If you are a runner with a plantar plate injury, it is pretty easy for a doctor to make a convincing sales pitch on surgery. There are a couple of reasons that you should consider surgery for a plantar plate sprain. The first reason surgery makes sense is you tried everything else and nothing non-surgical will work. But you have to be honest about your non-surgical attempts. Here are some examples I often hear from injured runners.” I used the fracture boot a little bit, but had to take it off to drive. “I “sort of taped the toe.” I used some pads, “but I’m not sure if they are in the right spot. “You have to be honest with yourself about those treatments before you can say that you failed those treatments. that. But when you have clearly failed all of the non-surgical treatments and you cannot get better, then and only then does surgery makes sense. Should a runner have surgery for a plantar plate injury? That’s a great question and that’s what we’re talking about today on the Doc On The Run podcast.View Details »
Today’s question comes from a telemedicine visit second opinion for a runner. She was asking if she should have surgery to remove bone fragments. I said, “Well, let’s talk about what’s going on with you first.” Anytime we see something abnormal on an x-ray or an MRI, we often think that it’s pathologic. We presume something is wrong, just because it doesn’t look right. We think if something’s wrong, we should go cut your foot open and fix it. Should a runner have surgery to remove bone fragments? Well, that’s a great question and that’s what we’re talking about today on the Doc On The Run podcast.View Details »
Today I got a question from a doctor who wanted to know what I would do with a runner after surgery to remove non-healing sesamoid fractures in both feet.
You have two sesamoid bones under the big toe joint in each foot. When one of them develops a stress fracture, it can break.
If it breaks into two pieces, it can be very difficult to get the broken sesamoid to heal completely.
If it doesn’t heal, becomes arthritic and turns into what we as doctors call a “sesamoid fracture non-union” your doctor may recommend surgery to take it out.
Today on the Doc on the Run Podcast, we’re talking about what to think about when a doctor is trying to rehabilitate a runner after tibial sesamoid non-union removal surgery in both feet.View Details »
A runner broke her ankle and foot in five places and had surgery. She wrote in and wanted to know if she might run again:
“I’m 34 years old. I had a bike accident 4 days ago. I broke my tibia bone at the medial malleolus, distal fibula bone, and metatarsal bones 2, 3, and 4. The surgery went well. I was a runner. I used to run 4 times a week. Is there any chance I can run again?”
Today on the Doc On The Run Podcast we’re talking about what whether or not there is any chance you can run again after breaking five bones in your foot and ankle, and recovering from ankle fracture surgery.View Details »
A partial rupture of the plantar fascia can be a truly debilitating injury for a runner.
It’s much worse than plantar fasciitis. You take time off. It starts feel better. Then you run and it starts to feel worse again.
Because it can be so frustrating it becomes very easy to convince yourself that you need surgery.
In fact I was just having a conversation with an athlete who started to talk himself into surgery, even though he has absolutely no desire to have surgery one the plantar fascia.
His story highlights how easy it is to become frustrated, and how to overthink a mild setback in your recovery.
Today on the Doc On The Run podcast were talking about how a runner with a plantar fascia rupture talks himself into surgeryView Details »
Today I heard a great question from a runner…
She asked, “A doctor told me that I have a neuroma in my foot and I need to have surgery to remove it because it hurts when I run. Should I get a surgical second opinion?”
There is really one clear indication of when you really need to seek a second opinion when a doctor recommends surgery.
Today on the Doc On The Run podcast, we’re talking about whether or not how to tell if you need a surgery second opinion as an injured runner.View Details »
Today was on a consultation call with a runner who is had a long history of Achilles tendon problems.
She’s recently tried some new things that made an improvement.
But the problem is she’s not really certain the improvement is from the new treatments she’s been doing. Because she simultaneously decreased her activity a bit.
So now she’s in this place where she is trying to figure out what to do next.
Should she continue with some simple conservative treatments that aren’t very risky?
Or should she try to just do something riskier to try to get it to finally heal, or heal faster?
Today on the Doc On the Run Podcast, we’re talking about or not a runner should try a more aggressive treatment for an aching Achilles tendon.View Details »
When a runner’s joint wears out, one option is to remove the damaged cartilage and replace the joint through artificial joint surgery. The problem is, artificial joints typically wear out a lot faster than normal joints.
The base assumption is the running will wear out an artificial total joint replacement.
More than 25 years ago an orthopedic surgeon told me that I should stop running.
He said if I didn’t stop running I would have to have an artificial joint replacement. He also said if I ran on that artificial joint I would destroy the joint replacement surgery, ruin the implant and would have to have yet another surgery.
Can I run after total joint replacement surgery?
That’s a great question. Today on the Doc On the Run Podcast we are talking with the Bionic Runner about running after total joint replacement surgery.View Details »
Today on the Doc on the Run podcast, we’re talking about whether or not you’re going to be able to run again after broken metatarsal surgery. Will I run again after a broken metatarsal surgery? Well, this is a great question if you’re a runner and you get a Jones fracture or you ignore a […]View Details »
Today on the Doc On The Run Podcast, we’re talking about the only 2 times a metatarsal stress fracture needs surgery. If you’re a runner and you get a metatarsal stress fracture, you’re probably really frustrated because you went to see a doctor and they told you, “You have to sit still.” ”You have to stop […]View Details »