healing Archives - DOC

#619 Painful calluses in runners fixed with the strawberry stem technique

If you have ever run with a rock in your shoe, you know just how painful a little pebble can be.

Sometimes a callus forms in a way that it gets rock hard and starts to get embedded in the skin.

Painful calluses can literally feel like a rock taped to your foot. The problem is that callus removal pads don’t work.

Using a pumice stone to shave down the surface of the callus doesn’t really help much either.

But you can fix them the same way I do using what I call the Strawberry Stem Technique.

Let’s talk about how they form and how this technique works.

Today on the Doc On The Run podcast, we’re talking about how you can fix painful calluses in a runner with what I call the Strawberry Stem Technique.

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#618 Injured runners must proceed with confidence

The whole key to rapid running injury recovery is to proceed with confidence.

If you are using a fracture walking boot or crutches, you must do so confident the boot is necessary…and not based on guesswork.

If you are starting range of motion exercises for a torn tendon, you must be confident you can work past pain, without worrying you might cause a re-injury.

You need to make sure that you know that the present action in your recovery is necessary.

You also need to understand how you can gain confidence in your next step in recovery.

Today on the Doc On The Run Podcast, we’re talking about how injured runners must proceed with confidence.

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#617 How can pronation cause hallux rigidus in a runner?

One time at a medical conference, an expert lecturing on biomechanics said,

“When a runner develops Hallux Rigidus, he becomes a swimmer instead of a runner.”

Most of the doctors in the audience laughed.

I really didn’t think that was very funny. I actually have hallux rigidus myself, and it doesn’t disrupt my running.

It is true Hallux Rigidus can cause pain and swelling in the big toe joint. If you aren’t careful the joint can get destroyed.

If you understand a little bit about the mechanics of the joint, it may help you understand how to avoid the arthritis that can hamper your ability to run in the future.

How can pronation cause hallux rigidus in a runner?

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

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#616 What is a “bone bruise” at an old fracture site?

I was just giving 3 lectures on running injuries at a medical conference in Las Vegas.

As is often the case, after one of my lectures one of the physicians in the audience approached me in the hallway to ask a question.

What do you do with activity level when somebody has an old fracture where the bone was broken long ago?

The runner recently had a re-injury at that spot. It has been painful, it’s been swelling, and he’s trying to figure out what to do.

What’s a bone bruise at an old fracture site? Is it a big problem or a little problem?

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

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#615 Runner has a neuroma and bursitis, which is worse?

When you have two painful problems in different parts of the same foot, things can get complicated.

I recently had a call with an injured runner with a couple of different problems.

On the outside of his foot, between the third and fourth toes, he has a painful neuroma. The other problem is that he’s got bursitis. The inflamed bursa is in a completely different place, no where near the irritated nerve.

When a runner has two injuries, like a neuroma on one side of the foot and bursitis on the other side of the foot, which one is worse?

Which one should you pay attention to first?

Well, that’s a great question and that’s what we’re talking about today on the Doc On The Run podcast.

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#614 Got clearance to start cycling, should I stop icing?

I just got off a call with a runner who needed a second opinion with his running injury recovery.

He had a fracture and it has been improving. But because it was painful and swollen, he was still icing it daily.

At his last follow-up appointment, the doctor actually said, “I think you’re good enough to actually start cycling at this point, to get back a little of your running fitness.”

So, the question is, should I stop icing?

Do I need to keep doing that? If my injury is good enough to start cycling can I stop icing?

Does a release to cycle mean you’re good enough to stop icing your foot?

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

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#613 When is a web-cam second opinion just as good as in person doctor visit?

Sometimes a doctor really needs to touch your foot to make the diagnosis. But not always with runners.

Since the pandemic pushed so many of us into Zoom meetings, we all know it’s pretty easy to get on a web-cam call when it’s really difficult to meet someone in person.

There are a couple of times when webcam second opinion visits can be almost as good as meeting in the doctor’s office.

There are lots of benefits to the webcam calls that do make them almost as valuable as in person visits.

When is a webcam second opinion just as good as an in-person doctor’s visit for runners?

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

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#612 Dry Needling vs PRP injection in Runners

Today’s episode comes from a great question I got during one of the Runners Aid station calls.

This was someone who had a plantar plate sprain and had talked to a doctor about a couple of different procedures that might actually, potentially, speed up the healing.

He wanted to know about the difference between these two things called dry needling or a PRP injection.

Today on the Doc On The Run podcast, we’re talking about dry needling versus PRP in runners.

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#611 What if stress fracture still swells and hurts a lot?

Ivan has a great question. After watching the watching the video “Can I Run After Wearing a Fracture Boot?” he wanted to know: “It still swells and has a lot of pain what do I do?”
Anytime a runner gets a stress fracture, the main goal is to confirm the foot is healed enough to withstand the forces and stresses applied to the injured bone.
In the episode we are going to talk about:
• 3 indicators of ongoing tissue damage when you have a stress fracture.
• 3 strategies used to decide when it’s safe to run after stress fracture.
• Questions I would ask you if you called me for a stress fracture second opinion consultation.

Today on the Doc On The Run Podcast we’re talking about What to do if a stress fracture in the foot still swells and hurts a lot after wearing a fracture walking boot.

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#610 Find your target when you are not getting better

Let’s say you’ve had an aching pain in the ball of the foot that’s been going on for several weeks.

You’ve tried lots of stuff. You tried icing it. You tried some over-the-counter inserts that you got.

Maybe you stopped running all together. Maybe even used a fracture walking boot.

But after weeks, you’re not getting anywhere.

Today on the Doc On The Run Podcast we’re talking about how you need to find your target when you’re not getting better.

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