Plantar plate injuries are very common, and they are extremely annoying.  I get lots of questions and comments both from the podcast and from the Doc On The Run YouTube channel about plantar plate sprains.  Today's episode comes from a question posted by Jason on the Doc On The Run YouTube channel. He asked... "Can MRI miss a plantar plate strain?”  The short answer is yes, and I'm going to try to explain why. Can an MRI miss a plantar plate strain?  Well, that's a great question and that's what we're talking about today on the Doc On The Run Podcast. 

Plantar plate injuries are very common, and they are extremely annoying.  I get lots of questions and comments both from the podcast and from the Doc On The Run YouTube channel about plantar plate sprains.  Today's episode comes from a question posted by Jason on the Doc On The Run YouTube channel. He asked... "Can MRI miss a plantar plate strain?”  The short answer is yes, and I'm going to try to explain why. Can an MRI miss a plantar plate strain?  Well, that's a great question and that's what we're talking about today on the Doc On The Run Podcast.

Can MRI miss a plantar plate strain?

Almost all runners who call me for a consultation have one thing in common. The number one thing they want to get out of their discussion with me is “How can I start running sooner? I want to get back to running so I don't lose all my running fitness.” There is one free and highly effective tool you can use as an injured runner, but most of the runners I talked to seem to be completely neglecting and ignoring it. What is the single most effective but most often neglected tool injured runners can use to get back to running sooner? Well, that's what we're talking about today on the Doc On The Run Podcast. 

Almost all runners who call me for a consultation have one thing in common. The number one thing they want to get out of their discussion with me is “How can I start running sooner? I want to get back to running so I don't lose all my running fitness.” There is one free and highly effective tool you can use as an injured runner, but most of the runners I talked to seem to be completely neglecting and ignoring it. What is the single most effective but most often neglected tool injured runners can use to get back to running sooner? Well, that's what we're talking about today on the Doc On The Run Podcast.

Single most effective but most neglected tool to run earlier after injury

If you have ankle pain and you push around on that lump of bone on the outside of your ankle, you may realize that you have pain on the bone specifically.   If so, you might become worried that you have a thing called a fibular stress fracture. If you start trying to figure out what to do, one of the first things you may find is a lot of discussion about something called a "stress reaction" instead of just a "stress fracture".  What's the difference between a fibular stress reaction and a stress fracture in a runner?  Well, that's what we're talking about today on the Doc On The Run Podcast. 

If you have ankle pain and you push around on that lump of bone on the outside of your ankle, you may realize that you have pain on the bone specifically.   If so, you might become worried that you have a thing called a fibular stress fracture. If you start trying to figure out what to do, one of the first things you may find is a lot of discussion about something called a "stress reaction" instead of just a "stress fracture".  What's the difference between a fibular stress reaction and a stress fracture in a runner?  Well, that's what we're talking about today on the Doc On The Run Podcast.

Fibula stress reaction vs stress fracture what is the difference?

This may seem like a strange episode, but I just had a conversation with a runner who is not just a forefoot runner, but she is really a forefoot runner. Like running-on-your-tiptoes kind of forefoot runner. One of the things that I brought up in our discussion were some research studies that have actually calculated the amount of pressure in the forefoot when a woman is wearing high heels.  What does an elephant, a woman in high heels and a forefoot runner have in common?  Well, that's what we're talking about today on the Doc On The Run Podcast. 

This may seem like a strange episode, but I just had a conversation with a runner who is not just a forefoot runner, but she is really a forefoot runner. Like running-on-your-tiptoes kind of forefoot runner. One of the things that I brought up in our discussion were some research studies that have actually calculated the amount of pressure in the forefoot when a woman is wearing high heels.  What does an elephant, a woman in high heels and a forefoot runner have in common?  Well, that's what we're talking about today on the Doc On The Run Podcast.

What does an elephant, a woman in high heels and a forefoot runner have in common?

If you've been running, training for a marathon or an ultra-marathon and you start to get pain on the outside of your ankle, you do have a reason to be concerned. There are really four things that seem to cause pain on the outside of the ankle the most. We're going to talk about those today.  What are the four main causes of lateral ankle pain in runners?  Well, that's what we're talking about today on the Doc On The Run Podcast. 

