Doc On The Run podcast - DOC

Doc On The Run podcast

The #1 Podcast For Injured Runners

 

This podcast is for injured runners. Those who have been told (or worry) that running is at the root of their trouble.

If you are listening to this podcast you’re probably a runner. And you have probably been told by your friends, your family and maybe even your doctor that running is the cause of your trouble and that you need to run less.

But deep down inside you don’t just like running you feel like you have to run in order to be healthy, fit and sane. This podcast simply helps injured runners understand their condition better, and keep running.

 

 

LATEST EPISODES

 

 

 

#563 Achilles Tendon Calcification In Runners With Tendinosis

If you’re reading this because you are looking for something on Achilles tendinosis, I’m sorry.

This is one of the worst things that you can get.

It is a real serious problem and you have to treat it to get it better.

But I think it’s helpful to understand some of the things you actually really need to treat and some parts of it that you may not really want to treat directly or you might want to really think twice before you let your doctor treat it the way that they suggest it.

Today on the Doc On The Run podcast, we’re talking about Achilles tendon calcification in runners with tendinosis.

#562 Injured Runners Cannot Find A Solution When Refusing To Look At The Problem

Let’s imagine you got injured. You are recovering. But you want to get your running fitness back.

One of the things that’s really important to think about…is what it takes to ramp up without getting re-injured.

Most runners ignore the weakness that predisposes them to injury in the return-to-running period.

To avoid that common trap, you must track your progress and pay attention to everything.

In this episode, I’m going to let you listen in on a recording from an actual live session in the Injured Runner’s Aid Station explaining the keys to ramping up and running without getting reinjured, while using the advantages that you already have with your runner’s mindset.

Today, on the Doc On The Run podcast, we’re talking about how injured runners cannot find a solution when refusing to even look at the problem.

#561 Which Runners Need A Fracture Walking Boot For Plantar Fasciitis?

In my experience, there are only two types of runners who really need a fracture walking boot to treat plantar fasciitis.

1. Runners who don’t mind losing all their running fitness.

2. Runners who were told they have plantar fasciitis, but actually have been given the wrong diagnosis.

Are you in one of those two groups? Then ask yourself…

Which kind of runners really do need a fracture walking boot for plantar fasciitis?

Is it somebody with mild plantar fasciitis, moderate plantar fasciitis, severe plantar fasciitis?

That’s what we’re talking about today on the Doc On The Run podcast.

 

#560 Anxiety Robs Injured Runners Of Action

One of the worst things when you’re an injured runner is to stop taking action.

Think about what would happen if you did this with a marathon. If you were to sign up for a race and you didn’t do anything to actually gain fitness in preparation for that event, would you expect to do well?

It blows me away when I see injured runners who have spent years in disciplined training, yet then when they get injured, they just sit in a puddle of inaction that keeps them stagnant and prevents them getting back to running.

Anxiety robs injured runners of action, and that’s what we’re talking about today on the Doc On The Run podcast.

#559 Does A Crooked Toe Mean Plantar Plate Surgery In A Runner?

I got a great question from someone who had a plantar plate injury. His toe was a little bit crooked.

He was wondering whether or not the position of the toe could determine whether or not plantar plate surgery would be necessary.

His question was,

“Do I really need to have surgery if my toe is crooked? Is that a good indicator of whether or not I need plantar plate surgery just because the toe is sitting out of position a little bit?”

I thought it might be helpful to explain when it might actually be necessary to have surgery, and when it might not be necessary to have surgery.

Does a crooked toe mean you have to have surgery for a plantar plate injury?

That’s what we’re talking about today on the Doc On The Run podcast.

#558 Where To Run With Plantar Fasciitis

Plantar fasciitis is one of the most common causes of heel pain and it’s also one of the most common reasons people actually go to the podiatrist.

The fastest way to get plantar fasciitis to calm down is to reduce the stress and strain to the plantar fascia ligament so that it’ll actually begin to heal.

