Let me start by saying that I’m not a doctor and this isn't medical advice. I was diagnosed with plantar fasciitis five times. After all that, I consider myself an expert on not only getting it, but also getting rid of it. It's been years since I've had it. Here's how I avoid plantar fasciitis and stay on the trail. It doesn't involve any special hiking shoe or hiking boot, just some techniques.
In general, plantar fasciitis a really intense pain on your heel when you walk, and it’s worse when you first wake up (I’ll tell you why in a bit).
These are the typical signs and symptoms that would suggest your heel pain is plantar fasciitis.
When I first got plantar fasciitis, I thought I had broken my foot, which I’ve also done when running (albeit being very overweight). The difference is that when I broke my foot, I experienced a sharp, white hot pain when my foot came down from a stride. Plantar fasciitis, when you first get it, starts as a subtle pain, if anything. The real kick is about 1 hour after you’ve pushed yourself and when you wake up the morning after.
Welcome to a painful world. In a nutshell, you’ve overworked the shock absorber for your foot (your arch). In general, this happens because your feet are too weak and/or your muscles are too tight.
Your leg’s shock absorber goes from the arch of your foot, through your achilles tendon, and up your calf and hamstring. Shoes with a lot of padding encourage people to land on their heel when they walk (heel strike), which leads to other problems like shin splints. Walking on your forefoot activates the natural shock absorbing system in your legs, but requires your arch and hamstrings to be strong enough to take the shock over and over again.
When you push that shock absorbing system too much, your plantar fascia can tear. This happens when you are too heavy. A lot of hikers aren’t used to carrying the weight on a pack, and it takes it’s toll on your system. Going to far also pushes the limits of your shock absorbing system.
Once you’ve torn your plantar fascia and you continue to step down on it, you further inflame and agitate it. You need to stop and strengthen your shock absorbing system.
After lots of doctors visits and trying all different types of cures, these are the ones that worked. They all involved stretching and strengthening my shock absorber system. And unfortunately, rest.
Another thing that helped was rolling on the golf ball when I was sitting around watching television and at my desk at work. Likewise, doing the stretches when I was waiting in lines, standing around, etc. helped.
Some doctors told me that I needed more arch support, but that was actually what the problem was. By wearing heavily padding running shoes (which felt great), my feet and shock absorber muscles didn’t have to work, and got weak. When I hiked with boots that didn’t have all that cushioning, my feet had to work overtime.
If you want to strengthen your feet and avoid plantar fasciitis on your hikes, you should get a shoe without any arch support for your day-to-day life. The stronger your feet are the better.
If you absolutely must hike with plantar fasciitis, here’s the move. First, realize that you are just hurting yourself more. You will have to rest longer when your hike is over.
But sometimes you just have to hike, I get it. You’re going to want to support your arches as much as possible while you have plantar fasciitis. To do this, get the biggest, cushiest running shoes you can. When you hike, try to come down on your heel. Again, not healthy, but if you have to make a hike, this is the way to get through the day.
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