If you've been running, training for a marathon or an ultra-marathon and you start to get pain on the outside of your ankle, you do have a reason to be concerned. There are really four things that seem to cause pain on the outside of the ankle the most. We're going to talk about those today.  What are the four main causes of lateral ankle pain in runners?  Well, that's what we're talking about today on the Doc On The Run Podcast.

4 main causes of lateral ankle pain in runners

If you have been told you have a plantar plate sprain, you're probably already really frustrated.  Even minor plantar plate tears can be nagging injuries that are very difficult to get better while you're running on them.  The bottom line is, you've got to make sure that the plantar plate ligament improves because (in general) plantar plate sprains are either getting worse or they're getting better. One of the questions I get all the time from runners is what is really the best study for a plantar plate injury. What's the best imaging study for a runner who is suspected of having a plantar plate injury?  Well, that's what we're talking about today on the Doc On The Run Podcast. 

If you have been told you have a plantar plate sprain, you're probably already really frustrated.  Even minor plantar plate tears can be nagging injuries that are very difficult to get better while you're running on them.  The bottom line is, you've got to make sure that the plantar plate ligament improves because (in general) plantar plate sprains are either getting worse or they're getting better. One of the questions I get all the time from runners is what is really the best study for a plantar plate injury. What's the best imaging study for a runner who is suspected of having a plantar plate injury?  Well, that's what we're talking about today on the Doc On The Run Podcast.

Best imaging study for plantar plate injury in runners

If you're out on a run and you roll your ankle, you need to know how you can test the ankle to figure out what is wrong. More importantly, what tests can tell you how likely it is that you're actually going to get back to running and not have an ankle sprain again.   There are several tests doctors use in evaluating injured ankles. Some are more important than others. What is the single most important test for a runner with an ankle sprain?  Well, that's what we're talking about today on the Doc On The Run Podcast.

If you're out on a run and you roll your ankle, you need to know how you can test the ankle to figure out what is wrong. More importantly, what tests can tell you how likely it is that you're actually going to get back to running and not have an ankle sprain again.   There are several tests doctors use in evaluating injured ankles. Some are more important than others. What is the single most important test for a runner with an ankle sprain?  Well, that's what we're talking about today on the Doc On The Run Podcast.

Best test for a runner with ankle sprain

There are times when you might have a suspected stress fracture in your foot. If so, your doctor may order an X-ray.  There are other times when it's extremely unlikely that you have a broken bone at all, but it is almost certainly just a soft tissue injury. One of the questions I get a lot from runners with plantar plate sprains is how to make sure the pain is not from  a stress fracture.   I have only seen one case where somebody had fracture pain in the exact same spot you would have pain when you had a plantar plate injury.  Can a fracture in the metatarsal seem like a plantar plate sprain?  Well, that's what we're talking about today on the Doc On The Run Podcast.

There are times when you might have a suspected stress fracture in your foot. If so, your doctor may order an X-ray.  There are other times when it's extremely unlikely that you have a broken bone at all, but it is almost certainly just a soft tissue injury. One of the questions I get a lot from runners with plantar plate sprains is how to make sure the pain is not from  a stress fracture.   I have only seen one case where somebody had fracture pain in the exact same spot you would have pain when you had a plantar plate injury.  Can a fracture in the metatarsal seem like a plantar plate sprain?  Well, that's what we're talking about today on the Doc On The Run Podcast.

Fracture that seemed like a plantar plate sprain

If you are running with foot or ankle pain, and you're trying to figure out what's wrong, the first step is deciding if it is a bone injury or  soft tissue injury.  It might be useful to talk about the thought process I use when trying to figure out whether or not you have bone versus soft tissue injury.  How do you rule out soft tissue versus a bone injury when you're a runner and you've rolled your ankle?  Well, that's what we're talking about today on the Doc On The Run Podcast. 

If you are running with foot or ankle pain, and you're trying to figure out what's wrong, the first step is deciding if it is a bone injury or  soft tissue injury.  It might be useful to talk about the thought process I use when trying to figure out whether or not you have bone versus soft tissue injury.  How do you rule out soft tissue versus a bone injury when you're a runner and you've rolled your ankle?  Well, that's what we're talking about today on the Doc On The Run Podcast.

