Doc On The Run Podcast

Pain is the most underutilized tool for recovering runners

28 May 2021

Contributed by Lukas

No runner wants pain.  However, when injured and trying to recover, pain is actually one of the most useful tools at your disposal. I often tell inju...

Top 3 Stress Fracture Takeaways from IFAF Sonoma

26 May 2021

Contributed by Lukas

This episode comes from a lecture I was giving at a medical conference just last week. One of the lectures was on the differences between stress respo...

There is no hope on a downward slope

24 May 2021

Contributed by Lukas

There is no hope on a downward slope.  I know that sounds really negative and terrible, but it's true.   A recovering runner recently called for a c...

Can I run if MRI shows stress fracture but no pain?

21 May 2021

Contributed by Lukas

In the last week alone I had telemedicine calls with two different runners with different types of stress fractures who asked what it means when they ...

Recover. Don’t Rot.

19 May 2021

Contributed by Lukas

This episode comes from a discussion I had recently with a recovering runner during a telemedicine visit. She was asking me what to do.  She is stuck...

How can I train with a femoral neck stress fracture?

17 May 2021

Contributed by Lukas

I got a call from a runner who asked me about staying fit while training with a femoral neck stress fracture. What is interesting to me is that this p...

3 types of runners who get the most from telemedicine

14 May 2021

Contributed by Lukas

Recently I was interviewed on a television program about telemedicine, who it helps and who it doesn't help. I do a lot of telemedicine visits with at...

Which is worse for my Achilles running hills or stairs?

12 May 2021

Contributed by Lukas

This episode comes from a question sent in by a runner who was listening to the Doc On The Run podcast.  This is a runner who had an Achilles tendon ...

Why wonky is better than weak in a recovering runner

10 May 2021

Contributed by Lukas

I was just doing a telemedicine consult with a runner for a second opinion. He has so much pain in his foot he actually can't even walk on the foot, m...

I think I have a bunion but my toe is straight

07 May 2021

Contributed by Lukas

A bunion deformity is a really common problem, and a bunion is when your big toe moves over and starts pushing against the second toe. Over time that ...

Aching pain in heels from standing desk during pandemic

05 May 2021

Contributed by Lukas

I just did a telemedicine call with a runner who had a very interesting complaint. This  was heel pain and heel pain in itself is not really interest...

If your hand was broken, would you walk on it?

03 May 2021

Contributed by Lukas

I was doing a telemedicine, second opinion consultation with an elite triathlete who got a stress fracture and this is actually a very common sort of ...

Is cortisone good or bad for hallux rigidus?

30 Apr 2021

Contributed by Lukas

A question came up during a recent telemedicine visit I was doing with a runner who has hallux rigidus. He wanted to know whether or not it was a good...

Is it okay to jump rope with shin splints?

28 Apr 2021

Contributed by Lukas

This episode comes from a question sent in by one of the Doc On The Run Podcast listeners, and she wanted to know whether or not it was okay to jump r...

Plantar heel bursitis misdiagnosed as plantar fasciitis

26 Apr 2021

Contributed by Lukas

I was just doing a telemedicine call with a runner with a long history of plantar fasciitis, that has not been getting better. She had been doing stre...

Questions runners should ask doctor during a telemedicine visit

23 Apr 2021

Contributed by Lukas

Just this morning I was interviewed on a television program about telemedicine.  Since I have been doing telemedicine for a little more than 10 years...

Hallux Rigidus running shoes should they be hard or soft

21 Apr 2021

Contributed by Lukas

This episode comes from a discussion I just had with a runner during a telemedicine visit where I was helping her figure out a second opinion and what...

Find your line to recover from injury faster

19 Apr 2021

Contributed by Lukas

This episode comes from a discussion I just had with a runner during a telemedicine visit. This person brought up a great idea that really seemed like...

Heel bone repositioning to run with plantar fasciitis

16 Apr 2021

Contributed by Lukas

On this episode, we're just giving you a quick tip on how you can actually reduce some of the stress and strain on the plantar fascial ligament when y...

Question #1 How bad is my injury

13 Apr 2021

Contributed by Lukas

The number one question I get on social media is can I run with this injury?  So the problem with this is that whenever I get this question, whenever...

