Doc On The Run Podcast Episodes 2017 - DOC

Doc On The Run Podcast Episodes 2017

#73 Running Doesn’t Cause Running Injuries

Over and over patients tell me their doctor has told them to quit running. The doctor has said that running is at the root cause of the running injury. B.S.!

Breathing doesn’t cause lung disease. Eating doesn’t cause stomach upset or heart disease. Driving doesn’t cause automobile accidents. Spending money doesn’t cause bankruptcy.

Running doesn’t cause running injuries. Running isn’t the problem. It’s the choices we make when we are running (and recovering) that leads to a problem.

If you’re a runner it’s important you understand first and foremost that running does not cause running injuries. And if you happen to get injured and you seek treatment for your running injury it’s important you understand how to talk to your physician and convince your physician that running is not the problem.

#72 How X-Rays Show Metatarsal Fracture Healing

Rodney asked about a non-displaced fifth metatarsal fracture. He said “Hi, it’s been 8 weeks and my orthopedic doctor says it’s healed. Even though the x-ray doesn’t look like it’s healed. There is still a black in the gap where it was broken. He says that line will be there. Is this possible?”

Metatarsal fractures are extremely common. In fact metatarsal bones are fractured more often than any other bones in the foot among runners. Because these little bones happen to be the longest bones in your foot they’re also crucially important to the stability and structure of your foot. So you have to make sure they heal before you can get back to running with confidence.

X-rays are the most frequently used diagnostic tool to evaluate the positioning and state of healing of fractured metatarsal bones. But there’s a lot of variability in the appearance of a fractured bone when you’re looking at it on an x-ray.

In this week’s podcast were talking about how x-rays show metatarsal fracture healing.

#71 How You Can Tell When To Resume Running With A Stress Fracture

Today on the Doc On The Run Podcast we’re talking about how you can tell when it’s okay to resume running with a stress fracture.

A runner named Whitney recently sent a great question to me on Twitter. Whitney asked “if you suspect a stress reaction/fracture how do you know when it’s healed enough to resume running? Thanks for your podcast!”

As we all know stress fractures in the foot are one of the most common overuse injuries among runners. But just because stress fractures are common, it doesn’t necessarily mean that every runner who gets an aching, throbbing pain in the ball of foot has a stress fracture. And even if you do have a stress fracture you have to figure out what that really means. So, here are the 10 steps to use when you’re trying to figure out whether or not your stress fracture has healed enough to resume running.

#70 Marla Explains How To Shift Your Mindset, Reset Your Expectations And Recover After An Injection Fails To Help A Running Injury

Today on the Doc On The Run Podcast I’m really excited to have Marla on the show to talk about her experience with recovering from a running injury.

Running injuries can be really difficult for lots of reasons and one of the reasons I think they seem to be so difficult is that the standard of approach in medicine is to first tell you to “stop running”. Sometimes the standard medical approach, or the “standard of care” as we like to call it, can send you spiraling down this path of frustration and despair and it becomes more and more difficult to actually get yourself out of that spiral.

But Marla has a really great perspective on everything involved and trying to navigate the whole medical system and actually recover, not just using the standard approach which is usually offered to us when we get injured, but really trying to step back and look at all these different components of recovery from an injury and then try to really change what she was doing, assess what she was doing and make changes as she went throughout the course of recovery to try to really get the best improvement as quickly as possible.

#69 Paternalistic Medicine Fails Runners

Today on the Doc On The Run podcast we are going to discuss how Paternalism fails runners.

During a sermon one Sunday morning in 1896 in Dayton, Ohio, Bishop Milton Wright said, “If man was meant to fly, God would have given him wings!”

Lucky for us, his sons didn’t listen. Had Wilbur and Orville actually taken their father’s admonitions to heart, it would certainly take us a lot longer to get from San Francisco to New York.

As a father myself I cannot believe the good bishop was hoping to crush his children’s dreams. I can only assume he wanted to protect his boys. He wanted to protect them from what, to him, seemed to be a foolish idea of propelling themselves through the sky. He didn’t want them to die in the process of seeking an adventure.

In retrospect, it is clear Bishop Wright had the wrong idea. His kids wanted to fly. And so they did. The doctor wants to protect runners from further injury. It’s part of the Hippocratic Oath: “First, do no harm.” It’s part of what they have sworn to do. But doctors should also encourage you to fly. They should look for new ways to get you from point A to point B. They shouldn’t look at the old methods of healing and recovery and think it’s enough for an injured runner.

