Since April I have been struggling with Plantar Fasciitis, what I consider one of the worst injuries due to the fact there is no light at the end of the tunnel, let me explain. With a good old fashioned sprain, tear, fracture or even a break there is normally a set period of recovery, a tear may be a few months, a strain even less and even a break a number of months; with all of these there is always , well normally, guaranteed improvement with time and a set ‘return to running‘ date to aim for. Plantar Fasciitis is different, it can linger for a very long time and has been know to finish the career of many good runners. I suspect it is out of frustration that eventually a runner just has enough of running round in circles , on grass, in the dark, alone. Trust me people I’m there at the moment as you can see from one of my Strava runs below. (Remember, if it’s not on Strava it didn’t happen…probably, http://www.strava.com ; follow me on Strava with the link at the bottom of this post)
What is worse with Plantar Fasciitis is you really need to protect the foot and so are constrained by running on grass or trails; which is fine but lonely as most of your (mine) running friends are on the beautiful asphalt ; and who can blame them ! ? Thus I have been having lots of ‘Kev time‘ lately. A positive is my new headphones supplied by Jaybird which arrived just as I started out on my injury journey. (Link to my post on the wireless headphones, built by runner for runners is here : https://www.runbkrun.com/2018/07/21/do-headphones-make-you-run-faster-or-smarter/ Please make sure you check these out as the more hits from my blog the more chance I get of getting more free gear. Note: they really are very good wireless headphones and, if you are in the market for a pair, these bad boys are the ones to get!) I digress…
So to the point of this post reference the drugs being the answer, what was the question ?. As a newbie runner I really had no idea that most of my running buddies were as good as professional drug dealers. Truth be told I only found out the day before my first Comrades run in 2008 when my fellow runner, who shall be known as Phil (as that is his real name) dragged me down to another runners bedroom (known as Richard, for that is his name!) where he was handing out high quality Voltaren tablets to all and sundry. Unbeknown to me these anti-inflammatories were the staple diet of the ‘older Comrades runner’ so I put out my hand and wolfed a few down, just to be on the safe side. This tradition has continued for most of my marathons from that time on , probably more of a placebo but I justify it as, at the end of a marathon block of training, there must be something, surely, that needs some help becoming un-inflammed. (Is that a word?)
As I’ve got older I find I am certainly more open to taking as many tablets as possible and on a number of occasions have helped myself to some of my Wife’s better, prescription, anti-inflammatories. In for a penny , in for a pound type attitude. This came back to bite me on one occasion where, unbeknown to me, there was also a tablet to be taken with the strong anti-inflammatories to help with any possible side effects. These said side effects were eventually embraced by me which meant a very long toilet visit and an upset stomach. My Wife found this very amusing.
Of course I am not advocating ‘popping pills‘ for no reason but merely advising that as a runner you will get niggles or sprains and rather than suffer in silence get yourself down to the local chemist and get some anti-inflammatories, these really do what they say on the packet. They also have their place to really help with a known area of concern by blitzing the problem before/while embarking on remedial exercise; short term of course. I’m by no means advocating long term NSAID use, that would be silly, although there have been studies advocating using aspirin daily but that helps with heart conditions etc, as with all thing medical Dr.Google has the answer.
A running tragic.
The image below is one of my all time favorites capturing me running through halfway…
I always joke with my Daughter how ‘unfamous’ I am after years of…
Michael Lee | 1st Aug 18
Really sorry your PF is still with you BK.
Michael.
bigkevmatthews@gmail.com | 1st Aug 18
It’s ok Michael , with Voltaren as my co-pilot and a new set of PF orthotics I am confident I’ll be back on the asphalt for the City to Surf Marathon end of August.
GS | 1st Aug 18
PF is really a stubborn injury. I suffered with it for a year before finally overcoming it. I threw every remedy I came across at it in end so can’t id which remedies to credit, but my top candidates are: stretching and dorsiflexing in bed *before* taking first steps (prevent immediate reinjury of the night’s healing), wearing a night splint (dreaded boot – uncomfortable but a means to an ends – helps avoid tightening up of calves during the night), serious and sustained calf stretching (lots of literature on this – check out ‘The Angry Orthopod’ site), walking around at home in *bare* feet (no socks) to strength intrinsic foot function (google ‘foot truss’ for some research on foot function and PF), and goal setting to maintain focus and diligence through the inevitable one-step-forward-two-steps-back episodes.
Second point: anti-inflams during sports activity is a real danger to your kidneys, to the point that some endurance events now try to ban them during the event. Anti-inflams have a real role to play in helping combat chronic inflammation but prolonged and repeat use is not good.
Best of luck – it’s a tough injury but lots of research and diligent regime compliance will beat it.
bigkevmatthews@gmail.com | 2nd Aug 18
G’day Gavin, Thanks for your reply. I totally agree with all your comments. PF is a stubborn injury that can keep on giving and my heart sank when I realized I had picked it up for the third time. On the two previous occasions it was a mild version, more an inconvenience in the morning really and forgotten by the time I reached the bus. This time though it is becoming much more. Its been nearly 3 months of grass and trail running and only now do I feel some slight improvement. As you said this can change with the one-step-forward-two-steps-back episodes and I need to be so vigilant. Moving forward I will take all your said on board and fingers crossed be able to make the City to Surf start line in a few weeks. Probably not the best thing but can’t miss out on my 10th in a row running. Again I agree with you comments on the NSAID’s and competition, I’ve read many stories of ultra runners coming unstuck due to the over use of non-prescription anti-inflammatories; popping them like smarties. For me a couple a day for a few days pre-racing is more a placebo I suppose. I’ll make a big effort to break the habit soon, I promise.
JON | 2nd Aug 18
Do I win the door prize… How to win TDF 7 years in a row?