healing plan Archives - DOC

#643 The 3 biggest mistake runners make with ankle sprains

Ankle sprains are probably the most common musculoskeletal injury affecting runners. It is really easy to roll an ankle and find yourself limping, unable to run.

You might have sprained your ankle tripping on a root or rock when you’re out running on a trail.

Maybe you were wearing some fancy shoes going out to dinner and you stepped on a little reflector on a crosswalk, twisting your ankle.

No matter how you injure the ankle, if your ankle is painful and swollen it is definitely going to interfere with your running.

What are the three biggest mistakes runners make with ankle sprains?

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

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#642 3 steps every injured runner is missing

In this episode, we’re talking about three mistakes I see almost every runner make when they call me for help.

Let’s be clear, runners do not call me when they are on their run and first start getting foot pain.

More often, aching runners go see a doctor, talk to a running buddy, or seek information online to get a rough idea of what’s going on.

When those steps don’t help, it is my job to help them figure out which mistake they are making.

What are the three steps every injured runner is missing when they call me and ask for help?

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

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#641 Do I recommend ankle braces for runners?

A couple of weeks ago, I was invited to give some lectures at the Heartland Podiatry Conference in Des Moines, Iowa. The conference organizers asked me to give an entire “Doc On The Run session” during which I presented five lectures back to back…all on how doctors could approach treatment of injured runners differently.

During the attendee question and answer session, a doctor asked:

“Do you use ankle braces for ankle sprains, and under what circumstances would you recommend braces for recovering runners?

This question came out of what’s called Conservative Management of Ankle Sprains in Runners Who Want to Run.

Do I recommend ankle braces for runners?

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

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#640 Will I be able to run after a ruptured Achilles Tendon?

If you have trouble with your Achilles tendon and a doctor told you that you might actually rupture it and tear completely if you continue to run, you should probably be worried.

If you are anxious about your Achilles, stay with me.

I have some good news and some bad news.

A recovering runner in the Runners Aid Station asked me…

“If I rupture my Achilles tendon, if I just ignore the tendinosis, if I just block out the pain, continue to run, continue to train, and then it does rupture, would I be able to run after it heals?”

Great question…

Will I be able to run after a ruptured Achilles tendon?

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

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#639 Are calcified Achilles tendons more prone to rupture in runners?

Today’s episode comes from a question from one of the YouTube viewers. The specific question was, are calcified Achilles tendons more prone to tendon rupture in runners?

That’s a great question.

I think if you ask most doctors, their answer is probably going to be yes.

But since I got this very specific question, I actually wanted to see if there is any research that truly proves whether or not Achilles tendons that have calcification or ossification within them, whether or not they’re actually more prone to rupture in runners.

Are calcified Achilles tendons more prone to rupture in runners?

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

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#638 Ask for an hour and tell your doctor you need more time because you are a runner

What would happen if you did this?

Walk into your doctor’s office and say,

“Hey, look, I’m a runner. My situation is complicated. I really want to train. I really want to get back to running. I would like you to take an hour, sit down with me and let’s really work through this so that I can get back to training.”

Right now when you picture yourself going into your doctor’s office and asking for a full hour, how does that make you feel?

If you don’t think you could walk in and ask the doctor directly, what if you called the office in advance and tried to explain you have a complicated situation and you would like an hour of the doctor’s time.

What do you think would happen?

Ask for an hour and tell your doctor you need more time because you are a runner.

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

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#637 Capsulitis vs. Plantar Plate Sprain. What is the difference?

If you’re a runner and you have pain in the ball of the foot, especially around your second toe joint where the toe attaches to the foot, you may be suffering from a plantar plate sprain.

Many years ago, if you had this kind of pain, it would probably have just been called “capsulitis” by your doctor.

But a plantar plate injury is something that has become more recognized as a distinct pathology in the last 10 or 20 years. Plantar plate injuries do not get misdiagnosed nor ignored as often as before.

Plantar plate injuries are very difficult to heal in runners because the ligament gets stretched and strained every time you stand on your foot or bend your toe.

But the joint capsule can also get injured. Joint capsule injuries and plantar plate injuries are not the same.

Capsulitis vs. plantar plate sprain. What’s the difference?

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

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#636 Plantar Plate Imaging: MRI vs. Ultrasound

Every time a runner calls me who has a plantar plate sprain, they’re trying to figure out how they can know for sure they actually do have a plantar plate sprain. They often also want to know how bad the plantar plate injury really is.

When you’re a runner, the problem with plantar plate sprains is that many doctors will offer a standardized cookie cutter approach.

I most often help runners get better without surgery.

That’s not because I’m a better doctor. It is because I really put a lot of attention into educating injured runners about how to do all of the additional things to get the injury to heal quickly…so that they can skip the surgery.

One way to start healing faster is by imaging the plantar plate to determine the extent of tissue injury.

Plantar plate imaging, MRI vs. Ultrasound.

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

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#635 Don’t search for less than what is needed

After years of doing the Doc On The Run Podcast and making YouTube videos to explain overtraining injuries that can interfere with running, I have gotten a lot of interesting questions.

We’ve had over a million views on YouTube, and over 300,000 downloads of the podcast which all equal a lot of questions.

Mostly overtraining injury questions center on a search for a shortcut. Many injured runners also think the solution is in only one action.

Don’t search for less than what is needed.

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

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#634 Mistakes mean the most time off running

If you are a runner and you have an injury, my guess is that you are most worried about how long you will need to stop running.

When people call me for a webcam consultation or an in-person second opinion evaluation, I see runners making the same mistakes over and over.

If you’ve made one of these mistakes, don’t beat yourself up too much.

There is not that much you can do about the past.

But you can take action today, change course and get focused on what you need to do right now to get back to running faster.

Dwelling on what you have done incorrectly will only slow you down.

But if you don’t identify mistakes, you can’t fix them.

Today, on the Doc On The Run Podcast, we’re talking about how mistakes mean the most time off running.

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