How to rule out soft tissue vs. bone injury

I recently did an episode where I was talking about Lister’s corns. If you missed it, a "Lister's corn" is really just a callus or thick skin that looks like the pinky toenail or the little toenail has a split in it.  That edge of the nail that looks like a completely separate piece of nail. But it's not a nail at all, it's callus. I just saw a runner who had this problem where his Lister's corn was really painful. It hurt so much he thought the nail might be ingrown. He asked, Why does a lister’s corn hurt when I run?  Well, that's what we're talking about today on the Doc On The Run Podcast. 

I recently did an episode where I was talking about Lister’s corns. If you missed it, a "Lister's corn" is really just a callus or thick skin that looks like the pinky toenail or the little toenail has a split in it.  That edge of the nail that looks like a completely separate piece of nail. But it's not a nail at all, it's callus. I just saw a runner who had this problem where his Lister's corn was really painful. It hurt so much he thought the nail might be ingrown. He asked, Why does a lister’s corn hurt when I run?  Well, that's what we're talking about today on the Doc On The Run Podcast.

Why does a Lister’s corn hurt when I run

Running injury tips on self-diagnosis and self-treatment. Simple strategies for rapid recovery of running injuries.

Love getting a doctor’s viewpoint knowing this doctor loves running too! He gets it!

So helpful

Great Podcast and the doc gives great insights from his experience as a doctor and athlete!

Doc helped me heal from Tendonitis

Doc On The Run Podcast

Today on the Doc On The Run podcast we’re talking about the 5 causes of big toe joint pain in runners. If you are a runner and you have pain in the big toe joint, the first step in treating it is figuring out what is actually causing the problem. There are lots of different causes of pain in the big toe joint, but there are really five that affect runners most often. These are the most common that I see in runners, so I’m going to explain all 5 of the conditions to you. But not all these conditions mean you have to stop running. There’s whole range of conditions in the big toe joint, but you have to figure out which one of these is most likely to be causing your pain, to decide whether or not you should stop running, or whether or not you can keep running and get it to calm down while you’re still running. You just have to make sure you know which is causing the problem to figure out if you can keep running.

Today on the Doc On The Run podcast we’re talking about the 5 causes of big toe joint pain in runners. If you are a runner and you have pain in the big toe joint, the first step in treating it is figuring out what is actually causing the problem. There are lots of different causes of pain in the big toe joint, but there are really five that affect runners most often. These are the most common that I see in runners, so I’m going to explain all 5 of the conditions to you. But not all these conditions mean you have to stop running. There’s whole range of conditions in the big toe joint, but you have to figure out which one of these is most likely to be causing your pain, to decide whether or not you should stop running, or whether or not you can keep running and get it to calm down while you’re still running. You just have to make sure you know which is causing the problem to figure out if you can keep running.

5 Causes of Big Toe Joint Pain in Runners podcast

Today on the Doc On The Run Podcast we’re talking about how runners with Achilles tendinitis skip the doctor visit and keep running. The Achilles tendon is the biggest tendon in the body. So when the Achilles tendon gets injured, the runner has a really big problem. If you neglect the early sign of problems with the Achilles tendon and develop a severe form of Achilles tendinitis, you can be crippled temporarily and have your running form altered permanently. In short, you may never run the same way again. If you’ve been running with an aching pain in the back of your leg down near your heel and you worry you have Achilles tendinitis you’re probably freaked out and concerned that you’re going to have to stop running. But don’t worry. I’m going to explain to you exactly what runners do that helps them get over those early forms of Achilles tendinitis without ever seeing a doctor.

Today on the Doc On The Run Podcast we’re talking about how runners with Achilles tendinitis skip the doctor visit and keep running. The Achilles tendon is the biggest tendon in the body. So when the Achilles tendon gets injured, the runner has a really big problem. If you neglect the early sign of problems with the Achilles tendon and develop a severe form of Achilles tendinitis, you can be crippled temporarily and have your running form altered permanently. In short, you may never run the same way again. If you’ve been running with an aching pain in the back of your leg down near your heel and you worry you have Achilles tendinitis you’re probably freaked out and concerned that you’re going to have to stop running. But don’t worry. I’m going to explain to you exactly what runners do that helps them get over those early forms of Achilles tendinitis without ever seeing a doctor.

