plantar plate sprain 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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#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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#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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#750 Best imaging study for plantar plate injury in runners

If you have been told you have a plantar plate sprain, you’re probably already really frustrated.

Even minor plantar plate tears can be nagging injuries that are very difficult to get better while you’re running on them.

The bottom line is, you’ve got to make sure that the plantar plate ligament improves because (in general) plantar plate sprains are either getting worse or they’re getting better.

One of the questions I get all the time from runners is what is really the best study for a plantar plate injury.

What’s the best imaging study for a runner who is suspected of having a plantar plate injury?

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

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#748 Fracture that seemed like a plantar plate sprain

There are times when you might have a suspected stress fracture in your foot. If so, your doctor may order an X-ray.

There are other times when it’s extremely unlikely that you have a broken bone at all, but it is almost certainly just a soft tissue injury.

One of the questions I get a lot from runners with plantar plate sprains is how to make sure the pain is not from a stress fracture.

I have only seen one case where somebody had fracture pain in the exact same spot you would have pain when you had a plantar plate injury.

Can a fracture in the metatarsal seem like a plantar plate sprain?

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

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#744 Was the plantar plate ligament injured before my MRI?

I was recently doing a second opinion consultation with a runner over a webcam to review the MRI of his foot.

What we found was that he had what looked to be attenuation and a partial tear in the plantar plate ligament on his MRI.

There was a lot of inflammation in the foot around the ligament, not just within the ligament itself.

He asked me was really good question:

“Could my plantar plate ligament been have injured long before I ever got an MRI?”

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

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#741 Worst imaging study for plantar plate injury in runners

If you are a runner with pain in the ball of the foot at the base of the second toe and start researching online, you may become concerned you have a thing called a plantar plate injury.

If so, you may be wondering whether X-rays or MRI imaging may be needed to tell what is wrong. Before seeing a doctor, it may be helpful to understand which are helpful, and which imaging studies are a waste of time.

What is the worst possible medical imaging study you could get if you’re a runner with a suspected plantar plate injury?

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

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#736 Is there always bruising with a plantar fascia partial rupture in a runner?

You’re out on a run, and you suddenly start having extremely sharp heel pain.

You think it’s plantar fasciitis.

But when you look at your foot, you see a huge bruise.

That’s not plantar fasciitis. That’s where you ripped something.

Is there always bruising with a partial rupture or a tear in the plantar fascia?

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

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