Nobody wants to ride a donkey from San Francisco to New York. It’s the doctor’s job to help you look to the sky. It’s the doctor’s job to help you fly.

#68 Should A Runner Get An MRI For A Stress Fracture?

Stress fractures are one of the most common running injuries. And every runner who gets a stress fracture has to, at least in same capacity, reduce their activity to heal. Sometimes the runner has to stop running for a brief period of time. Sometime you can just run less, modify the way that you run, or come up with some creative strategies to keep running.

You never get a second chance to do your first marathon, so you certainly need to do everything possible to stay fit and not lose all that effort you put into training. You also need to make sure that your injury is not just healed enough that you can start running, but then get sidelined a few weeks before the race. Obviously that would be heartbreaking.

Today on the Doc On the Run Podcast talking about whether or not runners need to get an MRI when they think they have a stress fracture and want to get back to running.

#67 How A Pain Journal Can Help You Get Back To Running Sooner

Pain is a part of running. There is a saying often lauded by athletes and we have all heard, “Pain is just weakness leaving your body.” We affectionately call our training studios “Pain Caves.” We bask in the discomfort of pain, knowing it will make us stronger. In training we embrace pain as an ally.

But when you get an over-training injury, pain when running is no longer your friend. The pain forces you to run slower or run shorter distances. Pain forces you to skip workouts. Pain is wrecking your training schedule. Pain is in the way. Pain is your enemy.

In this episode we’re talking about how a pain journal can help you get back to running sooner.You can keep track of that pain and use it as a tool to recover as fast as possible and get back to running.

#66 Can I Run After Wearing A Fracture Boot?

A few days ago a guy named Vito sent in a great question.

“I was in a walking boot for 6 weeks due to ankle fracture, no surgery. I am out of the boot and doing physical therapy to restore flexibility and strength. Can I safely being running again after a period of time?”

This is a very common question I hear from runners simply because one of the most common treatments for running injures like stress fractures, stable ankle fractures, Achilles tendinitis, peroneal tendinitis and even chronic plantar fasciitis is a fracture walking boot.

The truth is that a fracture walking boot is very effective at immobilizing the foot and ankle. That immobilization can certainly help many common running injuries heal faster.

Today on the Doc On the Run Podcast we’re talking about when you can start running after wearing a fracture boot.

#65 Hormone Disrupters

Today on the Doc On The Run podcast I’m really excited have Dr. Vinh Ngo from Smart Medicine San Francisco. Doctor Ngo is going to explain hormone replacement as a way to make sure your training at full capacity and at lowest risk of injury. Dr. Ngo is a UCSF trained physician and he is an expert in men’s health and hormone optimization.

So today I’m really excited that he’s here to share his integrative approach which can help athletes train harder by looking at hormonal limiters to identify changes that can be managed to improve the overall health and resilience of an athlete’s body.

#64 Should I Wear Compression Socks If I Have A Running Injury?

A few days ago I was doing a phone consultation for a patient who had a fracture in his fifth metatarsal. I was trying to help him understand how important it is to reduce inflammation to speed healing. During our call he asked a great question.

“Should I wear compression socks if I have a running injury?”

In this episode were talking about whether or not you should wear compression socks when you have a running injury.

#63 How Massage Helps Runners Run More And Avoid Injury

Today on the Doc On The Run podcast we have Tina Deane who is the owner of Massage Works in Los Gatos.

This episode will help you understand how runners and triathletes can use massage as a tool to simply run more, train more, train harder, workout more, build your fitness more with a lower risk of injury.

#62 Discipline And What It Takes To Recover From Running Injuries

Discipline is the difference between choosing what you want now and what you want most.

The problem with discipline is that most runners often seem to perceive discipline and hard work are synonymous. After all, it does take lots of discipline and hard work to become a strong runner. We learn to suffer. Through discipline we learn to put on our running shoes and run in the dark. We run in the rain. We run through aches and pains because we have, through years of training, developed discipline.

So it’s not really surprising that when an overuse injury stands between where we are now and where we had planned to be, many runners think they can just tough it out, power through and keep running anyway.

In today’s podcast, we’re talking about discipline and what it takes to recover from running injuries.

#61 Peroneal Subluxation In Runners

My ankles pop and click all the time. They have for years. I am going to help you understand whether or not you might have subluxing peroneal tendons and whether or not it’s a problem.

