If you have pain at the bottom of the big toe joint, up along the arch, just above the plantar fascia, you may have been told that you have this thing called FHL tenosynovitis. “Tenosynovitis” just means that you have inflammation of the tendon sheath or tube that carries the flexor tendon down to your big toe. It helps you pull your big toe down when you push off while running. When the tendon sheath gets inflamed, it can be painful. If you have tenosynovitis, your doctor may recommend a cortisone injection, or a Platelet Rich Plasma (PRP) injection. So what’s the difference between these two injections and why would you want one versus another? Today on the Doc On The Run Podcast we’re talking about FHL tenosynovitis injections, corticosteroids versus PRP injection.View Details »
Achilles tendinosis is one of the worst injuries you can get as an injured runner. It is chronic, it’s hard to get rid of, and the tendon feels noticeably different.
The tendon gets thicker and it becomes constantly painful. Every time you run on it, you may worry that it might rupture or rip apart.
There are lots of different ways to treat Achilles tendinosis. Two of those options are PRP or platelet-rich plasma injection or a procedure called “dry needling.”
Yesterday in a live Runner’s Aid Station call, an injured runner asked me to explain the specific differences between these two treatments. I thought it might be helpful to try to explain it to you the way I explained it during that call.
What’s the difference between dry needling and PRP injection when you have Achilles tendinosis and you’re a runner?
Well, that’s what we’re going to talk about today on the Doc On The Run Podcast.View Details »
Today’s episode comes from a runner who was having some weird aches and pains when running. One doctor suspected he might have a thing called a “tarsal coalition.” A tarsal coalition is an abnormal union or connection between two bones. He was even told me might need surgery to remove the tarsal coalition. He asked me whether or not an injection, like a stem cell injection, might actually help a tarsal coalition. You have to think about the runner’s goals, and we expect different injections will actually do to figure out which is best for you. Today on the Doc on the Run podcast, we’re talking about two opposite ways injections could help a tarsal coalition in a runner.View Details »
This episode actually comes from one of the live Q&As I did with course members who are actually enrolled in courses like the Plantar Plate Sprain Course for Runners or the Metatarsal Stress Fracture Course.
“One of my friends said that I could get an injection to help my planter plates sprain heal faster. What is that injection?”
Today on the Doc on the Run podcast, we’re talking about what kind of injections might help a plantar plate injury.View Details »
I was just doing a telemedicine visit for a second opinion with a runner who’s had a longstanding plantar plate sprain. These can be very frustrating injuries because if you don’t treat them appropriately or you ramp up your activity too early, well, it can recur and they can go on for a really long time.
It had been a long time since he’s running, he needed a second opinion, he wanted to know whether or not the PRP injection, or a stem cell injection, or dry needling, or some other procedure might actually help him.
I’ve had one myself I was very cautious about reducing the stress and strain to the plantar plate ligament while I continued to maintain my running fitness as I recovered from that injury.
Today on the Doc On The Run Podcast, we’re talking about whether or not you might need crutches after a PRP injection for a plantar plate injury.