plantar fascia Archives - DOC

#612 Dry Needling vs PRP injection in Runners

Today’s episode comes from a great question I got during one of the Runners Aid station calls.

This was someone who had a plantar plate sprain and had talked to a doctor about a couple of different procedures that might actually, potentially, speed up the healing.

He wanted to know about the difference between these two things called dry needling or a PRP injection.

Today on the Doc On The Run podcast, we’re talking about dry needling versus PRP in runners.

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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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#561 Which runners need a fracture walking boot for plantar fasciitis?

The reality is, there are only two kinds of runners that I think really need a fracture walking boot for plantar fasciitis. The runners who don’t mind losing all their running fitness and the other group of runners who really need a fracture walking boot for plantar fasciitis are those that basically assume they have the wrong diagnosis. Which kind of runners really do need a fracture walking boot for plantar fasciitis? Is it somebody with mild plantar fasciitis? Moderate plantar fasciitis? Severe plantar fasciitis? And that’s what we’re talking about today on the Doc On The Run podcast.

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#477 Is a cortisone injection malpractice if it causes a plantar fascia rupture in a runner?

I recently got a great question from a runner who was calling me for a second opinion during a telemedicine visit.

She wanted to run but had a partial rupture in the plantar fascia.

When we were talking about her history, she told me that she had had a couple of corticosteroid injections (or cortisone) injections for the plantar fascia when she had plantar fasciitis.

Is a cortisone injection malpractice if it causes a plantar fascia rupture in a runner? Well, that’s what we’re talking about today on the Doc on the Run podcast.

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#475 Should I get an MRI of healing plantar fascia tear before I start running?

This is a great question I got from a runner during a recent telemedicine visit and this was a runner who actually called me for a second opinion because she had a tear in the plantar fascia.
She felt like it was healing, and she wanted to get back to running. She was really hoping to get some kind of real positive affirmation or confirmation that she was okay to run and wanted to know whether or not she should get a repeat of the MRI that she had previously that actually discovered she had a partial tear in the plantar fascia and not just plantar fasciitis.
Now, this is a great question and it’s a completely reasonable one. In fact, I just discussed this with doctors last week at the International Foot and Ankle Foundation meeting, where I was actually lecturing on runner’s heel pain.
Should I get an MRI of my healing plantar fascia tear before I start running? Well, that’s what we’re talking about today on the Doc On The Run Podcast.

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#457 Torn Plantar Fascia: If I run can it heal it later?

I had a really great question from a patient on a second opinion webcam visit.

“I have a partially torn plantar fascia. Can I keep running and let it heal later?”

He had purchased The Runner’s Heel Pain course and based on his self-diagnosis, he concluded that he definitely did not just have plantar fasciitis. It was more likely plantar fasciosis with a small tear in the plantar fascia.

Unfortunately, the treatment that we would normally do and normally recommend for somebody with a partial tear in the plantar fascia, well, he just cannot do right now. He does not have time to actually take off of his activity and stop running completely right now.

Today on the Doc On the Run podcast, we’re talking about Torn Plantar Fascia: If I run can it heal it later?

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#425 Should I get a plantar fascia injection so I can run?

A runner just asked a great question about when runners should get a plantar fasciitis injection so she can run.

If you’ve signed up for the Runner’s Heel Pain Course, or you’ve listened to the podcasts on Runner’s Heel Pain about plantar fasciitis in runners, you’ve probably heard me say that I don’t inject most runners with cortisone when they have plantar fasciitis.

The way I break it down is that it depends on one of three different scenarios.

“Should I get a plantar fascia injection so I can run?”

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

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#410 Top 5 Heel Pain Takeaways from IFAF Sonoma

This episode comes from a medical conference last week.

I was asked to give a couple of different lectures on running injuries at the International Foot and Ankle Foundation meeting in Sonoma, California.

One of the sessions was about runner’s heel pain and the differences between normal everyday patients and runners.

Today on the Doc On The Run Podcast, we’re talking about the top five differences between normal patients with heel pain and runners.

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#395 Plantar heel bursitis misdiagnosed as plantar fasciitis

I was just doing a telemedicine call with a runner with a long history of plantar fasciitis, that has not been getting better. She had been doing stretches, icing, and even an injection of corticosteroids around the plantar fascia.

We were doing a second opinion telemedicine call to talk about what’s really going on. We talked about her whole history. She had been keeping track and has kept a pain journal.

During this one hour second opinion call, we figured out that she had been misdiagnosed.

We figured out she actually had bursitis on the bottom of the heel.

Today on the Doc On The Run podcast, we’re talking about plantar heel bursitis, misdiagnosed as plantar fasciitis.

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#391 Heel bone repositioning to run with plantar fasciitis

On this episode, we’re just giving you a quick tip on how you can actually reduce some of the stress and strain on the plantar fascial ligament when you have plantar fasciitis and you want to keep running.Now everybody knows, if you stop running you’re going to lose your running fitness. That’s not really confusing. That’s not hard to understand. But what you really need to understand is that plantar fasciitis is not really self-limiting. It does not miraculously go away like a cold virus. It hangs around if you continue to aggravate it because the stress and strain to the plantar fascia that makes it irritable and causes this condition called plantar fasciitis, is a consequence of excess stress and strain. Today on the Doc On The Run Podcast, we’re talking about repositioning your heel bone so you can run with plantar fasciitis.

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