plantar plate injury 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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#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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#578 Did my doctor do the wrong plantar plate injection?

If you get a plantar plate sprain, the first thing you may notice is pain and irritation at the ball of the foot, right where the second toe attaches to the foot. If the foot feels swollen, puffy or sore in that spot, it could be a plantar plate sprain.

A one common injection performed for plantar plate ligament sprains is a corticosteroid injection.

I just spoke with a runner who thought the doctor did the injection in the wrong part of the foot.

She saw a podiatrist, and the doctor did a corticosteroid injection for the plantar plate sprain. She was confused afterward and asked me if the doctor did the injection with the right or wrong technique. I’ll explain why she was confused.

I think my doctor did the wrong injection for the plantar plate ligament.

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

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#576 Does a mild plantar plate sprain always hurt?

I was just speaking with a woman who has a suspected mild plantar plate sprain. What was interesting is the fact that she doesn’t really have a whole lot of pain.

I was explaining how important it is that she actually figures out her baseline “pain” numbers. I was explaining that even if you don’t call it “pain” you have to rate the level of discomfort so you can track it.

How bad is it when walking with or without running shoes, or simple things like walking up and downstairs.

Now, the problem is that she said, “well, it’s not really painful so I can’t put a pain number on it.”

I understand it may not really be painful. Particularly if you’re an athlete with a high pain tolerance.

When you have a mild plantar plate sprain you must figure out what it is that you call discomfort or pain. You have to track it.

Does a mild plantar plate sprain always hurt?

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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#567 Can a mallet toe cause a plantar plate injury?

I just did a web-cam call with a runner who had a thing called a “mallet toe” deformity. He had pain in the ball of the foot when running.

He said he was reading about plantar plate sprains, and thought, “Maybe I have a plantar plate sprain because I got this funky toe.”

He wanted to know if a mallet toe could cause a plantar plate injury.

Can a mallet toe cause a plantar plate injury?

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

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#559 Does a crooked toe mean plantar plate surgery in a runner?

A great question I got from someone recently who had a plantar plate injury and the toe was a little bit crooked. His question was, “Do I really need to have surgery if my toe is crooked? Is that a good indicator of whether or not I need plantar plate surgery just because the toe is sitting out of position a little bit?” I thought it might be helpful to explain when it might actually be necessary to have surgery and when it might not be necessary to have surgery. Does a crooked toe mean you have to have surgery for a plantar plate injury? That’s what we’re talking about today on the Doc On The Run podcast.

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#549 What is primary repair plantar plate ligament surgery?

What exactly is primary repair of the planter plate? Well, that’s a surgery where we actually go in and sew it back together. We fix it. We repair it. We do something to actually make it strong and hopefully heal again, so you can get back to running. But we’re going to talk about three different methods for actually doing that and some of them are kind of similar. They’re different approaches and they have different risks and benefits. Today on the Doc On The Run podcast, we’re talking about three different techniques for primary repair plantar plate ligament surgery.

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#524 3 Ways Plantar Plate Injuries occur in runners

Today’s episode actually comes from a question sent in by Shay. She said, “I have a plantar plate complete tear and I had surgery on my left foot in October 2019. So that was a couple years ago. I’m running with some new issues in the right calf, but the main thing I want to learn is how this injury occurs. I’m really afraid of it happening to my right foot. “I talk to injured runners all the time. I lecture at medical conferences, teaching doctors what I do with runners who have these plantar plate injuries and Shay is reasonable to be concerned about this. Today on the Doc On the Run podcast, we’re talking about the three ways plantar plate injuries occur in runners.

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#522 How long until a plantar plate sprain is completely healed?

I just got off the phone with a runner who had a plantar plate sprain. He was out on a run, he got a plantar plate sprain. I saw him, I helped him understand what to do and what I showed him to do was exactly the same stuff I show you in the plantar plate sprain course. He was doing much better, but he had a great question. His question was, “When is my plantar plate sprain really healed enough that I don’t have to worry about it anymore?” 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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#520 Why do plantar plate sprains take so long to heal in a runner?

One of the worst injuries you can actually get if you’re a runner is a plantar plate ligament sprain.
The plantar plate ligament is a very small ligament on the bottom of the foot, where the toe attaches to the metatarsal phalangeal joint, right at the ball of the foot.
These can happen for lots of different reasons but it’s a very small structure and the unfortunate reality is, is that every single time that you stand, you’re stepping on the ligament.
Why do plantar plate sprains take so long to heal? 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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