#742 When to worry an ankle sprain is a Lateral Process Fracture

I just saw a runner who sprained her ankle. It’s been about a month and she’s still having pain. Pain and swelling persisting a month later, are not good. There are a couple of reasons that that can happen.

Anytime doctors see persistent swelling and pain after an ankle injury, they become concerned there might be a fracture.

When should a runner who rolled an ankle be concerned that there might be a fracture like a lateral process fracture?

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

#738 Could peroneal tendon pain really be a nerve problem?

Today’s episode comes from a YouTube viewer named John, who wrote in with a question about nerve pain vs. peroneal tendon pain.

He said ”I’m experiencing discomfort in my fifth metatarsal/peroneal tendon below the ankle. There is no swelling. However, upon hamstring stretch, especially in a downward dog position, this area feels like it’s on fire. The fact that I cannot do downward dog right now, with my right heel down. I’m starting to think this may be a nerve. It’s been hurting for about 10 days.”

Could peroneal tendon pain really be a nerve problem?

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

#727 3 ways runners lose fitness after an ankle sprain

The first thing any runner should do when you roll your ankle is protect the ankle from further injury. In fact, the algorithm doctors use to treat ankle sprains is P. R. I. C. E.

P stands for Protection, meaning don’t roll it again. Don’t make it worse. Then, Rest it. Ice it. Use Compression to keep it from swelling. Elevate it to get the fluid out if it’s really swollen.

So, what happens is, you’re a runner, you’re out on a trail and you roll your ankle. What happens if you don’t follow the PRICE method?

It just might take a whole lot longer before it gets better.

What are the most common three ways I see runners lose all their fitness after they get an ankle sprain?

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

#718 Broken toes with an ankle sprain?

Let’s say you’re out on a trail run, you roll your ankle and sprain it. So what do you do?

You limp home, you get back to the car, you ice it, you take some pressure off of it, you elevate it, you do all the right stuff. But, it’s really painful and swollen the next few days.

Then, maybe a day or two later, it’s black, it’s blue and swollen. But even worse, you look down and you’re kind of dismayed because your toes are swollen like sausages.

Believe it or not, I have had a number of patients who called me, not because they sprained their ankle, but because they were actually worried they may have broken toes as well.

Is it possible to break your toes at the same time you get an ankle sprain?

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

#611 What if stress fracture still swells and hurts a lot?

Ivan has a great question. After watching the watching the video “Can I Run After Wearing a Fracture Boot?” he wanted to know: “It still swells and has a lot of pain what do I do?”
Anytime a runner gets a stress fracture, the main goal is to confirm the foot is healed enough to withstand the forces and stresses applied to the injured bone.
In the episode we are going to talk about:
• 3 indicators of ongoing tissue damage when you have a stress fracture.
• 3 strategies used to decide when it’s safe to run after stress fracture.
• Questions I would ask you if you called me for a stress fracture second opinion consultation.

Today on the Doc On The Run Podcast we’re talking about What to do if a stress fracture in the foot still swells and hurts a lot after wearing a fracture walking boot.

#287 3 causes of sinus tarsi syndrome in runners

If you are a runner and you have a weird aching pain, and you’re not really even sure if it’s in your foot or your ankle you may have a condition called sinus tarsi syndrome.

When a doctor tells you you developed a case of sinus tarsi syndrome That just means that you have irritated and inflamed the lining of the subtalar joint.

So of course as a runner suffering from this condition and trying to figure out what to do, so you don’t get it again, it may be helpful if you can understand the three common causes of sinus tarsi syndrome in runners.

Today on the Doc On The Run podcast, we’re talking about three causes of sinus tarsi syndrome in runners.