#739 When to add weight bearing exercise with stress reaction

Today’s episode comes from a YouTube viewer who posted a question,

“I have a low risk grade stress reaction in my posterior tibia. Interestingly, there is some research discussing the benefits of weight bearing bone building exercise once tolerated pain free, like hops jumps and step ups. Do you have any advice on when and how to integrate these types of exercises into a rehabilitation program?”

When is it okay to add weight bearing exercises when you’ve had a bone injury like a stress reaction?

That is what we are talking about today on the Doc On The Run Podcast.

#737 Are “stress reaction” and “metatarsalgia” the same?

Today’s question comes from one of the YouTube viewers. Tasnim, wrote in and wanted to know whether or not “stress reaction” is the same terminology that is used in the UK for the term “metatarsalgia”.

This question points out how confusing these two terms can be when you have forefoot pain that might be a stress fracture, might be a plantar plate sprain, or could even be a neuroma.

Are stress “reaction” and “metatarsalgia” the same terms?

Well, that’s what we’re talking about today on the Doc On The Run Podcast.

#472 MRI vs Ultrasound which is better for Plantar Fasciosis or Partial Rupture

A doctor at a medical conference asked me a great question!

I was giving a lecture at the International Foot and Ankle Foundation meeting in Hawaii on runners heel pain, specifically about the, what we call the differential diagnosis or the things that can cause runners heel pain.

In that talk I was also teaching about the differences in treatments between runners like us, and non-runner patients with heel pain.

At the end of that lecture a doctor wanted to know which kind of imaging study was better for a runner with a suspected small tear in the plantar fascia ligament.

Today on the Doc on the Run Podcast, we’re talking about MRI vs Ultrasound. Which is better for Plantar Fasciosis or Partial Rupture in a runner?

#395 Plantar heel bursitis misdiagnosed as plantar fasciitis

I was just doing a telemedicine call with a runner with a long history of plantar fasciitis, that has not been getting better. She had been doing stretches, icing, and even an injection of corticosteroids around the plantar fascia.

We were doing a second opinion telemedicine call to talk about what’s really going on. We talked about her whole history. She had been keeping track and has kept a pain journal.

During this one hour second opinion call, we figured out that she had been misdiagnosed.

We figured out she actually had bursitis on the bottom of the heel.

Today on the Doc On The Run podcast, we’re talking about plantar heel bursitis, misdiagnosed as plantar fasciitis.

#172 Capsulitis vs Neuroma: Diagnosis Matters!

Two very common causes of foot pain in runners are neuroma and capsulitis. Some treatments help both conditions. But some treatments will only help one and not the other.

If you have pain in the ball of the foot when you run, you need to do do 3 things to heal quickly:

Accurate treatment
Accurate diagnosis
Aggressively do the things that help and avoid the things that slow your recovery.

Today on the Doc On The Run Podcast we’re talking about pain in the ball of the foot in runners and why the right diagnosis matter.