So if you’re going to try to run, you have to do something to reduce the stress and strain to the plantar fascia ligament, while you’re running to make sure you aren’t over-stressing the fascia.

Today on the Doc On The Run podcast, we’re talking about where to run when you have plantar fasciitis.

#557 4 Things You Need For A Running Injury Second Opinion

Nothing will destroy your running fitness faster than wasting time on the wrong treatment. Second opinions are one of the most effective ways to ensure you are not wasting time monkeying around with the wrong diagnosis, or the wrong treatment.

That’s why I do lots of running injury second opinions over webcam.

Whether you’re seeing me for a webcam visit or if you’re seeing your doctor in your neighborhood, there are four things that you really should make sure that you have together and that you take to get your most valuable running injury second opinion.

Today on the Doc On The Run podcast, we’re talking about the four things you need for a running injury second opinion.

#559 Does A Crooked Toe Mean Plantar Plate Surgery In A Runner?

If you are a runner with a plantar plate sprain, you may be really frustrated.

Unfortunately, plantar plate sprains are difficult injuries to get better quickly. One key is to make sure it doesn’t come back once you’re running.

When I do second opinions for runners with plantar plate sprains, they ask…Should I have a cortisone injection?

The short answer is there are only two times when it makes sense to get a cortizone injection around the plantar plate.

Today on the Doc On The Run podcast, we’re talking about the only two times a cortisone injection makes sense for an injured runner with a plantar plate sprain.

#555 Which Belief Is Running Your Injury Recovery?

Faith and doubt are both beliefs.

If you’re taking action to maintain your running fitness, you have Faith you’re going to get better.

If you’re doing nothing to maintain your running fitness it’s because you have Doubt.

No matter what the specific injury, there is always some action, some step you can take to gain confidence, move from Doubt to Faith and start getting back on the right track.

Which belief is running your injury recovery? That’s what we’re talking about today on the Doc On The Run podcast.

#554 Is Resting Overrated For Runners?

Is resting overrated for runners?

The short answer is yes, but I want you to think about something.

If it’s true in training, then it must be true in over-training injury recovery.

Whenever I am speaking at a medical conference and I say this, doctors in the audience tend to cross their arms and glare at me.

It seems even some runners scratch their heads when I say it. But it is true. And I want you to really think about this.

If it is true in your training, then it should be true in your over-training injury recovery. That’s what we’re talking about today on the Doc On The Run Podcast.

#553 Dancer’s 5th Metatarsal Shaft Fracture Training For Boston Marathon

This episode actually comes from Eryn and she’s somebody who was listening to the Doc On The Run podcast and then sent in a question. She said that she was 10 weeks out after getting a dancer’s fracture in the fifth metatarsal while she was trying to qualify for Boston and getting ready.

What she said is, “I’m one week in using my EXOGEN bone stimulator one time a day for 20 minutes. I heard you say that you had a runner who healed after two weeks using the device.”

She also wanted to know about, “What else was your patient doing? Did they follow the standard protocol? Was he taking any supplements or other treatment to help the bone?”

Today on the Doc On The Run podcast, we’re talking about a dancer’s fifth metatarsal fracture in a runner who was training for Boston.

#552 4 Strategies For Running Injury Recovery

All day long I talk to injured runners and help them figure out what they could be doing differently to get back to running as quickly as possible.

I have realized is that the majority of injured runners are choosing, or have been told by a doctor, to follow one of four different running injury recovery strategies.

Today on the Doc On The Run podcast, we’re talking about the 4 strategies for running injury recovery.

#551 Running Is NOT An Effective Weight Loss Strategy With Patrick McGilvray

In today’s podcast we have Patrick from the Running Lean Podcast here on the show, and you’re going to love this episode.

Patrick McGilvray is a podcast host, Licensed Primary Sports Nutritionist, NASN Certified Personal Trainer, UESCA Certified Running Coach, Master Life & Success Coach, experienced marathoner and ultrarunner, and The Weight Loss Coach for Runners.

Patrick helps runners properly fuel their bodies and their minds so they can achieve peak performance and optimal health and fitness.

