Doc On The Run Podcast

How to tell tenosynovitis from neuritis in a runner

17 Jan 2022

Contributed by Lukas

If you're a runner with running pain on the top of the foot, it could be lots of different things.  The actual diagnosis depends on what happened, wh...

Injury hackers are not normal

14 Jan 2022

Contributed by Lukas

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

Good news and bad news

12 Jan 2022

Contributed by Lukas

I just saw a comment on our YouTube videos from a runner named Mary. She viewed the video on permanent calf atrophy, and how that can happen if you sp...

Can I run with Jones Fracture?

10 Jan 2022

Contributed by Lukas

If you've been running and you started having pain on the outside of your foot and then you went to see a doctor who diagnosed you with a thing called...

Can I ski with a metatarsal stress fracture?

07 Jan 2022

Contributed by Lukas

This may seem like a crazy question when you first think about it, because skiing seems like a high stress activity. But I have had lots of runners wh...

The 2 most important questions for recovering runners

05 Jan 2022

Contributed by Lukas

If you rest long enough any overtraining injury will eventually calm down.  But if you rest too long, you will lose all of your running fitness.  Th...

First aid for metatarsal stress fracture in a runner

03 Jan 2022

Contributed by Lukas

Let's say you're out on a run and you start noticing this weird aching pain in your foot and so you suspect you have a metatarsal stress fracture. I o...

Is it okay to run before I get MRI of plantar plate sprain?

31 Dec 2021

Contributed by Lukas

I often get questions from runners and this is actually a common one that I get from runners when they have either enrolled in the plantar plate sprai...

Worst way to tell a stress reaction from a stress fracture

29 Dec 2021

Contributed by Lukas

I lecture at medical conferences about stress fractures, trying to teach physicians the difference between a stress response, a stress reaction, which...

Gratitude for you and 500 Podcast episodes

27 Dec 2021

Contributed by Lukas

If you only get one thing from this episode, let it be this…Thank you! From the bottom of my heart I am grateful for you as a listener of the show! ...

Why plantar plate injuries get misdiagnosed so frequently in runners

24 Dec 2021

Contributed by Lukas

Every time I do a second opinion consultation with a runner who has a plantar plate injury, I hate to tell you this, but I hear the same story over an...

Best way to tell a stress fracture from a stress reaction

22 Dec 2021

Contributed by Lukas

Metatarsal stress fractures are one of the most common overtraining injuries afflicting runners. Much of the time the stress fracture is preceded by ...

Which running shoes show running form wear pattern best?

20 Dec 2021

Contributed by Lukas

This question came up from somebody in the coaching groups who wanted to make sure that she wasn't going to get re-injured. She wanted to know which r...

Why runners should always get second MRI at the same facility

17 Dec 2021

Contributed by Lukas

An MRI can be very helpful when you have a strange injury that doesn't seem to fit in any of the common running injury boxes.  I just had a call from...

How can a tarsal coalition start causing pain in a runner?

15 Dec 2021

Contributed by Lukas

Today's episode actually comes from a second opinion telemedicine visit with a runner who wanted to know more about a tarsal coalition.  He had an X-...

How did bone chips get in my peroneal tendon?

13 Dec 2021

Contributed by Lukas

Today's episode comes from an injured runner who saw a doctor, got x-rays and found what looked like bone fragments in the peroneal tendons.  We were...

Why runners should always get a copy of X-ray or MRI image disk!

10 Dec 2021

Contributed by Lukas

I was just on a second opinion telemedicine call with an injured runner. She had a recurring injury that was still keeping her from running.  Unfortu...

Should a runner have surgery to remove bone fragments?

08 Dec 2021

Contributed by Lukas

Today's question comes from a telemedicine visit second opinion for a runner.  She was asking if she should have surgery to remove bone fragments. I ...

Pathologic vs. abnormal x-ray and MRI findings in runners

06 Dec 2021

Contributed by Lukas

The other day I was talking to a runner who had some abnormal findings on the x-rays.  What we could see was calcification in the Achilles tendon tha...

2 Opposite ways injections can help a tarsal coalition in a runner

03 Dec 2021

Contributed by Lukas

Today's episode comes from a runner who was having some weird aches and pains when running. One doctor suspected he might have a thing called a "tarsa...

