Tag Archives: Plantar Fasciitis

Product Review: Strassburg Sock

If  you’ve been around for awhile you know that I’ve been suffering from Plantar Faciitis for a while now.  I’ve tried a lot of different things, but one in particular is The Strassburg Sock aka The Sock.

The website describes how the sock works, when worn properly:

This easy to use, inexpensive device is designed to keep tension on the tissue (plantar fascia) so it heals in a stretched position at night. In this way many users find a reduction of their morning pain, some have noticed a reduced recovery time and yet others have reduced the need for medications.

When worn as prescribed, it does not allow the plantar fascia to contract while in the prone or supine position. The device holds the ankle and forefoot joints in a position of slight dorsiflexion that prevents a position of plantarflexion, that is the plantar fascia is not allowed to contract.

In addition the involuntary stretching of the plantar fascia over a long period of time helps to strengthen the foot’s arch.

Or more simply, the sock pulls the toes upwards during the night which if nothing else reduces the pain of the first step in the morning. It does promote healing, according to my MD, the sock and other night splints reduce the tearing of the fascia that comes from walking and promotes healing.

The sock is basically a tighter fitting knee sock that comes in 2 sizes based on your calf size.  There is a strap that goes from your toes to a “D” loop right under your knee that holds your toes in place.  It utilizes Velcro for both the toe strap and the strap below the knee.  One comment about the Velcro is that it can damage your sheets while sleeping at night.

The sock is intended to be worn overnight for 6-8 hours.  I found that it took a little getting used to before I could comfortably sleep the night away while wearing.  It is a little odd to have your foot in such a position.  The first few nights I would wear it for a few hours.  Because the strap makes a hypotenose from your toes to your knee the easiest position to sleep in is on your back.  I did find that you can sleep easily on your side and your stomach if you bend your knee.  It does seem like it’d be easier to sleep with this sock than a hard foot brace.

Their advertising is very clever, because while they claim to cure heel pain they don’t claim to cure 100% of Plantar Fasciitis.  They do claim that most people only wear it for 8 weeks and that within the first few weeks most of the pain should go away.  They don’t say whether their research subjects continued working out or what else they were doing.  I was wearing the sock back when I took 3 weeks off with 0 running miles and saw no reduction in pain.  Now with a prescription of Ibuprofen and physical therapy I am making progress.

I stopped wearing the sock for a few days and saw a significant increase in the pain I felt during the first few steps.  So the sock does help reduce the pain felt first thing in the morning.  It was amazing how much  more pain I was in by not wearing the sock.   So if nothing else your $40 will help with that part of the recovery.

Their website provides a fair amount of research and data that shows why their night splint is better than everyone else, but I’ll let you go read it and see for yourself.

[tags] Plantar Fasciitis, The Sock, Strassburg Sock, Heel Pain [/tags]

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TCM Training Week 2

Last year I raced the USATF 5000 meter track race at Hamline.  I am glad it wasn’t part of the circuit this year! It also served as Foto Friday.  Over the same weekend last year was a heart-wrenching 3200m for Nicole Cochran of Washington.  You may recall the story, she won the race but was DQ’ed after the fact and then after reviewing some video footage of the  race she was eventually reinstated as the state champion.   From two years ago, I wrote about running at Westwood Park in New Castle, IN.

Last Year’s Mileage

Run: 26.9 Miles
Bike: 67.0 Miles
Swim: 500 Yards

Monday I went to the YWCA for a short weight session and swimming.  I know Higdon’s plan calls for running an easy 3 on Monday, but for now I’m going to keep using it as a cross training session.  Maybe as time goes on I’ll switch to running, but I think right now this is good.  I used his suggested 6 strength exercises (forgetting 2 of them), which are bench press, lunges, curls, overhead triceps, sitting row, and crunches.  I did light weights since it has been a long while!  Then I swam for about 300 yards.  Towards the end I kept getting water in my mouth, so I just stopped.

Tuesday I did a 30 minute tempo run along the Greenway.  Once I got warmed up my foot stopped hurting.  I ran a pretty solid workout getting 4.13 miles in during the 30 minutes (7:17 pace) and easily hitting tempo pace.  It was 46 and overcast so a nice morning to run.  Today was 8th grade graduation promotion at work and I was on my feet running around for most of the day.

I woke up Wednesday with some of the worst pain I’ve had from the Plantar Fasciitis in a long time, so I opted not to run.  I got really discouraged throughout the day and at one point even thought about quiting running altogether.  I waffled between whether I should run Thursday’s pace workout or not and finally came to the point of saying I’m not going to run again for awhile.  I’m tired of my foot always hurting so I’m going to do what I should have done almost 2 months ago – REST.

It is hard knowing that I should be training for the marathon which is now 16 weeks away, but I realized that the chances of me making it through 18 weeks of hard training with a nagging injury are pretty slim.  I managed to get through the half-marathon training program, but it seems silly to keep pushing and injuring my body more and more.  All that being said though, the MDRA offers a fall-marathon training class which starts June 23 (pdf).  So I know I’m not completely dropping the ball – unless I’m still experiencing pain at that point – which I’ll probably just charge right on through if I do.

