Doc On The Run Podcast
Episodes
3 Best signs heel pain is NOT plantar fasciitis
07 Jun 2023
Contributed by Lukas
There are three key indications that tell me that somebody may not have plantar fasciitis, but probably have something else. If you think you have pla...
Does callus reduction decrease risk of plantar plate sprain?
05 Jun 2023
Contributed by Lukas
I got a specific question about a recent episode on calluses in runners. The question was, “Well, if you have that pattern of callus, and reduce t...
Traumatic disappointment and delayed healing
02 Jun 2023
Contributed by Lukas
I was just on a call with an interesting elite athlete, and he's been injured. He had one particular injury in his foot and then started having...
First step sit still and wait
31 May 2023
Contributed by Lukas
Yesterday I called a recovering runner, just to check in and see how he was doing, because he had done the Fast Track Challenge 2 months ago. H...
3 Callus patterns show risk for Plantar Plate Sprain in runners
29 May 2023
Contributed by Lukas
If you are a runner and you get pain in the ball of the foot, particularly at the base of the second toe right. It could be a plantar plate sprain. ...
Most valuable stretches after a running injury
26 May 2023
Contributed by Lukas
Everybody's short on time. This is true for runners in training, but it's also true for injured runners. If you're trying to make progress as fast a...
3 reasons for Cheilectomy failure after Hallux Rigidus surgery
24 May 2023
Contributed by Lukas
If you have a condition called "hallux rigidus" or "hallux limitus," the name tells you what's wrong. "Hallux" means big toe. "Rigidus" means the bi...
What is a tendon synovectomy surgery?
22 May 2023
Contributed by Lukas
Let's say you have a nagging tendon injury that's really been painful. It's been bugging you a lot when you run. You have had persistent pain either...
Broken toes with an ankle sprain?
19 May 2023
Contributed by Lukas
Let's say you're out on a trail run, you roll your ankle and sprain it. So what do you do? You limp home, you get back to the car, you ice it, you tak...
Should I get a CT scan or test walking to see if fracture is healed?
17 May 2023
Contributed by Lukas
Today's episode comes from a discussion I just had yesterday with an athlete. He had a metatarsal fracture non-union. A "fracture non-union" can devel...
What is a bone callus in a metatarsal stress fracture
15 May 2023
Contributed by Lukas
When you get an injury to a bone like a metatarsal stress fracture, you can develop a thing called a "bone callus." You might even see it as a lump vi...
Can running on the road cause Achilles tendinitis in one leg and calf strain on the other?
12 May 2023
Contributed by Lukas
Achilles tendon injury on one leg and a calf muscle strain on the other leg? Talk about a bummer: 2-for-the-price-of-1 overtraining injuries! Yes...
Foot pain that is truly a pain in the butt
10 May 2023
Contributed by Lukas
What would be worse than not being able to run because you had foot pain that didn't get better for a year or two? I know one thing that would be wors...
Methodical testing is the key to running after injury
08 May 2023
Contributed by Lukas
If you just got injured, your number one goal is to not lose your running fitness as your running injury heals. If you were diagnosed with a ru...
Scared of re-injury after trying to build strength
05 May 2023
Contributed by Lukas
This morning, I was on a call with a recovering runner who signed up for a series of coaching calls to get back to running after a long-standing injur...
After healing a stress fracture should I use Alter-G after I start running outside?
03 May 2023
Contributed by Lukas
Let's say you have been injured. You've been a good little patient. You waited around, you have done nothing. You have endured a frustrating period of...
Are you using a treadmill for returning to running after an injury?
01 May 2023
Contributed by Lukas
Today I was out on a run and I was thinking about treadmills versus running outside. To be fair, I was actually running outside during this run. ...
When are x-rays useful for runners with Morton’s neuroma?
28 Apr 2023
Contributed by Lukas
Let's say you're out on a run and you start getting some aching pain in the ball of the foot. It persists for a while. It's not really that bad...
Best way to file toenails for marathon runners
26 Apr 2023
Contributed by Lukas
Have you ever had black toenails after a long run? Have you ever lost a toenail after a marathon? Have you tried using goopy skin lubricants, or worn ...
When is plantar fascia surgery necessary for runners?
24 Apr 2023
Contributed by Lukas
If you're a runner with plantar fasciitis, you probably have heel pain when you get up and step out of bed. If that's gone on for months, you tried ...
