Doc On The Run Podcast
Episodes
How can a 2nd metatarsal stress fracture cause a 5th metatarsal stress reaction?
07 Sep 2022
Contributed by Lukas
I was just on a call with a cross-country runner who had had a second metatarsal stress reaction. A stress reaction is basically like a mild stres...
The benefit of your radiologist being clueless
05 Sep 2022
Contributed by Lukas
The radiologist reading your MRI knows nothing about your problem. The only clues a radiologist gets about your injury are described in the clinical...
How can sinus tarsi syndrome cause FHL Tenosynovitis
02 Sep 2022
Contributed by Lukas
This episode has a whole bunch of complicated-sounding terms that you may have never heard before. One of them is sinus tarsi syndrome, and the othe...
Can I run in cleats with a stress fracture?
31 Aug 2022
Contributed by Lukas
Imagine your doctor tells you that you have a metatarsal stress fracture and you should not run. Why would you come home from the doctor and call me...
New running shoes made my bunion bigger
29 Aug 2022
Contributed by Lukas
A runner called me and said, "I got some new running shoes and they made my bunions worse overnight. I think I need surgery now." The problem is that ...
Time is the enemy when you have a running injury
26 Aug 2022
Contributed by Lukas
We've all heard the saying that time heals all wounds. While that may be true, time also kills your running fitness when you're not training. You have...
5 choices with split tear in the peroneus brevis tendon
24 Aug 2022
Contributed by Lukas
Today I was talking with a runner who has been diagnosed with a longitudinal split of the peroneus brevis tendon. The concern with this kind of tear i...
How do you stay motivated when injured?
22 Aug 2022
Contributed by Lukas
It really seems incredible that we now have over 600 episodes of the Doc On The Run Podcast! Today's episode is a little different in that I actually ...
5 changes on X-rays with Hallux Rigidus
19 Aug 2022
Contributed by Lukas
Today we're talking about some of the x-ray changes that happen when you get hallux rigidus or hallux limitus. If your doctor tells you the x-rays sho...
Stretching is like a recovery day. Finite pain that pays off.
17 Aug 2022
Contributed by Lukas
I know a lot of people are not even going to listen to this episode because I'm talking about stretching. Many runners seem to recoil from the topic o...
Broken Sesamoid vs Bipartite Sesamoid, what is the difference?
15 Aug 2022
Contributed by Lukas
If you have pain in your foot under the big toe joint, the doctor might tell you that you have an issue with one of these two little bones called sesa...
How to overcome friends telling you not to run after a traumatic accident
12 Aug 2022
Contributed by Lukas
Today's topic comes from a longtime listener named Jenny. She wrote a really nice review that I wanted to share with you. She said, "If you are a ru...
Hallux Rigidus vs Hallux Limitus, what is the difference?
10 Aug 2022
Contributed by Lukas
If you get pain and swelling and discomfort particularly in and around the big toe joint, you may have a condition called hallux limitus or hallux rig...
Focus on possibilities NOT limits or obstacles when injured
08 Aug 2022
Contributed by Lukas
The problem is not that you have a stress fracture. The problem is not that you have an Achilles tendonitis issue that is bugging you. The problem i...
2 reasons stretching the plantar fascia is bad for runners
05 Aug 2022
Contributed by Lukas
Yesterday, I saw a runner who has plantar fasciitis. Plantar fasciitis is the most common condition affecting the foot in runners. When a runner gets ...
Which decision is missing in running injury recovery?
03 Aug 2022
Contributed by Lukas
I want you to really think about which decision might be missing in your process of running injury recovery right now. Is it the decision to just go f...
Is inflammation good or bad for plantar plate sprain
01 Aug 2022
Contributed by Lukas
I was just on a call with a runner suffering from a plantar plate sprain. He had a great question: Is inflammation really bad or is it good when you h...
Doubt does the most damage to recovering runners
29 Jul 2022
Contributed by Lukas
Doubt comes from confusion. Confusion leads to paralysis when you've been injured and you don't know what to do to maintain your running fitness. Do...
Sesamoid pain misdiagnosed as 4th and 5th metatarsal stress reaction
27 Jul 2022
Contributed by Lukas
If you are reading this, maybe you have sesamoiditis, a sesamoid stress reaction or a metatarsal stress fracture. This is a real example from a real p...
