlbay
    jlbay Posts: 473 Member
    You can try all of the above suggestions - they are all good for some people with PF. As a runner stricken with PF, none of them (and I tried them all, save barefoot running) gave me long lasting relief. After years of struggling with PF and not running (if what your husband has is PF), I stopped listening to my doctor and found a physiotherapist who specialized in runners. He figured out that I had an SIJ injury (from a car accident that occurred right before my PF developed). That injury create a whole chain of dysfunction in the leg that gave me PF. You said he had a knee injury - that could be throwing off his gait. Basically, that is what happened for me.

    So, bottom line is, it is better to have a specialist's opinion - to have a better chance of dealing with the right problem. If the problem is relatively minor PF and it responds to rest and ice...it still might be worth it to have a physio's opinion on how to prevent it from becoming chronic.

    I no longer self-diagnose injuries unless they are of a very short duration. Just my 2 cents.
  • fdlafon
    fdlafon Posts: 259 Member
    You say he is just starting to do a 5K run, and has problems with his knee. How much running does he normally do, how much does he weigh, and more importantly, how good is his running style?

    Heel strike is a common cause for running injuries, and poor technique and/or bad pair of running shoes may be the main problem, and plantar fasciitis symptoms the result.

    If you watch him run, on grass and pavement, see if he is landing too hard on the heels - the flatter the foot when it lands, the better.

    I have had issues when I have been running from heel strike that make my heel tender for a week or so, but it comes OK again with rest. And I've done plenty of running over the years, my issue are my current weight and being unfit (thus lazy heel strike issues).

    There is no better solution to fixing injuries than fixing a poor/lazy running style.

    He's been running regularly (4-5 times a week, sometime more) since January in preparation for this 5k he signed up for in May. Due to his knee, he has recently been taking a few more rest days, and now this.
    He weighs approximately 166 - 168, he's shorter, 5' 7
    I am not a "runner" myself, so I couldn't tell you anything about his form.
    He has brand new running shoes that we just purchased at the beginning of April, so I wouldn't think it is that. This problem just started a week ago.
    The first 'flare up' was from his last Friday night run, which ws his longest run yet, he woke up barely able to walk on Saturday. Within a little while, he was able to walk, but still has some soreness.
    Then again with the same run from last night.

    Maybe its that darn run . . . haha! j/k
  • thebigcb
    thebigcb Posts: 2,210 Member
    1 to 10 its PF
  • fdlafon
    fdlafon Posts: 259 Member
    1 to 10 its PF

    Definitely sounds like it to me.
  • CarsonRuns
    CarsonRuns Posts: 3,039 Member

    He has brand new running shoes that we just purchased at the beginning of April, so I wouldn't think it is that. This problem just started a week ago.

    Was he fitted for these shoes at a specialty running store by a professional or did he buy a comfortable pair off the shelf?