Ankle pain vs sinus tarsi impingement when running
21 Apr 2023
Contributed by Lukas
If you get aching pain in your ankles when you're running, and it seems to lag and doesn't just go away, you might not have ankle pain at all. There...
Does the plantar plate need to “heal” on MRI before I can run?
19 Apr 2023
Contributed by Lukas
Plantar plate ligament sprains are a tough injury for runners. Plantar plate tears can cause a lot of pain in the ball of the foot. Unless you treat t...
How long should I use crutches?
17 Apr 2023
Contributed by Lukas
Today's episode comes from a question posted as a YouTube video comment. That video was explaining how using crutches for a short period of time ca...
Plantar wart treatment options in runners
14 Apr 2023
Contributed by Lukas
WARNING: You may not want to listen to this topic while you're eating. I'm going to tell you a story that goes along with dinner. Believe it or not....
Bone bruise vs stress reaction in a runner
12 Apr 2023
Contributed by Lukas
Whenever I speak to a runner who wants to know if they can run with a bone bruise, I get confused. If you were "diagnosed" with a bone bruise, you sho...
FHL tenosynovitis PRP injection vs. Cortisone injection
10 Apr 2023
Contributed by Lukas
If you have pain at the bottom of the big toe joint, up along the arch, just above the plantar fascia, you may have been told that you have this thing...
How pneumonia made my Kona dream come true
07 Apr 2023
Contributed by Lukas
It's no secret that I enjoy Ironman triathlons. I did 15 of them, and the last one I did was the Ironman World Championships. That doesn't mean I'm fa...
What is subungual melanoma?
05 Apr 2023
Contributed by Lukas
If you're a runner you may be wondering what in the world something like "subungual melanoma" has to do with running injuries. There are a couple of...
FHL Tenosynovitis vs Sesmoiditis
03 Apr 2023
Contributed by Lukas
If you have pain under the big toe joint, it could be an injury called sesamoiditis. Sesamoid bones are like a pair of tiny little kneecaps under the ...
697 Hallux rigidus shoe traits for runners
31 Mar 2023
Contributed by Lukas
Work out now or do more workouts later
29 Mar 2023
Contributed by Lukas
Most important tibial stress fracture detail is location
27 Mar 2023
Contributed by Lukas
Andrea ran 3:09 in the Tokyo Marathon with calcaneal stress fracture!
24 Mar 2023
Contributed by Lukas
Don’t ask when can I run after an injury… Ask how I can run
22 Mar 2023
Contributed by Lukas
One of the worst questions you can ask any doctor is, "when can I run?" Believe it or not, I get these questions every single day...from total st...
Plantar Plate Sprain and Deep Peroneal Neuritis
20 Mar 2023
Contributed by Lukas
An interesting runner called me for a second opinion. He had a couple of things going on that created a pretty confusing picture. He had a plantar pla...
Can I run every day on the Alter G treadmill?
17 Mar 2023
Contributed by Lukas
I got a great question from a runner who wanted to start running on an Alter G Treadmill. What she said was: "I've been getting out of the boot. I sta...
Can I run after a spiral fracture of the fibula?
15 Mar 2023
Contributed by Lukas
Today's question actually comes from Elizabeth who explained she rolled her ankle, and sustained a fracture of the fibula bone. She wanted to see if s...
How your running shoe insert can show risk of plantar plate sprain
13 Mar 2023
Contributed by Lukas
One of the worst injuries you can get when you're a runner is a plantar plate sprain. It's a stretching, a straining, a tearing of this tiny little li...
How an injury happened is more important than what happened
10 Mar 2023
Contributed by Lukas
During a recent call with a runner who signed up for a series of phone calls, we were trying to figure out exactly what happened to cause his foot pai...
The 4 worst traits of a running shoe for Morton’s neuroma
08 Mar 2023
Contributed by Lukas
One of the most common nerve related running injuries is a thing called Morton's neuroma. A "neuroma" is just an irritated nerve. A "Morton's neuroma"...
When is an MRI most reliable for a soft-tissue running injury?
06 Mar 2023
Contributed by Lukas
If you have a soft tissue injury in your foot related to overtraining, you (or your doctor) may be thinking about getting an MRI. If you have a ligame...
Advice for flat footed runner with plantar plate injury started on a treadmill
03 Mar 2023
Contributed by Lukas
I was just on a call with a runner who has a plantar plate sprain. A plantar plate sprain is an injury to a very small ligament right at the base of t...