3 ways to determine limb length discrepancy in a runner

01 Dec 2021

Contributed by Lukas

A podcast listener sent in a great question for the Doc On The Run Podcast. Sandra asked, "Is there a best way to ascertain if a person has a leg leng...

Why healing fractures hurt after stopping the boot

29 Nov 2021

Contributed by Lukas

Today's episode comes from a discussion in our Monday, Wednesday, Friday coaching group. This was someone who actually had a metatarsal fracture and h...

Running shoe wear patterns with hallux rigidus

26 Nov 2021

Contributed by Lukas

Today's discussion actually comes from a question from a runner in the Monday, Wednesday, Friday Coaching Group. This is a runner who has a condition ...

What is talar beaking on x-ray of a runner?

24 Nov 2021

Contributed by Lukas

Today's episode comes from a discussion I had with a runner in person who had some foot pain, it was kind of weird. He's an elite runner and he starte...

Should a runner ice a broken toe?

22 Nov 2021

Contributed by Lukas

Every treatment in medicine has pluses and minuses. Applying ice is no different. Ice can make some things better, and some things worse. If you ice s...

Trust in a real expert

19 Nov 2021

Contributed by Lukas

Every day I do telemedicine calls with injured runners.  They often ask questions that remind me of things learned in the past, that help them unders...

What is a subtalar joint sprain in a runner?

17 Nov 2021

Contributed by Lukas

Ankle sprains are incredibly common in runners. Sprained ankles account for about 10% of all musculoskeletal injuries that show up in the Emergency Ro...

The best and worst way to stop using crutches

15 Nov 2021

Contributed by Lukas

If you suffer a severe running injury, some doctors will give you crutches to speed up the recovery process. Healing any running injury is a race agai...

3 signs of a limb length discrepancy in runners

12 Nov 2021

Contributed by Lukas

This podcast episode comes from a telemedicine visit second opinion with a triathlete and runner who was having pain as he ramped up his mileage. It t...

Can a 5th metatarsal stress fracture posterior tibial tendinitis?

10 Nov 2021

Contributed by Lukas

This is a great question from a runner I've been helping in the Monday, Wednesday, and Friday coaching group.  She had a fifth metatarsal fracture an...

What happens if I run before my broken toe heals?

08 Nov 2021

Contributed by Lukas

A runner in the in the recovering runners coaching group asked a great question. She had just broken her toe and could barely walk on it. She was real...

Can a blister on the big toe cause peroneal tendinitis?

05 Nov 2021

Contributed by Lukas

I just got a great question from somebody who said he went rock climbing over the weekend, and he got a huge blister on his big toe from his climbing ...

Is a cortisone injection malpractice if it causes a plantar fascia rupture in a runner?

03 Nov 2021

Contributed by Lukas

I recently got a great question from a runner who was calling me for a second opinion during a telemedicine visit. She wanted to run but had a partial...

Can I run with arthritis in my ankle?

01 Nov 2021

Contributed by Lukas

I got a call from a runner who has a really interesting situation. He's been doing lots of running, but he's been getting pain in his ankle whenever h...

Should I get an MRI of healing plantar fascia tear before I start running?

29 Oct 2021

Contributed by Lukas

This is a great question I got from a runner during a recent telemedicine visit and this was a runner who actually called me for a second opinion beca...

Can I run if my fracture is not yet healed on x-ray?

28 Oct 2021

Contributed by Lukas

I was just doing a call with a runner who started running before his fracture was healed on the x-ray. In fact his regular doctor said he couldn’t r...

Heel neuritis doctor did alcohol injection with ultrasound is it a scam?

25 Oct 2021

Contributed by Lukas

This episode actually comes from a question I got during the live question and answer period at the end of a talk I was giving at the International Fo...

472_mri_vs_ultrasound_which_is_better_for_plantar_fasciosis_or_partial_rupture

23 Oct 2021

Contributed by Lukas

A doctor at a medical conference asked me a great question!  I was giving a lecture at the International Foot and Ankle Foundation meeting in Hawaii ...

Rehab after tibial sesamoid non-union removal surgery in both feet

22 Oct 2021

Contributed by Lukas

Today I got a question from a doctor who wanted to know what I would do with a runner after surgery to remove non-healing sesamoid fractures in both f...

