There
is no way around the fact that increased weight on the body
puts excess stress through the feet. No other body part carries
as much weight as the feet. Those who carry extra weight on
their body put a tremendous amount of extra force on the heel,
especially during heel strike. It’s
not just the weight of the body that contributes to the development
of the extra force. Gravity, the speed at which the legs swings
and body weight combine to give the resulting force of impact
at the heel. This means that small changes in weight loss and
weight gain will impact the feet.
That
is good news and bad news. A small amount of weight gain
can worsen foot conditions. But, a small amount of weight
loss can also improve foot conditions, especially plantar
fasciitis. To use this information to your advantage, set
your goals small. Try to lose weight in 5 pound increments.
Many people try to focus on losing 30 pounds or 50 pounds
in a short period. “I
want to lose 25 pounds this month!” This is impractical
and unhealthy and will in almost all cases backfire. It may
take a month or even two months to lose 5 pounds while undergoing
treatment for plantar fasciitis. Yes it’s slow, but considering
that most people GAIN weight with plantar fasciitis, this is
a real accomplishment. Losing 5 pounds will decrease a great
amount of force on the heel and will accelerate healing. Don’t
worry about the next 5 pounds until the first 5 pounds are
lost. Do not get ahead of yourself. Yes, weight loss is good
for your whole body, but we are talking about treating plantar
fasciitis, and small increments are important.
No
magic bullets for weight loss. If you read that you can lose
5 pounds in 5 days, know that you are most likely going to
lose water weight. You want to lose excess fat, not dehydrate
yourself. If it sounds too good to be true, it is. Do not
lose sight of this fact. There are hundreds of diets out
there promising easy weight loss, but it is never easy. Never.
There will always be temptations. If you are on the Atkins
diet and eating steak and eggs every day, you will crave
bread and crackers. If you are on a low-fat diet, you will
crave steak and ice cream. No one diet will work for everyone.
What you have to do is find the diet
that works for you.
A lifestyle change is better than any diet. Any lifestyle
dietary change that involves eating whole foods (non-processed
foods) chosen from all the food groups is a healthy change.
It won’t
matter what combination of fats, carbohydrates and protein
you are eating, as long as you are eating mostly whole foods
in normal proportions.
Go back to the basics. Look at foods how they used to be,
before everything was boxed, packaged and processed. Pick fresh
fruits and vegetables, lean meats, low fat dairy and whole
grains. It is hard to go wrong with these tips:
Find
things you like and enjoy and stick with them. Chop some vegetables
in the beginning of the week and then throw them in a stir
fry or a pasta sauce for mid-week meals. Things like zucchini
and squash are healthy, low calorie and will last a few days
in Tupperware once chopped. Keep apples and pears around to
snack on, they are typically affordable and tend to be a sweet,
low calorie snack food.
Use
brown rice instead of white rice. Brown rice will keep you
fuller for longer because it has more fiber, which slows
the absorption of food and slows the emptying of the stomach.
Make sure the bread you buy says “whole wheat flour”,
not “wheat
flour” on the ingredients. Try to buy bread with at least
3 grams of fiber per serving and no added sugar or molasses.
When a product says multi-grain, check for the fiber content.
If there are less than 3 grams of fiber per serving, most of
the grains added are most likely in negligible amounts.
Check
the fat content on the meat. Chicken and turkey are generally
very low in fat. But, be careful, some ground turkey has the
skin ground in and will be higher in fat than some lean ground
beef. It is ok to eat beef, but try to buy the lean cuts.
Most
dairy products have a low fat version and drinking milk,
eating cheese and yogurt can be considered part of a healthy
diet. Non-fat yogurt will have a lot of excess sugar and
may not be lower in calories or any healthier than the low-fat
yogurt. Let’s face
it, non-fat cheese just is not cheese. You may just want
to eat smaller portions of regular cheese and consider low
fat options. Try to choose non-fat or reduced-fat milk. Avoid
using cream in recipes and remember that cream cheese is like
butter. There are very few nutrient and lots of fat and calories.
A bagel and cream cheese is about the nutritional equivalent
to butter on white bread.
A low calorie,
high protein, high fiber affordable food, beans are a great
diet food. Add them to any meal as a side dish or as part of
the main dish. Be careful with canned beans, many have very
high sodium content and will add to water retention.
Nobody
needs to tell you to eat in moderation as you’ve
probably heard this a million times. But, this is the something
that most Americans have a difficult time with. With
supersized portions, large grab bags, and heaping servings
at restaurants and take-outs, it makes it nearly impossible
to figure out adequate portion size. But, be sensible. Eat
slowly, chew food thoroughly and stop eating when you are starting
to get full. Imagine a serving of rice as a half of a tennis
ball. A serving of meat should be no bigger than a deck of
cards. Understand that the amount of pasta served at a restaurant
is probably 4 times the amount that you really need. A large
soda has about 300 calories and so does the Caramel Frappuccino
Light at Starbucks.
It is possible to have plantar fasciitis and still exercise.
The decrease in activity during the healing of the plantar
fasciitis is the reason most people gain weight. To prevent
this, it is very important to take up an exercise program.
It does take some creativity and determination. It also depends
on how much you want it. Do you want to get rid of the heel
pain? Do you want to lose weight? If the answer really is yes,
then it can be done.
Excuses
come in all forms: “don’t have time”, “can’t
squeeze it in”, “don’t have a gym”.
The first question really should be: How much time do you spend
a week watching tv? How much time do you spend playing on the
computer, surfing the internet? Add it up? That is how much
time you have to spend exercising. Even if you took one half,
or a quarter of that time, it would help. Going to the gym
for 30-45 minutes 4-5 times a week would be great. The easiest
way is to get on a bike or swim in a pool. Neither of these
activities will aggravate the plantar fasciitis. Weight lifting
will increase muscle mass, while burning calories. The more
muscle you have on your body, the more calories your body burns
at rest. Hence, weight lifting will increase your basal metabolic
rate. Burning more calories at rest? That sounds pretty good.
If
you don’t have access to a gym, then that makes these
activities difficult. Riding a bike outside is a fun way to
get exercise without aggravating the plantar fasciitis. But,
maybe you don’t have a bike, or maybe it’s winter
and there is snow on the ground. How about buying a pilates
or yoga DVD? Used DVDs for sale on the internet are not that
expensive. You could lift weights at home with a few cheap
weights from a sporting goods store. Adding a few sit-ups or
crunches into this regimen may help get your heart rate up
and burn calories. No money for weights? Grab a few canned
foods from your cupboard, or fill up a grocery sack or pillow
case and start with these. Lie on your back and spin your legs
in the air as if you were cycling. There are many ways to incorporate
exercise into your daily routine without spending a lot of
money or even a tremendous amount of time. Many people spend
thousands of dollars on a treadmill and or stationary bike
and never use them. The idea is to find something that you
can fit into your daily routine and then stick to it. You will
feel better, the exercise will help with weight loss and your
plantar fasciitis will improve.
If
you are not committed to losing weight, none of this advice
will help. You will most likely continue to look for the
quick fix. But, if you have decided it’s time to take
off those extra pounds, incorporate these tips to any diet
plan out there and then be patient. The weight will come
off.
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Disclaimer: The advice on this website is not intended
to substitute for a visit to your health care provider. We
will not be held liable for any diagnosis made or treatment
recommended. Consult your doctor if you feel you have a medical
problem.
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