corticosteroid Archives - DOC

#477 Is a cortisone injection malpractice if it causes a plantar fascia rupture in a runner?

I recently got a great question from a runner who was calling me for a second opinion during a telemedicine visit.

She wanted to run but had a partial rupture in the plantar fascia.

When we were talking about her history, she told me that she had had a couple of corticosteroid injections (or cortisone) injections for the plantar fascia when she had plantar fasciitis.

Is a cortisone injection malpractice if it causes a plantar fascia rupture in a runner? Well, that’s what we’re talking about today on the Doc on the Run podcast.

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#423 Does calcaneal fat pad atrophy cause pain when running?

I got a question during a telemedicine second opinion consultation with a runner over webcam.
He was worried that he had some fat pad atrophy in his foot and was getting heel pain as a consequence of that.
The fat pad atrophying in itself does not cause pain, but since the plantar calcaneal fat pad that cushions your skin under the heel bone really does prevent the skin from getting squished. Well, yes, you can definitely get pain if your fat pad gets atrophied.
Does calcaneal fat pad atrophy cause pain when running?
Well, that’s what we’re talking about today on the Doc On The Run Podcast.

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#285 Cortizone injections for sesamoiditis in runners

Just today I got an interesting question from Victoria, who has been suffering with a bad case of sesamoiditis which has been keeping her from running.
She saw an orthopedic surgeon who who thinks there is scar tissue around the sesamoid bone restricting the range of motion and causing the pain under the big toe joint.
The doctor explained to her that one other conservative option, which might help her avoid sesamoid surgery would be a corticosteroid injection which is sometimes also called a Cortizone injection.
So her question was:
“How exactly do steroid injections help? Do they break up scar tissue? The orthopedic surgeon told me to be cautious about doing steroid injections, but I never got a clear explanation as to why.”
Today on the Doc On The Run podcast, we’re talking about the good and bad of cortizone injections for sesamoiditis in runners.

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