Plantar Plate Repair Archives - DOC

#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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#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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#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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#832 3 running drills that can cause plantar plate sprain

If you’re a runner with a plantar plate sprain, I can understand why you’re frustrated.

You have some minor vague aching pain in the ball of the foot, and you’re trying to get back to running, but you’re getting lots of conflicting advice.

In my experience, it’s very rare that a runner gets a plantar plate injury from what I call “overtraining.”

Plantar plate ligaments don’t get sprained because you ran way too much, or ran too many miles. It doesn’t really happen that way. But they do get injured by workouts designed to support your running fitness.

What are three running drills that might lead to a plantar plate sprain?

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

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#793 When should I give in and have plantar plate surgery?

If you are a runner struggling with a plantar plate sprain, it is probably going to be extremely frustrating trying to get it to heal so you can get back to running.

The plantar plate a very small ligament. It does not have a great blood supply. Every time you take a step, you put pressure on the plantar plate. Every time your heel comes up off the ground when you walk, you stretch the plantar plate.

Because it is so difficult to heal, runners typically have frustrating setbacks.

That state of discouragement makes it pretty easy for a doctor to talk you into plantar plate surgery.

When should a runner just give up and have plantar plate surgery 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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#785 When should I start working out with a plantar plate sprain?

Plantar plate injuries are one of the most difficult injuries for runners.

The reason is that they can take a long time to get better. Every time you take a step, you’re applying direct pressure to the plantar plate ligament.

Every time your heel comes up off the ground, you bend the toes, and you’re stretching the plantar plate ligament.

The plantar plate ligament doesn’t really have a great blood supply, and they can be extremely frustrating for runners. So the big question is:

When can I start working out if I have a plantar plate sprain?

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

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#761 Do bunions cause plantar plate sprain in runners?

Perhaps the most nagging injury, and most difficult to deal with if you’re a runner, is something called a “plantar plate sprain.”

The plantar plate ligament is on the bottom of the foot, usually at the base of the second toe.

I got a question from a runner who actually had a plantar plate injury. She also happened to have bunions. So, she asked:

“Do bunions cause plantar plate sprains in runners?”

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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#755 Can MRI miss a plantar plate strain?

Plantar plate injuries are very common, and they are extremely annoying.

I get lots of questions and comments both from the podcast and from the Doc On The Run YouTube channel about plantar plate sprains.

Today’s episode comes from a question posted by Jason on the Doc On The Run YouTube channel. He asked…

“Can MRI miss a plantar plate strain?”

The short answer is yes, and I’m going to try to explain why.

Can an MRI miss a plantar plate strain?

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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