Today on the Doc On The Run Podcast we’re talking about how “Running is NOT an effective weight loss strategy.”

#550 Leg Soreness From Balance Training For Runners

I was just on a call with a guy who signed up for the Runner’s Aid Station and one of the things we were talking about is he had noticed that while he was doing some specific exercise I gave him to restore some of the balance to actually make him a little more stable and more efficient.

He noticed he was getting a lot of soreness in his leg.

He was actually explaining what he was getting in terms of muscle soreness and we discussed whether or not it was really a problem and something you really need to pay attention to.

Today on the Doc On The Run podcast, we’re talking about soreness in your leg when you’re working on your balance and you’re trying to get back to running after an injury.

#549 What Is Primary Repair Plantar Plate Ligament Surgery?

What exactly is primary repair of the planter plate? Well, that’s a surgery where we actually go in and sew it back together. We fix it. We repair it. We do something to actually make it strong and hopefully heal again, so you can get back to running.

But we’re going to talk about three different methods for actually doing that and some of them are kind of similar.

They’re different approaches and they have different risks and benefits.

Today on the Doc On The Run podcast, we’re talking about three different techniques for primary repair plantar plate ligament surgery.

 

#548 Get Back To Running In 30 Days With Jill Angie Not Your Average Runner

When other doctors ask me what I do, I tell them rather simply I help runners figure out how to stay fit, hang onto their running fitness and get back to running as quickly as possible.

The other day I was talking to a woman, who wanted my help and wanted to schedule a consultation, and she committed what I call the cardinal sin of runner-self-criticism.

She said, “I know you only work with runners. I only ran 2.65 miles yesterday, and so I am not really a runner.”

When she said that, I not only immediately thought of Jill Angie from the Not Your Average Runner Podcast…but I found myself quoting her!!!

The very next day I asked Jill if she would come back on the show to share some of her insight, wisdom and glowing energy with all of you today.

Today on the Doc On the Run Podcast, we’re talking about how you can get back to running in 30 days.

 

#547 Why Bone Surgery For Plantar Plate Repair

I have talked about this before in other episodes where you basically have four kinds of structures that you could consider having surgery on.

You could have bone surgery, you could have ligament surgery, tendon surgery, or joint surgery and of course, when you have an injury to only the ligament, the plantar plate ligament, you might be wondering why in the world would the doctor want to do surgery on the bone as well?

Today on the Doc On The Run podcast, we’re talking about why you might need bone surgery for a plantar plate ligament repair.

#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.

#545 Tendon Surgery For Plantar Plate Repair

If you are a runner and you’re thinking about surgery, you’re probably maybe thinking about a second opinion, but maybe just doing your initial research, but some doctor has probably already suggested the idea of surgery to you.

This is one of the four categories is tendon surgery and we’re going to talk a little bit about that, about what it means, what tendon is actually operated on and what the procedures really entail so that you can understand that a little bit better.

Today on the Doc on The Run podcast, we’re talking about tendon surgery for plantar plate repairs.

#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.

#543 2 Joint Surgeries For Plantar Plate Repair

In today’s episode we’re talking about two different joint surgeries that are commonly performed as a component of plantar plate repair in injured runners.

This is a really important thing to understand. There’s two different kind of procedures. They both have different risks and benefits, and we’re going to talk briefly about them so you at least know what they are.

So if your doctor tries to sell you one of these procedures, you can at least know what you’re buying.

Today, on the Doc On The Run podcast, we’re talking about two different joint surgeries for plantar plate repair.

#542 How To Avoid Bias During Running Injury Second Opinion

In today’s episode we’re talking about bias and bias, of course, is where somebody is already kind of made up their mind about what should be going on with you.

They’re biased, they’ve got a slanted opinion and that opinion is based on something other are than exactly what is going on with you.

When you get a second opinion, bias is the worst possible thing, because it’s very difficult for a doctor to change their mind once they think they know what’s going on.