Runner with stress fracture but doctor found plantar plate fraying on MRI

12 Apr 2021

Contributed by Lukas

I just got off a telemedicine second opinion call with a runner who thought she had a stress fracture. She got an MRI. Then her doctor said she has “...

Proof you do not have to stop running with metatarsal stress response

09 Apr 2021

Contributed by Lukas

Is there any proof that you don't have to stop running when you get a metatarsal stress response in your foot?  A lot of doctors and patients are rea...

Maintaining running fitness is the injured runners main priority

07 Apr 2021

Contributed by Lukas

When a runner gets an overtraining injury and goes to a doctor, the doctor’s only priority is healing the injured tissue. Most runners also think he...

Why does my neuroma pop or click after I run?

06 Apr 2021

Contributed by Lukas

I just got off a telemedicine call with a runner who wanted to know why she sometimes feel popping and clicking in the ball of the foot after she runs...

How self-confidence and self-love beat finish times every time with Jill Angie

02 Apr 2021

Contributed by Lukas

One of my favorite podcasts is called The Not Your Average Runner Podcast. I recently sat down with Jill Angie, who hosts that show.  Self-criticism ...

How long does tissue take to heal so I can run?

31 Mar 2021

Contributed by Lukas

I get questions all the time on social media from people who want to know if they can run, and at the base of their question is really, how long does ...

Plantar fascia rupture and stress fractures what should this runner do?

29 Mar 2021

Contributed by Lukas

This episode comes from a question sent in by an injured runner who was listening to the Doc On The Run Podcast.  "I am 30 with medium arches. No pri...

What are bilateral bipartite sesamoid bones in a runner?

26 Mar 2021

Contributed by Lukas

This episode comes from a question from one of the Doc On The Run YouTube channel viewers who wanted to know about “bilateral bipartite sesamoid bon...

How are tight calves related to metatarsal stress fractures

24 Mar 2021

Contributed by Lukas

This episode comes from a question from a runner, who wanted to know what it means when calf muscles are tight and you have metatarsal stress fracture...

Does a painful red big toe joint mean I have gout?

22 Mar 2021

Contributed by Lukas

I was just doing telemedicine visit with a runner who has a red, painful big toe joint.  Gout is an accumulation of painful sharp crystals in the joi...

Which is better: soft or hard trail running shoes?

19 Mar 2021

Contributed by Lukas

The other day I was doing a telemedicine visit with a trail runner who asked me, "Which is better, soft or hard trail running shoes?" If you're thinki...

What are sesamoid bones in the foot?

17 Mar 2021

Contributed by Lukas

A runner with pain under the big toe joint said she was told she had a problem with the sesamoid bones in her foot.  The doctor said maybe it was ses...

Does plantar plate sprain cause tight calves in runners?

15 Mar 2021

Contributed by Lukas

A plantar plate ligament sprain can cause aching pain in the ball of the foot when you run.  Plantar plate sprains are caused by excess stress applie...

Different types of tibial stress fractures in runners

12 Mar 2021

Contributed by Lukas

Shin splints and tibial stress fractures can feel similar when you run. Most runners understand there is a huge difference between shin splints and a ...

Can it be a stress fracture with no crack?

10 Mar 2021

Contributed by Lukas

I was just doing a telemedicine call with a runner with a stress fracture, and he had a really interesting question.  He said, "Look, I just really w...

Can you see Raynauds Phenomenon on an MRI in a runner?

07 Mar 2021

Contributed by Lukas

Raynaud’s Phenomenon is an interesting condition in which spasms of small blood vessels cause changes in the skin color of the hands and feet. Rayna...

How stress can help your Achilles tendon recover faster and get stronger

05 Mar 2021

Contributed by Lukas

When you get any stage of Achilles injury and you're a runner, you're trying to figure out what you can do to get it to heal as quickly as possible. ...

The 3 forms of stress when you start running after injury

03 Mar 2021

Contributed by Lukas

There are the three forms of stress that can affect you and the injured tissue when you actually get back to running after you've been injured and you...

What is thinning of the plantar plate ligament on MRI?

01 Mar 2021

Contributed by Lukas

Just a couple of days ago I was doing a telemedicine call with a runner who wanted to know what it meant to have “thinning of the plantar plate liga...