Can I wear softer shoes when running a custom orthotic?
01 Mar 2023
Contributed by Lukas
I just got off the phone with an elite athlete recently who asked a great question. He called me and said, "I have custom orthotics and I know they su...
When is an MRI most reliable for a bone running injury?
27 Feb 2023
Contributed by Lukas
One of the things about getting an MRI has to do with timing of the injury. What do I mean by that? Well, it means timing in terms of when the MRI is ...
Find the one thing that causes the most pain
24 Feb 2023
Contributed by Lukas
Every time I talk to a recovering runner who is trying to figure out how to run, and help figure out what's causing all their trouble, I ask them to k...
How your running shoe insert can show risk of metatarsal stress fracture
22 Feb 2023
Contributed by Lukas
When you get a stress fracture, you have to remember that it is a stress related injury. That's why it's called a "stress" fracture. It is not a "run-...
Your identity needs to be that of a recovering runner
20 Feb 2023
Contributed by Lukas
If you get an overtraining injury and your doctor tells you to stop running, so you sit still doing nothing, lots of bad things happen. If you ...
Is stretching safe with a calcaneal stress fracture?
17 Feb 2023
Contributed by Lukas
A runner with a calcaneal stress fracture has a problem. So we got on a call. The problem with calcaneal stress fractures is not healing. The heel b...
MRI essentials for runners, slice size matters
15 Feb 2023
Contributed by Lukas
If you recently got an MRI and then looked at the MRI report, it may seem like a bunch of gibberish. What you really want to see is a picture of the...
How ankle stiffness can lead to another stress fractures in a runner
13 Feb 2023
Contributed by Lukas
Let's say you're out on a run and you start feeling some aching pain in your foot. The next day you wake up, it really hurts when you step out of bed....
I rolled my ankle and foot hurts here. What is it?
10 Feb 2023
Contributed by Lukas
An injured runner called me with a problem. "I rolled my ankle and it hurts HERE. The explanation from my doctor didn't make any sense, because the pa...
MRI essentials for Runners, T1 vs T2 images
08 Feb 2023
Contributed by Lukas
If you're a runner who got injured and got an MRI, I'll bet that you've already tried to look at it...but you have simply no idea what you're looking ...
Injured runners need a Goal Race
06 Feb 2023
Contributed by Lukas
If you're injured, you really need to have a goal. If you were to call me for a private consultation or a house call, I would not accept "I want to ge...
How to get access to an Alter-G treadmill
03 Feb 2023
Contributed by Lukas
Today's episode comes from a recent question from a runner who I advised to begin running on this thing called an AlterG treadmill. First of al...
Your brain is your adversary when you first start running
01 Feb 2023
Contributed by Lukas
You and your brain are supposed to be on the same team. You work hard with long runs, tempo runs and speed work to get your brain used to the idea of ...
Value of getting an MRI on both feet
30 Jan 2023
Contributed by Lukas
There are only a few occasions when you might want to get an MRI on both feet. Truthfully, getting an insurance company to agree to pay for an ...
3 variables you can modify when you run after injury
27 Jan 2023
Contributed by Lukas
When you're trying to get back to running, you have to think about all of the variables that can increase the stress and strain to your injured tissue...
You got injured because you were too weak
25 Jan 2023
Contributed by Lukas
Yesterday it started to snow. So I decided to go out on a trail run on the trail in this picture. I only saw one deer and two people. As I ran arou...
Lacing running shoes with bursitis from tailor’s bunion
23 Jan 2023
Contributed by Lukas
One of my Elite Access patients sent me a message. He was having pain from an inflamed Tailor's bunion bursa at the base of the pinky toe. He got a bi...
The longer you wait the more pain you can expect when you run
20 Jan 2023
Contributed by Lukas
When you get injured, a lot of things go wrong. 1. Because you have pain, you suspect you have to stop training. 2. When you see a doctor, they...
Do I need surgery if metatarsal fracture non-union starts hurting?
18 Jan 2023
Contributed by Lukas
Today we're talking about metatarsal fracture, nonunion surgery versus no surgery. I know some people will think that I probably should have gone stra...
Is fracture boot best for calcaneal stress fracture?
16 Jan 2023
Contributed by Lukas
A calcaneal stress fracture is a terrible injury. What is a calcaneal stress fracture? "Calcaneus" is the medical term for heel bone. ...