If you think you have peroneal tendon subluxation you probably have some popping or clicking sensation or maybe even pain at the outside of the ankle. So what causes all of that noise?

Today on the Doc On The Run Podcast we’re talking about peroneal tendon subluxation in runners.

#60 Peroneus Longus Tendinitis In Runners

Today on the Doc On The Run Podcast we’re talking about peroneus longus tendinitis, and what runners can do about it.

Whenever I do consultations for runners who have peroneal tendinitis, they seem to be confused. Even though many of them have already been seen by an emergency room physician or their primary care doctor, they seem to be really unclear about what exactly is going on in their foot and ankle. If you aren’t clear on what is wrong, it’s hard to be clear on what you need to do to heal, and run without further injuring the tendon.

Part of the confusion lies in the fact that there are two different tendons (the peroneus brevis and the peroneus longus) which both run down the side of the leg and then attach to your foot. But they attach to your foot in different locations and they both do different things. Because they have different functions, they can become injured in different ways.

If you want to get back to running as quickly as possible it’s extremely important to figure out exactly which one of the two tendons is bothering you. Understanding which one is injured will give you a better chance of getting the tendon to heal faster, and get back to running sooner, without re-injury.

#59 Peroneus Brevis Tendinitis In Runners

Peroneus Brevis Anatomy

In the earlier episodes we explained that peroneal tendinitis is just inflammation of one of two tendons on the outside of your ankle: peroneus brevis and peroneus longus. In most runners these are overuse injuries.

Although they have similar names and they’re both in a similar location they each have very different functions when you run. In the simplest terms, they work together to act as your landing gear when your foot hits the ground and you decelerate. They both stabilize your foot.

But these two tendons stabilize your foot in very different ways. In this episode we’re going to focus specifically on the peroneus brevis tendon, how it works, how it becomes inflamed, and what you can do to make sure that you calm it down. We will also discuss how you can strengthen the peroneus brevis so it doesn’t become a problem again that could disrupt your running in the future.

#58 Peroneal Tenosynovitis Is The First Peroneal Tendon Problem In Runners

If you are listening to this, you’re probably a runner and you probably also have pain on the outside of your ankle. You may have already been to see a doctor, or you may just be trying to figure this out on your own. Either way, either you or someone else has suggested that you have a problem with the peroneal tendons. And you’re probably worried that it’s going to screw up your ability to run at least for the next several weeks.

Your doctor may have told you, or you may have read, continuing to run with peroneal tendinitis can result in permanent damage to the tendons. So a diagnosis of peroneal tendinitis can and should be concerning. The most important thing is to figure out whether or not you actually have peroneal tendinitis or you have another condition that might be easier to treat, like peroneal tenosynovitis.

Today on the Doc On The Run podcast we’re talking about peroneal tenosynovitis in runners.

#57 Peroneal Tendon Injuries In Runners: An Overview From The Runners Connect Running Injury Summit

I recently had the honor of being interviewed by Runner’s Connect to contribute my thoughts on peroneal tendinitis in runners. This live recording was part of the 4-Day Injury Prevent Summit where Runners Connect interviewed 25 of the world’s most renowned running injury experts.

This episode is going to be an overview on peroneal tendon injuries in runners. For most of you listening this, it will give you all the information you need to figure out what’s going on with your peroneal tendons and get back to running. Make sure you go to the show notes page and I’ll explain how you can also get access to the corresponding video lecture that was presented during the 4-Day Injury Prevention Summit.

#56 How Runners With Severe Achilles Tendinosis Heal Without Surgery

In Part 1 of our series on Achilles tendinitis we talked about how runners with mild forms of Achilles tendon injuries can decrease the inflammation, decrease the stress and tension on the Achilles tendon, get better and keep running.

But we also talked about the unfortunate reality of some runners having a tendency to ignore these injuries when they are in there earliest stages. Because many runners have a high pain threshold you may not even notice the first stage of Achilles tendinitis.

If you don’t notice there is a problem, it’s unlikely you will treat the problem. So you may be one of those runners who just really didn’t realize you were developing a problem with the Achilles tendon. You might have noticed some weird sensations that went on for months.

If so, you may have developed one of the more severe forms of Achilles tendon injury.

In today’s podcast we’re talking about how runners with severe cases of Achilles tendinitis keep running without surgery.

