#697 Hallux rigidus shoe traits for runners

Today on Doc On The Run podcast we’re talking about hallux rigidus shoe traits for runners.     I recently got a question on one of the YouTube videos about hallux rigidus, and this guy, I really understand his situation. He was basically giving me a long description about how there aren’t good treatment options […]

#684 Can I wear softer shoes when running a custom orthotic?

I just got off the phone with an elite athlete recently who asked a great question.

He called me and said, “I have custom orthotics and I know they support my foot better. So the question is, can I use a broader range of shoes?”

What he really wants to know is whether or not he can ONLY use motion control shoes.

He was really asking, “Since I have an unstable foot that’s now stabilized by the custom orthotic supporting the foot, does that mean that I can wear shoes other than something like a true motion control shoe?”

Can I wear softer shoes when running with a custom orthotic?

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

#683 When is an MRI most reliable for a bone running injury?

One of the things about getting an MRI has to do with timing of the injury.

What do I mean by that?

Well, it means timing in terms of when the MRI is done relative to how long it has been since you actually beat it up and injured that structure.

When is an MRI most reliable for a bone running injury like a stress fracture?

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

#681 How your running shoe insert can show risk of metatarsal stress fracture

When you get a stress fracture, you have to remember that it is a stress related injury.

That’s why it’s called a “stress” fracture.

It is not a “run-too-much” fracture. It is not a “ran-too-far” fracture. It is a “too-much-stress” fracture.

So, if you want to know whether or not you’re at risk of getting one as you ramp up your training, one of the simplest things you can do is look at your running shoes. More specifically, your running shoe insert.

How can your running shoe insert show you whether or not you’re at risk for a metatarsal stress fracture?

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

#668 Lacing running shoes with bursitis from tailor’s bunion

One of my Elite Access patients sent me a message. He was having pain from an inflamed Tailor’s bunion bursa at the base of the pinky toe.

He got a bigger shoe with a wider toe box that decreased the pressure. But when he was running, his foot was sliding around in the shoe, and it was still causing a problem.

He asked me if there was any solution. And yes, there is…

Today, on the Doc On The Run Podcast, we’re talking about how you can lace your running shoes differently when you have bursitis pain from a tailor’s bunion.

#605 New running shoes made my bunion bigger

A runner called me and said, “I got some new running shoes and they made my bunions worse overnight. I think I need surgery now.”

The problem is that bunions do not typically get worse quickly.

Bunions get worse slowly because the bone is changing position.

In this episode, we’re going to talk about how it’s possible bunions could get worse from a new pair of shoes.

If you are a runner with bunions this is a situation you may want to understand.

Today on the Doc on the Run podcast, we’re talking about how new running shoes might have made your bunion bigger.

#572 How to lace running shoes with extensor tenosynovitis

If you get pain on the top of the foot when you’re running you might discover you have a painful condition called extensor tenosynovitis.

“Tenosynovitis” just means you have irritation and inflammation within the tendon sheath, or the little tube that surrounds the extensor tendons that fan out toward the toes on the top of the foot.

There are really 2 keys to calming the tendon sheath. You have to decrease the inflammation with the tendon sheath. But you also have to stop irritating the swollen tissue inside the tendon sheath. The easiest way to stop that irritation when you run is to stop putting pressure right on that irritated spot.

Today on the Doc On The Run podcast, we’re talking about how to lace your running shoes when you have extensor tenosynovitis.

#557 4 Things you need for a running injury second opinion

I do lots of running injury second opinions and I do most of those over webcam. Sometimes I do them over phone, but webcam’s way better because I can see you, we can talk, I can show you some stuff on screen, share if I need to, and I can look at stuff that you have that might be really useful for me to help you figure out what’s going on. Whether you’re seeing me for a webcam visit or if you’re seeing your doctor in your neighborhood, there are four things that you really should make sure that you have together and that you take to get your most valuable running injury second opinion. Today on the Doc On The Run podcast, we’re talking about the four things you need for a running injury second opinion.

#521 Running fitness is transient

Yesterday I was giving a lecture at the International Foot & Ankle Foundation meeting in Lake Tahoe. The topic was on protocols for return to running after recovering from over training injuries. One of the most important points I was trying to make to the doctors in that session was that fitness is transient. Fitness is only present in the presence of growth. If you’re an injured runner this is terrible news. Today on the Doc On The Run podcast, we’re talking about why running fitness is transient.

#509 How to tell tenosynovitis from neuritis in a runner

If you’re a runner with running pain on the top of the foot, it could be lots of different things. The actual diagnosis depends on what happened, what you did, and what it feels like now. There are a couple of really common things causing pain in the top of the foot in runners. Let’s talk about two common causes. It may be either a tendon or a nerve on the top of your foot. Today on the Doc On The Run Podcast, we’re talking about how a runner can tell tenosynovitis from neuritis in the top of the foot.