Runners who recover faster workout before the perfect time
13 Jan 2023
Contributed by Lukas
Today I went out for a run, but truthfully I wasn't really excited about it. It was cold, it was pouring rain, and I had a lot of stuff to do. I could...
How can a dancer’s pad lead to plantar plate sprain?
11 Jan 2023
Contributed by Lukas
I just got a great question from a runner who had been using a thing called a dancer's pad. A dancer's pad is sometimes used to help an injury to th...
How uncertainty costs injured runners
09 Jan 2023
Contributed by Lukas
If you're a runner and you are listening to this, you probably have some kind of injury that's doing one of two things. Either it's keeping you comp...
Running the Grand Canyon with a calcaneal stress fracture, donating a kidney and other crazy adventures with Kate
06 Jan 2023
Contributed by Lukas
In this episode of the Doc On The Run Podcast we have a real treat for you. Kate is someone I met through the Grand Canyon R2R2R Run Group and she has...
You’ll have to wait 6 months before you can have an MRI
04 Jan 2023
Contributed by Lukas
I just got a call from an ultra-marathoner I have seen a number of times over the years. He is not a wimp. He's a tough guy. He's very smart. He kno...
How to get tailored treatment vs cookie cutter protocols
02 Jan 2023
Contributed by Lukas
Imagine this scenario. You are out on a long run. You have been training hard for your race. But near the end of your run, your foot starts to ache a ...
Difference between Dry needling vs PRP Injection for Achilles Tendinosis
30 Dec 2022
Contributed by Lukas
Achilles tendinosis is one of the worst injuries you can get as an injured runner. It is chronic, it's hard to get rid of, and the tendon feels noti...
Tenosynovitis running shoe lacing pattern
28 Dec 2022
Contributed by Lukas
If the top of your foot hurts because you have extensor tenosynovitis, it can cause a lot of pain. But the condition is not complicated. The extensor ...
Distinguishing your wants from needs in running injury recovery
26 Dec 2022
Contributed by Lukas
All of us want to get better when we have a running injury. We just want to run. But when you go to the doctor, things can start getting confusing. ...
Running From Fat to Fit with Nick
23 Dec 2022
Contributed by Lukas
Injured runners need the full solution
21 Dec 2022
Contributed by Lukas
Any time you get a running injury you are facing a tremendous task. You might think that your job is to get help and heal the injuries quickly as po...
Is an MRI best way to check for a tendon tear in a runner?
19 Dec 2022
Contributed by Lukas
If you are a runner who thinks you have a tendon tear, ligament tear or other overtraining injury, you may want an MRI. In fact, you may be convinced ...
I think I tore my plantar fascia. Can I run this weekend?
16 Dec 2022
Contributed by Lukas
I got a call recently from a runner with a torn plantar fascia. It was a unique situation, but truthfully really not that rare. Any time you have an i...
If you PR with an injury, the injury happened for you and not to you
14 Dec 2022
Contributed by Lukas
Most runners understandably feel like a victim of an over-training injury. They say something like, "Well, I was feeling strong, I was feeling ready f...
How soon can I run after 5th Metatarsal Fracture Surgery?
12 Dec 2022
Contributed by Lukas
Today's episode actually comes from a comment and a question sent in by one of the viewers of the Doc On The Run YouTube channel. This was Jean, wro...
How can a bone stress reaction turn into malunion from running?
09 Dec 2022
Contributed by Lukas
I was just talking to a runner over webcam who had been researching metatarsal stress fractures, but heard something about a "malunion" and knew that ...
Treating Injuries is fast but treating runners is slow
07 Dec 2022
Contributed by Lukas
Many years ago when I was first in practice, I met someone who was a doctor, and who was a runner herself. She liked to treat runners and she happened...
How does a displaced fracture heal naturally without medical treatment?
05 Dec 2022
Contributed by Lukas
Today's episode comes from one of the YouTube viewers Doc On The Run YouTube channel who had watched one of the videos on fractures. He asked a great ...
Should I run with a pad for plantar plate sprain?
02 Dec 2022
Contributed by Lukas
Today's episode actually comes from a question sent in by Melissa. She signed up for the Plantar Plate Masterclass and she asked a very specific que...
When will insurance pay for a bone stimulator to help my metatarsal fracture?
