martha hughes Archives - DOC

#597 Hallux Rigidus vs Hallux Limitus, what is the difference?

If you get pain and swelling and discomfort particularly in and around the big toe joint, you may have a condition called hallux limitus or hallux rigidus.

Hallux limitus and hallux rigidus are both conditions that affect the big toe joint. It causes pain right where your big toe attaches to your foot.

Many runners with this condition don’t even understand the difference between hallux limitus and hallux rigidus.

There are really a few things that define the difference between these two conditions.

Understanding the differences may help you get clarity after a doctor visit.

Today on the Doc On The Run Podcast, we’re talking about hallux rigidus versus hallux limitus. What’s the difference?

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#596 Focus on possibilities NOT limits or obstacles when injured

The problem is not that you have a stress fracture.

The problem is not that you have an Achilles tendonitis issue that is bugging you.

The problem is that you have been given advice that freaks you out and convinces you to do absolutely nothing while you wait to recover.

How do I know? Because I don’t help people get better from running injuries. Instead, I help injured runners figure out how to run.

That’s what I really do.

Today on the Doc On The Run podcast, we’re talking about why you need to focus on possibilities and not limits or obstacles when you’re an injured runner.

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#595 2 reasons stretching the plantar fascia is bad for runners

Yesterday, I saw a runner who has plantar fasciitis. Plantar fasciitis is the most common condition affecting the foot in runners.

When a runner gets plantar fasciitis, it is often because the plantar fascia ligament is too tight. The tight ligament becomes overstretched and strained. Heel pain is the result.

Since it is safe to assume that the plantar fascia ligament on the bottom of the foot is just way too tight, you may want to stretch it. But with every potential treatment comes risk.

Stretching the plantar fascia can be risky and has the potential to cause more trouble for a couple of reasons.

Today, on the Doc on the Run Podcast, we’re talking about two reasons that stretching the plantar fascia can be bad for runners.

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#594 Which decision is missing in running injury recovery?

I want you to really think about which decision might be missing in your process of running injury recovery right now.

Is it the decision to just go for it?

Is it the decision to start exercising today?

Is it the decision to sign up for some specific event that can get you motivated?

Is it the decision to get a second opinion?

Which decision is missing in your running injury recovery? That’s what we’re going to talk about today on the Doc on the Run Podcast.

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#593 Is inflammation good or bad for plantar plate sprain

I was just on a call with a runner suffering from a plantar plate sprain.

He had a great question:

Is inflammation really bad or is it good when you have a plantar plate sprain?

Physicians commonly prescribe anti-inflammatories. There are many approaches used by injured runners to manage inflammation, reduce inflammation, and hopefully make your foot feel better.

If inflammation is bad for the plantar plate ligament, part of your recovery plan should include some sort of anti-inflammatory treatment.

But if the inflammation is good for the plantar plate, you should not try to interfere with the inflammatory response.

Is inflammation good or bad for a plantar plate sprain?

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

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#592 Doubt does the most damage to recovering runners

Doubt comes from confusion. Confusion leads to paralysis when you’ve been injured and you don’t know what to do to maintain your running fitness.

Doctors tell you to sit still.

Pill pushers tell you to take medicine.

Gizmo peddlers tell you to buy expensive devices.

Many runners don’t really even know what they can do, other than rest.

If you are going to doubt anything when it comes to your running injury recovery, what you should doubt is the validity of sitting around doing nothing while waiting for healing.

Today on the Doc On The Run podcast, we’re talking about how doubt does the most damage to a recovering runner.

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#591 Sesamoid pain misdiagnosed as 4th and 5th metatarsal stress reaction

If you are reading this, maybe you have sesamoiditis, a sesamoid stress reaction or a metatarsal stress fracture.

This is a real example from a real patient. This story really illustrates how MRIs can show misleading clues leading to a potential misdiagnosed leading your doctor astray.

It is crucial that you focus more on your running goals, your injury progress and what it really means precisely where you have pain in your foot. Then and only then can the MRI findings be put in the proper perspective.

Too much emphasis on MRI findings can make you think you have a different injury.

Today on the Doc On The Run podcast we’re talking about how sesamoid pain got misdiagnosed as fourth and fifth metatarsal stress reactions.

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#590 2 ways runners can tell an injury is improving

How do you know your injury is improving? How do you know that you got the green light to start running? How do you know it is healed?

Well, when I talk to runners, most of them say something like:

“Well, my x-ray shows this. Does that mean that I can run?”

“My blood test showed that, does that mean I can run?”

“My doctor said this, but I heard that on some other podcast, so does that mean I can run?”

There is lots of confusion around how you can tell when you are getting better as you start regaining running fitness after an injury starts to heal. Timing is the crucial piece of information if you really want to run.

Today on the Doc On The Run podcast, we’re talking about two ways an injured runner can tell the injury is actually improving.

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#575 Can my foot injury heal while I am sick?

I just got off a webcam call in the Injured Runners Aid Station. The runner who called me, had some down with a cold.

He had been sick for a few days. He wasn’t running. He was curious about whether or not his injury was going to actually get worse while he was ill. Because he knows that when he’s sick, his immune system is working really hard to try to fight the infection. And your immune system can’t do everything all at once.

If you have an injury, it is widely accepted that the illness is going to slow down your potential ability to rebuild tissue and repair damaged tissue, whether a metatarsal stress fracture or an Achilles tendon injury.

Can my foot injury heal while I’m sick?

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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#546 Waiting for x-ray of stress fracture miss the window

The worst runner to call me for a second opinion is someone who has been in a fracture walking boot or not running for 12 weeks or so. Why is that so bad? Well, they’re extremely aggravated. They’ve seen at least one doctor, probably a bunch of times. They’ve probably had several x-rays. They’ve been waiting and waiting but they’re not getting better and they’re very upset about that. Today on the Doc On The Run podcast, we’re talking about how waiting for an x-ray can cause you to miss your window with a stress fracture.

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