plantar plate sprain 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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#574 Best exercise for plantar plate sprain in runners

The plantar plate ligament is a little ligament on the bottom of the ball of the foot, right where the toe attaches to the foot. The function of the plantar plate ligament is to reinforce the joint and support the toe by helping to hold it down against the ground.

Anatomically, the plantar plate ligament resists the motion doctors call “dorsiflexion,” where the toe gets pulled up away from the ground.

Even though the plantar plate ligament is really small, its funcion is vital.

Doing exercises to help support the plantar plate, can help to decrease some load on the ligament.

Today on the Doc On The Run Podcast, we’re talking about the single most effective exercise to support the plantar plate in runners.

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#570 Should I stretch the toe with plantar plate sprain?

Yesterday I saw a runner with a plantar plate sprain. She wanted to know if stretching the toe would help the plantar plate ligament heal faster.

Plantar plate sprains happen because the plantar plate ligament gets overstretched, and strained.

When you get a plantar plate injury, the fastest way to allow healing is to reduce the stress and strain on that injured ligament.

If you’re thinking about whether or not to stretch the toe or do something to try to help the condition improve faster, you really need to think about the mechanics that are actually involved when you have a plantar plate injury.

Should you stretch the toe that has a plantar plate sprain?

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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#556 ONLY 2 times Cortizone make sense for plantar plate sprain in runners

If you are a runner with a plantar plate sprain, you may be really frustrated. Unfortunately, plantar plate sprains are difficult injuries to get better quickly. One key is to make sure it doesn’t come back once you’re running. When I do second opinions for runners with plantar plate sprains, they ask…Should I have a cortisone injection? The short answer is there are only two times when it makes sense to get a cortizone injection around the plantar plate. Today on the Doc On The Run podcast, we’re talking about the only two times a cortisone injection makes sense for an injured runner with a plantar plate sprain.

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#535 Plantar plate sprain misdiagnosed as a neuroma?

Let’s say you have this aching pain in the ball of your foot. You’ve been running and when you run, you get some sort of weird aching soreness in the ball of the foot. You just know it’s in the middle of the ball of the foot and it hurts more when you run and it hurts kind of after you run. Well, you go see a doctor. They look at you, they poke around, and they say, “I think you have a Morton’s neuroma.” Then later you figure out either because you got a second opinion, either or you sign up for the Plantar Plate Masterclass and went through those things and started self-diagnosing you figure out that you actually have a plantar plate sprain. You get really confused about why it is that someone would misdiagnose you with a neuroma. Can a plantar plate sprain be misdiagnosed as a Morton’s neuroma? 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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#530 2 ways to modify a fracture walking boot for a plantar plate sprain

This is a great question that I got from somebody on a call who actually signed up and enrolled in the plantar plate class for runners. He was going through the plantar plate course and he was actually trying to figure out what to do, and he was going to jumpstart the healing process by using a fracture walking boot. He tried it on and he noticed that he was feeling some pressure because the inside of the fracture walking boot is basically flat. Today on the Doc on the Run podcast, we’re talking about two ways you can modify a fracture walking boot if you have a plantar plate injury.

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