Doc On The Run Podcast
Episodes
Does a stress fracture always hurt when walking?
07 Aug 2024
Contributed by Lukas
I just got off a second opinion consultation call with a runner who called because he thought he had a stress fracture, and he asked a great question....
#1 most worrisome problem with toenail lost to running
05 Aug 2024
Contributed by Lukas
Have you ever had a toenail turn black and blue, and maybe even got so much of a bruise that the toenail fell off? A lot of runners think of bruised t...
Should I get an MRI to tell me if I can run now?
02 Aug 2024
Contributed by Lukas
One of the questions I often get from runners is whether or not they can get a clear indication that the overtraining injury has healed enough that th...
What are the 3 types of bone edema on MRI in a runner with stress fracture
31 Jul 2024
Contributed by Lukas
I was just on a call with an injured runner who had what she thought was a stress fracture. We were talking about the way bone stress injury shows u...
Always closely compare right foot vs left foot with a running injury
29 Jul 2024
Contributed by Lukas
Just this morning, I was on a second opinion call with a runner who had an issue. He said, “It is only going to take a few minutes. I would not even...
Doctor’s job vs. Runners job in healing overtraining injury
26 Jul 2024
Contributed by Lukas
Every time a runner calls me who signs up for a consultation and they want a second opinion, they have already seen a doctor and they are often very f...
3 ways stress fracture in a runner turns into non-union
24 Jul 2024
Contributed by Lukas
One of the most common injuries I see in runners is a stress fracture. All overtraining injuries in runners are stress induced injuries and a stress...
Can I massage the foot with plantar plate sprain
22 Jul 2024
Contributed by Lukas
Anything the runners does to heal faster will get the runner back to running faster. Even simple things you can do at home can help change the course ...
#1 most important action when you roll your ankle running
19 Jul 2024
Contributed by Lukas
Runners who have rolled their ankle often have trouble figuring out when to get back to running. Mostly they seem to be worried about a subtle fract...
How to calculate amount of rest between running injury and a race
17 Jul 2024
Contributed by Lukas
I know if you call me for a consultation, it is not because you want to talk to me because you watched a YouTube video or listened to a podcast, it is...
Compressive stress on plantar plate in runners
15 Jul 2024
Contributed by Lukas
I recently posted an episode that was talking about four different kinds of stress and strain that can be applied to the plantar plate ligament that m...
Fat Pad Displacement vs. Atrophy in runners with plantar plate injury
12 Jul 2024
Contributed by Lukas
If you have a pain in the ball of the foot, underneath the base of the toes, that is right where your fat pad cushioning is located. There is a lot ...
Difference between plantar plate stress and strain
10 Jul 2024
Contributed by Lukas
I know I talk a lot about how necessary it is to reduce the stress and strain on the plantar plate ligament when you are a runner, especially if you a...
Single leg exercise benefits for injured runners
08 Jul 2024
Contributed by Lukas
I am going to make a statement and see if you agree with me. “Rest is bad, and exercise is good.” Do you agree? Almost every runner who call...
Is stress on the plantar plate ligament bad for runners?
05 Jul 2024
Contributed by Lukas
I was just on a call with an injured runner who has been healing from a plantar plate sprain. If you have had one of these, you know they're problemat...
Fat Pad Atrophy: withering away or wearing away?
03 Jul 2024
Contributed by Lukas
Let me ask you to read 4 words and see how they land on you. Skinny, weak, atrophy, neglect. As a runner, would you want any of those words used to ...
Biggest mistake doctor can make in runner who was on crutches
01 Jul 2024
Contributed by Lukas
I was just giving a lecture at the 46th annual International Foot & Ankle foundation meeting at the Swedish Medical Center in Seattle. A foot surg...
Endoscopic surgery for chronic plantar fasciitis in runners
28 Jun 2024
Contributed by Lukas
Is taping the sesamoids good or bad for swelling?
26 Jun 2024
Contributed by Lukas
I was recently working with a runner who had really bad sesamoid issues. She was taping it to try to decrease some of the motion around the big toe jo...
Ankle exercises for plantar plate?
24 Jun 2024
Contributed by Lukas
I was on a call with a runner, and he has had a long history of plantar plate trouble. He had a whole bunch of different treatments, done time in a fr...