#55 How Runners Heal Achilles Tendinitis Without A Doctor And Keep Running

Today on the Doc On The Run Podcast we’re talking about how runners with Achilles tendinitis skip the doctor visit and keep running.

The Achilles tendon is the biggest tendon in the body. So when the Achilles tendon gets injured, the runner has a really big problem. If you neglect the early sign of problems with the Achilles tendon and develop a severe form of Achilles tendinitis, you can be crippled temporarily and have your running form altered permanently. In short, you may never run the same way again.

If you’ve been running with an aching pain in the back of your leg down near your heel and you worry you have Achilles tendinitis you’re probably freaked out and concerned that you’re going to have to stop running. But don’t worry. I’m going to explain to you exactly what runners do that helps them get over those early forms of Achilles tendinitis without ever seeing a doctor.

#54 Runners Knee Preservation Strategies With Dr. Kevin Stone

Today on the Doc On The Run Podcast we’re talking with legendary orthopedic surgeon Kevin Stone about runner’s knee and knee preservation strategies for runners.

Although many of our guests have some incredible accomplishments, that list is usually pretty short. But that’s not the case with Dr. Stone. We could truthfully use the entire time normally allotted into the podcast just reading his list of patented surgical devices, advances in orthopedic surgical technique and ongoing research and advances of Orthopaedic knee surgery.

As a grossly abbreviated introduction I will simply say that Dr. Stone completed medical and surgical training at both Harvard and Stanford University and then went on to additional fellowship training and further specialization in knee surgery directly under the founder of the world famous Steadman Clinic. All that experience alone would make him one of the world’s best rated knee surgeons. But that was only Dr. Stone’s start in the specific area of knee surgery. Dr. Stone has developed and patented dozens of medical devices and surgical techniques. He’s also been actively involved in orthopedic biomedical research and published dozens of studies relate to knee surgery in a variety of period review medical journals. Because he has such a high level of expertise and experience, particularly in the realm of knee surgery, he gets invited to travel to medical conferences all over the world to teach other orthopedic surgeons the specifics of his joint preservation research and knee surgery techniques.

#53 Lyme Disease

Today on the Doc On The Run podcast we’re talking about Lyme disease.

I was recently out for a run on the Dipsea Trail which goes from Stinson Beach to Mill Valley California. It is really beautiful and strenuous, but like most trail runs, it goes through the woods and there are a lot of critters living in the wood including ticks.

While I was on that run, my legs were constantly dragging through brush, tall grass and limbs. I kept thinking about ticks and I kept thinking about someone I met a few years ago at Ironman Cozumel and she has been on a terrible, yet truly inspiring journey with Lyme Disease.

In thinking about all she has gone through with this horrible disease it occurred to me that many runners are simply unaware of the real risks associated with tick-borne illnesses and for that reason I thought it would be great if we could have her on the show to discuss everything she has learned about chronic Lyme disease and how to prevent it. Fortunately for all of us, she agreed!

#52 Sesamoid Injuries Are Risky For Runners

Today on the Doc On the Run Podcast, we’re talking about what a runner should do if you’re worried the pain under the big toe joint might be a sesamoid stress fracture.

Sesamoid stress fractures may be one of the very worst injuries affecting runners. In fact, of all overtraining injuries that could actually seriously put your future of running at risk, it may be the sesamoid fracture that has the potential to ruin your ability to run forever.

Pain in the ball of the foot under the big toe joint can have a few causes.
The key of course is to make sure you know which condition is causing the trouble.

So first and foremost, you want to make sure that you don’t miss a sesamoid injury.

#51 5 Tips To Avoid Surgery Complications Common In July

Summer has a dirty little secret…

If you get injured and wander into the hospital in the summer months you are more likely to end up with a bad result. Believe it or not, statistically, you are even more likely to die.

Your chances of dying in a hospital are highest in July. A study published in 2010 in the Journal of General Internal Medicine exposed one of medicine’s dirty little secrets. All medical internships, surgery residencies, and fellowships begin on July 1st every year. Because of this, July is simply the riskiest month have foot surgery or any other surgical procedure associated with hospitalization.

This is not complicated. After eight years of sitting in college classrooms and medical school lecture halls, the wet-behind-the-ears medical intern is just itching to try out all of those skills he or she has read about. The problem is, they have a lot of learning left to do.

You don’t really want to be the first person when a new foot doctor tries to make a surgical incision on your foot. You also don’t want that new, nervous, over-worked and sleep deprived intern fumbling through a pharmacy handbook while writing your medication orders at 4:00 a.m. You are far more likely to have a bad outcome in July for several reasons.

