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#596 Focus on possibilities NOT limits or obstacles when injured

The problem is not that you have a stress fracture.

The problem is not that you have an Achilles tendonitis issue that is bugging you.

The problem is that you have been given advice that freaks you out and convinces you to do absolutely nothing while you wait to recover.

How do I know? Because I don’t help people get better from running injuries. Instead, I help injured runners figure out how to run.

That’s what I really do.

Today on the Doc On The Run podcast, we’re talking about why you need to focus on possibilities and not limits or obstacles when you’re an injured runner.

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#595 2 reasons stretching the plantar fascia is bad for runners

Yesterday, I saw a runner who has plantar fasciitis. Plantar fasciitis is the most common condition affecting the foot in runners.

When a runner gets plantar fasciitis, it is often because the plantar fascia ligament is too tight. The tight ligament becomes overstretched and strained. Heel pain is the result.

Since it is safe to assume that the plantar fascia ligament on the bottom of the foot is just way too tight, you may want to stretch it. But with every potential treatment comes risk.

Stretching the plantar fascia can be risky and has the potential to cause more trouble for a couple of reasons.

Today, on the Doc on the Run Podcast, we’re talking about two reasons that stretching the plantar fascia can be bad for runners.

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#594 Which decision is missing in running injury recovery?

I want you to really think about which decision might be missing in your process of running injury recovery right now.

Is it the decision to just go for it?

Is it the decision to start exercising today?

Is it the decision to sign up for some specific event that can get you motivated?

Is it the decision to get a second opinion?

Which decision is missing in your running injury recovery? That’s what we’re going to talk about today on the Doc on the Run Podcast.

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#593 Is inflammation good or bad for plantar plate sprain

I was just on a call with a runner suffering from a plantar plate sprain.

He had a great question:

Is inflammation really bad or is it good when you have a plantar plate sprain?

Physicians commonly prescribe anti-inflammatories. There are many approaches used by injured runners to manage inflammation, reduce inflammation, and hopefully make your foot feel better.

If inflammation is bad for the plantar plate ligament, part of your recovery plan should include some sort of anti-inflammatory treatment.

But if the inflammation is good for the plantar plate, you should not try to interfere with the inflammatory response.

Is inflammation good or bad for a plantar plate sprain?

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

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#592 Doubt does the most damage to recovering runners

Doubt comes from confusion. Confusion leads to paralysis when you’ve been injured and you don’t know what to do to maintain your running fitness.

Doctors tell you to sit still.

Pill pushers tell you to take medicine.

Gizmo peddlers tell you to buy expensive devices.

Many runners don’t really even know what they can do, other than rest.

If you are going to doubt anything when it comes to your running injury recovery, what you should doubt is the validity of sitting around doing nothing while waiting for healing.

Today on the Doc On The Run podcast, we’re talking about how doubt does the most damage to a recovering runner.

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#591 Sesamoid pain misdiagnosed as 4th and 5th metatarsal stress reaction

If you are reading this, maybe you have sesamoiditis, a sesamoid stress reaction or a metatarsal stress fracture.

This is a real example from a real patient. This story really illustrates how MRIs can show misleading clues leading to a potential misdiagnosed leading your doctor astray.

It is crucial that you focus more on your running goals, your injury progress and what it really means precisely where you have pain in your foot. Then and only then can the MRI findings be put in the proper perspective.

Too much emphasis on MRI findings can make you think you have a different injury.

Today on the Doc On The Run podcast we’re talking about how sesamoid pain got misdiagnosed as fourth and fifth metatarsal stress reactions.

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#590 2 ways runners can tell an injury is improving

How do you know your injury is improving? How do you know that you got the green light to start running? How do you know it is healed?

Well, when I talk to runners, most of them say something like:

“Well, my x-ray shows this. Does that mean that I can run?”

“My blood test showed that, does that mean I can run?”

“My doctor said this, but I heard that on some other podcast, so does that mean I can run?”

There is lots of confusion around how you can tell when you are getting better as you start regaining running fitness after an injury starts to heal. Timing is the crucial piece of information if you really want to run.

Today on the Doc On The Run podcast, we’re talking about two ways an injured runner can tell the injury is actually improving.

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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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