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Pain in the Top of the Foot

posted by: Barefoot Ken Bob
2008 February 20 (08:48)
categories: Foot Pain, Plantar Fasciitis, Tendonitis, Weights

 

Many of us have experienced pain on the top of the foot – sometimes following a distinct “snap” sound during push-off.

I can’t give a specific diagnosis, but, as a general diagnostic guess, I believe that, living in a shoe-addicted culture, our foot muscles atrophy from lack of use. In any case, I do have the benefit of the experiences of many other (especially newbie) barefoot runners behind me. Though not from “pushing-off”, I have personally experienced a similar pain, following a snapping sound. I was running on the beach several years ago (barefoot – naturally), and I didn’t pick my trailing foot up enough to clear a sand hill. When I kicked the sand hill, it torqued my foot backwards, and I heard/felt a loud snap. The interesting thing, though probably I shouldn’t recommend doing this, is that I not only finished a 5K race the following day, without any pain, by using the techniques below, But I even managed to finish 2nd in my age division!

But on to the actual problem…

Ever try learning a new song while wearing earplugs?

Many folks, particularly those wearing “transition” footwear, might think that these pains are simply a result of trying “too much, too soon”. But, If we had actually been barefoot, we probably wouldn’t do too much too soon, our soles would complain, LOUDLY. And “too soon”, doesn’t necessarily mean “before we have toughened up” (to endure our off-key singing) - it really should mean, “until we have learned to sing on key.”

When we remove rigid shoes, and especially if we replace them with minimalist footwear – which blocks some of the feedback from our soles, feedback which would encourage us to change our running technique, to a more gentle way of running (singing on-key), which would reduce stress on our feet – and then those minimalist shoes don’t provide the support necessary to do the “push-off” we might be used to doing in more rigid shoes – that is, we continue to run as if we had the support of rigid shoes, without the support of rigid shoes – then, we are asking for trouble!

The best way to avoid this type of injury (and perhaps most running injuries) of course, is to transition to Running Barefoot, by;

  1. Removing our shoes
  2. Not replacing our shoes!
  3. Taking the time to relearn HOW to run, this time, gently, as if our shoes aren’t supporting and cushioning our feet, while gradually allowing our feet to build and develop from the gentle exercise they had been denied while living inside rigid shoes.

Take the time, like a child, to feel the earth beneath your soles, to discover how it feels for your soles to interact with the earth, to play and experiment (are the two really different?) with touching the earth with your bare soles. And since you probably aren’t an infant, to understand that it can take months for your bones, tendons, ligaments, etc. to develop the strength necessary to run barefoot – and that is if you have taken the time and attention to learn how to run gently!

I can’t even begin to guess how long it takes to develop the strength to run badly, without injury - perhaps forever, as many folks who try, are forever plagued with pains and injuries (their solution, sadly too often, is to take more drugs, and run even more).

If we are trying to run the same way we ran with shoes (assuming we weren’t, then, running as if we were barefoot), except without the rigid shoes, then we are most likely going to, at some time, suffer from some sort of pains, as we are discussing here. And rigid shoes are going to create their own set of problems, so best to just Run Barefoot, naturally, or at least, as if we were barefoot. But, before we can run ”as-if” we are barefoot, we must first, necessarily, be barefoot – we must remove the earplugs, so we can hear the tune, and learn to sing on key!

Standing, walking, and running, while barefoot, exercise and help develop muscles, tendons, ligaments, etc., on the top of the foot, but only if we run correctly - and most beginning barefoot runners do not run correctly. After years of wearing shoes, and trying to ”power” themselves through each run, pushing-off has become an ingrained habit. Add to this, that, we, sadly far too often, get the advice (usually from “experts” who have never run any significant distances while barefoot), that ”Running Barefoot IS running up on the balls of our feet” – but Running Barefoot really is NOT running on the balls of our feet - NOT if we want to run barefoot without injury, in the long-run (so to speak).

So, as we build up distance walking and running barefoot, the plantar (sole) muscles, grow stronger with exercise, and we often end up straining the weak upper foot muscles (until we begin to change our running technique as described below). This pain is like some sort of counterpart to Plantar Fasciitis, a similar pain in the soles and heels (common among shoe-wearers), which seems to respond well to barefoot exercise of those tissues.

I used to recommend the exercises below, for this problem. But, more recently, have come to the conclusion that the best solution involves learning HOW to run barefoot, which, when done as described below, will provide the same sort of exercise with each and every step, as well as providing a less stressful, more gentle stride.  Specifically, the problem seems to occur (along with other problems) if we have a tendency to “push off” while running (and most of us do have this tendency – just look down and watch your trailing foot, just before you lift it off the ground), and especially if we add the “ball-of-foot” landing as mentioned above – so that the foot never really gets a break, or at least not a good break, as in a rest, but it is likely, eventually to get a break, or at least a severe strain, if we don’t give it a rest, by letting the pressure distribute across the entire sole, by keeping our heel down.

But It isn’t just about NOT pushing off, but also a  failure to let the ankle flex as the foot is lifted, resulting in too much pressure on the balls of the foot, and strain along the length of the foot.

Instead of pushing off, begin lifting your foot BEFORE it lands. Also, do not try to get up on your toes. Instead, try to keep your heel on the ground, until the foot begins to lift. In keeping your heel down, you will be exercising the muscles and tendons on top of the feet. Basically, while the foot is in contact with the ground, try to keep your entire sole on the ground.