Doctor has a runner with a stress fracture for 2 months

20 Oct 2021

Contributed by Lukas

I was just given a talk at the International Foot and Ankle Foundation's 40th Annual Hawaii Seminar. And at the end of the session, we got a couple of...

Is it better to go barefoot with a stress fracture?

17 Oct 2021

Contributed by Lukas

This episode comes from a question from a runner I saw in person during a second opinion house call.  She had a  metatarsal stress fracture and felt...

Recovering after fracture should I ramp up running intensity today

13 Oct 2021

Contributed by Lukas

If you want to get back to running faster after a foot fracture (or any overtraining injury), the whole key is make sure that you are increasing your ...

467_runner_with_achilles_worried_after_taking_cipro_antibiotics

11 Oct 2021

Contributed by Lukas

A podcast listeners wrote in and she asked,  "How long do I need to stop running or take it easy after taking five doses, meaning two and a half days...

Procedure vs Process in healing faster

08 Oct 2021

Contributed by Lukas

A couple of weeks ago, I was working on my motorcycle, and I accidentally cut myself open.  Long story short…I let a middle school kid put the stit...

Do I have to stop running to cure shin splints?

06 Oct 2021

Contributed by Lukas

A new runner was having some aching in pain in the shins and he asked,  "I just started running. I started having shin splints. Some people told me I...

464_healing_running_injuries_is_a_race_against_time

04 Oct 2021

Contributed by Lukas

I was just doing a second opinion consultation over webcam with a runner who had an overtraining injury.  She was really worried that she could to lo...

Do I Need a Bone Stimulator for a Grade 5 Stress Fracture?

01 Oct 2021

Contributed by Lukas

I just did a second opinion consultation with a runner who called and said she was diagnosed with a grade five stress fracture.  The doctor didn't ac...

Think of injury recovery as an expanded rest day

29 Sep 2021

Contributed by Lukas

I was just doing a second opinion consultation with a runner who was really stressed out. She said, "I'm going to lose all my aerobic fitness. I'm goi...

What is a Pseudo-Jones fracture?

27 Sep 2021

Contributed by Lukas

The fifth metatarsal bone goes from your midfoot out to your little toe. And if you break it, it could be one of three things.  You could have a shaf...

Never listen to a coach wearing clown shoes

24 Sep 2021

Contributed by Lukas

This episode actually comes from a YouTube comment. This runner saw an image from when I was running a 50 mile trail race wearing Hoka trail running s...

How bad is Grade 3 Stress Fracture?

22 Sep 2021

Contributed by Lukas

Today's episode actually comes from a podcast listener who had a question:  "I got an MRI just to give me the green light to resume training and it s...

I don’t trust my doctor

20 Sep 2021

Contributed by Lukas

Today’s episode comes from a podcast listener with a stress fracture and wants to get back to running. Jennifer says, "I went to see my doctor again...

Torn Plantar Fascia: If I run can it heal it later?

17 Sep 2021

Contributed by Lukas

I had a really great question from a patient on a second opinion webcam visit.  “I have a partially torn plantar fascia. Can I keep running and let...

Top 3 running injury secrets

15 Sep 2021

Contributed by Lukas

It's no secret..I like to talk about running injuries! But after so many years working with injured runners, helping runenrs race after they get an in...

3 Foot types prone to Extensor Tenosynovitis

13 Sep 2021

Contributed by Lukas

Extensor tenosynovitis is one of the running injuries doctors don't often talk about simply because it's a relatively rare condition.  But extensor t...

Torn Achilles: Should I use crutches?

10 Sep 2021

Contributed by Lukas

Just this weekend, I got a call from somebody who said that she was out on a run, she felt a pop in the back of her heel, she went to the emergency ro...

Why some runners should never pay for advice

08 Sep 2021

Contributed by Lukas

Every day I talk to injured runners who ask me to help them recover faster so they can run sooner. Some runners call me for a one-time, one-hour consu...

Should I take Lovenox after an ankle fracture?

06 Sep 2021

Contributed by Lukas

Today's episode actually comes from a question that is a real-world situation. Should I take Lovenox after an ankle fracture? I broke my ankle. The do...

Pick your running coach wisely

03 Sep 2021

Contributed by Lukas

Most of the runners who call me when they are inured have hired a running coach. Some of them don’t realize they have a running coach. A coach is so...

