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Why Does My Heel Hurt After Running on a Hard Surface?

Published in Running Injuries 3 mins read

Your heel likely hurts after running on a hard surface due to the increased impact and stress placed on your heel bone (calcaneus) and surrounding tissues.

Here's a more detailed breakdown:

  • Increased Impact: Hard surfaces like asphalt or concrete offer little to no cushioning. Each foot strike sends a shockwave up your leg, directly impacting your heel. This repeated jarring can irritate the tissues and structures in your heel.

  • Lack of Shock Absorption: Unlike softer surfaces like trails or treadmills, hard surfaces provide minimal shock absorption. This means your body has to absorb a significantly larger portion of the impact force.

  • Possible Contributing Factors: While running on hard surfaces is a direct cause, other issues can exacerbate the problem:

    • Overdoing It: Increasing your mileage or intensity too quickly without allowing your body to adapt can overload your heel.
    • Inadequate Stretching: Tight calf muscles and plantar fascia (the tissue on the bottom of your foot) can increase stress on your heel.
    • Worn-Out Shoes: Running shoes lose their cushioning and support over time. Old, worn-out sneakers won't adequately protect your heel from impact.
    • Overpronation: If your foot rolls inward excessively when you run, it can increase the stress on your plantar fascia and heel.
    • Plantar Fasciitis: This is a common condition where the plantar fascia becomes inflamed, causing heel pain. Running on hard surfaces can aggravate or contribute to plantar fasciitis.

What You Can Do:

  • Rest: Reduce your running mileage or take a break completely to allow your heel to recover.
  • Stretch: Regularly stretch your calf muscles and plantar fascia.
  • Ice: Apply ice to your heel for 15-20 minutes several times a day.
  • Proper Footwear: Wear supportive running shoes with good cushioning. Consider getting fitted for shoes at a running specialty store.
  • Soft Surfaces: Opt for running on softer surfaces like trails, tracks, or treadmills when possible.
  • Orthotics: If you overpronate, consider using orthotics to provide arch support and correct your foot alignment.
  • Gradual Progression: When you return to running, gradually increase your mileage and intensity.

If your heel pain persists despite these measures, it's important to consult with a doctor or physical therapist to rule out other potential causes and receive appropriate treatment.

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