In this episode, I will discuss the 5 tips to avoid surgery complications in July.

#50 Shin Splints: What To Do If Your Shin Splints Won’t Go Away

If you’re a runner, the chances are good at some point in your running career you have had an aching, throbbing sensation in the front of your shins. And chances are also good if you talk to your running buddies they would quickly explain to you that you have a case of shin splints.

Shin splints may be common, but they can also be confusing.

As I have said in many other episodes, you have to know what you are treating, before you can treat it correctly. If your doctor has misdiagnosed your condition, or if you have misdiagnosed yourself, you may be using the “right treatment” on the “wrong problem.” Of course if you do that, it’s unlikely you will improve.

In this episode we are going try to eliminate some confusion so you can know what to do if you get a case shin splints that doesn’t seem to go away.

#49 How Strict Rest Can Actually Make Your Running Injury Last Longer

How Strict Rest Can Actually Make Your Running Injury Last LongerIs over-resting slowing your recovery? It might be. Sitting still is a killer for athletes. Not only does it bum you out, but a long period of immobilization can actually increase your chances of having another injury later.

A few days ago I got a call from an athlete who had been unfortunate enough to have a serious injury that required surgery. So when he called me, he already had surgery and was well on the way to recovery.

After six weeks of rest he felt like the rest was killing him. And he had just been told by his doctor that he needed another month or so of rest before he could start regaining strength and becoming active again.

Understandably, he became frustrated.

Today on the Doc On The Run Podcast we’re talking about how over-resting can actually slow down your recovery from a running injury.

#48 You Need New Running Shoes

you need new running shoesLet’s face it, the primary tool used by runners are running shoes. Although we often think about heart rate monitors, GPS watches and all sort of fancy fabrics for our running clothes, nothing will affect your performance as much as the very best, properly chosen running shoes.

Given I am a sports medicine podiatrist with a practice catering solely to helping runners run, and I like to run, you can rest assured I always run in the very best running shoes.

And not surprisingly, other doctors, and lots of runners ask me which running shoes are the best. That’s not an easy answer. Of course the short answer is that the best running shoes are the ones that work best for you. But you have lots of variables. Your foot type is probably different than mine. Chances are good that you’re a faster runner than me. You also probably have a different training regimen and set of goals for this year. Your running shoes are supposed to help you run further, decrease your risk of injury and protect you while you train.

The very best running shoes are always an accurate reflection of the runner’s particular biomechanics, running form, training regimen and particular goals. So in this episode we’re going to talk about some of the ways you might want to reconsider your running shoe choices.

#47 Overtraining Injury B.S.

Whether you’re training for your first 5K, a half-marathon, Ironman triathlon or 100 mile ultramarathon, you have to put in lots of miles. To keep logging miles, increasing your speed and building your strength…you have to avoid injury.

The real game with building strength and fitness in long distance running is to systematically stress your tissues so those muscles, bones, tendons and ligaments all have to rebuild themselves and become stronger.

So whether you are self-coached, you purchased an online training program, or you have hired a professional coach to help you, the task is to help you choose workouts that will deliver the maximum amount of tissue damage that your body is capable of rebuilding before your next key workout.

But if you do more tissue damage than your body is capable of rebuilding, and then you do another hard workout, you get an over-training injury. In this podcast we’re talking about overtraining myths, and other B.S. that you need to know to avoid an overtraining injury.

#46 Lessons On Plantar Fasciitis For Runners

This week I was invited to lecture on Runners Heel: Pearls for Podiatric Physicians at the International Foot & Ankle Foundation Meeting at the Swedish Medical Center in Seattle, Washington.

The attendees to this conference included podiatrists, foot and ankle surgeons and sports medicine specialists. The lecture was on runner’s heel pain and I was discussing the differences between plantar fasciitis, infracalcaneal bursitis, neuritis and stress fractures of the heel bone.

The goal was to try to explain to doctors the ways that they could tell the difference between all these conditions in runners how they can help their patients continue running even if they have a partial rupture of the plantar fascia or plantar fasciitis.

As a runner, you will find the main lessons of this talk helpful…

#45 Iron Cowboy… 50 Ironmans In 50 States In 50 Days

Today on the Doc On the Run Podcast we have a truly inspirational guest: the Iron Cowboy, James Lawrence who is famous for settling two world records: both the number of Half Iron Distance triathlons done in one year and then in 2012.