2 ways runners can tell an injury is improving
25 Jul 2022
Contributed by Lukas
How do you know your injury is improving? How do you know that you got the green light to start running? How do you know it is healed? Well, when I ...
Common fracture missed by Ottawa Ankle Rules
22 Jul 2022
Contributed by Lukas
I was recently invited to give a lecture at a foot and ankle medical conference in Seattle. I was giving a talk called Conservative Treatment of Ankle...
Always ask for a copy of your x-rays
20 Jul 2022
Contributed by Lukas
I was just on a call with a runner who called me for a consultation of an ankle injury. He had some funny looking stuff on his ankle x-rays. That was ...
Easy home test for Achilles tendon rupture
18 Jul 2022
Contributed by Lukas
I just got a call from a runner who I have seen before. He had swelling in his Achilles tendon, and he was worried about it. He was worried that he ...
3 Unfair advantages in healing running injuries
15 Jul 2022
Contributed by Lukas
Every time I am in the Recovering Runner's Aid Station where I answer questions for injured runners, I get questions about how to get an advantage. Ev...
How can a diagnostic injection help heal an ankle sprain?
13 Jul 2022
Contributed by Lukas
Let's say you are out running on a trail and you catch a root and you roll your ankle. You limp back home and you realize that your ankle is all swo...
Do you agree not running is the safest way to heal a running injury?
11 Jul 2022
Contributed by Lukas
I was just lecturing at the International Foot and Ankle Foundation meeting in Seattle. I was giving talks on running injuries. A doctor in the audien...
2 types of injections after failed neuroma surgery
08 Jul 2022
Contributed by Lukas
Let's consider you are a runner with a painful neuroma. The more you run, the more painful the foot becomes. But it only started with some weird lit...
What if there is a 50% chance your doctor is wrong?
06 Jul 2022
Contributed by Lukas
I was listening to a podcast about the way that disagreements happen. He said, anytime there's a disagreement, no matter what, there are two possibili...
Do I need a fracture walking boot for extensor tenosynovitis?
04 Jul 2022
Contributed by Lukas
One of the questions I got in the Runners Aid Station was: “Do I really need a fracture walking boot?” This is a runner who went to th...
300 Pounds and Running with Slow AF Run Club founder Martinus Evans
01 Jul 2022
Contributed by Lukas
Maybe you have been taking some time off because you have been injured. Maybe you took some time off because you spent way too much time in a fractu...
How can a bruised toenail from running cause toenail fungus?
29 Jun 2022
Contributed by Lukas
If you're reading this, it's probably not because you love toenail fungus. It it also probably not because you think black toenails are pretty. In fac...
Did my doctor do the wrong plantar plate injection?
27 Jun 2022
Contributed by Lukas
If you get a plantar plate sprain, the first thing you may notice is pain and irritation at the ball of the foot, right where the second toe attaches ...
Do I have to stop running and lose my fitness entirely to heal?
24 Jun 2022
Contributed by Lukas
This morning I was on a call answering injury questions live in the Injured Runners Aid Station. This runner actually said, "Well, my doctor said that...
Does a mild plantar plate sprain always hurt?
22 Jun 2022
Contributed by Lukas
I was just speaking with a woman who has a suspected mild plantar plate sprain. What was interesting is the fact that she doesn't really have a whole ...
Can my foot injury heal while I am sick?
20 Jun 2022
Contributed by Lukas
I just got off a webcam call in the Injured Runners Aid Station. The runner who called me, had some down with a cold. He had been sick for a few days....
Best exercise for plantar plate sprain in runners
17 Jun 2022
Contributed by Lukas
The plantar plate ligament is a little ligament on the bottom of the ball of the foot, right where the toe attaches to the foot. The function of the p...
How to tell peroneus longus from peroneus brevis
15 Jun 2022
Contributed by Lukas
If you recently started getting some aching pain on the outside of your ankle every time you run, you might have a condition called peroneal tendoniti...
How to lace running shoes with extensor tenosynovitis
13 Jun 2022
Contributed by Lukas
If you get pain on the top of the foot when you're running you might discover you have a painful condition called extensor tenosynovitis. "Tenosynov...
Is weight loss important for running injury recovery?
10 Jun 2022
Contributed by Lukas
The other day in the Recovering Runner's Aid Station, I got a great question: “If I get stress and strain on my foot, because I'm overweight, should...
Should I stretch the toe with plantar plate sprain?
