pain Archives - DOC

#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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#527 Pain is a guide but only if you read the signs

I was just lecturing at the IFAF meeting in Lake Tahoe and I was giving a couple of different lectures on running injuries, and one of them was about the protocols that I use with injured runners so that they can maintain their fitness, stay fit, stay active, and keep running. One of the doctors asked me about how I make these decisions and I explained to them was that the worst piece of advice I myself ever received as someone who was injured was when this doctor told me, “Just let pain be your guide.” How can you as an injured runner use pain as your guide? Well, that’s what we’re talking about today on the Doc On The Run podcast.

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#413 Pain measurement points of runners

When you’re recovering from a running injury, the most important thing you can track is your pain.

Changes in pain level is what tells you whether or not you should move from one activity level to the next.

Although many doctors will ask you in your initial interview, “What is your pain on a scale of one to 10? How much does it hurt?” They very rarely ask you many more specifics about that pain.

Today on the Doc On the Run Podcast, we’re talking about pain point measurements that are crucial for recovering runners.

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#409 Pain is the most underutilized tool for recovering runners

No runner wants pain.

However, when injured and trying to recover, pain is actually one of the most useful tools at your disposal.

I often tell injured runners and doctors at medical conferences something you should think about:

Pain is the most abundant and most underutilized evaluation tool available to runners when they’re trying to get back to running.

Today on the Doc On The Run Podcast, we’re talking about how pain is the most underutilized tool for recovering runners.

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#314 Pain is not a setback in your injury recovery

Whether you are conscious of it or not, when you are recovering from a running injury you are probably a little bit gun shy.

Every runner who has ever had to cancel a race or abandon a training plan because of an over- training injury understands how demoralizing and frustrating it is to lose all of your fitness and start training just so you can rest and heal.

If you suffered through that routine it shouldn’t really be surprising that you probably have some trepidation in the back of your mind. Although it’s probably been pushed into the deepest corners of your brain you have fear holding you back.

Injured runners become afraid of pain.

Today on the Doc On The Run podcast were talking about how pain is not a setback in your running injury recovery.

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#276 My toenail hurts when I run

I just had a consultation with a woman who has been having pain in the toes and the end of the big toenails just after running.

The pain in the big toes has been getting worse. She was also getting some numbness or tingling around the corner of the toenails.

She wanted to know…

“Am I doing something wrong with my shoes?”

“Am I cutting my toenails wrong?”

“Is there really something wrong on the inside of my toe?”

Today on the Doc on the Run Podcast, we’re talking about what you need to think about if your toenail hurts when you run.

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#242 Why did my doctor NOT have the right answer?

One time I saw a guy who actually flew all the way from New York to San Francisco to see me.

He had seen a bunch of doctors, he’d seen very qualified people.

He had gotten an MRI, a CT scan, some x-rays, all kinds of different tests.

He had a number of different evaluations and none of his doctors made the correct diagnosis.

After I watched him run on a treadmill and did a couple of diagnostic injection, I easily made the correct diagnosis.

He became really upset and said, “Why can’t my doctor in New York figure this out?”

Today on the Doc On The Run podcast, we’re talking about why your doctor didn’t have the right answer.

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#227 Find the value in exercising with pain

Every cloud has a silver lining. If you’re injured right now, you need to look for the value in the discomfort right in front of you.

If you have pain when you are exercising there is a risk you will do damage to the healing tissue. That’s why doctors tell you to stop running. Doctors don’t necessarily want you to lose all of your fitness, but they don’t want you to make the injury worse.

If you have been injured you have probably done some exercises in the past few days or weeks that cause pain.

When you are injured you have the possibility of making assessments with immediate feedback.

Today on the Doc On The Run Podcast we’re talking about how you can find the value of exercising with pain.

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#172 Capsulitis vs Neuroma: Diagnosis Matters!

Two very common causes of foot pain in runners are neuroma and capsulitis. Some treatments help both conditions. But some treatments will only help one and not the other.

If you have pain in the ball of the foot when you run, you need to do do 3 things to heal quickly:

Accurate treatment
Accurate diagnosis
Aggressively do the things that help and avoid the things that slow your recovery.

Today on the Doc On The Run Podcast we’re talking about pain in the ball of the foot in runners and why the right diagnosis matter.

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#169 Do not let Morton’s Neuroma stop you from running

Today on the Doc On the Run Podcast, we’re talking about how you should not let Morton’s neuroma stop you from running. Morton’s neuroma is a common cause of pain in the ball of the foot in runners. Doctors often tell runners to stop running when when they get a neuroma. Sometimes doctors even tell […]

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