Today on the Doc On The Run podcast, we’re talking about bias in second opinions for runners and how you can avoid it.

#541 4 Surgical Procedures For Torn Plantar Plate Ligament

In today’s episode we’re talking about the four classes of procedures that affect four different anatomic structures in your foot when you have a plantar plate injury.

I think t’s really helpful if you’re really frustrated, you’re really demoralized and you’re in this very vulnerable place where it’d be easy for a doctor to talk you into surgery without you really understanding what’s going on.

That’s what we’re going to talk about today is give you a basic understanding of the four different kinds of surgeries that are offered to patients with these injuries so that you can make a better decision when you talk to your doctor.

Today on the Doc On The Run podcast, we’re talking about the four types of procedures you might get offered as surgical correction for a plantar plate sprain.

#540 No Proof No Permission To Run

I get questions all the time, daily almost, where somebody will send me a message and they’ll say, “Well, I saw a doctor and they said I had this injury, and they said that I couldn’t run for six weeks. Would you let me run?”

Well, the answer is no.

There’s a reason doctors don’t give you permission to run, and there are really four ways that you can tell, ways you can get permission. I think it’s important to talk about these four ways that you can actually get permission to run.

No proof, no permission to run. That’s what we’re talking about today on the Doc On The Run podcast.


#539 Restarting And Running Again After Surgery With Martha Runs The World

A couple of years ago Martha was on the podcast talking about how hip arthritis has impacted her running and how she has been able to gain a different perspective on her running goals.

She is the host of the Martha Runs The World Podcast.

In this episode we are talking about some basic principles and strategies for resuming running after surgery or a major over-training injury.

Today on the Doc On the Run Podcast we’re talking about restarting and running again after surgery with Martha Runs The World.

#538 Marathon Method Of Running Injury Recovery

This is the thing I came up with when I actually was thinking about what I do differently with runners now that I’ve been for about a decade, basically focusing just on injured runners, what do I do differently than when I had a normal practice where I saw everybody with any kind of foot problem?

Let’s think about what happens when you decide to run a marathon. Nobody just wakes up and says, I think I’m going to run a marathon today, it doesn’t work that way. What usually happens is you have something that triggers your desire to actually run a marathon.

We all know it’s really a big goal, we know it’s inspirational, and you decide that you want to do a marathon.

So, what do you do?

Today, on the Doc On The Run podcast, we’re talking about the Marathon Method of Running Injury Recovery.

#537 Runner’s Heel Pain That Might Be Plantar Fasciitis Or Insertional Achilles Tendinitis

Today’s episode actually comes from something I read in one of the running forums where someone actually was saying that they were confused.

They had been to see a couple of different doctors and had a couple of different recommendations because they had heel pain.

The heel pain was in a little bit of an unusual area, the heel pain wasn’t exactly on the bottom, the heel pain wasn’t exactly on the back and it was sort of in the middle, right at the back of the heel where it curves around and they wanted to know what to do.

Is it plantar fasciitis or insertional Achilles tendonitis? That’s what we’re talking about today on the Doc On The Run podcast.

#536 Success Is Spelled ACTION With Gary Stotler

Several years ago I had the honor of speaking with Gary and interviewing him for an episode of the Doc On The Run Podcast, called From 400 Pounds To Running 100 Miles.

At one point in his life Gary, was seriously overweight and weighed about 400 pounds. But he was able to not only lose that weight, he became a 100 mile ultramarathon finisher and even did Leadville.

Gary’s not just an incredible athlete but he’s also a personal development expert. Today were really fortunate to have him back on the show to share his wisdom, experience and inspiration
with you today.

“Success Is Spelled Action” and that’s what we’re talking about today on the Doc On The Run podcast.

#535 Plantar Plate Sprain Misdiagnosed As A Neuroma?

Let’s say you have this aching pain in the ball of your foot. You’ve been running and when you run, you get some sort of weird aching soreness in the ball of the foot.

You just know it’s in the middle of the ball of the foot and it hurts more when you run and it hurts kind of after you run.