3 key elements of marathon training and running injury recovery

27 Feb 2021

Contributed by Lukas

When you break down the goal of running a marathon, it really only has 3 key elements.  You are crystal clear on the distance, the starting point and...

Why doctors prescribe 4 to 6 weeks in a fracture boot for stress fractures in runners

25 Feb 2021

Contributed by Lukas

Metatarsal stress fractures are one of the most common injuries in runners. Unfortunately for runners, 4 weeks to 6 weeks in a fracture walking it boo...

Why runners should not start with prescription medications

23 Feb 2021

Contributed by Lukas

This weekend, I was giving a lecture at a medical conference that was specific to running injuries.  During the question and answer period, one of th...

Find your second wind in running injury recovery

21 Feb 2021

Contributed by Lukas

Think back to the last time you really remember getting a second wind. Maybe it was 2 miles into your fastest 5K. Maybe it was mile 18 or mile 22 of a...

What is an osteochondral defect in a runner?

17 Feb 2021

Contributed by Lukas

A few minutes ago I was on a second opinion telemedicine call with runner who was told he had an MRI showing an “osteochondral defect.”  The doct...

Your sensor is broken

15 Feb 2021

Contributed by Lukas

I just got off a telemedicine call with a woman who was an elite runner in college. She has been having a difficult time getting back to an acceptable...

What is traction neuritis?

12 Feb 2021

Contributed by Lukas

If you over-stretch any nerve it can become inflamed and painful. If you roll your ankle on a trail you can get a condition called traction neuritis. ...

Why runners need to flirt with overtraining injury

10 Feb 2021

Contributed by Lukas

If you hire a running coach, your coach is going to design a program that is going to actually test you physically and mentally, and push you to your ...

What is osteophytosis?

08 Feb 2021

Contributed by Lukas

Osteophytosis is a common finding on foot and ankle x-rays of runners. Bone spurs can form anywhere bone is irritated or otherwise aggravated by jammi...

The 3 most important days in healing

05 Feb 2021

Contributed by Lukas

The biggest mistake any runner can make when seeing a doctor for a running injury is leaving the office without a clear picture or how bad the injury ...

Tell your friends they can Start Running in 3 Steps

03 Feb 2021

Contributed by Lukas

The chances are good a lot of your friends secretly admire your ability to run. Unfortunately it seems a lot of people who want to start running, but ...

How running injuries compare to savings accounts

01 Feb 2021

Contributed by Lukas

I am sure that you have heard your running buddies use an analogy:  "We just banked another long run.”  “We got another hard workout in the bank...

What is snowboarders fracture?

29 Jan 2021

Contributed by Lukas

Snowboarder’s fracture is a small fracture in your foot that is often misdiagnosed as an ankle sprain.  The injury occurs when you break a portion ...

The safest path to healing is the slowest

27 Jan 2021

Contributed by Lukas

Many times doctors look at you cross-eyed when you tell them how much you run, how far you run and how much you want to run now. They tell you that yo...

What is periosteal reaction in a stress fracture?

25 Jan 2021

Contributed by Lukas

A runner with a stress fracture called me for a telemedicine visit because she was confused.  The doctor told her that she has a stress fracture. But...

If you’re not healing fast, it’s not a priority

22 Jan 2021

Contributed by Lukas

If you're not actually healing as fast as you want to it is just not a priority.  I talked to a runner the other day who said that he was trying to l...

Why is sesamoiditis so serious in a runner?

20 Jan 2021

Contributed by Lukas

The sesamoid bones, these two little bones and they sit under the big toe joint and interestingly when I show X-rays to someone like somebody who has ...

Why the first days of running on a healed injury are so risky

18 Jan 2021

Contributed by Lukas

The only thing worse than a running injury is a re-injury.  Most of the runners who call me for a telemedicine visit are demoralized.  You get inure...

Why flat arches are less stable when you run

15 Jan 2021

Contributed by Lukas

I recently got a great question from a runner... Why are flat feet less stable when you run? Pronation of the foot happens as your arch collapses and ...

Does my Achilles tendon need a PRP injection or Stem Cell injection?

13 Jan 2021

Contributed by Lukas

One of my best friends has pain and swelling in his Achilles tendon, right in the watershed region that we know develops Achilles tendinosis and can e...

What is compensation from over-training running injury?