He also set a new world record for the number of full Iron Distance triathlons done in one year.

But then, he did 50 Ironman distance triathlons in 50 days, and in all 50 states!​​​​​​​

#44 The Top 5 Worst Exercises For A Plantar Plate Tear

The very first step in healing a plantar plate sprain is to make sure that you don’t make the condition worse. Because it’s a tiny little ligament and it’s easy to make it worse!

In many cases you can continue to run and still heal a sprain of the plantar plate. But this depends on many different factors. However, there are some exercises which I believe are much more stressful than running when it comes to the stresses applied to the plantar plate. If you do these exercises you can rest assured that a tear in the plantar plate is going to continue to get worse.

So without further ado here are the top five worst exercises for a plantar plate tear.

#43 Fat Pad Atrophy In Runners

One of the less common ways you can get pain in the ball of the foot is if the cushioning within the foot becomes diminished. If that happens it can feel like you’re walking on rocks or standing right on the bones on the ball of the foot.

If you think about it, when you stand up, your skeletal system, primarily the bones and everything that hold the bones together is what supports you. Obviously, you have a lot of bones in your foot. The bones are resting on top of the skin. So if you think about all that weight pressing down on the skin, what is it that prevents the skin from hurting?

Well, it’s your fat pad. It’s the natural cushioning or padding between the bones and the skin at the ball of the foot.

Today on the Doc On the Run podcast we’re talking about fat pad atrophy in runners.

#42 5 Signs Your Doctor May Not Be On Your Team

If you’ve been training for a marathon or any other event and you suffer a running injury the first thing that happens is that you become concerned that your foot is going to hurt and slow you down during your training. But then as things get worse you actually realize it may not just hurt when you’re running. You may have to change your training schedule or even stop running to get it to heal.

If you’ve ever suffered this sort of contemptuous delivery of healthcare, you may have become concerned your doctor really doesn’t have your best interests at heart. Maybe she just doesn’t understand you or fully appreciate how important running is to you.

There are many reasons why doctors will tell runners to stop running. And although sometimes it is necessary to briefly pause your training when you get injured, you have to be on guard for those times when it seems like your doctor really isn’t on your team.

Is your doctor on your team?

Today on the Doc On The Run podcast we’re talking about 5 signs your doctor may not be on your team.

#41 Top 5 Ankle Sprain Myths For Runners

Top 5 Ankle Sprain Myths for RunnersAnkle sprains are one of the most common injuries that brings an athlete to the emergency room. Of course, as we talked about before, the emergency room may be the very worst place to go when you actually have an ankle sprain.

Since many runners are starting to learn that they don’t need to sit around all day in the emergency room it’s important to understand what is a myth and what is reality when it comes to a sprained ankle.

If you understand a few simple things about ankle sprains you can make the best decisions about how to care for your ankle so you can get back to running as soon as possible.

#40 Difference Between Metatarsal Stress Fractures, Morton’s Neuroma, Plantar Plate Sprains And Osteochondritis

In previous episodes we talked about the different causes of pain in the ball of the foot in runners. We talked about the differences between Morton’s neuroma, plantar plate sprains, and osteochondritis.

But a great question occurred to one of our listeners. Why didn’t you include metatarsal stress fractures in this series of discussions? After all, the metatarsal stress fracture can also cause pain in the ball of the foot in runners.

So today we’re going to talk about how you can tell the difference between metatarsal stress fractures, Morton’s neuroma, plantar plate sprains and osteochondritis.

#39 Osteochondritis In Runners

If you are a runner and you have pain in the ball of the foot there are really only a few conditions that could be causing the trouble. This episode is the third of a three part series that explains what you need to think about if you’re a runner seeking treatment for these problems. Previously we talked about pain in the ball of the foot caused by plantar plate sprains and neuromas.

Today, we’re going to talk a little bit about another condition which is in a similar location in the ball of the foot and can also cause pain in runners.

In this episode we’re talking about pain in the ball of the foot in runners caused by a condition called “osteochondritis.”

#38 Plantar Plate Sprain In Runners

If you are a runner and you have pain in the ball of the foot there are really only a few conditions that could be causing the trouble. This episode will be the second of a three part series that explains all of the things you need to think about if you’re a runner seeking treatment for any of these problems. Last week talked about neuroma treatment in runners. Today I’m going to explain a little bit about another condition which is in almost the exact same location as a neuroma.

