Born to Run with Plantar Faciitis

I wish it felt that good

Image from painscience.com

Today's run (street): 3.75 miles
Yesterday's run: (street): 3.4 miles
Friday's workout (treadmill): 35 minutes
Last Sunday's run (street): 3.3 miles
Last Saturday's run (street): 3.4 miles
Last Friday's workout (elliptical): 30 minutes

“One injury that I have always had that never seems to go away is plantar fasciitis..”

- Christopher McDougall July 20, 2010

I’m not really sure why our bodies punish us for doing things to keep it healthy, but it’s something all runners experience at some point. The ER family hosted some neighborhood friends on Saturday and, at one point, the discussion moved to running. It turned out that my neighbor used to run, but he stopped due to knee problems and spinal stenosis. Prior to that, he was a pretty active runner who’d completed a number of marathons, including two NYCs. I asked the question, if humans are designed to run, why do we get plantar faciitis?

If you are a fan of Christopher McDougall’s book, Born to Run, you might recognize that question because it turned out to be why he wrote that book. Plantar faciitis is a puzzling affliction. I went through a protracted bout with it in my left foot some months ago. Soon after that problem cleared up, I started experiencing similar pain in my right foot. The severity of this new pain is greater than with my left. That is no doubt related to recently doing nine runs in ten days while on vacation.

 I’d tried all the suggested approaches to minimizing plantar soreness, including using the CVS version of the Strassburg Sock along with another contraption that held my foot in place at the optimal position while I slept. Neither were pleasant experiences and I don’t think they helped very much. I switched to just using orthotics in my shoes and eventually the problem went away, only to resurface weeks later with my right foot.

 I resumed running on Friday on the treadmill after being chased indoors by a thunderstorm. It was probably for the best, because my foot pain had discouraged me from running very fast. After a while, I just gave in and moved to walking at a 1.5% grade.

I was concerned that Saturday would be a repeat of Friday. I was glad when I hit the pavement and saw that the pain was less pronounced. The plantar soreness was there, but manifested as a dull burning feeling rather than a sharp pain. I didn't love the experience, but I did get through my run.

This morning I wore my most cushioned running shoes and set out hoping for a less painful start. The pain was tolerable and I hoped it would decrease once my tendon warmed up. Ultimately it did, although the pain did not completely disappear. While running has been slightly painful, walking can be difficult. If I'm off my foot for more than five minutes, the next time I take a step I'll feel an intensely sharp pain in my heel. Fortunately, this measurably decreases after taking a dozen or so steps. It's good that the pain lessens, but it's unnerving that every time I get up from the couch I know will go through that experience again.

I expect that this problem will leave as mysteriously as it came. I'm unsure what I can do to help speed my recovery, since trying every Internet cure didn't really pay off the first time. I spent a little less time at my standing desk and more time working at my office table over the past month. That roughly coincided with the improvement that happened with my original foot. In the meantime I'll continue to put ice on the tendon when I can, and wear my recovery flats around the house.

I still don't understand why runners end up with these problems if we are truly born to run. The thesis of McDougall's book was that we are meant to run barefoot or, if we must, in minimal footwear. That craze has come and gone and I'll admit I drank the Kool Aid on the idea. I still prefer a lighter, less structured shoe and wear my NB Zante 2's most of the time. Yet this has been a year for plantar faciitis for me. The only positive is that, despite the affliction, even with the pain, I've managed to get through almost every run.

How Dr. Phil (not that one) is helping my running

I'm sweet enough already

Today's run (street): 4.25 miles
Yesterday's workout (Treadmill and elliptical): 40 minutes
Tuesday's run (street): 3.5 miles

Roses are red, violets are blue, sugar is sweet and so bad for you. I recently read Christopher McDougal's newest book, "Natural Born Heros" that at one point focused on Dr. Phil Maffetone whose methods have helped many elite athletes increase performance. The key takeaway for me is that most assumptions about fueling athletes are incorrect.

Two examples of this both relate to hydration. One, that runners are at much higher risk of dying from water intoxication than from dehydration. The point being that humans are made to endure long periods without water and that's why we are successful hunters. The other example is that hydration drinks like Gatorade, that contain large amounts of sugar, provide little benefit compared to the damage they do. High sugar drinks will spike both glucose levels and insulin response and can contribute to disease, inflammation, depression and increased body fat.

A lot has been written about how processed foods, especially those with refined sugar, are quickly stored in the body and become very difficult to burn. I started thinking about my own diet, which is pretty good compared to many, but it's higher in sugar and simple carbs than it should be. I decided to address this in a logical way that doesn't require a big change. I believe this has already yielded benefits.

I currently eat a vegetable-rich diet and that won't change. I get protein from high quality sources (mostly chicken, turkey, nuts or tofu) and that won't change either. But I am reducing the amount of refined carbs I ingest (far fewer) and sugars of any type that have anything more than a low (value of 10 or less) glycemic load.  An important aspect of these changes is that I am increasing the amount of time I wait between any meal and any snack that follows it. This is to prevent insulin spikes that promote the conversion of glucose to stored fat.

It's been about 10 days since I made these changes and I believe there's something to it. I haven't sacrificed much except cutting a few hundred sugar-heavy calories from my daily intake. I've lost a couple of pounds and my energy level is noticeably higher, while my crankiness level is lower (Mrs. ER debates this but I know better). Work pressure is high right now, but I'm feeling far less stress than I usually would.

That's all well and good, but here's the best part. Today I had my best run of the year. It wasn't my fastest, and it certainly wasn't effortless, but not once did I wish for the run to end. I felt like I did back in 2011, when my running was at its peak. I took a few opportunities to throw in speed during the run and snapped back without feeling overtaxed when I resumed my natural pace. I felt great in both mind and body.

Will I feel the same tomorrow when I run? I hope so, but I know that every run is different and I've had bad runs follow good ones. I may not achieve today's level of energy and spirit, but I think these practical changes have yielded real results. It's hard to believe such a simple change could provide so much improvement. It will be interesting to see if I feel this way in a couple of weeks.

Heroism by the book

A worthy sequel

Today's run (street): 3.2 miles
Thursday's workout (elliptical): 30 minutes

I'm reading an interesting book by Chris McDougall called Natural Born Heros (NBHs). McDougall wrote Born to Run, which launched the minimalist running movement. That craze has since given way to maximalist, pontoon-like trainers from Hoka and other shoe companies, but I still love my Kinvaras. Natural Born Heros is about athleticism and self defense that is developed through practical need rather than controlled competition.

The through-line story in NBHs is about how Churchill's special agents worked with Cretan shepherds and farmers to significantly disrupt Hitler's progress toward Russia during WWII. Like Born to Run, McDougall writes a lot of about physiology, especially the role the fascia plays in energy efficiency and power. I'm only halfway through the book but I understand running technique is discussed further in the story.

This was a particularly busy work week for me, so much so that I ended up going into the office every day. I count on my work-from-home Fridays for one of my weekly runs. Knowing that wasn't going to happen, I did an elliptical workout the night before. This morning I needed to get back to the road, but that didn't go too well. I can't explain it, but I couldn't really get going this morning. I tried to appreciate the pleasant weather and the fact that I wasn't stuck on the treadmill. All the same, I was glad when the run was over.

If I'm up to it, I may head to Bethpage tomorrow and would like to cover at least five miles. My running buddy SIOR is up in Kennebunk for the 2016 Shipyard Maine Coast Marathon. She's running it with a friend who's doing his first marathon. I'm wishing them both lots of fun and I'm hoping she breaks 3:30!