telemedicine Archives - DOC

#880 What sandals can I wear with hallux rigidus?

When you have hallux rigidus, the problem is the big toe joint does not want to move.

Many doctors will simply tell you that your big toe joint, or the “first metatarsal phalangeal joint” is getting progressively stiffer and developing arthritis.

If you wear shoes that irritate the joint more, the condition will only gets worse. The question is what sandals won’t make hallux rigidus worse?

What sandals can I wear with hallux rigidus?

Well, that is a great question and that is what we’re talking about today on the Doc On The Run Podcast.

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#879 Can peroneal nerve tendinitis cause 5th metatarsal pain?

Today’s episode comes from a comment on one of the YouTube videos on peroneal tendinitis. A limping runner asked the question:

“Can peroneal nerve tendinitis cause fifth metatarsal to be tender to the touch and when walking, I am not sure if I have a stress fracture.”

When I read this comment, I became confused because I am not sure what is going on with this runner, but I am going to try to explain and answer the question as best I can in this episode.

Can peroneal nerve tendinitis cause fifth metatarsal pain?

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

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#878 Is it possible to run with a sesamoid fracture non-union?

I got a great question from a runner with a sesamoid fracture that turned into a “non-union.”

The sesamoid bones are two tiny little bones under the big toe joint. When you break one of the sesamoids, if two pieces of bone do not heal back together, we call a “sesamoid fracture non-union.”

In this runner’s case, she used a bone stimulator. She wore a fracture boot. She used crutches. But after a year of treatment, the doctor looked at her X-ray and said, “You have a non-union, we should take it out.”

Is it possible to run if you have a sesamoid fracture non-union?

That is a great question and that is what we’re talking about today on the Doc On The Run Podcast.

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#877 I am on track, should I book a call to check in?

The primary way I help runners is through telemedicine second opinions.

I help runners who are not running, who have not been getting better, who are frustrated, and help them figure out what they need to do to get past the injury and back to running.

Once they are on track and have made lots of progress, they want to know “When should we check in for our next call?”

I feel like I am on track with my running injury, should we book another consulting call or a series of calls to talk about it?

Well, that is a great question and that is what we’re talking about today on the Doc On The Run Podcast.

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#876 Should I have serial injections for sinus tarsi syndrome

I saw a runner today and I did a cortisone injection to treat her sinus tarsi syndrome. She asked me a great question.

She said, “Is the cortizone injection something I am going to need to do every three to six months?”

She had been reading up on corticosteroid injections and had found that some athletes with certain conditions may have injections scheduled every few months.

Should I have serial injections for sinus tarsi syndrome?

Well, that is a great question and that is what we are talking about today on the Doc On The Run Podcast.

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#874 Are you depressed because of a running injury?

Today, I had a final follow-up call with a runner who did a series of consultation calls with me to get advice every week. After the series of calls he had improved and was better, but disclosed to me that he felt like he had been depressed.

He thought he might have depression because he realized something had significantly changed in his goal setting.

He said, “I can’t even imagine myself doing races anymore.”

Are you depressed because of your running injury?

Well, maybe you are, maybe you are not. I am not a psychiatrist. I am not a psychologist, but that is what we’re talking about today on the Doc On The Run Podcast.

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#873 Can collateral toe ligaments be surgically repaired?

This morning, I was on a second opinion call with a runner who had a couple of different injuries in his foot.

The main problem keeping him from running was an injury to the collateral ligaments in one of his toes.

“The toe feels weak and unstable.” He is understandably worried that the instability is going to cause a problem if he runs.

He was asking me:

“Well, can we surgically repair the ligaments?”

Should I have surgery to repair the collateral ligaments in my toe if I am a runner?

Well, that is a great question and that is what we’re talking about today on the Doc On The Run Podcast.

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#872 Do I keep using compression socks until healed?

This morning, I had a conversation with a runner who had an injury. He has been getting a lot better and one of the things that really seemed to help the injury improve was wearing compression socks.

His question was a really good one. He said:

“I had so much improvement with wearing compression socks, but with the injury I have, every time I take the socks off and on, it feels like I am moving the injured tissue now. I am not really sure if I still need the compression.”

Do I need to keep using compression socks until my injury is really healed?

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

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#871 2 Reasons for morning pain with a fracture boot

If you get an overtraining injury like a metatarsal stress fracture or a plantar plate sprain or Achilles tendonitis, or peroneal tendonitis, a doctor might prescribe a fracture walking boot.

Well, it is designed to hold you still so that you can hopefully walk on something like a fracture and still let it heal.

The reason for this episode is this morning I was on a call with someone who has been wearing a boot and he is curious why all of a sudden, he is starting to have some aching pain in the boot in the morning when he first gets up and steps on his foot while wearing the boot.

What are the two reasons you might get pain when you have been wearing a fracture walking boot for a running injury?

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

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#870 First 3 steps when runners feel a lump in the leg

Today on the Doc On The Run Podcast, we’re talking about the three steps you should do as the very first thing when you feel a weird lump in your calf muscle.     I was doing a second opinion consultation with a runner and he had an issue that was interesting. Now, first of […]

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