How Runners Heal Achilles Tendinitis Without A Doctor And Keep Running

Today we’re at A Runners Mind speaking with Dawson, who is a true running shoe expert. We’re going to discuss the ways that runners can troubleshoot these injuries and keep running.

Today we’re at A Runners Mind speaking with Dawson, who is a true running shoe expert. We’re going to discuss the ways that runners can troubleshoot these injuries and keep running.

Troubleshooting the Top 5 running injuries plantar fasciitis, metatarsal stress fracture, Achilles tendinitis, shin splints and IT band syndrome

Stress fractures are one of the most common running injuries. And every runner who gets a stress fracture has to, at least in same capacity, reduce their activity to heal. Sometimes the runner has to stop running for a brief period of time. Sometime you can just run less, modify the way that you run, or come up with some creative strategies to keep running.  You never get a second chance to do your first marathon, so you certainly need to do everything possible to stay fit and not lose all that effort you put into training. You also need to make sure that your injury is not just healed enough that you can start running, but then get sidelined a few weeks before the race. Obviously that would be heartbreaking.  Today on the Doc On the Run Podcast talking about whether or not runners need to get an MRI when they think they have a stress fracture and want to get back to running.

Stress fractures are one of the most common running injuries. And every runner who gets a stress fracture has to, at least in same capacity, reduce their activity to heal. Sometimes the runner has to stop running for a brief period of time. Sometime you can just run less, modify the way that you run, or come up with some creative strategies to keep running.  You never get a second chance to do your first marathon, so you certainly need to do everything possible to stay fit and not lose all that effort you put into training. You also need to make sure that your injury is not just healed enough that you can start running, but then get sidelined a few weeks before the race. Obviously that would be heartbreaking. Today on the Doc On the Run Podcast talking about whether or not runners need to get an MRI when they think they have a stress fracture and want to get back to running.

Should A Runner Get An MRI For A Stress Fracture?

Very few things are worse to a runner than a running injury.  When you run, pain is mandatory, but running injuries are optional.  If you have ever been injured it is devastating.  To add salt to the wound, while you sit on the couch recovering, but getting weaker, you realize it is preventable.  Today we talking with the RunRx founder Valerie Hunt about the importance of developing better running form and strength for runners to prevent running injuries.

Very few things are worse to a runner than a running injury. When you run, pain is mandatory, but running injuries are optional. If you have ever been injured it is devastating. To add salt to the wound, while you sit on the couch recovering, but getting weaker, you realize it is preventable. Today we talking with the RunRx founder Valerie Hunt about the importance of developing better running form and strength for runners to prevent running injuries.

#228 Running injures are optional with RunRx

The other day I got a call from a patient who had an injury and briefly she explained her scenario and then she asked me the million dollar question, “Do I really have to stop running to get better? More importantly, is it possible that I might actually have to stop running forever because of this injury?” That’s the big concern we all have as runners. It is a pretty common question when runners get injured. So today I’m going to share my opinion about when people should stop running and not stop running. All of the information I’m going to present to you today is based upon on a lecture that I first presented to doctors at the International Foot &amp; Ankle Foundation meeting at the annual medical conference in Lake Tahoe.

The other day I got a call from a patient who had an injury and briefly she explained her scenario and then she asked me the million dollar question, “Do I really have to stop running to get better? More importantly, is it possible that I might actually have to stop running forever because of this injury?” That’s the big concern we all have as runners. It is a pretty common question when runners get injured. So today I’m going to share my opinion about when people should stop running and not stop running. All of the information I’m going to present to you today is based upon on a lecture that I first presented to doctors at the International Foot &amp; Ankle Foundation meeting at the annual medical conference in Lake Tahoe.

When do injured runners really have to stop running?

Rodney asked about a non-displaced fifth metatarsal fracture. He said “Hi, it’s been 8 weeks and my orthopedic doctor says it’s healed. Even though the x-ray doesn’t look like it’s healed. There is still a black in the gap where it was broken. He says that line will be there. Is this possible?” Metatarsal fractures are extremely common. In fact metatarsal bones are fractured more often than any other bones in the foot among runners. Because these little bones happen to be the longest bones in your foot they’re also crucially important to the stability and structure of your foot. So you have to make sure they heal before you can get back to running with confidence. X-rays are the most frequently used diagnostic tool to evaluate the positioning and state of healing of fractured metatarsal bones. But there’s a lot of variability in the appearance of a fractured bone when you’re looking at it on an x-ray. In this week's podcast were talking about how x-rays show metatarsal fracture healing.