What summer sandals can I wear with sesamoiditis?
21 Jun 2024
Contributed by Lukas
If you get an aching pain under the big toe joint, it might be an injury to one of the two little bones called the sesamoid bones. The sesamoid bone...
Can I run after cortisone injection for a neuroma?
19 Jun 2024
Contributed by Lukas
I was just on a second opinion call with a runner. He is a triathlete, and he has had a long course of foot trouble. He was diagnosed with a plantar p...
Single most important stretch for Sesamoid fracture in runner
17 Jun 2024
Contributed by Lukas
If you get a sesamoid fracture, you are probably worried. This is a scary injury if you are a runner. Since stretching is one of the main components...
Should I expect to have plantar plate pain when I resume running
14 Jun 2024
Contributed by Lukas
One of the most difficult running injuries is a plantar plate injury. I know, because I have had a plantar plate sprain myself. Plantar plate spra...
Surgical options sesamoid fracture nonunion
12 Jun 2024
Contributed by Lukas
If you have a fractured sesamoid bone, the biggest concern is that the sesamoid fracture will turn into a fracture nonunion. "Non-union" means it did ...
Which comes first after plantar plate heals running or dress shoes
10 Jun 2024
Contributed by Lukas
I got an interesting question from a runner who had a plantar plate injury. This runner had a long course of sort of misdiagnosis, mistreatment and ...
Do you have to a cut a ligament to remove a painful neuroma?
07 Jun 2024
Contributed by Lukas
I had a call from a patient who wanted to know about surgical removal of Morton's neuroma. She said she went to the doctor. The doctor said, “Well...
Did I tear my fascia after plantar fascia surgery?
05 Jun 2024
Contributed by Lukas
I got a comment from a runner who posted this question on one of the YouTube videos on the Doc On The Run YouTube channel. He says he had plantar fasc...
Can I run in zero drop shoes after plantar plate sprain heals?
03 Jun 2024
Contributed by Lukas
I was just on a call with a runner who had a plantar plate injury that has been bothering him for about a year and a half. We did a series of calls to...
What sandals can I wear with hallux rigidus?
31 May 2024
Contributed by Lukas
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 ...
Can peroneal nerve tendinitis cause 5th metatarsal pain?
29 May 2024
Contributed by Lukas
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...
Is it possible to run with a sesamoid fracture non-union?
27 May 2024
Contributed by Lukas
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 b...
I am on track should I book a call to check in?
24 May 2024
Contributed by Lukas
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 ar...
Should I have serial injections for sinus tarsi syndrome
22 May 2024
Contributed by Lukas
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 cortizo...
Your goal tells me how chronic your running injury
20 May 2024
Contributed by Lukas
The most important first step with any athlete who signs up for a webcam second opinion or series of coach coaching calls is to ask, “What is your g...
Are you depressed because of a running injury?
17 May 2024
Contributed by Lukas
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...
Can collateral toe ligaments be surgically repaired?
15 May 2024
Contributed by Lukas
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 run...
Do I keep using compression socks until healed?
13 May 2024
Contributed by Lukas
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 ...
2 Reasons for morning pain with a fracture boot
10 May 2024
Contributed by Lukas
If you get an overtraining injury like a metatarsal stress fracture or a plantar plate sprain or Achilles tendonitis, or peroneal tendonitis, a doctor...
First 3 steps when runners feel a lump in the leg
08 May 2024
Contributed by Lukas
I was doing a second opinion webcam consultation with a runner who noticed a lump in the calf muscle. The knot in the leg wasn't limiting his r...
3 things you should not tell your new doctor
06 May 2024
Contributed by Lukas
Today I am about to drive to the airport, get on a plane, fly to Wisconsin to give five lectures on running injuries at a medical conference. As I was...
3 mistakes runners make that lead to plantar plate surgery
03 May 2024
Contributed by Lukas
I know. You don't want plantar plate surgery. But if your plantar plate ligament doesn't repair itself, or your doctor doesn't help it repair itself...
Is plantar fascia really a ligament?
01 May 2024
Contributed by Lukas
This episode comes from a question posted by one of the Doc On The Run YouTube viewers as a comment on the video “Where to run with plantar fasciiti...
