Can You Swim with Plantar Fasciitis? Tips for Managing Foot Pain - Orthopedics

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It is plantar fasciitis?


I have ankle pain after exercising, and when I visited an orthopedic doctor, I was diagnosed with plantar fasciitis.
The doctor advised me to rest, but I experience pain whenever I move my ankle joint or the bottom of my foot.
I tried swimming, but the pain worsened, making it almost impossible to walk.
I would like to know if swimming is not advisable for plantar fasciitis, as I feel that not exercising weakens my immune system.
What kind of exercise should I do?

A-Hsien, 30~39 year old female. Ask Date: 2003/12/22

Dr. Luo Zhaozhong reply Orthopedics


Hello! Plantar fasciitis is a troublesome condition that is difficult to fully treat.
I believe rest is essential, and swimming should be acceptable, but it is important to ensure that the ankle remains as still as possible to avoid straining the plantar fascia, which could lead to pain.
Wishing you a speedy recovery.
Sincerely, Dr.
Luo Zhao-Chung, Orthopedics, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2003/12/22

More Info


Plantar fasciitis is a common condition that causes heel pain and discomfort in the foot, particularly when walking or standing. It occurs due to inflammation of the plantar fascia, a thick band of tissue that runs across the bottom of the foot and connects the heel bone to the toes. Given your situation, it's understandable that you're seeking ways to manage your foot pain while still maintaining some level of physical activity.

To address your question about swimming with plantar fasciitis, it’s important to note that swimming is generally considered a low-impact exercise that can be beneficial for overall fitness without putting excessive strain on the joints and muscles. However, the nature of your foot pain and the specific movements involved in swimming can influence whether it is a suitable activity for you.

1. Swimming and Plantar Fasciitis: While swimming itself is low-impact, the act of pushing off the wall or the pool floor can exacerbate foot pain, especially if you are using a kickboard or performing certain strokes that require significant use of your feet. If you find that swimming increases your pain, it may be best to avoid it until your symptoms improve.

2. Alternative Exercises: If swimming aggravates your condition, consider other forms of low-impact exercise that do not involve the feet as much. Activities such as cycling or using an elliptical machine can provide cardiovascular benefits without putting undue stress on your plantar fascia. Additionally, seated exercises or upper body workouts can help maintain your fitness levels without involving your feet.

3. Stretching and Strengthening: Incorporating stretching and strengthening exercises for your feet and calves can be beneficial. Gentle stretches of the calf muscles and the plantar fascia can help alleviate tension. For example, try the following:
- Calf Stretch: Stand facing a wall, place your hands on the wall, and step one foot back, keeping it straight while bending the front knee. Hold for 15-30 seconds and switch sides.

- Plantar Fascia Stretch: Sit down, cross one leg over the other, and pull your toes back towards your shin to stretch the arch of your foot. Hold for 15-30 seconds.

4. Footwear and Orthotics: Proper footwear is crucial in managing plantar fasciitis. Look for shoes with good arch support and cushioning. Custom orthotics or over-the-counter arch supports can also help alleviate pain by providing additional support to the plantar fascia.

5. Rest and Recovery: It’s essential to allow your foot adequate time to heal. If walking or standing causes pain, consider resting and applying ice to reduce inflammation. Avoid activities that exacerbate your symptoms until you feel better.

6. Consulting a Specialist: If your pain persists despite these modifications, it may be beneficial to consult a physical therapist or a podiatrist. They can provide tailored advice and treatment options, including manual therapy, ultrasound, or specific rehabilitation exercises.

In summary, while swimming can be a good exercise option for many, it may not be suitable for everyone with plantar fasciitis, especially if it exacerbates your pain. Focus on low-impact alternatives, stretching, proper footwear, and allow your foot time to heal. If pain continues, seeking professional guidance is advisable to ensure a safe and effective recovery plan.

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