Well, you go see a doctor. They look at you, they poke around, and they say, “I think you have a Morton’s neuroma.”

Then later you figure out either because you got a second opinion, either or you sign up for the Plantar Plate Masterclass and went through those things and started self-diagnosing you figure out that you actually have a plantar plate sprain.

You get really confused about why it is that someone would misdiagnose you with a neuroma.

Can a plantar plate sprain be misdiagnosed as a Morton’s neuroma? Well, that’s a great question, and that’s what we’re talking about today on the Doc On The Run podcast.

#534 Best Protocol For Runners Is A Customized Recovery Plan!

I was just giving a talk recently at the IFAF where I was talking about protocols that I use with injured runners to help them get back to activity after common foot and ankle injuries that happen to runners.

The thing is, and what I was telling them is there are a few things that I use as protocols. When I say my protocol or a doctor says protocol for a stress fracture is six weeks in a boot or two weeks on crutches, that is their protocol and that is a cookie-cutter treatment plan.

So in many ways, those decisions are made before you even show up and see the doctor.

But what you really need is a customized treatment plan.

The best protocol for injured runners is a customized recovery plan and that’s what we’re talking about today on the Doc On The Run podcast.

#533 What Is A Grade 5 Metatarsal Stress Fracture?

If you’re a runner and you think you have a grade five stress fracture because your radiology report said that or some doctor told you that, well, I have some good news and some bad news.

The good news is, is that you don’t even have a stress fracture if you have a grade five stress fracture. It’s not a stress fracture at all.

The bad news is, is a grade five stress fracture, is what we call a non-union, where you had a stress fracture, but that stress fracture actually failed to heal.

You have basically an unhealed, and probably not going to heal, stress fracture, unless you do something.

What is a grade five metatarsal stress fracture? Well, that’s what we’re talking about today on the Doc On The Run podcast.

#532 3 Best Methods Of Diagnosing Extensor Tenosynovitis In Runners

What are the three best ways to diagnose extensor tenosynovitis in runners?

Well, it’s pretty simple. They’re really three ways that I think are effective and they can work, all of them.

It’s not necessarily true that one is better than another, but they all three can work.

Today on the Doc On The Run podcast, we’re talking about something really simple, it’s the three best methods for diagnosing extensor tenosynovitis in runners.

#531 If You Are Recovering From Injury…Don’t Focus On Plan B!

The way that I thought about this episode today is that I just got off the phone, I was on a consultation with a runner and he has a plantar plate injury and he was planning on getting an injection to help the plantar plate sprain heal a little bit faster.

He asked me a question that really stopped me in my tracks. He said, “How long should I give it before I throw in the towel?”

I thought, well, are you planning for this to not work? I actually literally asked him that, I said “If you’re thinking about when you’re going to decide that this hasn’t worked, that means you have to be planning for it to not work.”

Today on the Doc On The Run podcast, we’re talking about why you should not focus on plan B.


#530 2 Ways To Modify A Fracture Walking Boot For A Plantar Plate Sprain

This is a great question that I got from somebody on a call who actually signed up and enrolled in the plantar plate class for runners.

He was going through the plantar plate course and he was actually trying to figure out what to do, and he was going to jumpstart the healing process by using a fracture walking boot.

He tried it on and he noticed that he was feeling some pressure because the inside of the fracture walking boot is basically flat.

Today on the Doc on the Run podcast, we’re talking about two ways you can modify a fracture walking boot if you have a plantar plate injury.

#529 The Best Free Advice For An Injured Runner

I recently got a call from someone who had a son who was in cross country and he’s been having some trouble. He’s had several weeks of not running, and she wanted to get some advice on what to do.

I got an interesting response via email, where she wanted to know what free advice I had for her son.

First of all, I don’t give advice when I don’t know what the problem is. I didn’t really know the story with her son.

We didn’t do a consultation, and no physician is going to give you advice if they don’t actually know what your circumstances are.

Today on the Doc On The Run podcast, we’re talking about the best free advice for injured runners.

