Posted by: Chris | 2007/06/20

Hip alignment

Serious runner (49) with sever burning pain on calcaneus. Very tender on touch on the opposite leg gluteal fascia. Stopped running for 9 days, only cycled and swam. Can still trigger pain when running longer than 15 min or standing on one spot for 10+ min. Hips were rotated and realigned (we hope!). What can be the possible cause and how can we manage the recovery? How quickly can he start running again. Please note: we live in Siberia: no access to specialists!!!

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Our expert says:
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Hi Chris
I've had Hawaii but never that remote;)

Can be a number of causes
Most common is plantar fasciits. This is where the bottom covering of the foot is inflammed.
. If it is inflammed it can cause pain. you can do gentle stretching exercises as well. Steroid injections can help but beware iof too many.
Adapt your running surfaces to being softer. If one is pounding hard roads the whole time it may re inflammed. Try running three days after the injection.

also use padding in your normal shoes, not just sport shoes.

Dr P

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