plantar plate Archives - DOC

#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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#847 Worse exercise for plantar plate when building uphill strength

I just had a conversation with a runner who has a plantar plate injury.

He got the plantar plate sprain trying to build his uphill running strength in preparation for a trail race.

This is no rookie mistake. He is a longtime ultra marathoner with lots of experience. But he made a common mistake determined runners can make.

Today on the Doc On The Run Podcast, we’re talking about one of the worst exercises you can do if you have a plantar plate sprain and you’ve been trying to build your uphill running strength for a trail race.

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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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#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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#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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