injured Archives - DOC

#501 Worst way to tell a stress reaction from a stress fracture

I lecture at medical conferences about stress fractures, trying to teach physicians the difference between a stress response, a stress reaction, which is basically an irritated and inflamed metatarsal bone, and a stress fracture where there’s actually a crack that can cause real trouble. One of the questions doctors ask me is what’s the best way and the worst way to tell a stress reaction from a stress fracture, because it does make a difference. What is the worst way to tell a stress reaction from a stress fracture? Well, that’s what we’re talking about today on the Doc On The Run podcast.

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#469 Is it better to go barefoot with a stress fracture?

This episode comes from a question from a runner I saw in person during a second opinion house call.
She had a metatarsal stress fracture and felt like it was more comfortable when she was barefoot.
The more you can reduce the stress and strain to the injured metatarsal bone and the healing stress fracture the faster it will heal.
The types of shoes you wear during the recovery can change those stresses for better or worse depending upon which shoes you are wearing.
You need to focus on protecting and healing that metatarsal stress fracture if you want to get back to running as fast as possible.
Today on the Doc on the Run Podcast, we’re talking about whether or not it is better to go barefoot with a stress fracture.

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#394 Questions runners should ask doctor during a telemedicine visit

Just this morning I was interviewed on a television program about telemedicine. Since I have been doing telemedicine for a little more than 10 years they invited me to come on as an expert to talk about the changes in telemedicine resulting from the pandemic.

During the interview, we were discussing all the different ways telemedicine can be more helpful than in-office visits. At the end, I was asked an interesting question, and I remembered that I actually created a check-list years ago for runners to actually take to their in-person doctor visits. That same list can help make telemedicine visits more helpful as well.

Today on the Doc On The Run podcast, we’re talking about why you need to make a list for your telemedicine visit.

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#383 Plantar fascia rupture and stress fractures what should this runner do?

This episode comes from a question sent in by an injured runner who was listening to the Doc On The Run Podcast.
“I am 30 with medium arches. No prior injuries. 7 months ago I began having left med ankle pain at the calcaneal insertion.
MRI confirmed a plantar fascia rupture of med cord. I was told to just ice and stretch.
I have a distal 4th fracture on the right. Both feet at once?!
What should I do? It hurts!”
Today on the Doc On The Run podcast we’re talking about what a runner should do when you have a rupture of the plantar fascia and metatarsal stress fractures.

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#372 The 3 forms of stress when you start running after injury

There are the three forms of stress that can affect you and the injured tissue when you actually get back to running after you’ve been injured and you feel like you’ve recovered.

I was just recently doing a telemedicine visit with someone who had an injury and was getting better. She was told to start running, but she wasn’t really given any specific instructions.

She was told, “You can go and just kind of run a little bit and see how it feels.”
If you’re a runner and you haven’t been running for weeks because of an injury, you’re probably going to feel so good when you start running that you’re going to do too much. If you do too much, and then you start having pain, you’re going to completely freak out because you’re going to be worried that you’ve completely set back your injury.
Today on the Doc On The Run podcast, we’re talking about the three forms of stress when you start running after injury.

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#325 Put your best foot forward on stairs when injured

I just got off a webcam call with an injured runner who has pain and swelling in her foot. We were on a recovering runner telemedicine coaching call talking about all of the little things that can help you recover and heal faster.

During our discussion she asked a great question. She kind of laughed and said she was confused about something as simple as going up the flight of stairs to her bedroom.

How do I go up steps when my foot is painful? Do I start with my good foot or my bad foot?

Today on the Doc On The Run Podcast we’re talking about how to go up stairs when you are recovering from a running injury.

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#309 How can you work with injured runners all day?

I was just invited to give a lecture at the International Foot & Ankle Foundation’s 42nd Seattle Seminar. I was asked to give a lecture entitled “Potential Complications of Returning Athletes Back to Activity After Injury.”

The very last question of the entire weekend seminar was directed to me.

“Dr. Segler…How can you work with injured runners all day?”

Today on the Doc On The Run Podcast we’re talking about the 3 reasons I love working with injured runners.

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#288 Ironman taught me about running injuries

The Ironman triathlon is widely considered to be one of the worlds most grueling single day athletic events.

2.4 mile swim, 112 mile bike ride and a full 26.2 marathon, all in the same day.

My Ironman journey taught me a couple of really important lessons.

Because I know what it feels like, when you think you can’t run, even worse, when a doctor says, you can’t run…but deep down inside, you know you can.

The most important thing Ironman taught me about running injuries is that you, injured runners have a goal. And that goal is important!

Today on the Doc On The Run podcast, we’re talking about what Ironman taught me about running injuries.

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#286 Best decision and worst actions for injured runners

Today on the Doc On The Run podcast, we’re talking about the best decision and worst actions for injured runners. The best decision is the decision to take the right action. The second best decision is to take the wrong action. And the worst decision of all if you are an injured runner is make […]

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#279 Everything in medicine is bad for runners

Doctors sometimes prescribe treatments than can be bad for runners.

If wear a fracture walking boot, your muscles get weaker, your tendons and ligaments get stiffer, your bones start to lose calcium.

If you take ibuprofen during a race you can get gastrointestinal upset that complete wrecks your nutrition plan. In the the worst cases you could even get kidney failure.

If you break a bone and a doctor puts a cast on your leg you could get “cast disease.”

Even an adhesive bandage can cause trouble. 

Today on the Doc on the Run Podcast, we’re talking about how everything in medicine is bad for runners.

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