#528 Should I Use A Boot For Shin Splints

Believe it or not, most of the time when I see a runner, either on webcam or in their home, and they have shin splints, and they’ve been given a fracture walking boot, they need the fracture walking boot and maybe even more.

But what that really tells me when a doctor says you have shin splints but you need a boot, that it’s really that the doctor is uncertain about the actual diagnosis, because in my view, most of the time, if you have shin splints, you do not need a fracture walking boot.

Should I use a fracture walking boot for shin splints?

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

#527 Pain Is A Guide But Only If You Read The Signs

I was just lecturing at the IFAF meeting in Lake Tahoe and I was giving a couple of different lectures on running injuries, and one of them was about the protocols that I use with injured runners so that they can maintain their fitness, stay fit, stay active, and keep running.

One of the doctors asked me about how I make these decisions and I explained to them was that the worst piece of advice I myself ever received as someone who was injured was when this doctor told me, “Just let pain be your guide.”

How can you as an injured runner use pain as your guide? Well, that’s what we’re talking about today on the Doc On The Run podcast.

#526 Is A Boot Enough For A Tibial Stress Fracture In Runners?

Today’s episode is going to be a good one for you to listen to, if you’ve been told that you have a tibial stress fracture, or if you just think you might have a tibial stress fracture.

If you get a tibial stress fracture, the chances are really good that the doctor’s going to do something to really restrict your running, and potentially your ability to move around at all.

For example, if you get a fracture walking boot and it’s on your right foot, well, you can’t even drive a car so you’ve got to take this seriously.

Is a fracture walking boot enough when you have a tibial stress fracture and you’re a runner?

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

#525 Nothing In Medicine Is Free Especially With Running Injuries

One of the phrases I often tell injured runners is that “nothing in medicine is free.”
For every potential treatment that might help some particular injury, you pay for it in risk.
A fracture walking boot is one of the simplest and most-often-prescribed treatments for overtraining injuries in runners. And although fracture walking boots maybe inexpensive, treating your running injury with one is definitely not free.
Today on the Doc On The Run podcast, we’re talking about how nothing in medicine is free especially with running injuries.

#524 3 Ways Plantar Plate Injuries Occur In Runners

Today’s episode actually comes from a question sent in by Shay.

She said, “I have a plantar plate complete tear and I had surgery on my left foot in October 2019. So that was a couple years ago. I’m running with some new issues in the right calf, but the main thing I want to learn is how this injury occurs. I’m really afraid of it happening to my right foot.”

I talk to injured runners all the time. I lecture at medical conferences, teaching doctors what I do with runners who have these plantar plate injuries and Shay is reasonable to be concerned about this.

Today on the Doc On the Run podcast, we’re talking about the three ways plantar plate injuries occur in runners.

#523 Finally The Correct Answer On How Long Before You Can Run After Injury

This weekend I was lecturing at the International Foot & Ankle Foundation meeting in lake Tahoe, and I was lecturing on running injuries.

At the beginning of that lecture, I was asking the group of doctors there and I said, “Well, if you had a runner with a fourth metatarsal stress fracture and they had this level of pain and this level of disability and this level of complaint about it, how long would you expect to have them in a fracture walking boot?”

There was a doctor from Flagstaff, Arizona who actually raised his hand and he said, “It depends.”

I was shocked because normally, people say four weeks or six weeks.

Today on the Doc On The Run podcast, we’re talking about how I finally got the correct answer on how long before you can run after injury.

#522 How Long Until A Plantar Plate Sprain Is Completely Healed?

I just got off the phone with a runner who had a plantar plate sprain. He was out on a run, he got a plantar plate sprain.

I saw him, I helped him understand what to do and what I showed him to do was exactly the same stuff I show you in the plantar plate sprain course.

He was doing much better, but he had a great question.

His question was, “When is my plantar plate sprain really healed enough that I don’t have to worry about it anymore?”