3 ways a doctor convinces you you need plantar plate surgery
29 Apr 2024
Contributed by Lukas
There are three ways that a doctor might convince you that it's really time to have surgery and fix that plantar plate ligament that's been making you...
When can you resume pushups with hallux rigidus?
26 Apr 2024
Contributed by Lukas
Today's episode comes from one of the YouTube videos and it was specifically a comment that someone posted on one of the videos that was called “Fiv...
The 3 problems (not 2) solved by boot and crutches
24 Apr 2024
Contributed by Lukas
I'm not going to tell you that any runner should want to use crutches. I'm also not going to tell you that you will enjoy wearing a fracture walking b...
Plantar plate surgery is a failure to act quickly
22 Apr 2024
Contributed by Lukas
Most of the runners I see who have pain in the ball of the foot from a plantar plate sprain rarely start out with a completely torn plantar plate tear...
How self judgment may be slowing your injury recovery
19 Apr 2024
Contributed by Lukas
Sometimes when you get injured and have to stop running, you start to lose your identity. One of the things that I notice most in runners who have gon...
Chronic stress reaction versus acute on chronic stress reaction in a runner
17 Apr 2024
Contributed by Lukas
I just had a consultation with a runner who had foot pain that she thought might be a stress fracture that had been coming and going for about a month...
Radiologist and Orthopedic doctor disagree on my stress fracture diagnosis
15 Apr 2024
Contributed by Lukas
Just this morning, during the live Stress Fracture Masterclass I had an interesting question. The story went like this. An athlete who is a State ra...
Difference between MRI vs MRA in runner with ankle injury
12 Apr 2024
Contributed by Lukas
Let's say you had an ankle injury a long time ago. You sprained the ankle when you were out on a trail run, it got better , and you went right back ...
2 Ways running shoes cause shin splints
10 Apr 2024
Contributed by Lukas
I recently saw a runner who thought that he might have a tibial stress fracture. But it turns out, it was just shin splints, which of course is good n...
2 reasons toe drifts sideways with plantar plate injury
08 Apr 2024
Contributed by Lukas
If you got pain on the ball of the foot, at the base on the 2nd, and you have been running in a minimalist shoe, running uphill, doing lots of calf ...
3 Phases of ankle sprain recovery in runners
05 Apr 2024
Contributed by Lukas
If you roll your ankle on a trail run and it turns black and blue and swollen, you may think you just have to take a few days off. In fact, if you r...
Doctor missed fracture on my X-rays
03 Apr 2024
Contributed by Lukas
Last night, I was doing a consultation with an athlete who had a fracture when she accidentally kicked a piece of furniture. Her foot was swollen, i...
Calcaneal stress fracture in runners good news bad news
01 Apr 2024
Contributed by Lukas
If you're out on a run, and you have heel pain that suddenly hurts a lot, you may have a calcaneal stress fracture, especially if you see bruising and...
Broken toe can I compete in 4 weeks?
29 Mar 2024
Contributed by Lukas
Last night, I was doing a consultation with an athlete who actually broke one of her toes and her main question was: Can I compete in four weeks? I ha...
Orthopedic doctor said come back 4 weeks after fracture
27 Mar 2024
Contributed by Lukas
Yesterday, I went to an appointment with a friend who had an appointment with an orthopedist. She had 3 fractures. She wanted to know what she could...
Can I use a bone stimulator for a broken toe?
25 Mar 2024
Contributed by Lukas
Yesterday, I was doing a consultation with an athlete who broke one of her toes when she accidentally kicked a piece of furniture. If you fracture you...
Medial calcaneal neuritis vs Baxter's neuritis in runners with heel pain
22 Mar 2024
Contributed by Lukas
If you're a runner with heel pain you may think you have plantar fasciitis. But if it is not getting better, your heel pain may be caused by "neuritis...
How dress shoes with long toe box act as a lever to stress plantar plate
20 Mar 2024
Contributed by Lukas
I recently did a consultation with a runner who had gotten a plantar plate injury. He had been getting better by using some of the tricks I teach in t...
Can a Cortisone injection as stop gap for plantar fasciitis in runner
18 Mar 2024
Contributed by Lukas
I was just at the International Foot & Ankle foundation meeting in Lake Tahoe listening to a lecture given by a Professor of Biomechanics and Podi...