11 Jan 2021

Contributed by Lukas

----more----When you get any kind of over-training injury, something also incredible happens. You limp. You compensate to remove all of the pressures ...

Does the plantar plate need to "heal” on MRI before I can run?

08 Jan 2021

Contributed by Lukas

I was recently doing a call with an athlete who has a sprain of the plantar plate ligament.  One of the things that happens with runners is we get an...

Healing leaves subtle clues

06 Jan 2021

Contributed by Lukas

We always want obvious signs when we are healing form something like a metatarsal stress fracture, Achilles tendinitis or peroneal tendinitis or any i...

Runners do not recover faster by guesswork

04 Jan 2021

Contributed by Lukas

I was just talking to a runner in one of the sessions where people call in who are taking the One Run Away challenge. In that challenge course, I'm h...

Can x-rays show a plantar plate injury?

01 Jan 2021

Contributed by Lukas

I was just doing a telemedicine visit with a runner who has had an injury to the plantar plate ligament with pain for months.  He's been getting bett...

Am I on the right track?

31 Dec 2020

Contributed by Lukas

I just got off a telemedicine call with a runner and she asked me an interesting question, she said, "I just want to know, am I on the right track?”...

Hip Pain in Runners with Dr. Duane Scotti

29 Dec 2020

Contributed by Lukas

Dr. Duane Scotti, host of the Healthy Runner podcast was one of the guest experts at the 2-Day Runner’s Rapid Recovery Summit.  This replay is a re...

Is my healing timeline realistic?

22 Dec 2020

Contributed by Lukas

I was just doing a telemedicine visit with a runner who needed a second opinion for a metatarsal stress fracture.  She wanted to know if her healing ...

You are not getting better. Great!

17 Dec 2020

Contributed by Lukas

If you're a runner who's been injured, recovering, and you feel like you're plateaued or you're not really getting anywhere, I have some very good new...

From broken heels to whole champion Barbara Edelston Peterson

10 Dec 2020

Contributed by Lukas

Just for a moment I want you to imagine something. You made a decision to become a champion. And after years of continual effort and constant training...

3 ways to run hills without rupturing achilles

04 Dec 2020

Contributed by Lukas

One of the worst possible injuries you could get as a runner would be a rupture of the Achilles tendon.     Because if you tear the Achilles, whethe...

You are only one step away

02 Dec 2020

Contributed by Lukas

Almost all runners who call me just need to take one step to change course. My job on that call is to help you identify and recognize the step you are...

4 Steps to Achilles tendon rupture when running

30 Nov 2020

Contributed by Lukas

This morning I was on a telemedicine call talking to a recovering runner, from my inner circle coaching private group. This guy was having some troubl...

#337 Running injury testing 1 2 3

22 Nov 2020

Contributed by Lukas

As an injured runner who wanted to run the worst piece of advice of I ever received from a doctor, was, “Go run and see how you feel.”  Sometimes...

Running injuries caused by running during isolation

12 Nov 2020

Contributed by Lukas

Earlier today, I was doing a telemedicine call with a runner who has been injured. She actually mentioned that she thought she might have started gett...

Time does not heal running injuries

10 Nov 2020

Contributed by Lukas

"Time heals all wounds.”  Or at least that is the saying.    The medically speaking I can tell you that is completely false when it comes to runn...

Achilles injury healed then got a stress fracture

05 Nov 2020

Contributed by Lukas

I just got off a coaching call with a guy who I've talked to a number of times over the years with a number of different running injuries and this guy...

What is capsulitis in the big toe joint

02 Nov 2020

Contributed by Lukas

Today on the Doc On The Run Podcast, we're talking about what is capsulitis in the big toe joint. Yesterday, I was seeing someone who is a long-time a...

3 Neuroma treatment considerations for minimalist runners

29 Oct 2020

Contributed by Lukas

I just got a telemedicine call with a runner who had a question about neuroma treatment for somebody who likes to use minimalist shoes. And he had a r...

Secret to healing like a pro runner

25 Oct 2020

Contributed by Lukas

When pro runners get running injures, they get different treatment.  Elite athletes and professional athletes all have, if not better medical care, t...

3 times a runner should NOT get an MRI for stress fracture

19 Oct 2020

Contributed by Lukas

This past weekend, I was giving a lecture at a medical conference. It was the International Foot and Ankle Foundation Conference that was supposed to ...

