Terrain Variation for Plantar Fasciitis

This trial examines whether walking on different types of terrain can strengthen foot muscles and reduce foot pain from plantar fasciitis. One group will train on natural surfaces like grass or dirt, while the other will train on hard surfaces like concrete, both wearing minimalist shoes. The trial seeks individuals who have experienced heel pain for over two months, which worsens after standing or resting but eases with light activity, and who haven't found relief with standard treatments. As an unphased trial, it offers participants the chance to contribute to innovative research that may lead to new treatment approaches for plantar fasciitis.

Yes, if you are currently taking any anti-inflammatory medication or medication to control nerve issues, you will need to stop, as these are not allowed for participation in the trial.

Research has shown that walking or running on various surfaces can strengthen foot muscles and reduce foot pain. For example, individuals who run or walk on natural surfaces like grass often experience these benefits. One study found that most participants had less foot pain after running barefoot on grass.

While using different surfaces can be beneficial, it may also pose some risks. Some studies suggest that exercising on certain surfaces could lead to injuries, such as twisting an ankle. However, no specific safety issues have been identified with using minimalist shoes, like Vibram® Fivefingers, in these situations.

Researchers are excited about this trial for plantar fasciitis because it explores how different terrains might impact recovery. Unlike traditional treatments, which often involve orthotics, physical therapy, or anti-inflammatory medications, this trial investigates the effects of training on natural terrain using minimalist shoes. The unique aspect here is the focus on surface variation—natural ground versus hardscapes—which could provide insights into how different environments affect foot mechanics and healing. This approach may reveal new, non-invasive strategies for managing plantar fasciitis, potentially offering a more holistic method for alleviating pain and improving foot function.

Research shows that walking or running on various surfaces can strengthen foot muscles. Studies have found that stronger foot muscles can help reduce foot pain, including pain from conditions like plantar fasciitis. For example, after a few months of changing walking surfaces, participants may notice a decrease in discomfort. In this trial, participants in the Treatment Cohort will wear minimalist shoes on natural terrain, potentially enhancing foot muscle function, similar to a natural spring. Meanwhile, the Control Cohort will use the same minimalist shoes but train on hardscapes. This method could lead to less foot pain and improved overall foot health.¹²⁶⁷⁸