Worse exercise for plantar plate when building uphill strength
15 Mar 2024
Contributed by Lukas
I just had a conversation with a runner who has a plantar plate injury. He got the plantar plate sprain trying to build his uphill running strength ...
How to patch test for tape allergy
13 Mar 2024
Contributed by Lukas
Taping is one of the oldest and simplest ways to treat foot pain and injuries to the toes, feet and ankles. There is a specific way to take your ankle...
What is hyperemia in medical imaging of shin splints?
11 Mar 2024
Contributed by Lukas
I recently saw an elite runner who had what he thought was shin splints. One of the findings on the MRI report was something called "hyperemia." He as...
When is fracture boot really needed with metatarsal stress fracture?
08 Mar 2024
Contributed by Lukas
I believe the most commonly prescribed and most overprescribed treatment for injured runners is probably a fracture walking boot. The big question f...
Overtraining injuries are caused by weakness
06 Mar 2024
Contributed by Lukas
When you get an overtraining injury from running, it's not because you did too much, because you were too strong or too motivated. You got injured bec...
What is cortical thickening that precedes a stress fracture?
04 Mar 2024
Contributed by Lukas
There are a lot of confusing things you can see on an MRI report, on an x-ray report or an ultrasound report when you're a runner with pain that you t...
Why Stress Fracture Grading is BS for Runners
01 Mar 2024
Contributed by Lukas
I just had an interesting call with an elite runner, who's a high school cross country runner. He developed a tibial stress fracture, or stress reac...
What is periosteal elevation in tibial stress reaction?
28 Feb 2024
Contributed by Lukas
When you get a stress fracture, one of the earliest visible indications on an X-ray or an MRI or a CT scan is a thing called periosteal elevation. You...
Why variety makes you stronger as a runner
26 Feb 2024
Contributed by Lukas
I got an interesting question in the Injured Runners Aid Station, “Should I run without my custom orthotics to strengthen my feet?” It seems logic...
My Stress Fracture Framework simplified
23 Feb 2024
Contributed by Lukas
If you're a runner and you get a stress fracture, the number one most important thing that you do is get it to calm down while you maintain your runni...
The most important ingredient for healing a stress fracture
21 Feb 2024
Contributed by Lukas
Pain is the most useful and likely most underutilized tool available to any runner who is tired of waiting for doctors to give them permission to run....
Is the pain from injury or inflammation?
19 Feb 2024
Contributed by Lukas
Pain is the most useful and likely most underutilized tool available to any runner who is tired of waiting for doctors to give them permission to run....
2 ways capsulitis can lead to plantar plate rupture
16 Feb 2024
Contributed by Lukas
If you get a plantar plate sprain, it can take a long time to heal, particularly if you're not paying close attention. And because of that, many run...
Osteoblast vs Osteoclast battle rebuilding bone after stress fracture
14 Feb 2024
Contributed by Lukas
When you get a stress fracture, you need the little bitty crack in the bone to heal. How do you do that? First, you have to stop bending or torquing...
How long will it take my overtraining injury to heal?
12 Feb 2024
Contributed by Lukas
How long does it take you to get fit enough to run a 3 hour marathon? Well, that depends on what? It depends on what you would actually do. Not how ...
3 running drills that can cause plantar plate sprain
09 Feb 2024
Contributed by Lukas
If you're a runner with a plantar plate sprain, I can understand why you're frustrated. You have some minor vague aching pain in the ball of the foot,...
Who’s fault if a runner is not getting better?
07 Feb 2024
Contributed by Lukas
If you're trying to improve and you don't improve, whose fault is it? Before we talk about running injuries, let's talk about when you're not injure...
What is the most important ingredient to a runner after a plantar plate sprain?
05 Feb 2024
Contributed by Lukas
I often get nutrition questions from runners who have overtraining injuries involving tissues made of collagen like the plantar plate ligament. At the...
Do not ask me if you do not know your pain numbers
02 Feb 2024
Contributed by Lukas
In the Injured Runners Aid Station, I get questions from injured runners that stop me in my tracks. “I got this injury while running. I had a stress...
Tall fracture boot vs Short fracture boot, which is better for runners?
