MRI Archives - DOC

#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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#557 4 Things you need for a running injury second opinion

I do lots of running injury second opinions and I do most of those over webcam. Sometimes I do them over phone, but webcam’s way better because I can see you, we can talk, I can show you some stuff on screen, share if I need to, and I can look at stuff that you have that might be really useful for me to help you figure out what’s going on. Whether you’re seeing me for a webcam visit or if you’re seeing your doctor in your neighborhood, there are four things that you really should make sure that you have together and that you take to get your most valuable running injury second opinion. Today on the Doc On The Run podcast, we’re talking about the four things you need for a running injury second opinion.

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#540 No Proof No Permission to Run

I get questions all the time, daily almost, where somebody will send me a message and they’ll say, “Well, I saw a doctor and they said I had this injury, and they said that I couldn’t run for six weeks. Would you let me run?” Well, the answer is no. There’s a reason doctors don’t give you permission to run, and there are really four ways that you can tell, ways you can get permission. I think it’s important to talk about these four ways that you can actually get permission to run. No proof, no permission to run. That’s what we’re talking about today on the Doc On The Run podcast.

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#511 Can a stress fracture spread from one metatarsal to the bone next to it?

One thing that’s really demoralizing if you get a stress fracture is to spend a bunch of time in a fracture walking boot and then go get something like an MRI and be shocked and horrified when the doctor says, “Well, not only do you have a stress fracture in that bone, it looks like you’ve got a stress fracture in another bone as well.” If you think this stress fracture might have spread well, it could. But not the way an infection would spread. There is a way that stress related inflammation in a neighboring bone can spread after getting the original stress fracture. Can a stress fractures spread from one bone to another? 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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#502 Is it okay to run before I get MRI of plantar plate sprain?

I often get questions from runners and this is actually a common one that I get from runners when they have either enrolled in the plantar plate sprain treatment course for runners, or if they’ve signed up to do an individual webcam consultation. Everybody seems to think that an MRI will give you a crystal clear image of what’s going on inside your body and in some sense, that’s true. It is amazing, the amount of detail you can get when you get an MRI. However, you have to remember that the plantar plate ligament is a very small structure and when you get an MRI, it doesn’t necessarily show everything. Is it okay to run before I get an MRI of a plantar plate sprain? That’s a great question and that’s what we’re talking about today on Doc On The Run Podcast.

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#496 Why runners should always get second MRI at the same facility

An MRI can be very helpful when you have a strange injury that doesn’t seem to fit in any of the common running injury boxes. I just had a call from a runner in that very situation. He is someone who has an injury and has something kind of strange going on. He actually had an abnormal finding on an MRI from a little more than three years ago. At the time that he had that previous MRI that thing that was a little weird on his MRI wasn’t really causing a problem, but now his pain is in exactly that same spot. Today on the Doc on the Run podcast, we’re talking about why runners should always get the second MRI at the same imaging facility.

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#493 Why runners should always get a copy of X-ray or MRI image disk!

I was just on a second opinion telemedicine call with an injured runner. She had a recurring injury that was still keeping her from running. Unfortunately, that injury first started eight years ago. When you have an injury, and you get x-rays, an MRI or a CT scan, or any kind of medical imaging study that shows more detail than the x-rays, you should always get a copy of that disc. This runner’s story is a great example of why you need those images. Today on the Doc On The Run podcast we’re talking about why runners should always get copies of the x-ray or MRI imaging disk.

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#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?

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#458 I don’t trust my doctor

Today’s episode comes from a podcast listener with a stress fracture and wants to get back to running. Jennifer says, “I went to see my doctor again today for my MRI results. He told me that I still have a stress fracture. I was a bit confused, because after 10 weeks without running I thought there would have been more signs of healing. So I asked if he could see a fracture line and he said, ‘Yes and that I should stop running immediately!'(I guess my doctor forgot that I had stopped a long time ago). I want to get back to running and I don’t believe my doctor is truly getting me there. Prior to this appointment, I was feeling confident that I could continue with my walk/jog routine as long as there was no pain. However, now I am feeling scared because he could still see the fracture. “In short, it sounds like Jennifer is saying, “I don’t trust my doctor.” Well, that’s what we’re talking about today on the Doc On The Run podcast.

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#435 What can cause aching pain a year after a metatarsal stress fracture?

This episode actually comes from a recent live Q&A I did with recovering injured runners and during these calls you can come on and you can ask me anything that you want about your specific situation.

This was a really great question that came from one of the runners on the call and he was concerned about this discomfort he was getting in his foot a full year after he had a metatarsal stress fracture.

Today on the Doc On The Run Podcast, we’re talking about what can cause aching pain in the top of the foot a year after a metatarsal stress fracture?

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