Today’s episode comes from a discussion I just had yesterday with an athlete. He had a metatarsal fracture non-union.
A “fracture non-union” can develop when there is a crack in the bone that moving a little bit too much and doesn’t completely heal.
Non-unions can happen if you get a stress fracture, and you keep running on it and you’re tough and you’re strong and it doesn’t really hurt that bad.
If you keep running and repeatedly stress that crack, it can’t heal.
Should I get a CT scan or should I test walking to see if my fracture is healed?
Well, that’s what we’re talking about today on the Doc On The Run Podcast.
View Details »I do lots of running injury second opinions and I do most of those over webcam. Sometimes I do them over phone, but webcam’s way better because I can see you, we can talk, I can show you some stuff on screen, share if I need to, and I can look at stuff that you have that might be really useful for me to help you figure out what’s going on. Whether you’re seeing me for a webcam visit or if you’re seeing your doctor in your neighborhood, there are four things that you really should make sure that you have together and that you take to get your most valuable running injury second opinion. Today on the Doc On The Run podcast, we’re talking about the four things you need for a running injury second opinion.
View Details »I was just on a second opinion telemedicine call with an injured runner. She had a recurring injury that was still keeping her from running. Unfortunately, that injury first started eight years ago. When you have an injury, and you get x-rays, an MRI or a CT scan, or any kind of medical imaging study that shows more detail than the x-rays, you should always get a copy of that disc. This runner’s story is a great example of why you need those images. Today on the Doc On The Run podcast we’re talking about why runners should always get copies of the x-ray or MRI imaging disk.
View Details »The fifth metatarsal bone goes from your midfoot out to your little toe. And if you break it, it could be one of three things.
You could have a shaft fracture, which heals pretty uneventfully, most of the time.
You could have an evulsion fracture, where it actually rips a piece of bone off when your peroneus brevis tendon tries to pull so hard to keep your foot under you, that it actually cracks the bone.
Or you could get this thing called a Jones fracture. Now, if you have a Jones fracture, that is a bad thing. Out of those three, it is definitely the worst.
But sometimes a doctor will say you have something called a pseudo-Jones fracture, which implies it’s kind of like a Jones fracture, but not really as bad.
What is a pseudo-Jones fracture? Well, that’s what we’re talking about, today, on the Doc On The Run podcast.