Grade one stress fracture is NOT a stress fracture

03 Oct 2020

Contributed by Lukas

Today on the Doc on the Run Podcast, we're talking about how a grade one stress fracture is not a stress fracture at all. This weekend I was lecturing...

Use your running success to plan your injury recovery

27 Sep 2020

Contributed by Lukas

The most difficult thing about being injured is not having a plan to follow.   As Mark Spitz once said, “If you fail to prepare, you’re prepared ...

Do I need a PRP injection for my Achilles Tendon

19 Sep 2020

Contributed by Lukas

I just got off a telemedicine call with a guy who has an Achilles tendon injury and called me specifically because he wanted me to do a PRP injection ...

3 mistakes runners make with ankle sprains

14 Sep 2020

Contributed by Lukas

I was just on a telemedicine call with a patient. We were doing a webcam call and she had been running on a trail, rolled her ankle, and had a really ...

Put your best foot forward on stairs when injured

08 Sep 2020

Contributed by Lukas

I just got off a telemedicine call with an injured runner who has pain and swelling in her foot. We were on a recovering runner coaching call talking ...

Can I run on a treadmill after a stress fracture?

31 Aug 2020

Contributed by Lukas

Today’s episode comes from a runner named Gordon who asked a question during a live webinar entitled “Am I Ready to Run? How to tell if its safe t...

3 biggest mistakes injured runners make

27 Aug 2020

Contributed by Lukas

Every day, all day, I help injured runners get back to running.  I have noticed runners consistently make crucial mistakes in each of the three phase...

Stress fracture: can I start a walk run program?

24 Aug 2020

Contributed by Lukas

One of the biggest problems when you get a metatarsal stress fracture is deciding when it's safe for you to go to the next level of activity. I just g...

Question every timeline of running again after injury

21 Aug 2020

Contributed by Lukas

What does it mean when your doctor says you might be able to run in 3 weeks, depending on what your x-rays shows? If your doctor guesses that in three...

Can I run after broken ankle surgery

17 Aug 2020

Contributed by Lukas

A runner broke her ankle and foot in five places and had surgery. She wrote in and wanted to know if she might run again:  “I’m 34 years old. I h...

Two perspectives for recovering runners

14 Aug 2020

Contributed by Lukas

Everything about the process of training is inherently inspiring and aspirational. It is all positive, and with each step of the process we get the op...

You already know the path to recovery

10 Aug 2020

Contributed by Lukas

I was recently watching the Wizard of Oz with my kids. There’s this one scene, where Glenda tells Dorothy that she already had has all the ability t...

Most painful part of a running injury

08 Aug 2020

Contributed by Lukas

There's nothing worse than being in a race, and you feel like your stomach is upset. You're sick to your stomach and you're keeping on pace, but then ...

Questions that make a stress fracture more or less likely in a runner

05 Aug 2020

Contributed by Lukas

Earlier today I was talking with a runner who felt some pain in her foot during a run yesterday. So she got worried she might have a metatarsal stress...

How a runner with a plantar fascia rupture talks himself into surgery

01 Aug 2020

Contributed by Lukas

A partial rupture of the plantar fascia can be a truly debilitating injury for a runner.   It's much worse than plantar fasciitis. You take time off....

Pain is not a setback in your injury recovery

27 Jul 2020

Contributed by Lukas

Whether you are conscious of it or not, when you are recovering from a running injury you are probably a little bit gun shy.   Every runner who has e...

Skip a day to skip ahead in your injury recovery

23 Jul 2020

Contributed by Lukas

Yesterday I was speaking to an ultra-marathoner who had a metatarsal fracture.     Fortunately, the broken bone has been healing well and she's bac...

Injured runner underdog advantage

20 Jul 2020

Contributed by Lukas

In the pursuit of any running goal you really are only in competition with yourself.   When you become injured, you immediately give yourself an unde...

Rest is an atrophy plan

13 Jul 2020

Contributed by Lukas

Can you get faster by not running?  Can get stronger by not working out? If you're a runner and you’re listening to this my guess is that you're cl...

3 keys to recovering at a faster pace

09 Jul 2020

Contributed by Lukas

Healing after a hard workout and recovering from a running injury are basically the same process. But when a runner gets an over training injury every...