stress Archives - DOC

#774 Audit your stress level to avoid re-injury

I was just on a webcam call with a runner who signed up for an initial consultation and then decided to get a few weeks of additional coaching where we just check in every week to make sure that he’s not making any big mistakes that are going to cause a re-injury.

We were talking about how the whole goal is to keep running without slowing down the healing.

The way you do that is that you stay below your threshold for re-injury or re-fracture of the bone.

Today on the Doc On The Run Podcast, we’re talking about how you should audit your stress level to avoid re injury when you start running after you’re recovering from an overtraining injury.

View Details »

#739 When to add weight bearing exercise with stress reaction

Today’s episode comes from a YouTube viewer who posted a question,

“I have a low risk grade stress reaction in my posterior tibia. Interestingly, there is some research discussing the benefits of weight bearing bone building exercise once tolerated pain free, like hops jumps and step ups. Do you have any advice on when and how to integrate these types of exercises into a rehabilitation program?”

When is it okay to add weight bearing exercises when you’ve had a bone injury like a stress reaction?

That is what we are talking about today on the Doc On The Run Podcast.

View Details »

#737 Are “stress reaction” and “metatarsalgia” the same?

Today’s question comes from one of the YouTube viewers. Tasnim, wrote in and wanted to know whether or not “stress reaction” is the same terminology that is used in the UK for the term “metatarsalgia”.

This question points out how confusing these two terms can be when you have forefoot pain that might be a stress fracture, might be a plantar plate sprain, or could even be a neuroma.

Are stress “reaction” and “metatarsalgia” the same terms?

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

View Details »

#731 Running allergy and injury recovery

Have you ever been to the doctor and heard this, “You must be allergic to running because you get injured every time you go running.”

A recovering runner and I were on a call talking about how she could get back to running and how to “just go for a run” without getting re-injured.

We were talking about this approach of getting her running fitness back now, and returning to running faster without just sitting around waiting.

She told me something I had never heard.

Today on the Doc On The Run Podcast we’re talking about running allergies and injury recovery.

View Details »

#729 Logical vs. Psychological barrier to healing running injuries

I just had a discussion with a really interesting patient. He was a pro triathlete. He had some difficulty getting past a particular injury.

We were talking about all of the ways that you can encounter barriers to healing. And how you can start making progress in spite of them.

We were talking about two different things, logical and psychological barriers.

What’s the difference between logical versus psychological barriers to healing injuries in runners?

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

View Details »

#725 Does callus reduction decrease risk of plantar plate sprain?

I got a specific question about a recent episode on calluses in runners.

The question was, “Well, if you have that pattern of callus, and reduce the thickness of the callus so the callus is going away, does that mean there is less pressure there?”

You may have checked out the episode on the three callus patterns that I see in runners at high risk for getting a plantar plate injury.

Does callus reduction reduce your risk or decrease the risk that you’re going to get a plantar plate sprain?

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

View Details »

#372 The 3 forms of stress when you start running after injury

There are the three forms of stress that can affect you and the injured tissue when you actually get back to running after you’ve been injured and you feel like you’ve recovered.

I was just recently doing a telemedicine visit with someone who had an injury and was getting better. She was told to start running, but she wasn’t really given any specific instructions.

She was told, “You can go and just kind of run a little bit and see how it feels.”
If you’re a runner and you haven’t been running for weeks because of an injury, you’re probably going to feel so good when you start running that you’re going to do too much. If you do too much, and then you start having pain, you’re going to completely freak out because you’re going to be worried that you’ve completely set back your injury.
Today on the Doc On The Run podcast, we’re talking about the three forms of stress when you start running after injury.

View Details »

#294 Stress reduction is critical during coronavirus lockdown downtime

I listen to lots of podcasts and I recently have heard lots of other speakers in all genres talking about how important it is to stay healthy and avoid illness, and reduce your risks or contracting Covid-19. 

All of these people are right. Now, more than ever it is important to maximize your immune system.

In thinking about that, I realized that all of these same strategies people are talking about to help you avoid a viral illness can also help you heal from training, prevent over training and maximize recovery after hard workouts.

Today on the Doc On The Run podcast, we’re talking about how stress reduction is critical during coronavirus lockdown downtime for runners.

View Details »

#293 Top 3 Coronavirus mistakes for runners

Right now all of us are inundated with rapidly changing circumstances and a wide variety of news stories about the coronavirus. With all of the uncertainty, none of us really knows what we are supposed to do.

As a doctor who focuses completely on helping injured runners get back to running, most of what I do Is recognize mistakes in training and the recovery process causing failure.

But what I do know is that right now, all over social media, I am seeing examples of completely avoidable mistakes which could have serious consequences.

Make no mistake, I think runners should keep running, even when they began to encounter an overtraining injury. But it’s all about taking a sensible approach. It’s about managing risk. In some activities are riskier than usual right now.

Today on the Doc On The Run podcast, we’re talking about the top 3 coronavirus mistakes for runners.

View Details »

#147 How much stress reduction does your foot need to heal and run?

Any over-training running injury is caused by too much stress applied to that one structure. Once it starts to heal and you are trying to return to running, you have to keep the overall amount of stress applied to that one healing structure low enough so it can continue to heal even while you ramp up your activity.

View Details »