Running is an aerobic activity that provides a multitude of health benefits, but certain foot conditions can lead to pain that derails your running routine. Several problems, such as fractures, stone bruises and arthritis may cause pain during or after running, but plantar fasciitis is the most common cause of foot pain that causes tenderness in the morning, especially in runners.
Symptoms
Plantar fasciitis causes more pain after you finish running, rather than during your daily run. This type of ligament pull causes pain that occurs in the bottom of your foot, close the heel. The discomfort is usually worse in the morning, often occurring within the first few steps after you leave your bed. Pain is also more common after long periods of rest, such as prolonged sitting in a chair or riding in a car.
Causes
The plantar fascia ligament is a fibrous band that runs along the bottom of your foot and helps to support your arch and absorb the stress of walking and running. Activities that involve repetitive impacts, such as running, are a main risk factor in developing plantar fasciitis, the term for inflammation of this ligament. Conditions that also increase your risk of developing this problem include tight calf muscles, obesity and starting a new activity.
Prevention
Wearing comfortable shoes that fit well can help minimize the occurrence of plantar fasciitis and other conditions that cause foot pain when running, such as bursitis. Replace running shoes when they show signs of wear, especially along the soles or the inner cushions. Prior to running in the morning, perform calf stretches to lengthen and limber the muscles in your lower legs and the ligaments along the bottoms of your feet. Start your running routine slowly and gradually build up in speed and duration, allowing your feet to adjust to the strain.
Treatment
Trying to exercise or run through the pain can increase soreness and exacerbate overuse injuries. Rest and ice can help minimize the pain of minor foot injuries and allow time for healing. Severe, recurrent or unusual pain in your feet requires a medical examination to rule out serious conditions. Medical examinations may include imaging tests, such as X-rays and magnetic resonance imaging, to determine the cause of pain. Possible treatments include cortisone injections, orthotics and physical therapy. Only about 10 percent of patients require surgery to treat plantar fasciitis, reports the American Academy of Orthopaedic Surgeons.
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