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

#521 Running Fitness Is Transient

Yesterday I was giving a lecture at the International Foot & Ankle Foundation meeting in Lake Tahoe. The topic was on protocols for return to running after recovering from over training injuries.

One of the most important points I was trying to make to the doctors in that session was that fitness is transient.

Fitness is only present in the presence of growth. If you’re an injured runner this is terrible news.

Today on the Doc On The Run podcast, we’re talking about why running fitness is transient.

#520 Why Do Plantar Plate Sprains Take So Long To Heal In A Runner?

One of the worst overtraining injuries you can get is a plantar plate ligament sprain.

The plantar plate ligament is a very small ligament on the bottom of the foot, where the toe attaches to the metatarsal phalangeal joint, right at the ball of the foot.

Injuries can happen in this spot for lots of different reasons. Regardless of the plantar plate sprain cause, the unfortunate reality is this…every single time that you stand, you’re stepping on the ligament.

Why do plantar plate sprains take so long to heal?

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

#519 Injured Runner Or Recovering Runner?

There are 2 types of injured runners who call me.

Some runners are over the hump. They are in motion.

They’ve accepted that they’re injured and they’re going to have to do a whole lot of work to actually get back to running quickly.

Then there are other runners I see who are basically demoralized and depressed because they’re stuck in a rut. Are you an injured runner or a recovering runner?

There is a difference, and that’s what we’re talking about today on the Doc On The Run Podcast.

#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.

#517 I Am Not Built To Be A Runner

I just got off a consultation call with a runner who called me for a second opinion. She had an injury. But she wanted to get back to running.

She said that a doctor told her she “wasn’t built to be a runner.”

Could that be true? What does a runner look like?

Does it make sense that you are (or are not) built like a runner?

​​​​​​​And what if you start thinking you got injured because… I’m not built to be a runner.

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

#516 Rest = Recovery

In this podcast episode we’re talking about one of my favorite false beliefs.

“Rest Equals Recovery.” The idea that rest is essential to recovery after a workout makes sense to most runners.

But injured runners call me for a second opinion when they are told that complete rest is essential to recovery from a running injury. It seems excessive.

So why do I say “Rest equals recovery,” is a “false belief?” That’s what we’re talking about today on the Doc On The Run podcast.

#515 I Cannot Run Because It Got A Running Injury

In this episode we’re talking about whether or not you can’t run just because you got a running injury and this is a thing I hear all the time from injured runners.

They call me because they’re frustrated because they’re runners, they got a metatarsal stress fracture, or a plantar fasciitis, or a plantar plate ligament sprain, or Achilles tendonitis.

They say, “My doctor said I can’t run because I got a running injury. Does that make sense to you?”

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

#514 The Slippery Slope Of Running Injury Recovery

A running injury is always bad. No runner is ever happy to have a stress fracture or to have plantar fasciitis or Achilles tendonitis…or something worse.

If you get an overtraining injury and you’re trying to recover, but you’re not getting better fast, you need to stop and evaluate.

The biggest problem I see with most injured runners is that they half do the recovery.

You stop running. You stop working out. All you do is sit around.

You are waiting and waiting and waiting to heal. But all of that waiting puts injured runners in a dangerous place.

Today on the Doc On The Run podcast we’re talking about the slippery slope of running injury recovery.

#513 Should A Runner Have Surgery For A Plantar Plate Tear?

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.

#512 Should An Injury Runner Assess Running Form?

I was recently doing a webcam call with an injured runner who wanted to know whether or not he should try to work on his running form.

He got injured and he started to get better. But the injury kept coming back. He was in a cycle of yo-yo healing. Better, then worse, then better again.

After a big race he got a lot worse. His question was whether or not working on his running form might help halt the recurring running injury cycle.

Should an injured runner work on running form?

Well, that depends and that’s what we’re going to talk about today on The Doc on the Run podcast.

#511 Can A Stress Fracture Spread From One Metatarsal To The Bone Next To It?

One thing that’s really demoralizing if you get a stress fracture is to spend a bunch of time in a fracture walking boot and then go get something like an MRI and be shocked and horrified when the doctor says, “Well, not only do you have a stress fracture in that bone, it looks like you’ve got a stress fracture in another bone as well.”