A body at rest tends to remain at rest

01 Sep 2021

Contributed by Lukas

A body at rest remains at rest. Now that is a law of physics. That's not something I came up with, but it definitely applies to running injuries. This...

3 Ingredients required for rapid recovery from running injury

30 Aug 2021

Contributed by Lukas

If you want to get back to running as quickly as possible you need 3 essential ingredients: Recovery, Strength and Balance When something is weaker be...

No one can save you

27 Aug 2021

Contributed by Lukas

The action you and ONLY YOU take are all that matters now. I can show you the way, but I can’t carry you there. It takes work. Lots of work. It’...

Running injuries can happen to everyone

25 Aug 2021

Contributed by Lukas

There is NO over-training. There is ONLY under-recovering. You did not run too much. You made a mistake in the order of your workouts or the intensity...

The advice to rest is a lie

23 Aug 2021

Contributed by Lukas

The premise is that your crazy physical activity is the problem. The promise is that you will heal if you simply sit still.. long enough. The hope is ...

Is Muscle Atrophy Reversible?

20 Aug 2021

Contributed by Lukas

If you're a runner with a running injury, you need to listen up.  The biggest problem with running injuries is not that you have a broken bone, not t...

#1 Cause of Confusion in Runners

18 Aug 2021

Contributed by Lukas

I was recently doing a presentation about how runners go wrong.  They know all of this stuff about training, running biomechanics, running form and n...

How can a runner tell athlete’s foot from contact dermatitis?

16 Aug 2021

Contributed by Lukas

This episode comes from Amanda who wanted to know how to tell the difference between contact dermatitis and athlete's foot.  It's summertime, she's b...

Check your shoe when you have pain!

13 Aug 2021

Contributed by Lukas

This episode actually comes from a visit with a runner where I was asked to check her foot.  This runner happens to also be a physician.  She assume...

Blister causes in runners

11 Aug 2021

Contributed by Lukas

I know blisters are not really an exciting topic.  But I can tell you one thing for sure, if you're running a marathon and you get a blister, it is g...

Limb length discrepancy compensation in runners

09 Aug 2021

Contributed by Lukas

I just spoke with a runner during a telemedicine visit who has been having some pain that is flaring up in a couple of different workouts. He's now a ...

Cuboid pain with running after flatfoot surgery

06 Aug 2021

Contributed by Lukas

Today's episode comes from a recent group coaching call for recovering runners. All of the runners on these calls have been injured and they're gettin...

Can I just keep running and see if it gets better?

04 Aug 2021

Contributed by Lukas

I had a recent group coaching call for recovering runners, and the main point of this episode is that you've got to do more frequent follow-up. Even i...

In a boot for a stress fracture can I get a stress response on the other foot?

02 Aug 2021

Contributed by Lukas

This episode comes from a live group coaching call where recovering runners get to ask me anything they want. Today on the doc on the run podcast we'r...

Ask better questions at the doctor for an overtraining injury

30 Jul 2021

Contributed by Lukas

Today's episode comes from a live Q&A. We hold these sessions for runners enrolled in the self-diagnosis courses, and those in group coaching sessions...

What can cause aching pain a year after a metatarsal stress fracture?

28 Jul 2021

Contributed by Lukas

This episode actually comes from a recent live Q&A I did with recovering injured runners and during these calls you can come on and you can ask me any...

Top 3 tips to avoid bruising your toenails during long runs

26 Jul 2021

Contributed by Lukas

I recently did an episode where I was talking about the causes of black toenails in runners after long runs, and I got a lot of comments and questions...

What is a posterior process talus fracture?

23 Jul 2021

Contributed by Lukas

I just had a discussion with a runner during a telemedicine second opinion. She rolled her ankle and went to the emergency room. They gave her a brace...

3 reasons runners get black toenails

21 Jul 2021

Contributed by Lukas

Today's episode comes from a discussion during a recent television fitness segment interview where I was actually asked about black toenails in runner...

Can a bone stimulator help a stress fracture?

19 Jul 2021

Contributed by Lukas

This was a great question from a runner enrolled in the metatarsal stress fracture course. She wanted to know whether or not a bone stimulator would r...

Will cycling help my running fitness while injured?

16 Jul 2021

Contributed by Lukas

I was just on a telemedicine call with a recovering runner. He asked me about different forms of training that he could do to maintain his running fit...