Rodney asked about a non-displaced fifth metatarsal fracture. He said “Hi, it’s been 8 weeks and my orthopedic doctor says it’s healed. Even though the x-ray doesn’t look like it’s healed. There is still a black in the gap where it was broken. He says that line will be there. Is this possible?” Metatarsal fractures are extremely common. In fact metatarsal bones are fractured more often than any other bones in the foot among runners. Because these little bones happen to be the longest bones in your foot they’re also crucially important to the stability and structure of your foot. So you have to make sure they heal before you can get back to running with confidence. X-rays are the most frequently used diagnostic tool to evaluate the positioning and state of healing of fractured metatarsal bones. But there’s a lot of variability in the appearance of a fractured bone when you’re looking at it on an x-ray. In this week's podcast were talking about how x-rays show metatarsal fracture healing.

How X-Rays Show Metatarsal Fracture Healing

Heidi Buttery

Today on the Doc On The Run podcast we’re talking with sports nutritionist and triathlete Heidi Buttery about Good Fat, Bad Fat and Fat Fueling as a way to fuel better and avoid running injuries. She will discuss what she knows as a nutrition coach, how that's all tied together and to give idea of her approach, where she came from and what she's up to now.

Today on the Doc On The Run podcast we’re talking with sports nutritionist and triathlete Heidi Buttery about Good Fat, Bad Fat and Fat Fueling as a way to fuel better and avoid running injuries. She will discuss what she knows as a nutrition coach, how that's all tied together and to give idea of her approach, where she came from and what she's up to now.

Fat Fueling for Runners: Sports Nutritionist and Triathlete Heidi Buttery

Today on the Doc On The Run podcast we have Tina Deane who is the owner of Massage Works in Los Gatos. This episode will help you understand how runners and triathletes can use massage as a tool to simply run more, train more, train harder, workout more, build your fitness more with a lower risk of injury.

Today on the Doc On The Run podcast we have Tina Deane who is the owner of Massage Works in Los Gatos. This episode will help you understand how runners and triathletes can use massage as a tool to simply run more, train more, train harder, workout more, build your fitness more with a lower risk of injury.

How massage helps runners run more and avoid injury

Healing takes time. The longer you take to recover the more fitness you’re going to lose. But when you’re an injured runner the less time you spend healing the sooner you are going back to running. So we all want to heal as quickly as possible. When doing virtual doctor visit consultations with patients over the phone or via webcam, just about every patient who comes to me for running injury advice is trying to figure out how to get better faster. After many years of working with runners I have identified a few types of runners who seem to take a lot longer to get better. So it may help you to think about each of these different types of runners who don’t get back to running as quickly as possible and see if you have any these characteristics yourself. In this episode we are talking about 4 types of injured runners who won’t get back to running quickly.

Healing takes time. The longer you take to recover the more fitness you’re going to lose. But when you’re an injured runner the less time you spend healing the sooner you are going back to running. So we all want to heal as quickly as possible. When doing virtual doctor visit consultations with patients over the phone or via webcam, just about every patient who comes to me for running injury advice is trying to figure out how to get better faster. After many years of working with runners I have identified a few types of runners who seem to take a lot longer to get better. So it may help you to think about each of these different types of runners who don’t get back to running as quickly as possible and see if you have any these characteristics yourself. In this episode we are talking about 4 types of injured runners who won’t get back to running quickly.

4 Types of Injured Runners Who Won’t Get Back to Running Quickly

Did you know that in the overwhelming majority of cases doctors will recommend that you perform simple home treatments before they prescribe medications or consider more invasive procedures like injections or surgery? This podcast explains how doctors (or even a runner who hasn’t been to the doctor) can treat heel pain with simple treatments that can be performed at home without ever seeing a doctor.

Did you know that in the overwhelming majority of cases doctors will recommend that you perform simple home treatments before they prescribe medications or consider more invasive procedures like injections or surgery? This podcast explains how doctors (or even a runner who hasn’t been to the doctor) can treat heel pain with simple treatments that can be performed at home without ever seeing a doctor.

Can home treatment heal runners heel pain?

