Achilles Tendon Archives - DOC

#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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#565 Extensor substitution in runners what is it?

I was just watching an injured runner walk. We were trying to pin down her diagnosis and figure out why she was getting injured. She asked me what I actually saw when analyzing her gait. One of the things I saw was that she had this thing called extensor substitution. She wanted to know how it contributed to the issues she has been having when she was running. Today on the Doc On The Run podcast, we’re talking about extensor substitution in runners.

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#563 Achilles tendon calcification in runners with tendinosis

If you are reading this because you are researching Achilles tendinosis, I’m sorry. Achilles tendinosis is one of the worst injuries a runner can get. Tendinosis is a serious problem and must be treated aggressively. It is helpful to understand what you really need to do.You also need to understand Achilles tendinosis treatments doctors often recommend, which you might want to avoid. Today on the Doc On The Run podcast, we’re talking about Achilles tendon calcification in runners with tendinosis.

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#491 Pathologic vs. abnormal x-ray and MRI findings in runners

The other day I was talking to a runner who had some abnormal findings on the x-rays. What we could see was calcification in the Achilles tendon that looked like bone chips. She wanted to know if she should have surgery to remove the calcification or little bony chips that were inside her Achilles tendon. Now, the interesting part of the story is that the Achilles calcification was discovered from an x-ray where she had a stress fracture in one of the metatarsals….in a completely different part of her foot! The pain she was having when running didn’t even come from an Achilles tendon problem. Today on the Doc On The Run Podcast, we’re talking about the difference between pathologic versus abnormal findings on x-rays and MRIs in runners.

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#467 Runner with Achilles worried after taking Cipro antibiotics

A podcast listeners wrote in and she asked,
“How long do I need to stop running or take it easy after taking five doses, meaning two and a half days, of Cipro?
I told my doctor I was a runner, so I didn’t trust their opinion on when or how I should run.
I haven’t run since finding out the side effects two weeks ago, and the Achilles feels weak and a little thicker than the other side.”
This is a great question, and she is right to be concerned because the FDA issued a black box warning because of an association between Cirpo antibiotics and Achilles tendon ruptures.
Today on the Doc on the Run podcast, we’re talking about a runner with Achilles tendon worries after taking Cipro antibiotics.

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#454 Torn Achilles: Should I use crutches?

Just this weekend, I got a call from somebody who said that she was out on a run, she felt a pop in the back of her heel, she went to the emergency room and she was told that she has a partial tear in her Achilles tendon.
I’m not really sure if they did x-rays or an MRI or an ultrasound or anything to confirm that, but the doctor seemed very confident that she had torn her Achilles tendon.
And so, she said that all they did really was they gave her some crutches and they told her to see a specialist, which is why she called me.
She asked me “I just found out that I tore my Achilles tendon. The emergency room physician gave me crutches. What should I do?”
Well, that’s what we’re talking about today on the Doc On The Run Podcast.

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#402 Which is worse for my Achilles running hills or stairs?

This episode comes from a question sent in by a runner who was listening to the Doc On The Run podcast, and he wanted to know which is worse for my Achilles tendon, running hills or running stairs?
This is somebody who had an Achilles tendon issue and was recovering and getting back to running and he’s been back to running, he’s doing better, he’s running without any pain, but he wanted to incorporate some strength training in the form of either hill repeats or running stairs.
Today on the Doc On The Run podcast, we’re talking about which is worse for your Achilles tendon, running hills or running stairs.

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#381 How are tight calves related to metatarsal stress fractures?

This episode comes from a question from a runner, who wanted to know what it means when calf muscles are tight and you have metatarsal stress fractures.
He wrote in and said, “Hey doc, I meant to inquire about stress fractures in the metatarsal joints and how you can tell. I have a friend who’s experienced a stress fracture, and he says his calves seemed to tighten up when the pain developed.”
There are really two ways tight calf muscles can be related to metatarsal stress fractures. One is the cause. The other is an effect.
Today on the Doc On The Run Podcast, we’re talking about how tight calves are related to metatarsal stress fractures in runners.

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#377 Does plantar plate sprain cause tight calves

A plantar plate ligament sprain can cause aching pain in the ball of the foot when you run.

Plantar plate sprains are caused by excess stress applied to the ligament at the base of the toe. 

If you want to heal it and keep running, you have to decrease the stress and strain on the plantar plate, and address the root cause of the injury.

A runner with a plantar plate sprain, and tight calf muscles, had a great question:

Does the plantar plate ligament cause tight calf muscles, or can a tight calf muscle cause a plantar plate sprain?

Today on the Doc On The Run Podcast, we’re talking about whether a plantar plate sprain causes tight calf muscles in runners, or other way around.

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#373 How stress can help your Achilles tendon recover faster and get stronger

When you get any stage of Achilles injury and you’re a runner, you’re trying to figure out what you can do to get it to heal as quickly as possible.

The biggest concern with runners when they have an Achilles tendon injury is that the tendon is going to continue to degenerate, turn into Achilles tendinosis, and then potentially even rupture.

But the good news is that stress, when actually applied in the right way, can help your Achilles tendon recover faster, become stronger, so you can get back to running, possibly even with less risk of re-injury.

Today on the Doc On The Run Podcast, we’re talking about how stress can actually help your Achilles tendon recover faster.

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