stress reaction Archives - DOC

#1000 Stress Fracture Nutrition with Dr. Laura Kelly

Today on the Doc On The Run Podcast, we are talking with Dr. Laura Kelly about Stress Fracture Nutrition for Recovering Runners. Any runner increasing mileage has to make sure that your body has the nutritional building blocks to rebuild tissue so that they can become stronger in response to their workouts. If you get […]

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#961 Why should runners sleep in boot for 5th metatarsal stress fracture?

Why should I sleep in a boot for a fifth metatarsal stress fracture? Well, that is a great question and that is what we’re talking about today on the Doc On The Run Podcast.     If you get a stress fracture in the fifth metatarsal, that is over here. So, now the toes are […]

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#960 Bone Scan vs. X-ray for 2nd metatarsal stress reaction in a runner

What is the difference when it comes to medical imaging using a bone scan versus an x-ray when you are looking for a second metatarsal stress fracture in a runner? Well, that is what we’re talking about today on the Doc On The Run Podcast.     If you get a metatarsal stress reaction or […]

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#957 Why Stress Reaction can take longer than Stress Fracture to heal in a runner

Which do you think is worse, a stress fracture or a stress reaction? Well, since a fracture is a crack and a reaction is just inflamed and irritating, you probably think stress reaction. However, it’s not true. Sometimes stress reactions take longer than stress fractures to heal in runners. Today, in this episode, I am […]

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#915 Is this painful bump a fibular stress fracture or stress reaction?

What is this painful bump that might be a fibular stress fracture? Well, that is what we’re talking about today on the Doc On The Run Podcast.     Today’s episode comes from a question that was posted as a comment on one of the videos on the Doc On The Run YouTube channel. Specifically, […]

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#861 Chronic stress reaction versus acute on chronic stress reaction in a runner

I just had a consultation with a runner who had foot pain that she thought might be a stress fracture that had been coming and going for about a month.

She had been increasing her training volume and doing strength exercises that are supposed to build her running fitness.

The pain seemed to be volume related. The more training she did, the more she would notice the discomfort in her foot.

But when we x-rays of her foot, the radiologist suggested this could be an “acute on chronic” stress reaction.

What does that mean?

What is the difference between a chronic stress reaction, or an acute on chronic stress reaction in a runner?

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

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#844 When is fracture boot really needed with metatarsal stress fracture?

I believe the most commonly prescribed and most overprescribed treatment for injured runners is probably a fracture walking boot.

The big question for your doctor is…

Is the fracture walking boot really necessary or not, given my stage of injury recovery?

When is a fracture walking boot really necessary for a metatarsal stress fracture?

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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#841 Why Stress Fracture Grading is BS for Runners

I just had an interesting call with an elite runner, who’s a high school cross country runner.

He developed a tibial stress fracture, or stress reaction.

But he thought it was shin splints.

When I looked at it with ultrasound, I saw some stuff that made me really worried about it. So, I got an MRI to confirm.

The first question he had was, what’s the grade?

Grading scales cause confusion.

Today on the Doc On The Run Podcast we’re talking about why stress fracture grading is BS for runners.

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#840 What is periosteal elevation in tibial stress reaction?

When you get a stress fracture, one of the earliest visible indications on an X-ray or an MRI or a CT scan is a thing called periosteal elevation. Your doctor might see it on ultrasound, x-rays or MRI studies….way before your ever see a crack in the bone.

Since it’s one of the earliest changes in the bone when you start to get a stress fracture, I thought it might be useful to talk about the term “periosteal elevation” really means.

What is periosteal elevation in a stress fracture in a runner?

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

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#838 My Stress Fracture Framework simplified

If you’re a runner and you get a stress fracture, the number one most important thing that you do is get it to calm down while you maintain your running fitness.

Based on those ideas, I built a framework that I’ve been using for years with injured runners who want to heal and want to get back to running.

In this episode we will go through my stepwise process of how I do it.

Today on the Doc On The Run Podcast we’re talking about my stress fracture framework simplified.

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