08 Jun 2022
Contributed by Lukas
Yesterday I saw a runner with a plantar plate sprain. She wanted to know if stretching the toe would help the plantar plate ligament heal faster. Pl...
Find your #1 missing piece in running injury recovery
06 Jun 2022
Contributed by Lukas
Think about what happens when you start running. You decide you want to run. You make a decision, then you go out and you actually run. You start work...
Tuning out running injury tuning in for recovery
03 Jun 2022
Contributed by Lukas
Overtraining injuries only happen when you ignore a problem. No runner wants to be injured. Most runners who call me for web-cam visits have been tu...
Can a mallet toe cause a plantar plate injury?
01 Jun 2022
Contributed by Lukas
I just did a web-cam call with a runner who had a thing called a "mallet toe" deformity. He had pain in the ball of the foot when running. He said he ...
Breakthrough runs do not always feel great
30 May 2022
Contributed by Lukas
When we think about training for endurance events like marathons, we expect the payoff to feel good. We are patient with the process, yet in the pro...
Extensor substitution in runners what is it?
27 May 2022
Contributed by Lukas
I was just watching an injured runner walk. We were trying to pin down her diagnosis and figure out why she was getting injured. She asked me what I a...
Running after injury keep your head up
25 May 2022
Contributed by Lukas
What happens when you look down at your feet as you run? Many injured runners start looking down toward the injury, even as they run. What do I...
Achilles tendon calcification in runners with tendinosis
23 May 2022
Contributed by Lukas
If you are reading this because you are researching Achilles tendinosis, I'm sorry. Achilles tendinosis is one of the worst injuries a runner can...
Injured runners cannot find a solution when refusing to look at the problem
20 May 2022
Contributed by Lukas
One of the things that's really important is that you really have to think about what it takes to ramp up without getting injured, and that requires t...
Which runners need a fracture walking boot for plantar fasciitis?
18 May 2022
Contributed by Lukas
The reality is, there are only two kinds of runners that I think really need a fracture walking boot for plantar fasciitis. The runners who don't mind...
Anxiety robs injured runners of action
16 May 2022
Contributed by Lukas
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 yo...
Does a crooked toe mean plantar plate surgery in a runner?
13 May 2022
Contributed by Lukas
A great question I got from someone recently who had a plantar plate injury and the toe was a little bit crooked. His question was, "Do I really need ...
Where to run with plantar fasciitis
11 May 2022
Contributed by Lukas
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...
4 Things you need for a running injury second opinion
09 May 2022
Contributed by Lukas
I do lots of running injury second opinions and I do most of those over webcam. Sometimes I do them over phone, but webcam's way better because I can ...
ONLY 2 times Cortizone make sense for plantar plate sprain in runners
06 May 2022
Contributed by Lukas
If you are a runner with a plantar plate sprain, you may be really frustrated. Unfortunately, plantar plate sprains are difficult injuries to get be...
Which belief is running your injury recovery
04 May 2022
Contributed by Lukas
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...
Is Resting overrated for runners?
02 May 2022
Contributed by Lukas
Is resting overrated for runners? Well, the short answer is yes and no but I want you to think about something. If it's true in training, then it must...
Dancer’s 5th Metatarsal Shaft Fracture training for Boston Marathon
29 Apr 2022
Contributed by Lukas
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 sh...
4 Strategies for running injury recovery
27 Apr 2022
Contributed by Lukas
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 ...
Running is NOT an effective weight loss strategy with Patrick McGilvray
25 Apr 2022
Contributed by Lukas
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 p...
Leg soreness from balance training for runners
22 Apr 2022
Contributed by Lukas
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 ...
What is primary repair plantar plate ligament surgery?
20 Apr 2022
Contributed by Lukas
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....
Get back to running in 30 days with Jill Angie Not Your Average Runner
18 Apr 2022
Contributed by Lukas
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...
Why bone surgery for Plantar Plate Repair
15 Apr 2022
Contributed by Lukas
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 cou...
Waiting for x-ray of stress fracture miss the window
13 Apr 2022
Contributed by Lukas
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 ...
Tendon surgery for Plantar Plate Repair
11 Apr 2022
Contributed by Lukas
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 resear...
Stress fracture wishes as fodder for facts
08 Apr 2022
Contributed by Lukas
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 n...
2 joint surgeries for Plantar Plate Repair
06 Apr 2022
Contributed by Lukas
In today’s podcast we're talking about two different joint surgeries that are commonly performed as a component of plantar plate repair in injured r...
