plantar plate injury Archives - DOC

#899 Compressive stress on plantar plate in runners

I recently posted an episode that was talking about four different kinds of stress and strain that can be applied to the plantar plate ligament that might slow down the healing of that little bitty ligament in runners.

I got a couple of questions about that and one of them was specifically about how to tell whether or not that is really a problem and one person wanted to know if they had a dropped metatarsal if that might be contributing to this issue of compressive stress.

Today on the Doc On The Run Podcast, we’re talking a little bit more about compressive stress on the plantar plate ligament in runners.

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#898 Fat Pad Displacement vs. Atrophy in runners with plantar plate injury

If you have a pain in the ball of the foot, underneath the base of the toes, that is right where your fat pad cushioning is located.

There is a lot of misunderstanding about what fat pad atrophy really is, particularly when it is related to something like a plantar plate injury.

Sometimes runners have true fat pad atrophy, but that is rare.

More often runners have fat pad displacement that feels like atrophy.

I think that fat pad displacement is more common than atrophy, and I am going to try to explain why.

What is the difference between fat pad atrophy and fat pad displacement in runners?

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

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#886 Should I expect to have plantar plate pain when I resume running

One of the most difficult running injuries is a plantar plate injury.

I know, because I have had a plantar plate sprain myself.

Plantar plate sprains are really frustrating because the plantar plate is a very small ligament. It takes very little to aggravate or stress the plantar plate, to irritate it, to stretch it, strain it, or injure it further when you are running.

I had a patient who asked a really interesting question. He said:

“Should I expect to have pain as soon as I start running?”

I basically said, “Well, if you do, you are doing it wrong, because if you are having pain, you are stretching and straining the ligament in the way that is predictably going to re-injure it.”

Should I expect to have some pain when I return to running after healing a plantar plate sprain?

Great question and that is what we’re talking about today on the Doc On The Run Podcast.

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#881 Can I run in zero drop shoes after plantar plate sprain heals?

I was just on a call with a runner who had a plantar plate injury that has been bothering him for about a year and a half.

We did a series of calls to talk about some changes in his treatment that could get him moving in the right direction.

He asked me a great question when I was on a call with him this morning.

He said:

“Can I run in zero drop shoes once it is really healed? Not today, but like when it is really, really healed and it is stronger and all that kind of stuff.”

I said, “You can do whatever you want, you just have to be willing to pay the consequences.”

Can I run in zero drop shoes after a plantar plate sprain heals?

Well, that is a great question and that is what we’re talking about today on the Doc On The Run Podcast.

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#865 3 mistakes runners make that lead to plantar plate surgery

I know. You don’t want plantar plate surgery.

But if your plantar plate ligament doesn’t repair itself, or your doctor doesn’t help it repair itself, you might get talked into surgery.

If you have plantar plate repair surgery, you may spend a lot less time running over the weeks following surgery…because you have to let it heal.

There are really three mistakes that I see runners make when they’ve had a plantar plate injury. This episode will help you avoid them.

What are 3 big mistakes runners make that lead to plantar plate surgery?

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

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#867 3 ways a doctor convinces you you need plantar plate surgery

There are three ways that a doctor might convince you that it’s really time to have surgery and fix that plantar plate ligament that’s been making you miserable when you’ve been trying to run.

To you, it may not seem that bad. It kind of aches. It kind of swells. It kind of bugs you. But then the doctor suddenly says, “Look, it’s not getting better, let’s have surgery.”

Well, how does the doctor convince you that it’s time for surgery? What are the things a doctor does, that might actually lead you to believe that it really is time to have surgery?

What are the three ways that a doctor might convince you that you need surgery if you’re a runner with a plantar plate injury?

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

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#863 Plantar plate surgery is a failure to act quickly

Most of the runners I see who have pain in the ball of the foot from a plantar plate sprain rarely start out with a completely torn plantar plate tear.

More often, runners ignore the pain from the plantar plate sprain and it evolves into a full thickness plantar plate tear.

Surgery is only needed when the plantar plate is torn in such a way that the plantar plate ligament cannot be expected to heal without surgery.

But there are some mistakes that could lead a runner to the operating room.

Plantar plate surgery is a failure to act quickly.

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

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#857 2 reasons toe drifts sideways with plantar plate injury

If you got pain on the ball of the foot, at the base on the 2nd, and you have been running in a minimalist shoe, running uphill, doing lots of calf raises, or running on steps, you could have an injury to a little bitty ligament called the plantar plate ligament.

If you get an injury to the plantar plate, sometimes your second toe will drift toward your big toe or away from your big toe. The toe drifting sideways can happen for two different reasons.

They are very different causes and so they are treated differently.

Why does the toe drift sideways when you have a plantar plate injury?

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

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#849 How dress shoes with long toe box act as a lever to stress plantar plate

I recently did a consultation with a runner who had gotten a plantar plate injury. He had been getting better by using some of the tricks I teach in the Plantar Plate Course For Runners.

He got better, he was protecting it, he reduced the stress and strain on the ligament, and he got back to running. He was doing great.

But then he had a setback when he went to the synagogue. He was dressed up and wearing some fancy dress shoes, and he started to get plantar plate pain again.

Today on the Doc On The Run Podcast, we’re talking about how dress shoes with a long toe box can actually work as a lever against your plantar plate.

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#835 2 ways capsulitis can lead to plantar plate rupture

If you get a plantar plate sprain, it can take a long time to heal, particularly if you’re not paying close attention.

And because of that, many runners get frustrated.

I see 2 responses to that frustration:

1) go to the doctor and hope for some kind of quick fix.

2) just ignore it and run on it because it doesn’t really hurt that bad.

Both of those are bad ideas with plantar plate injuries in runners.

What are two ways capsulitis can actually lead to a plantar plate rupture?

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

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