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Foot Pain in Runners: What’s Normal vs. What’s Not

December 07, 20250 min read

Understanding Foot Pain in Runners

If you're a runner experiencing foot pain, you’re not alone. At Foot & Ankle Associates of Southern NH in Derry, New Hampshire, we often encounter patients who are unsure whether their foot discomfort is a normal part of training or a sign of a more serious condition. In this post, we will discuss the various types of foot pain runners may experience, what could be contributing to the pain, and how to best address the issue.

What Causes Foot Pain in Runners?

Foot pain in runners can arise from several factors, ranging from overuse to specific conditions. Here are some common causes:

  • Plantar Fasciitis: This is one of the most common causes of heel pain, resulting from inflammation of the plantar fascia, a thick band of tissue that runs from your heel to the front of your foot.
  • Stress Fractures: These tiny cracks in the bone are often caused by repetitive stress and are common among runners, particularly those who increase their training intensity too quickly.
  • Tendinitis: Overuse of the foot’s tendons, such as the Achilles tendon, can lead to tendinitis, causing pain and stiffness.
  • Neuromas: Morton’s neuroma is a condition where a nerve gets compressed, leading to sharp, burning pain in the ball of the foot.
  • Flat Feet or High Arches: Biomechanical issues can lead to abnormal foot mechanics, resulting in increased pressure on certain areas of the foot.

What’s Normal vs. What’s Not?

As a runner, it's essential to differentiate between normal discomfort and pain that signals a problem. Here are some guidelines:

  • Normal Discomfort: Mild soreness or fatigue during or after a run is typical, especially when increasing mileage or intensity.
  • Concerning Pain: Sharp or persistent pain that doesn’t improve with rest or that worsens over time should be evaluated by a professional.

How Can I Treat Foot Pain as a Runner?

Treatment for foot pain varies depending on the source and severity of the pain. Here are some standard approaches:

  • Rest: Give your feet time to recover, especially for conditions like stress fractures and tendinitis.
  • Ice Therapy: Applying ice to the affected area can reduce inflammation and ease pain.
  • Stretching and Strengthening: Engaging in specific exercises for the foot and calf muscles can improve strength and flexibility.
  • Orthotics: Custom or over-the-counter orthotics can help correct biomechanical issues, providing support and cushioning where needed.
  • Physical Therapy: A physical therapist can design a program tailored to your specific needs, addressing pain and helping to prevent future injuries.

When Should I See a Podiatrist?

If conservative measures don’t alleviate your foot pain or if you experience symptoms such as swelling, bruising, or inability to bear weight, it is essential to consult a podiatrist. At Foot & Ankle Associates of Southern NH, we specialize in diagnosing and treating foot and ankle conditions specific to runners to help you return to your training safely.

Q&A Section

1. How can I tell if my foot pain is serious?

Serious foot pain is typically sharp, persistent, and does not improve with rest. If pain inhibits your ability to walk or run properly, it’s essential to consult a podiatrist.

2. Can I continue running with foot pain?

It depends on the nature of the pain. Mild soreness may be manageable, but persistent pain should warrant rest and evaluation.

3. What types of shoes should I use for running?

Proper running shoes should provide appropriate support, cushioning, and fit your specific foot type (flat feet, high arches, etc.). Consider getting fitted at a specialty running store.

4. How do I prevent foot pain while running?

To prevent foot pain, ensure proper footwear, gradually increase your training intensity, stretch regularly, and pay attention to your body’s signals.

5. What are the treatment options for plantar fasciitis?

Treatment options for plantar fasciitis include ice therapy, stretching exercises, orthotics, and, in severe cases, corticosteroid injections or surgery.

Conclusion

Recognizing the signs of legitimate foot pain is crucial for any runner. At Foot & Ankle Associates of Southern NH in Derry, New Hampshire, we are here to help guide you through your foot health journey, ensuring you can continue running comfortably and safely. If you're experiencing foot pain or have concerns about your foot health, book an appointment with us today.

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