How to avoid bias during running injury second opinion
04 Apr 2022
Contributed by Lukas
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 ...
4 surgical procedures for torn plantar plate ligament
01 Apr 2022
Contributed by Lukas
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 pl...
No Proof No Permission to Run
30 Mar 2022
Contributed by Lukas
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 inju...
Restarting and Running Again After Surgery with Martha Runs The World
28 Mar 2022
Contributed by Lukas
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...
Marathon Method of Running Injury Recovery
25 Mar 2022
Contributed by Lukas
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, basicall...
Runner’s heel pain that might be plantar fasciitis or insertional Achilles tendinitis
23 Mar 2022
Contributed by Lukas
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 ...
Success is spelled ACTION with Gary Stotler
21 Mar 2022
Contributed by Lukas
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 R...
Plantar plate sprain misdiagnosed as a neuroma?
18 Mar 2022
Contributed by Lukas
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 ...
Best protocol for runners is a customized recovery plan!
16 Mar 2022
Contributed by Lukas
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 af...
What is a grade 5 metatarsal stress fracture?
14 Mar 2022
Contributed by Lukas
If you're a runner and you think you have a grade 5 stress fracture because your radiology report said that or some doctor told you that, well, I have...
3 Best methods of diagnosing extensor tenosynovitis in runners
11 Mar 2022
Contributed by Lukas
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 effec...
If you are recovering from injury...Don’t focus on Plan B!
09 Mar 2022
Contributed by Lukas
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 inj...
2 ways to modify a fracture walking boot for a plantar plate sprain
07 Mar 2022
Contributed by Lukas
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 t...
The best free advice for an injured runner
04 Mar 2022
Contributed by Lukas
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, an...
Should I use a boot for shin splints
02 Mar 2022
Contributed by Lukas
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 fract...
Pain is a guide but only if you read the signs
28 Feb 2022
Contributed by Lukas
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 ...
Is a boot enough for a tibial stress fracture in runners?
25 Feb 2022
Contributed by Lukas
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 m...
Nothing in medicine is free especially with running injuries
23 Feb 2022
Contributed by Lukas
One of the phrases I often tell injured runners is that “nothing in medicine is free.” For every potential treatment that might help some particul...
3 Ways Plantar Plate Injuries occur in runners
21 Feb 2022
Contributed by Lukas
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 O...
Finally the correct answer on how long before you can run after injury
18 Feb 2022
Contributed by Lukas
This weekend I was lecturing at the International Foot & Ankle Foundation meeting in lake Tahoe, and I was lecturing on running injuries. At the begin...
How long until a plantar plate sprain is completely healed?
16 Feb 2022
Contributed by Lukas
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 und...
Running fitness is transient
14 Feb 2022
Contributed by Lukas
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 ...
Why do plantar plate sprains take so long to heal in a runner?
11 Feb 2022
Contributed by Lukas
One of the worst injuries you can actually get if you're a runner is a plantar plate ligament sprain. The plantar plate ligament is a very small ligam...
Injured runner or recovering runner?
09 Feb 2022
Contributed by Lukas
I talk to injured runners all the time, and what I see is there are some runners who are kind of over the hump. They've started figuring out that they...
How long to wait before running with a stress fracture?
07 Feb 2022
Contributed by Lukas
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...
I am not built to be a runner
04 Feb 2022
Contributed by Lukas
I just got off a consultation call with a runner who called me for a second opinion, and she had an injury. She actually said that a doctor told her s...
Rest = Recovery
02 Feb 2022
Contributed by Lukas
In this podcast episode we’re talking about one of my favorite false beliefs. It's that rest equals recovery. This sort of makes sense to most peopl...
I cannot run because it got a running injury
31 Jan 2022
Contributed by Lukas
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 in...
The slippery slope of running injury recovery
28 Jan 2022
Contributed by Lukas
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 w...
Should a runner have surgery for a plantar plate tear?
26 Jan 2022
Contributed by Lukas
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 rea...
Should an injury runner assess running form?
24 Jan 2022
Contributed by Lukas
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 inj...
Can a stress fracture spread from one metatarsal to the bone next to it?
21 Jan 2022
Contributed by Lukas
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 lik...
How to take an honest injury inventory for runners
19 Jan 2022
Contributed by Lukas
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 ...