If you are a runner and you get pain in the ball of the foot, particularly at the base of the second toe right. It could be a plantar plate sprain.
Whenever I see a runner on webcam who has pain that sounds like a plantar plate sprain, the first thing I do is look for any callus pattern in the skin that suggests they have too much pressure and friction at that area that could injure the plantar plate ligament underneath the skin.
This episode will help you understand how certain callus patterns relate to some basic foot mechanics when you’re trying to figure out what is causing your ball of foot pain.
Today on the Doc On The Run Podcast we’re talking about three callus patterns I often see that can suggest you have a risk for getting a plantar plate sprain if you are a runner.
If you have a condition called “hallux rigidus” or “hallux limitus,” the name tells you what’s wrong.
“Hallux” means big toe.
“Rigidus” means the big toe joint doesn’t move at all.
“Limitus” just means the big toe joint movement is limited and stiff.
There are three problems with hallux rigidus, which are: 1) damage to the cartilage, 2) bone spurs around the joint and 3) restriction of the soft tissues such that the toe doesn’t move up and down the way it should.
Those three reasons that cause the condition are the same reasons that can fail if you have a cheilectomy surgery.
Today on the Doc On The Run Podcast we’re talking about three reasons for cheilectomy failure after hallux rigidus surgery.
Let’s say you have a nagging tendon injury that’s really been painful. It’s been bugging you a lot when you run.
You have had persistent pain either on the side of the ankle that just won’t seem to go away, even if you run less.
You see the doctor and she says, “Look, we tried everything. We should do surgery. Your tendon is not really torn, but we should do this surgical procedure called a “synovectomy” to get it to calm down so it will finally stop hurting.”
What is a tendon synovectomy surgery?
Well, that’s what we’re talking about today on the Doc On The Run Podcast.
Achilles tendon injury on one leg and a calf muscle strain on the other leg?
Talk about a bummer: 2-for-the-price-of-1 overtraining injuries! Yes, it is possible to get similar running injuries on opposite legs, at the same time.
Today I had a conversation with a runner who has developed both of these injuries from running. These are actually just opposite ends of the same biomechanical spectrum at work. During the call I was explaining to him how it can happen, and how he could make some simple changes to prevent it from happening again in the future.
How can running on the road cause Achilles tendinitis in one leg and calf strain on the other? Well, that’s what we’re talking about today on the Doc On The Run Podcast!
What would be worse than not being able to run because you had foot pain that didn’t get better for a year or two?
I know one thing that would be worse… Having foot surgery to treat a problem that was not actually even located in the foot.
Think about that. You had pain in your foot for two years. Then some doctor convinces you to have surgery, only to find out there was no problem with the tendon.
You stop running. You have surgery. You wait for your stitches to heal. You have to stay off your feet until the incision is all healed.
And your foot pain does not change at all.
Sounds crazy, but this can happen. And it’s most likely to occur when you have something called referred pain. The pain in your foot might be actually caused by nerve compression deep to your glues maximus…that’ right…in your butt.
Today on the Doc On the Run Podcast we are talking about foot pain that is truly a pain in the butt!