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#589 Common fracture missed by Ottawa Ankle Rules

I was recently invited to give a lecture at a foot and ankle medical conference in Seattle. I was giving a talk called Conservative Treatment of Ankle Sprains in Runners Who Want To Run.

This was an attempt to teach physicians what I do with ankle sprains. Mostly I was trying to get them to think about what they need to do to get runners back to running as quickly as possible instead of just doing the standard ankle sprain protocols with their patients.

The Ottawa Ankle Rules are a set of rules that were created in Canada to reduce people from getting unnecessary ankle X-rays when they have an ankle sprain and go to the emergency room.

Today on the Doc On The Run podcast, we’re talking about a common fracture missed by the Ottawa Ankle Rules.

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#588 Always ask for a copy of your x-rays

I was just on a call with a runner who called me for a consultation of an ankle injury.

He had some funny looking stuff on his ankle x-rays. That was why he was scheduling a second opinion.

The bummer in this whole thing was that he actually told me that maybe 10 years ago or so, he’d had a similar ankle injury.

He’s pretty sure it was on the same side, but he wasn’t really sure because he didn’t have a copy of the x-rays.

Today on the Doc on the Run Podcast, we’re talking about why you should always ask for copies of your x-rays.

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#587 Easy home test for Achilles tendon rupture

I just got a call from a runner who I have seen before. He had swelling in his Achilles tendon, and he was worried about it.

He was worried that he could have a ruptured or completely torn Achilles tendon.

If you are a runner and you get a complete rupture of the Achilles tendon, this is one of the worst things that could possibly happen to you.

A torn Achilles is way worse than a broken bone. The worst thing you could do is ignore a torn Achilles. You do not want to ignore it!

Today on the Doc On The Run podcast, we’re talking about an easy at home test you can do if you think you have a complete rupture of the Achilles tendon.

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#586 3 Unfair advantages in healing running injuries

Every time I am in the Recovering Runner’s Aid Station where I answer questions for injured runners, I get questions about how to get an advantage.

Everybody wants an advantage.

I don’t think most people cheat.

There are some people who cheat, but certainly not everyone.

But I think it is okay to look for an unfair advantage when you’re injured and you’re trying to get back to running.

The truth is, getting an unfair advantage when you are injured is actually really easy to do.

Today on the Doc On The Run podcast, we’re talking about three unfair advantages in healing running injuries.

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#585 How can a diagnostic injection help heal an ankle sprain?

Let’s say you are out running on a trail and you catch a root and you roll your ankle.

You limp back home and you realize that your ankle is all swollen. It is bruised, it hurts and you’re really bummed out.

You are trying to figure out what you can do to get this thing to calm down faster and get back to running. Well, there are lots of different options.

How can a diagnostic injection help an ankle sprain?

Well, that’s what we’re talking about today on the Doc on the Run podcast.

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#584 Do you agree not running is the safest way to heal a running injury?

I was just lecturing at the International Foot and Ankle Foundation meeting in Seattle. I was giving talks on running injuries. A doctor in the audience asked me if “not running” was the safest way for runners to heal running injuries.

Keep in mind, this was a doctor asking the question.

Have you ever thought this makes sense?

After all, if a runner gets a running injury, and they stop running, that’s the safest way to get it to heal. Or is it?

Do you agree that not running is the safest way to heal a running injury?

Well, that’s what we’re talking about today on the Doc On The Run podcast.

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#583 2 types of injections after failed neuroma surgery

Let’s consider you are a runner with a painful neuroma.

The more you run, the more painful the foot becomes.

But it only started with some weird little sensations.

Eventually it starts to get more numb. You notice more tingling, then more burning pain. Now your doctor wants to talk you into surgery.

You just want the problem fixed. So you go to the operating room and then you’re shocked to find out that you still have pain later.

By the way…that’s not malpractice. It just means you had a bad outcome.

But if you’re the runner, you’ve got to figure out what to do.

Today on the Doc On The Run podcast we’re talking about two different types of injections your doctor might offer you after a failed neuroma surgery.

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#582 What if there is a 50% chance your doctor is wrong?

I was listening to a podcast about the way that disagreements happen. He said, anytime there’s a disagreement, no matter what, there are two possibilities. If there are two people arguing about something, one person could be right, and the other could be wrong. That means roughly speaking, there’s a 50% chance that one person is wrong all the time. This is true of physicians as well. Let’s say, I come to your home to see you and help you with a metatarsal stress fracture. You’ve been told you have a neuroma. But it seems like you have a stress fracture, based on your x-rays or your story. What if there’s a 50% chance your doctor might be wrong? Well, that’s what we’re talking about today on The Doc on the Run Podcast.

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#581 Do I need a fracture walking boot for extensor tenosynovitis?

One of the questions I got in the Runners Aid Station was:

“Do I really need a fracture walking boot?”

This is a runner who went to the doctor, and was told, “You have extensor tenosynovitis. The best way to get it to calm down is to remove the inflammation and stop aggravating the tendons.”

If you get aching pain on the top of your foot, it might be caused by an irritated extensor tendon sheath (which is the little tube around the extensor tendons as it goes out to the toes on the top of the foot). If so, you might be thinking you need something drastic to stop the tendons from moving so it can calm down.

Do I need a fracture walking boot for extensor tenosynovitis?

Well, that’s what we’re talking about today, on the Doc On The Run podcast.

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#580 300 Pounds and Running with Slow AF Run Club founder Martinus Evans

Maybe you have been taking some time off because you have been injured.

Maybe you took some time off because you spent way too much time in a fracture walking boot.

Maybe all of your training just took a backseat to all the chaos and confusion of the pandemic.

But none of that would be as bad as having a doctor tell you that your hip was injured because you are just way too fat to run!

Irrespective of why, if you are a runner, and you feel like you are running just a little bit too slow, I can promise this discussion is going to help you today!

We are going to talk about why it’s not really so bad to be in the slow zone.

You’re getting to hear from Martinus Evans, host of the The 300 Pounds and Running Podcast Network, who runs the “Slow AF Run Club” and who is also the author of the “Zero to Running” guide.

Today on the Doc On the Run Podcast, we’re talking about 300 Pounds and Running!

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