31 Jan 2024
Contributed by Lukas
It's no secret that I truly believe fracture walking boots are overprescribed, overused and used for way too long for many injured runners with many d...
Do I have to wait for a callus to go away before I can run?
29 Jan 2024
Contributed by Lukas
I just saw a woman with an extremely painful callus on the bottom of her foot. She got a type of callus doctors call an "intractable plantar keratosis...
How can I tell if I should have surgery to remove a big toe fracture fragment?
26 Jan 2024
Contributed by Lukas
If you get a fracture in your big toe joint it can be easy to get talked into surgery. Especially if you see fragments on an X-ray. Your doctor may ...
Best imaging study to assess non-union stability
24 Jan 2024
Contributed by Lukas
If you get a metatarsal fracture and it does not heal, doctors call it a "non-union." Sometimes, even if you have a non-union you can still run. May...
Is two weeks on crutches better than one week with a tibial stress fracture?
22 Jan 2024
Contributed by Lukas
I just got a great question from a runner with a tibial stress fracture that had been misdiagnosed with shin splints. She wanted to know how long to u...
Last chance option to avoid non-union surgery in a runner
19 Jan 2024
Contributed by Lukas
Today's episode applies to any injured running pondering surgery. I just spoke to a runner who was told she might need surgery to fix a non-union of...
Minimal restrictive intervention is the goal with runners
17 Jan 2024
Contributed by Lukas
If you are an injured runner, you are probably limiting your activity. Doctors who don't understand how important it is for you to get back to runni...
I had a sudden injury but my doctor called it a stress fracture
15 Jan 2024
Contributed by Lukas
Please change the podcast descriptions, Aweber email and Clickfunnels email to: I had an interesting question from an athlete who asked, “I had an...
Fix the original pain first
12 Jan 2024
Contributed by Lukas
I recently did a webcam consultation with an athlete who has had a lot of trouble for a long time. He was very, very athletic. He started having pain ...
Is there any difference healing a stress fracture vs. traumatic fracture?
10 Jan 2024
Contributed by Lukas
I saw a runner who had a traumatic fracture, but she had been told it was a stress fracture. This did not make sense to her, because her injury wasn't...
Should I take NSAIDs for a non-union in a runner?
08 Jan 2024
Contributed by Lukas
A metatarsal fracture "non-union" is what doctors call it when you broke the bone, it started to heal, but then the fracture kind of quit healing. Usu...
What causes most of the pain when I have a stress reaction?
05 Jan 2024
Contributed by Lukas
If you get a metatarsal stress fracture, the first thing that you're going to notice is not that you have a broken bone in your foot. You are going ...
When is a boot better than crutches for tibial stress fracture in a runner?
03 Jan 2024
Contributed by Lukas
A stress fracture in your tibia, or shin bone, is a bad injury. You definitely don't want the crack to grow to the point where it could break. The b...
3 ways to tell if a fracture non-union is stable without imaging
01 Jan 2024
Contributed by Lukas
This episode comes from a discussion I called with a runner who called me for a second opinion. She had a stress fracture non-union and somebody had r...
What is a phalanx avulsion fracture in the big toe joint?
29 Dec 2023
Contributed by Lukas
50% of your body weight goes through the big toe joint when you run. So, If you get a fracture in the big toe joint, it can be a serious problem. One ...
What is better than NSAIDS for a stress fracture in a runner?
27 Dec 2023
Contributed by Lukas
Non-steroidal anti-inflammatory drugs (or NSAIDs for short), like Ibuprofen and Naproxen, what we call are extremely popular with runners because th...
Difference between a mild stress fracture and a serious stress reaction in a runner?
25 Dec 2023
Contributed by Lukas
I had a call with a runner who asked me an interesting question about the difference between a mild stress fracture and a serious stress reaction in a...
Worst time to check gout with a blood test (when you have pain)
22 Dec 2023
Contributed by Lukas
If you get gout, it's going to be painful. It hurts because you get so much uric acid buildup in your bloodstream that it starts to crystallize, formi...
Can EPFR get me back to running?
20 Dec 2023
Contributed by Lukas
Every runner who has heel pain wants it fixed. A lot of us think about this in the way that we fix automobiles. The alternator goes out in your car,...