The Stronger Stride Podcast

248. Understanding Plantar Fasciopathy: Causes, Treatment & Prevention with Joe Keain

Today we’re joined by podiatrist Joe Keain to break down one of the most common (and frustrating) running injuries: plantar fasciopathy.

In this episode, Joe shares a clear and practical approach to understanding heel pain - from what’s actually going on in the tissue, to why the term “fasciitis” might not always be accurate. We dive into the key risk factors, common mistakes runners make, and how to effectively manage and progress this injury without getting stuck in the boom–bust cycle.

We cover:

• What plantar fasciopathy is (and fasciitis vs fasciopathy)
• Early stage management and the role of inflammation
• Key risk factors: load, footwear, and training errors
• Strengthening the foot and building tissue capacity
• Pain management and returning to running safely
• When to progress to higher load (plyos, faster running)
• Shoe considerations and what might actually help

This episode is packed with practical takeaways for runners dealing with heel pain, or those wanting to stay ahead of it. Whether you’re in the early stages or stuck in a recurring cycle, this will help you better understand what your body needs, and how to progress with confidence.

TIMESTAMPS:
00:00 Introduction to the episode and guest
01:55 Joe’s background and journey into podiatry
14:52 Working with runners and injury prevention
17:42 What is plantar fasciopathy and its symptoms
19:19 Fasciitis vs fasciopathy
20:57 Inflammation and early treatment
21:58 Risk factors and load management
27:05 Foot posture: does it matter?
31:07 Foot strengthening exercises
32:20 Offloading and early management
34:20 Pain management and return to running
36:42 Boom–bust cycle explained
40:56 Recovery timelines
42:54 Progressing to higher loads
43:25 Shoe considerations
45:05 When to seek further assessment
47:35 Choosing the right podiatrist

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Discount Codes:
TAILWINDSTRONG – 15% off Tailwind Nutrition
STRONGERSTRIDE – 15% off Vivobarefoot shoes
STRONGER15 – 15% off Skorcha Sunscreen

Thanks for tuning in!

TSSP x