Can injections help my plantar plate sprain heal faster?

14 Jul 2021

Contributed by Lukas

This episode actually comes from one of the live Q&As I did with course members who are actually enrolled in courses like the Plantar Plate Sprain Cou...

My doctor said my stress fracture is a delayed union

12 Jul 2021

Contributed by Lukas

This is a question sent in by a listener to the Doc On The Run Podcast and this is someone who's had a stress fracture, and it's now turned into what ...

Should I take ibuprofen for a plantar plate sprain?

09 Jul 2021

Contributed by Lukas

The anti-inflammatory medications you can get over the counter at the pharmacy do a great job at decreasing musculoskeletal healing, but there is a li...

Slow down if you want to speed up

07 Jul 2021

Contributed by Lukas

I was just having a discussion with a runner about the things that she could do to accelerate her running injury recovery. She has been yo-yoing throu...

Should I get a plantar fascia injection so I can run?

05 Jul 2021

Contributed by Lukas

A runner just asked a great question about when runners should get a plantar fasciitis injection so she can run. If you've signed up for the Runner's ...

3 tips for finding a local expert on running injuries

02 Jul 2021

Contributed by Lukas

Look, if you get injured, you're going to need help and if you want to maintain your running fitness and you really want to get back to running as qui...

Does calcaneal fat pad atrophy cause pain when running?

30 Jun 2021

Contributed by Lukas

I got a question during a telemedicine second opinion consultation with a runner over webcam. He was worried that he had some fat pad atrophy in his f...

Why does running make me nicer?

28 Jun 2021

Contributed by Lukas

This is a great question from one of the people I was just working with on a telemedicine visit. Does running really make me nicer? She actually said,...

Can I do calf raises with hallux rigidus?

25 Jun 2021

Contributed by Lukas

This is a great question from one of the YouTube viewers.  Can I do calf raises with hallux rigidus? He wanted to know whether or not calf raises mi...

Best 3 ways to tell when to replace your running shoes

23 Jun 2021

Contributed by Lukas

This morning I was interviewed as a guest expert on a television program for a health and fitness segment. We were talking about how running shoes are...

Can I do leg presses with a plantar plate sprain?

21 Jun 2021

Contributed by Lukas

This episode comes from a question actually from a YouTube comment on one of the plantar plate videos in there, on the Doc On The Run channel and the ...

Podcast Question

18 Jun 2021

Contributed by Lukas

This episode comes from a podcast listener who is training for the High Lonesome 100 mile race. Kate wrote in to ask:   I rolled my foot at my child'...

Is this treatment bad for runners?

16 Jun 2021

Contributed by Lukas

I was speaking with a runner who had an over-training injury and she wanted a second opinion. And the reason she called was that she went to see a doc...

Running with heel bursitis should I do Achilles wedge stretches for Haglunds?

14 Jun 2021

Contributed by Lukas

This episode comes from a house call I just did with a runner who actually has some heel pain. It wasn't plantar fasciitis.  Haglund's is a problem w...

Do I need crutches after PRP for plantar plate injury?

11 Jun 2021

Contributed by Lukas

I was just doing a telemedicine visit for a second opinion with a runner who's had a longstanding plantar plate sprain. These can be very frustrating ...

Running shoe selection based on foot type

09 Jun 2021

Contributed by Lukas

What does Goldilocks and the Three Bears have to do with running shoes?  This morning I was doing an interview for a television program explaining so...

Pain measurement points of runners

07 Jun 2021

Contributed by Lukas

When you're recovering from a running injury, the most important thing you can track is your pain. Changes in pain level is what tells you whether or ...

Runner with a stress fracture that was never broken

04 Jun 2021

Contributed by Lukas

How is it that a runner can actually have a stress fracture that was never even broken in the first place?  Well, this is a real-world situation that...

Why I do not tell runners whether or not they can run over social media

02 Jun 2021

Contributed by Lukas

The number one question I get on social media from runners, whether it's a direct message or an email, or even a comment on a YouTube video is: "My do...

Top 5 Heel Pain Takeaways from IFAF Sonoma

31 May 2021

Contributed by Lukas

This episode comes from a medical conference last week. I was asked to give a couple of different lectures on running injuries at the International Fo...