The plantar plate is a small ligament on the bottom of the joints located in the ball of the foot. It is really just a thickening of the joint capsules. Because the plantar plate is located between the heads of the metatarsal bones and the ground, you’re basically standing on the plantar plate whenever you walk or run. If the ligament comes sprained it can be very painful. Often times, runners and even some doctors confuse a plantar plate sprain with a Morton’s neuroma.

#37 Neuroma Treatment Is Different In Runners

If you are a runner and you have pain in the ball of the foot there are really only a few conditions that could be causing the trouble.

This episode will be the first of a three part series that explains all of the things you need to think about if you’re a runner seeking treatment for any of these problems.

The most common cause of pain in the ball of the foot is most likely a neuroma.

So in this episode we’re going to talk about neuroma treatments and give you some things to think about, and to discuss with your doctor…before you receive any potentially damaging treatment.

#36 PRICE The First Steps When You Have A Running Injury

Overtraining injuries come in lots of different forms. Metatarsal stress fractures, Achilles tendinitis, peroneal tendinitis, and plantar fasciitis, they all may affect different structures but what they all have in common is an impending inflammatory response.

When you feel any aching sensation in your foot or your ankle and you think you have an overtraining injury, you want to take steps to control the damage and prevent things from getting any worse. Believe it or not there are a lot of simple things you can do to speed the healing and then get back to running as quickly as possible.

In this episode we’re talking about the first steps you should take when you think you have an overtraining injury.

#35 What Does Metatarsalgia Mean To A Runner?

If you are a runner and you start having pain in the ball of your foot, you might be worried that you have a stress fracture. So you have a couple of choices. One option is to go see your local orthopedist or sports medicine podiatrist. The second option is to stop running and see if the pain gets better.

​​​​​​​If you’re listening to this podcast right now you are likely not very interested in option number two. After all, most runners want to run. So you might try to figure out a third option such as trying to treat the problem yourself. Although I believe it is truly possible and reasonable for most runners to figure out the problem and attempt to address it themselves, this episode is going to discuss what happens when you actually go to a doctor with pain in the ball of your foot and you are diagnosed with a condition called “metatarsalgia.”

#34 What If You Sprain Your Ankle On A Trail Run?

sprain your ankle on a trail runThe unfortunate reality is that every single day, over 10,000 suspected ankle sprains show up in the ER.

While an emergency room may be the best place for someone with a heart attack, it isn’t the best place to get treatment for a sprained ankle.

Today on the Doc On The Run podcast we’re going to talk about the first things you should think about if you believe you need treatment after you sprain your ankle on a trail run.

#33 Fat Fueling For Runners: Sports Nutritionist And Triathlete Heidi Buttery

Today on the Doc On The Run podcast we’re talking with sports nutritionist and triathlete Heidi Buttery about Good Fat, Bad Fat and Fat Fueling as a way to fuel better and avoid running injuries.

She will discuss what she knows as a nutrition coach, how that’s all tied together and to give idea of her approach, where she came from and what she’s up to now.

#32 Can I Run With A Broken Toe?

Last night I did a remote consultation for a patient who had a broken toe and wanted to get back to running.

That discussion generated several thoughtful questions that I have heard before. These are all excellent questions for an injured runner!

So we’re going to talk about all of the things that you should consider if you’re a runner and you break one of your toes, but want to keep running.

#31 Minimalist Vs Maximalist Running Shoes

Minimalist running shoes, maximalist running shoes and barefoot running, they’re all some of the more recent trends in running and running shoe technology.

There’s a lot of debate around these different kinds of running shoes as well as different running forms and I was recently invited to give a lecture at the International Foot and Ankle Foundation meeting in Lake Tahoe on February 17, 2017.

Today on the Doc On The Run podcast we’re talking about the differences between minimalist and maximalist running shoes.

#30 Why “Not Running” Is A Terrible Treatment For Running Injuries

If you are a runner, and you got a running injury, you may have been to the doctor. And let me guess, your doctor told you to stop running.

Today on the Doc On The Run podcast we’re going to talk about the ways stopping running can place you at higher risk of running injuries down the road.

#29 Interview With Brad Beer – Legendary Physical Therapist And Amazon Best-Selling Author Of “You Can Run Pain Free!”

Today on the Doc On The Run podcast we’re speaking with Brad Beer, legendary physical therapist and Amazon best-selling author of “You Can Run Pain Free! A physio’s 5 step guide to enjoying injury-free and faster running”.