Today on the Doc On The Run podcast we’re talking with Christiann Arbini about injury, recovery and what it takes to bounce back to national championship racing after a doctor told her she was done. For years I’ve been saying you should fire your doctor when they try to rob you of hope and Christiann was a great example of how are you can succeed even if the conventional medical wisdom is not really on your side. Christiann qualified for the 2018 USA Olympic distance national championship triathlon race and that’s not really the awesome part. The best part is that she did that after she suffered a serious injury while skiing and was told she might have to hang up racing altogether. Not only is she racing but she also has a thriving coaching business for athletes. Christiann Racing is both a wellness coaching business which is dared to be fit for life and through that Christiann encourages athletes to reach for big goals, inspires them to succeed and helps you to become the best version of yourself.

Today on the Doc On The Run podcast we’re talking with Christiann Arbini about injury, recovery and what it takes to bounce back to national championship racing after a doctor told her she was done. For years I’ve been saying you should fire your doctor when they try to rob you of hope and Christiann was a great example of how are you can succeed even if the conventional medical wisdom is not really on your side. Christiann qualified for the 2018 USA Olympic distance national championship triathlon race and that’s not really the awesome part. The best part is that she did that after she suffered a serious injury while skiing and was told she might have to hang up racing altogether. Not only is she racing but she also has a thriving coaching business for athletes. Christiann Racing is both a wellness coaching business which is dared to be fit for life and through that Christiann encourages athletes to reach for big goals, inspires them to succeed and helps you to become the best version of yourself.

Injury recovery with Elite Triathlete Christiann Arbini 

Medicine is all about risk versus benefit. Everything in medicine has risk. There's risk with everything. There is risk with running with a stress fracture. There is risk with using a fracture walking boot when you get a metatarsus stress fracture. You're actually going to be more at risk of other over-training injuries later. So there's risk even with not running. Today, on the Doc On The Run podcast we're talking about how running with a stress fracture is all about risk management.

Medicine is all about risk versus benefit. Everything in medicine has risk. There's risk with everything. There is risk with running with a stress fracture. There is risk with using a fracture walking boot when you get a metatarsus stress fracture. You're actually going to be more at risk of other over-training injuries later. So there's risk even with not running. Today, on the Doc On The Run podcast we're talking about how running with a stress fracture is all about risk management.

#149 Running on a healing stress fracture is about risk management.

If you are a runner and you have pain in the ball of the foot there are really only a few conditions that could be causing the trouble. This episode will be the first of a three part series that explains all of the things you need to think about if you’re a runner seeking treatment for any of these problems. The most common cause of pain in the ball of the foot is most likely a neuroma. So in this episode we’re going to talk about neuroma treatments and give you some things to think about, and to discuss with your doctor…before you receive any potentially damaging treatment.

If you are a runner and you have pain in the ball of the foot there are really only a few conditions that could be causing the trouble. This episode will be the first of a three part series that explains all of the things you need to think about if you’re a runner seeking treatment for any of these problems. The most common cause of pain in the ball of the foot is most likely a neuroma. So in this episode we’re going to talk about neuroma treatments and give you some things to think about, and to discuss with your doctor…before you receive any potentially damaging treatment.

Neuroma treatment is different in runners

The Achilles tendon is the largest tendon in your entire body, and if it gets injured, you've got a real problem.  The Achilles tendon is what allows you to pull your heel up, off the ground, push off and accelerate when you run.  What many runners don't understand is that the Achilles tendon also helps slow you down and decelerate when you’re trying to slow down, absorb force as you're landing while you're running. Today on the Doc On The Run Podcast we're talking about tendon Achilles early warning signs in runners.

The Achilles tendon is the largest tendon in your entire body, and if it gets injured, you've got a real problem.  The Achilles tendon is what allows you to pull your heel up, off the ground, push off and accelerate when you run.  What many runners don't understand is that the Achilles tendon also helps slow you down and decelerate when you’re trying to slow down, absorb force as you're landing while you're running. Today on the Doc On The Run Podcast we're talking about tendon Achilles early warning signs in runners.