30 Nov 2022
Contributed by Lukas
What if you could be out on a run, sun on your face, running two weeks ahead of schedule, faster than what you thought, or what some doctor told you? ...
2 Ingredients for recovering from any overtraining injury faster
28 Nov 2022
Contributed by Lukas
Everyday I help runners who are stuck by giving them a different perspective during a second opinion call. When we get on the call, we do a couple o...
The 3 biggest mistake runners make with ankle sprains
25 Nov 2022
Contributed by Lukas
Ankle sprains are probably the most common musculoskeletal injury affecting runners. It is really easy to roll an ankle and find yourself limping, una...
3 steps every injured runner is missing
23 Nov 2022
Contributed by Lukas
In this episode, we're talking about three mistakes I see almost every runner make when they call me for help. Let's be clear, runners do not call m...
Do I recommend ankle braces for runners?
21 Nov 2022
Contributed by Lukas
A couple of weeks ago, I was invited to give some lectures at the Heartland Podiatry Conference in Des Moines, Iowa. The conference organizers asked...
Will I be able to run after a ruptured Achilles Tendon?
18 Nov 2022
Contributed by Lukas
If you have trouble with your Achilles tendon and a doctor told you that you might actually rupture it and tear completely if you continue to run, you...
Are calcified Achilles tendons more prone to rupture in runners?
16 Nov 2022
Contributed by Lukas
Today's episode comes from a question from one of the YouTube viewers. The specific question was, are calcified Achilles tendons more prone to tendon ...
Ask for an hour and tell your doctor you need more time because you are a runner
14 Nov 2022
Contributed by Lukas
What would happen if you did this? Walk into your doctor's office and say, "Hey, look, I'm a runner. My situation is complicated. I really want to...
Capsulitis vs. Plantar Plate Sprain. What is the difference?
11 Nov 2022
Contributed by Lukas
If you're a runner and you have pain in the ball of the foot, especially around your second toe joint where the toe attaches to the foot, you may be s...
Plantar Plate Imaging: MRI vs. Ultrasound
09 Nov 2022
Contributed by Lukas
Every time a runner calls me who has a plantar plate sprain, they're trying to figure out how they can know for sure they actually do have a plantar p...
Don’t search for less than what is needed
07 Nov 2022
Contributed by Lukas
After years of doing the Doc On The Run Podcast and making YouTube videos to explain overtraining injuries that can interfere with running, I have got...
Mistakes mean the most time off running
04 Nov 2022
Contributed by Lukas
If you are a runner and you have an injury, my guess is that you are most worried about how long you will need to stop running. When people call me fo...
Wanna heal a stress fracture? Make bone faster than you break it down!
02 Nov 2022
Contributed by Lukas
Last week I was lecturing at the International Foot & Ankle Foundation medical conference in Hawaii. Specifically, I had been asked to give a couple o...
Is your doctor pushing you out of your comfort zone?
31 Oct 2022
Contributed by Lukas
Growth happens outside of your comfort zone. This is true for both emotional growth and physical growth. Very few patients who call me for help with a...
How can a runner tell a heel bone stress fracture from plantar fasciitis
28 Oct 2022
Contributed by Lukas
I just did a consultation call with an injured runner who had a really interesting history with his heel pain. There was some concern that he might ac...
Cuboid stress fracture vs. Capsoluloligamentous strain associated with cavus foot. How can a runner tell the difference?
26 Oct 2022
Contributed by Lukas
If you have this pain on the outside of your foot near the cuboid bone, you might start worrying you have a cuboid stress fracture. Cuboid stress frac...
Cuboid stress fracture vs. Degenerative changes in OS Peroneum. How can a runner tell the difference?
24 Oct 2022
Contributed by Lukas
If you have been running with a nagging aching pain on the outside of your foot, just in front of your ankle, you might think you have a cuboid stress...
Cuboid stress fracture vs. Calcaneocuboid joint arthritis. How can a runner tell the difference?
21 Oct 2022
Contributed by Lukas
If you call me and you tell me, I think I have a cuboid stress fracture, the first thing I'd say is...pretty unlikely. In fact, cuboid stress f...
Cuboid stress fracture vs. Subluxed cuboid. How can a runner tell the difference?
19 Oct 2022
Contributed by Lukas
"Subluxed Cuboid" is just a cuboid sitting slightly out of position. Stress fracture of the cuboid is very different from a subluxed cuboid. If yo...