stress response Archives - DOC

#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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#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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#753 Fibula stress reaction vs stress fracture what is the difference?

If you have ankle pain and you push around on that lump of bone on the outside of your ankle, you may realize that you have pain on the bone specifically.

If so, you might become worried that you have a thing called a fibular stress fracture.

If you start trying to figure out what to do, one of the first things you may find is a lot of discussion about something called a “stress reaction” instead of just a “stress fracture”.

What’s the difference between a fibular stress reaction and 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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#546 Waiting for x-ray of stress fracture miss the window

The worst runner to call me for a second opinion is someone who has been in a fracture walking boot or not running for 12 weeks or so. Why is that so bad? Well, they’re extremely aggravated. They’ve seen at least one doctor, probably a bunch of times. They’ve probably had several x-rays. They’ve been waiting and waiting but they’re not getting better and they’re very upset about that. Today on the Doc On The Run podcast, we’re talking about how waiting for an x-ray can cause you to miss your window with a stress fracture.

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#544 Stress fracture wishes as fodder for facts

In this episode we’re talking about stress fractures and we’re talking about what happens when you as a runner, wished something to be true and it’s not a fact. It’s really important that you understand this. Some of the wishes are things like, well, I want to run. The second one is I don’t want there to be a crack on my x-ray. Some facts are, well, my podiatrist took an x-ray and there was no crack. So what does that do? Today on the Doc On The Run podcast, we’re talking about stress fracture wishes as fodder for facts.

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#518 How long to wait before running with a stress fracture?

I got a question from a runner who’s had a metatarsal stress fracture who’s very frustrated, who’s trying to figure out how to get back to running. He went and saw a doctor and he was told that he had a stress fracture and the doctor told him to take some time off of running. Then he started watching some YouTube videos, started listening to some podcasts, and then asked me a very serious question: How long do I have to wait to run with a metatarsal stress fracture? Well, that’s what we’re talking about today on the Doc On the Run podcast.

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#503 First aid for metatarsal stress fracture in a runner

Let’s say you’re out on a run and you start noticing this weird aching pain in your foot and so you suspect you have a metatarsal stress fracture. I often get consultation calls and webcam visits, and I even do house calls for athletes who have metatarsal stress fractures. The good news is that a lot of the times, if you actually do something, when you first notice that aching pain in your foot, when you’re running, it may not actually be a true stress fracture. Today on the Doc On The Run podcast we’re talking about the five most important things you can do for first aid for a metatarsal stress fracture if you’re a runner.

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#463 Do I need a bone stimulator for a Grade 5 Stress Fracture?

I just did a second opinion consultation with a runner who called and said she was diagnosed with a grade five stress fracture.
The doctor didn’t actually explain what that meant. He just said it was serious.
Stress fracture are rates by severity with grade one through a grade five. Grade five is obviously the worst to runner.
She wanted to know if she needed a bone stimulator since her stress fracture was serious.
Do I need a bone stimulator for a grade five stress fracture? That’s what we’re talking about today on the Doc On The Run podcast.

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#459 How bad is Grade 3 Stress Fracture?

Today’s episode actually comes from a podcast listener who had a question:

“I got an MRI just to give me the green light to resume training and it showed a grade three stress reaction of the left tibia. Do you think I can run?”

Deciding whether or not you can run with a stress fracture really depends on understanding how bad it was when it started, and how bad it is right now.

How bad is a grade three stress fracture? Well, that’s what we’re talking about today on the Doc on the Run podcast.

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#428 My doctor said my stress fracture is a delayed union

This is a question sent in by a listener to the Doc On The Run Podcast and this is someone who’s had a stress fracture, and it’s now turned into what the doctor called a delayed union.

She said, “My doctor has told me that my stress fracture is now a delayed union. What does that really mean? What is a non-union? What’s a delayed union?”

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

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