#177 Achilles early warning signs in runners

Is there a difference in healing time when there is a crack in the bone visible on x-ray, compared to when a runner has a “stress fracture” with no visible crack on x-rays. What do you think? Would it take less time to return to running if you have a stress fracture with no crack visible on an x-ray than if you do actually have a crack visible on an x-ray? The answer surprised many doctors a medical conference where I as just lecturing and it may surprise you, too.  Today on the Doc On The Run Podcast, we're talking about how long it takes to heal stress reaction vs stress fracture in a runner.

Is there a difference in healing time when there is a crack in the bone visible on x-ray, compared to when a runner has a “stress fracture” with no visible crack on x-rays. What do you think? Would it take less time to return to running if you have a stress fracture with no crack visible on an x-ray than if you do actually have a crack visible on an x-ray? The answer surprised many doctors a medical conference where I as just lecturing and it may surprise you, too.  Today on the Doc On The Run Podcast, we're talking about how long it takes to heal stress reaction vs stress fracture in a runner.

#252 How long to heal stress reaction vs stress fracture in a runner

For most runners, when they're training for a marathon training program, or an Ironman the period of growth is usually about three weeks.  You take a period where you are increasing your activity, then you back off and start increasing again from a lower point, to allow yourself to recover fully and decrease your risk of sustaining an overtraining injury. You should do a similar thing when you are recovering from a running injury, but that period can be much shorter because your increases are happening during a period where you're actually healing and recovering from a running injury.  Today on the Doc On the Run Podcast, we're talking about periodization in recovery and healing running injuries.

For most runners, when they're training for a marathon training program, or an Ironman the period of growth is usually about three weeks.  You take a period where you are increasing your activity, then you back off and start increasing again from a lower point, to allow yourself to recover fully and decrease your risk of sustaining an overtraining injury. You should do a similar thing when you are recovering from a running injury, but that period can be much shorter because your increases are happening during a period where you're actually healing and recovering from a running injury.  Today on the Doc On the Run Podcast, we're talking about periodization in recovery and healing running injuries.

#186 Periodization in recovery and healing running injuries

Resting is not all healing. If you rest too much, you’ll get weaker.  If you want to get back to running, as soon as you're healed, you need to do something to prevent all of the changes that can slow you down and put you at a higher risk of re-injury once you actually do get back to running and training. Gravity and the pounding forces associated with running…that's only one of a half a dozen contributing factors that can prevent healing of a running injury.  Today on the Doc On The Run Podcast we're talking about cycling workouts for recovering runners

Resting is not all healing. If you rest too much, you’ll get weaker.  If you want to get back to running, as soon as you're healed, you need to do something to prevent all of the changes that can slow you down and put you at a higher risk of re-injury once you actually do get back to running and training. Gravity and the pounding forces associated with running…that's only one of a half a dozen contributing factors that can prevent healing of a running injury.  Today on the Doc On The Run Podcast we're talking about cycling workouts for recovering runners

#178 Cycling workouts for recovering runners

I received and email from a runner who wrote, “I ran today and my foot hurt when I ran. What should I do right now?"  You want to take the quickest course of action that you can when you get an injury, and most people miss this. Many times what we do instinctively is we stick our head at the sand. We just could say, "Okay, well I'm just going to wait and see how bad it is tomorrow." But when you do that, you're actually missing some crucial steps. There are really a few things you need to do right now.

I received and email from a runner who wrote, “I ran today and my foot hurt when I ran. What should I do right now?"  You want to take the quickest course of action that you can when you get an injury, and most people miss this. Many times what we do instinctively is we stick our head at the sand. We just could say, "Okay, well I'm just going to wait and see how bad it is tomorrow." But when you do that, you're actually missing some crucial steps. There are really a few things you need to do right now.

#176 My foot hurt when I ran today…what do I do NOW?

Which is better…clear healthy toenails or thick, yellow, black and blue or missing toenails? Running can be hard on the feet. We all know that lots of runners bash their toes. But neglected tootsies can lead to discolored toenails and even lost toenails if you’re not careful. In today’s podcast, I will discuss the Top 5 Mistakes Runners Make with Their Toenails.

Which is better…clear healthy toenails or thick, yellow, black and blue or missing toenails? Running can be hard on the feet. We all know that lots of runners bash their toes. But neglected tootsies can lead to discolored toenails and even lost toenails if you’re not careful. In today’s podcast, I will discuss the Top 5 Mistakes Runners Make with Their Toenails.

Top 5 Mistakes Runners Make with Their Toenails

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