If you think this stress fracture might have spread well, it could. But not the way an infection would spread.

There is a way that stress related inflammation in a neighboring bone can spread after getting the original stress fracture.

Can a stress fractures spread from one bone to another?

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

#510 How To Take An Honest Injury Inventory For Runners

I was just on a call with an injured runner who’s been having trouble for a couple of months. He wanted to know what to do next.

The very next step in most cases is getting baseline numbers so you can figure out where you really are with your fitness, your injury, and your recovery…or lack thereof.

You’ve got to take an honest inventory!

The whole key to getting recovered as quickly as possible is letting the injury heal…while you work to maintain your running fitness so that you can get back to running faster.

Today on the Doc On The Run podcast, we’re talking about taking an honest inventory when you’re a runner with an injury who’s trying to get back to running.

#509 How To Tell Tenosynovitis From Neuritis In A Runner

If you’re a runner with running pain on the top of the foot, it could be lots of different things.

The actual diagnosis depends on what happened, what you did, and what it feels like now.

There are a couple of really common things causing pain in the top of the foot in runners.

Let’s talk about two common causes. It may be either a tendon or a nerve on the top of your foot.

Today on the Doc On The Run Podcast, we’re talking about how a runner can tell tenosynovitis from neuritis in the top of the foot.

#508 Injury Hackers Are Not Normal

If you’ve got an overtraining injury and you’re trying to figure out how to stay fit, a lot of people are going to think that you’re not normal.

You’re not going to be told that you’re normal when you’re trying to figure out how to maintain your running fitness while you’re recovering from a running injury and that’s exactly what all the people do that I work with.

I call them injury hackers.

Today on the Doc On The Run Podcast, we’re talking about how injury hackers are not normal.

#507 Good News And Bad News

I just saw a comment on our YouTube videos from a runner named Mary. She viewed the video on permanent calf atrophy, and how that can happen if you spend way too long in a fracture walking boot or a cast.

Mary replied and basically said, “Great. Now you depressed the crap out of me. Thanks. Ugh.”

Realizing that you have lost fitness to the point of atrophy can be really upsetting for any runner.

Well, I’ve got some good news and some bad news for you, and that’s what we’re talking about today on the Doc On the Run podcast.

#506 Can I Run With Jones Fracture?

If you’ve been running and you started having pain on the outside of your foot and then you went to see a doctor who diagnosed you with a thing called a Jones fracture, you’re probably really worried right now and that would be reasonable because most of the time when you get a Jones fracture you might wind up in surgery.

I think it’s important, if you’re considering whether or not you could run with a Jones fracture, you really have to think about what a Jones fracture is, where it’s located, why it’s so scary, and what you can do about it. The first thing is, of course, what is a Jones fracture exactly?

Can I run with a Jones fracture? Well, that’s what we’re talking about today on the Doc On The Run Podcast.

#505 Can I Ski With A Metatarsal Stress Fracture?

This may seem like a crazy question when you first think about it, because skiing seems like a high stress activity. But I have had lots of runners who have asked me this question, and usually when they do, they have thought about it, and they point out that a ski boot is a very stiff and very protective piece of equipment.

The question though is not really, if it’s safe for you to wear the boot, the problem is, is it safe for you to ski with the boot and that leads to several questions that you’ve really got to ask yourself if you want to think about whether or not it’s actually safe for you to do it.

Can I ski with a metatarsal stress fracture? Well, that’s a great question and that’s what we’re talking about today on the Doc On The Run Podcast.

#504 The 2 Most Important Questions For Recovering Runners

If you rest long enough any overtraining injury will eventually calm down.

But if you rest too long, you will lose all of your running fitness.

The difference between elite athlete who get better fast, and average runners who take forever to recover are the daily activities they focus on while recovering.

Today, on the Doc on the Run podcast, we’re talking about the two most important questions for recovering runners.

#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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