But, let’s go a step further, and take an ACTIVE roll in this. Let’s PULL the front of our foot up, in order to allow the heel to stay on the ground – actually, we WILL need to pull the front of the foot up, if our knees are bent enough – if we don’t NEED to PULL the front of our foot up, then we NEED to bend our knees more…

And that’s how we prevent these injuries. If you are already injured, try the following simple exercise, which I devised, and have recommend with good success, as reported by folks who have sufferred this type of injury or pain in the top of the foot (but, I now believe these exercises will rarely be necessary, if we follow the above advice on running technique – which provides the same type of exercise during each run).

Place a small weight (up to 5 pounds) on top of the toes, and resting the heel on the ground, GENTLY lift the weights a few times each day, with the front of the foot.

With a small dumbell you can curl the toes up, to keep the dumbell from rolling off the front of your toes, while lifting. Leave only the heel of the foot on the ground, while raising the entire fore-foot. If you try lifting the weight with only your toes, while keeping the balls of your feet on the ground, your toes probably won’t be long enough to lift the the dumbell.

The heel can also be raised slightly, by placing it on a book or board or something, which tilts the foot forward, and keeps the weight from rolling too far back on the foot.

As far as body position, I’ve done this exercise lying on my back, with my knees up, sitting on my butt, with my knees up, sitting on a chair with my knees bent, or even standing, with my knees straight (but not locked), and lying on my stomach (see below).

Also, since this isn’t a case of injured tissues, or overuse, but more a case of tissue not getting enough exercise,  in my experience, the pain does not go away UNTIL I do the exercises! (or change the way I run – see above)

Just be certain to pay close attention to how it feels WHILE exercising. Be sure to exercise both feet, even if the other foot doesn’t hurt… YET…, and respond appropriately. If any of these exercises exacerbate the pain, then STOP! If the exercises cause sharp pains, there may be some tissue damage to address with your health-care provider.

In my case, the feet seem, immediately, quite happy to be exercising (and running correctly).

Do NOT be afraid to try variations of this, and other exercises! Remember, it is lack of variation or balance that likely contributed to the problem in the first place.

Barefoot Larry recommends stretching these tendons

Another variation can be done while in bed, laying on the stomach, and hanging the feet over the edge of the bed. GENTLY push the top fore-foot against the side of the mattress. Remember, GENTLY. This is not a contest to see how far you can drag your body toward the edge of the bed, this is about gentle balance. If you build these top muscles too much, you will be out of balance, once again, with the muscles and tendons in the soles, then your feet might start curling into a ball. Besides, you might never be able to fit your bulging muscular feet inside shoes again – hmm… maybe that’s not such a horrible side-effect, after all…

Comments

Comment from roadrunner
Time 2008 February 25 Mon at 4:46 am

Hi, nice post and answers a lot of our questions…

We had posted a piece called “are elastic laces the source of your foot injury?” here

http://insidetriathlon.org/?p=65

And I guess that elastic laces come under the heading of a “shoe addicted culture”

Anyhow – thanks for the help & we have added you to our blog role on insidetriathlon.org and roadrunning.net

Comment from libby.cowgill
Time 2009 June 27 Sat at 12:04 pm

I have just started running barefoot and have had a lot of pain in the top of my foot over the last month. I fixed it by doing just what it says above: I stopped trying to hold my heel up off the ground (I was running on the ball of my foot, which I now know I shouldn’t). When I run “flat foot,” this pain does not occur.

Comment from cdhazen
Time 2009 July 28 Tue at 7:49 am

Thanks for these posts. I did my first barefoot run last week…and way over did it…resulting in very sore calves and also pain on the top of my right foot.

Comment from danceadr
Time 2009 November 21 Sat at 6:11 am

Thanks for the article!
While I admire the posts, would it be possible to . . . . limit your liberal use of commas – it’s really difficult to read when they’re inserted seemingly everywhere and don’t let the text flow :)

Comment from Barefoot Ken Bob
Time 2009 November 21 Sat at 3:55 pm

danceadr,

Wow! First glance, I thought, you wrote, “limit your liberal comments” ( I thought I was ) – but anyway, thanks, for the editing tip – though, sometimes, that’s just the way the text flows out of my brain., I’ll see, what, I, can, do,,,,

Comment from huzefa
Time 2009 November 22 Sun at 7:53 am

Thank you. Top of my right foot has been paining since last week. I followed your today on 6k walk/run and my foot felt very good. I had to bend my knees a LOT and it turned into a very demanding walk. But the pain has now returned.

After the walk I am feeling some pain when I touch the inner side of my right knee. Both the problems are with the right leg. Do you think it is connected? your advice will be appreciated.

Comment from wannabarefoot
Time 2009 November 22 Sun at 4:10 pm

Thanks for the post! This is the information I needed. I think I’m on the right track now. Following your recommendations, the discomfort is definitely subsiding.

Comment from toastergirl
Time 2009 December 23 Wed at 6:09 am

I think that I am running more flat footed now since I went running in the snow the other day and I was leaving entire foot prints in the snow. have been running minimalist (vibrams) since June – have not done true barefoot too many times yet, its a little too cold for me for that now where I live.

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