In this episode you’re going to learn about Brad’s approach to decreasing overused injuries that plague endurance runners and long-distance triathletes.

#28 Top 5 Reasons Runners Should Fire Their Doctor

If you are runner, you probably like to run. If your get injured, you probably still want to run. You need a doctor who will be on your team, not the other way around.

Times in medicine have changed. It used to be that there was this very paternalistic attitude among doctors. Whenever the patient would seek treatment, the doctor would simply tell the patient what to do. The patient was expected to do as he was told.

But in the last few decades the power has clearly shifted back toward the patient. Patients expect good customer service, expert advice and expect to get better. The advent of the internet has done more than any other single factor to shift the power of healing back toward the patient. In today’s podcast, I will discuss the top five reasons runners should fire their doctor.

#27 Running After Partial Rupture Of The Plantar Fascia

Today on the Doc On The Run podcast we’re talking with Darin about his history of issues with the plantar fascia and being an athlete and what it takes to get back to training and recovery and survive these types of injuries.

He shares his experience as a runner with a partial rupture of the plantar fascia who was able to get back to running and training.

#26 When Do Injured Runners Really Have To Stop Running?

The other day I got a call from a patient who had an injury and briefly she explained her scenario and then she asked me the million dollar question, “Do I really have to stop running to get better? More importantly, is it possible that I might actually have to stop running forever because of this injury?”

That’s the big concern we all have as runners. It is a pretty common question when runners get injured. So today I’m going to share my opinion about when people should stop running and not stop running.

All of the information I’m going to present to you today is based upon on a lecture that I first presented to doctors at the International Foot & Ankle Foundation meeting at the annual medical conference in Lake Tahoe.

#25 What Every Runner Needs To Know About Plantar Fascia Surgery

Today we’re talking about surgical options for chronic plantar fasciitis and not every runner needs to listen to this but if any of you have had chronic heel pain and you’re considering surgery, it’s really important that you understand what all the different surgical procedures mean in terms of the procedures themselves but also what that mean to you as a runner.

I personally believe that my entire job is to help runners continue running and so I have a perspective that’s a little different than some other surgeons. So we are going talk all of the special considerations that you need to take into account if you’re considering surgery on the plantar fascia.

Today on Doc On The Run podcast we’re talking about everything that runners should need to know about surgery on the plantar fascia.

#24 Top 5 Mistakes Runners Make With Their Toenails

Which is better…clear healthy toenails or thick, yellow, black and blue or missing toenails? Running can be hard on the feet. We all know that lots of runners bash their toes. But neglected tootsies can lead to discolored toenails and even lost toenails if you’re not careful.

I’m Dr. Christopher Segler and I am a sports medicine triathlete who treats runners and triathletes and here are the top 5 mistakes I see runners make that can lead to funky looking toenails.


#23 Pro Triathlete Jess Smith On Training And Racing During And After Pregnancy

Jess is an amazing athlete. She got a Kona slot in only her second Ironman and then became the 2011 70.3 Ironman World Champion. Since that time she’s been racing Pro. Over the past year Jess has had some major life shifts and I think that her experiences can help all athletes understand the importance of priorities and focus as life unfolds.

She recently started coaching full time, she had a baby and then she got right back to racing. So if anyone knows how to keep the fitness while making major life transitions it is Jess.

Today on the Doc On The Run we’re talking with Pro Triathlete Jess Smith about all the special considerations surrounding running, training and maintaining fitness before and after pregnancy.

#22 Dr. JJ Mayo On Race Day Nutrition Planning And Making Sure You Get Enough Protein To Prevent Running Injuries

Dr. Mayo holds a Ph.D. in Exercise Physiology and is a registered dietitian (RD). He is an associate professor and has published close to 50 articles in lay and scientific journals regarding various aspects of fitness and nutrition.

Also, Dr. Mayo has been quoted in magazines such as Men’s Health and US Weekly. Don’t worry, he doesn’t just write about this stuff…he walks the talk, too. JJ has done ultramarathons, he qualified for the Boston Marathon and he has finished 10 Ironman triathlons. He knows what it takes to use nutrition and apply it directly to putting miles on the road.

Today on the Doc On The Run podcast I am really excited to bring JJ Mayo onto the show to share his expertise about nutrition and what it takes to fuel athletes not only in races, but in the recovery process.


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