So a little reassessment mid-stride! I didn’t do any cross-training this week really – just my bike commute – unless you count the Wii Fit.  On Tues, Weds, and Fri and I “played” Yoga, Balance, and Strength games.   This sounds almost ridiculous to say but some of the things are challenging and really have worked my core/stabilizer muscles.  Stop laughing.  You should try it sometime and see.  You can’t really rely on the feedback about your “Wii Fit Age” because it fluctuates so much – one day I was 40 and then the next I was 26.

Weekly Mileage

Run: 4.1 Miles
Bike: 37.5 Miles
Swim: 300 Yards

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Treatments for Plantar Fasciitis

Plantar fasciitis
Image via Wikipedia

This post is popular, but I also wanted to point out an updated 18 steps to get rid of Plantar Fasciitis.

I’ve been enduring the pain of Plantar Fasciitis in my heel for most of this training cycle.  When  I first started feeling the pain I took almost a week off.  While the pain has never gone away it does ebb and flow.  It hurts the most in the mornings and then kind of tapers off throughout the day, likewise at the beginning of a run it hurts and then loosens itself up. Some days the pain is worse than others.  I’ve been icing and popping pills throughout.

As the weather has gotten nicer and I’ve been biking, I decided to see what the research said about biking and Plantar Fasciitis.  I didn’t want to make it worse by biking.  Fortunately, biking seems to be okay – but running and walking aren’t.

One thing that the resources I present below don’t talk about is checking your shoes – ensuring that your shoes haven’t been overused, in mileage or showing excessive wear.  I also found previously that I needed to check all my shoes – even casual and business ones.  A few years ago my work shoes were really worn down in the heels and I couldn’t figure out why my heels hurt so much.  I switched shoes and the pain quickly went away.  We spend a lot of time in our casual/work shoes – ensure they are working properly as well.

I love some of the simplicity of these ideas and the humor as well.  There are plenty of good tips though.

I found a website called Heel Spurs that lists a few simple treatments for Plantar Fasciitis:

  1. Stretching,
  2. Ice,
  3. Tape,
  4. Rest,
  5. Arch support, and
  6. Losing weight

Another website for North Coast Foot Care provides some more in-depth ideas:

  1. Stop running, jogging or walking. Swim or bike instead.
  2. If you work out on a treadmill, stop! This is the worst activity for your heels.
  3. Avoid the stair stepper. The stair stepper puts a lot of stress through your arch.
  4. If you are up and down at work a lot, try to limit it, and get up only once an hour, or once every 2 hours.
  5. At home, avoid going up and down the stairs multiple times. Have your spouse, significant other or child run up or down for you.
  6. Try to avoid steep hills. Stairs are better than hills. Walking up the stairs sideways will help take the stress off your feet.
  7. Do not lift or carry heavy items. This adds to the total amount of force that goes through your feet. This also increases the total impact on your heel.
  8. Do not lift your kids and carry them. Use a stroller, have them walk, or let your spouse/significant other carry them.
  9. Don’t lift weights. If you do, make sure you are seated
  10. The EFX (elliptical) machine at the gym can also aggravate plantar fasciitis. If you must exercise with this, lower the platform adjustment to it’s lowest level.

As well as some specific ideas for athletes:

  1. The best approach is to rest the foot for 10-14 days.
  2. Cross train by road or mountain biking, swimming or weight lifting.
  3. Do all the therapy outlined on the about heel pain page.
  4. Be aggressive about this treatment, stretching as much as possible throughout the day and
  5. Icing or contrasting between hot and cold as much as your schedule allows.
  6. Swim for exercise, or bike at low resistance at the gym and avoid the recumbent bike. If you bike outside, spin up the hills (use the lowest gears). Of course it is better to avoid hills if possible. Do not drop your heel while cycling, this puts excess stress through the Achilles tendon and the arch. Wear cycling shoes, or rigid shoes while cycling.
  7. Consider weight lifting. Avoid standing while lifting weights. Avoid squats, calf lifts and quad bench presses. There are many areas that we tend to avoid when we focus on specific training, especially the upper body. Try to readjust your focus for a few weeks.
  8. If you have pain at any time during the return, taper your routine accordingly. If you have a small amount of pain, then don’t increase the mileage or intensity, or give it a day’s break to rest and ice and stretch. If you have a lot of pain when you return, then you should take a full two weeks off from the activity and see your physician to consider more aggressive therapy. Physical therapy and orthotics would be good treatments to add.

I will say I’ve felt the best on Monday’s after swimming and sitting in the hot tub on Sunday mornings and any day after resting.  I’ve continued to stretch and ice, occasionally taking some ibuprofen, but other than that I’ve not done a good job of taking care of my heel!  After the half-marathon I plan on taking some time off and letting it heel some more!!

What have you done to treat Plantar Fasciitis?

[tags] Plantar Fasciitis, Heel, Injuries, Running [/tags]

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