pain Archives - DOC

#836 Is the pain from injury or inflammation?

Pain is the most useful and likely most underutilized tool available to any runner who is tired of waiting for doctors to give them permission to run.

How you track your pain is important.

One of the critical components in the running injury secrets framework that I discussed in the first episode of the members only podcast in the Injured Runners Aid Station is about pain caused from damage in the tissue versus pain caused by inflammation around the tissue.

You cannot run without understanding the difference, at least not safely.

Is the pain from injury or just inflammation?

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

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#829 Do not ask me if you do not know your pain numbers

In the Injured Runners Aid Station, I get questions from injured runners that stop me in my tracks.

“I got this injury while running. I had a stress fracture. It was grade two stress fracture. It’s been six weeks. How much longer will it be before I can run?”

Every injured runner wants to know when it will be safe to run. But, I cannot make that decision based on that information. It seems crazy, but “how long until you can run” is never just about “how long since the injury started.”

Do not ask me if you don’t know your pain numbers.

That’s what we’re talking about today on the Doc On The Run Podcast.

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#742 When to worry an ankle sprain is a Lateral Process Fracture

I just saw a runner who sprained her ankle. It’s been about a month and she’s still having pain. Pain and swelling persisting a month later, are not good. There are a couple of reasons that that can happen.

Anytime doctors see persistent swelling and pain after an ankle injury, they become concerned there might be a fracture.

When should a runner who rolled an ankle be concerned that there might be a fracture like a lateral process fracture?

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

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#741 Worst imaging study for plantar plate injury in runners

If you are a runner with pain in the ball of the foot at the base of the second toe and start researching online, you may become concerned you have a thing called a plantar plate injury.

If so, you may be wondering whether X-rays or MRI imaging may be needed to tell what is wrong. Before seeing a doctor, it may be helpful to understand which are helpful, and which imaging studies are a waste of time.

What is the worst possible medical imaging study you could get if you’re a runner with a suspected plantar plate injury?

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

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#738 Could peroneal tendon pain really be a nerve problem?

Today’s episode comes from a YouTube viewer named John, who wrote in with a question about nerve pain vs. peroneal tendon pain.

He said ”I’m experiencing discomfort in my fifth metatarsal/peroneal tendon below the ankle. There is no swelling. However, upon hamstring stretch, especially in a downward dog position, this area feels like it’s on fire. The fact that I cannot do downward dog right now, with my right heel down. I’m starting to think this may be a nerve. It’s been hurting for about 10 days.”

Could peroneal tendon pain really be a nerve problem?

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

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#737 Are “stress reaction” and “metatarsalgia” the same?

Today’s question comes from one of the YouTube viewers. Tasnim, wrote in and wanted to know whether or not “stress reaction” is the same terminology that is used in the UK for the term “metatarsalgia”.

This question points out how confusing these two terms can be when you have forefoot pain that might be a stress fracture, might be a plantar plate sprain, or could even be a neuroma.

Are stress “reaction” and “metatarsalgia” the same terms?

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

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#736 Is there always bruising with a plantar fascia partial rupture in a runner?

You’re out on a run, and you suddenly start having extremely sharp heel pain.

You think it’s plantar fasciitis.

But when you look at your foot, you see a huge bruise.

That’s not plantar fasciitis. That’s where you ripped something.

Is there always bruising with a partial rupture or a tear in the plantar fascia?

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

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#734 It’s not plantar fasciitis if you call for a ride instead of finishing your run

Today I was on a call with an injured runner who was told she had plantar fasciitis.

She was confused and she started doing some research. She enrolled in the Runner’s Heel Pain Course because she was trying to figure out why her “diagnosis” didn’t seem to match her gut instinct.

She suspected her diagnosis was wrong.

If you have heel pain, and you call for a ride instead of finishing your run, it’s not plantar fasciitis.

And that’s what we’re talking about today on the Doc On The Run Podcast.

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#730 Top 5 reasons Runner’s Heel Pain doesn’t get better

Plantar fasciitis is one of the most common conditions that affects runners.

In fact, foot pain consistent with plantar fasciitis accounts for about 40% of all visits to the podiatrists in the United States each year.

Unfortunately, just because you think that you have plantar fasciitis, and you started doing some simple things to treat it, it doesn’t necessarily mean that it’s going to get better.

If you are a runner, and you think you have plantar fasciitis, you must realize there are some avoidable mistakes you could make when trying to self-treat runner’s heel pain.

Today on the Doc On The Run Podcast, we’re talking about the top five reasons runners heel pain doesn’t get better.

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#726 3 Best signs heel pain is NOT plantar fasciitis

There are three key indications that tell me that somebody may not have plantar fasciitis, but probably have something else.

If you think you have plantar fasciitis, you may have a different form of runner’s heel pain. Treating the wrong condition will not get you back to running. Understanding the ways plantar fasciitis shows up can help you make sure you don’t have something else causing your heel pain.

What are the three best signs that your heel pain is not Plantar fasciitis?

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

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