What is the standard routine for a partial tear of the plantar fascia

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A runner with a partial tear of the plantar fascia asked…
“I am struggling with a partial tear - going on 6 months of pain with running. I’ve tried everything - PT, rest, PRP, and most recently embryonic membrane injections.
This injection was four weeks ago - with crutches for 5 days after and boot for two weeks.
I’ve also had four weeks of no running at all and still have the pain.
I would love to know what your “standard routine” is for this condition.”
This video by Dr. Christopher Segler talks about the standard routine for healing a partial tear of the plantar fascia in a runner.

Опубликовано:

16 окт 2024

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Комментарии : 34

@99nobilis99 Год назад

I have a very clear memory of being on a run in January 2013, after several months without running, and felling a sharp pain at the bottom of the foot. I kept running until I got home, despite the pain. It's 2023 and I still can't run 10km without the pain returning. Aside from that and avoiding jump rope and harsh landings on jumps, it allows me to live a normal life. But now I want to move from cycling to triathlon, and I don't know if this 10 year old injury is in any way possible to heal, in order to make larger distances in running (the aim is marathon, for iron man). Thank you for this series of videos. I wish I'd seen them sooner.

@Good_Dave 2 года назад

Got my MRI back and I have a partial tear in my plantar. Doc put me in a boot for 6-8 weeks. The boot is immobilizing my ankle, but is that the actual goal? Or the best thing to help me heal, to simply keep weight off my foot? Is that the real goal? Because walking in the boot, I'm still putting weight on it, and in fact there is very little arch support in this boot. I want to get better and if I'm going to be fairly immobile for 6 weeks, then I may as well suck it up and be immobile and get crutches.

@HUGGYDRABITS Год назад

Hi. Did you end up healing? If so, what steps did you take to do so?

@jasonstone5022 8 месяцев назад

Any improvement? I’m in a boot and icing.

@Good_Dave 8 месяцев назад

@@HUGGYDRABITS I never got a great answer from this channel. But, I decided to go on crutches for my entire 8 weeks in the boot to take as much weight off it as possible. I swam for exercise (no pushing off the wall and used a pull buoy to not kick). It helped a ton. A month more of nothing strenuous after that. Then I started going for walks around the neighborhood and eventually going on 5-6 mile hikes with no pain, though it wasn't quite "right". Could be attributed to lack of use, or maybe that's my new norm. I started added in short run sections into my walks about 6 months after being off the crutches, just a little at a time. 3 mile walk, with a 1/2 mile run in the middle. Then slowly adding in more running. At about 3 miles of running, it started to feel weird and I got worried I was pushing it too much, so I backed off. Treadmill running seems to be better than road running for me right now. I can control my pace so I don't push myself and I have no pain, though it still feels "weird". I'd love to get back to 10 milers, but I fear that may never happen and I'm afraid to push it. Super bummed, but I am biking and swimming with no issues, so I'm planning a 185 mile bike ride on the C&O instead and try the Chesapeake bay 4.4 mile swim. :)

@Good_Dave 8 месяцев назад

@@jasonstone5022 see my answer to Huggydrabits.

@cloveronyotube685 6 месяцев назад

did your foot feel weak/like jello once off crutches?@@Good_Dave

@rodneykerley9391 2 года назад

I got injured end of August, but kept running on it making it worse for two more weeks till I couldn’t walk anymore. I heard a pop at initial injury, I didn’t think it was the plantar fascia, but months later , it probably is. I just got custom orthotics and neutral shoes and went from running with full pain to nothing for months to being able to do a quarter mile at a time at an extremely slow pace right now. I can life over 100lbs while walking but not with full flexion. Will I ever be able to run fast again? Or even sprint? Will it just tear again?

@DocOnTheRun 2 года назад

Hello Rodney, Sorry to hear about the plantar fascia injury! It sounds like you should really think about which options will help you get back to running faster. We could discuss all of the options given your situation during a web cam call. www.docontherun.com/talk-to-the-expert/

@MrSteve-hy9yo 2 года назад

Long distance runner here and I finally pushed my plantar fascia to the tearing point. Dr tells me to take it easy so i have continued my twice a week strength workouts (switching over from my boot to custom ort and arch supported gym shoes for workouts) as well as instead of running now walking. My question is what I am doing ok to allow the plantar fascia to heal? I will say that ever since I stopped running as well as no exercises focusing on my calfs, the pain level has reduced. But I want to make I am allowing sufficient time to heal.

@DocOnTheRun 2 года назад

Thanks for sharing your experience. If you want more detail specific to your exact situation, and prefer to meet and discuss with me personally, we could get on a webcam call or phone call today or tomorrow to help you figure out what you should be doing NOW to make sure you don't keep losing all of your fitness. If so, you can pick a time that works for you and block my calendar for a private call here: www.docontherun.com/talk-to-the-expert/

@naturallymichele4754 8 месяцев назад

Share steps you took to heal. How long in boot ?

@ponche9387 9 дней назад

I started with a small discomfort in the plantar fascia that lasted about five months, then they injected me with corticosteroids and I played soccer and cycling without problems for 3 months until... my plantar fascia partially ruptured. I spent 5 months without running, doing physical therapy, stretching, strength training, etc. The pain never went away. Currently I decide to gradually return to training but if I do sprints or change direction the pain becomes intense again. I don't know what to do, help

@DocOnTheRun 9 дней назад

@@ponche9387 thank you for watching and I'm sorry to hear you've had so much trouble. That must be incredibly frustrating I don't do any consultations by a social media comments but we could get on a phone call or webcam called if you need my help.

@pauljabbour6250 6 месяцев назад

Hi Doc. I have a race this weekend. and I have an interstitial tear in the planter fascia. I train at gym strength and cardio 5 days a week and run has been reduced quite a bit from 50k to 16 per week. This weekend is a half marathon. Would you think some taping will help. I want to try and complete the entire event at a slower pace.

@DocOnTheRun 6 месяцев назад

Thank you for watching and I hope you found the video helpful. I can't offer individualized medical advice based on that amount of information. However if you wanted to discuss your upcoming race, strategies for decreasing stress and strain to the plantar plate ligament during the race, and trying to make sure you can complete your half marathon without further damage, we could get on a webcam call or phone call to discuss in detail.

@pauljabbour6250 6 месяцев назад

Hi Doc. Might might be a good idea. How can we proceed?

@DocOnTheRun 6 месяцев назад

@@pauljabbour6250 you can pick a time on my schedule and block my calendar for a one hour call here: www.docontherun.com/talk-to-the-expert/

@robertoestebanmoreno6996 Год назад

Riding a bike will help strengthen your feet.

@colinsmith1288 6 месяцев назад

I pulled mine near my third toe a year ago. Now l feel tightness and pain in my foot arch. Spasms in the arch at rest. I have foor arch supports but they seem inadequate.

@DocOnTheRun 6 месяцев назад

Sorry to hear that. But thank you for sharing your experience with others.

@oliviamartin566 Год назад

I believe i’m dealing with an interstitial tear… would supplementing collagen help the healing process?

@DocOnTheRun Год назад

I can't tell you if it would help as I don't know anything about your specific injury. If you want more detail specific to your exact situation, and prefer to meet and discuss with me personally, we could get on a webcam call to help you figure out what you should be doing NOW to make sure you don't keep losing all of your fitness. If so, you can pick a time that works for you and block my calendar for a private call here: www.docontherun.com/talk-to-the-expert/