Doc On The Run Podcast

#208 Challenge your doctor to do better when you are a runner

15 Jul 2019

Contributed by Lukas

If you're a runner and you've been injured, you need to challenge your doctor to do better. You are going to probably feel like challenging your docto...

#207 There is no healing without risk.

12 Jul 2019

Contributed by Lukas

Everybody wants to believe that there is some best practice, some standard of care, some safest way for you to heal when you get a metatarsal stress f...

#206 How long do I have to take off from running to recover?

10 Jul 2019

Contributed by Lukas

How much time do I need to take off from running after my race? The time you need to take off from running after race all depends on how long the race...

#205 The risk free way to heal a metatarsal stress fracture and other unicorns

08 Jul 2019

Contributed by Lukas

A runner with a metatarsal stress fracture recently asked…  “Isn’t it true that a fracture walking boot and crutches is the risk-free way to ...

#204 Rock climbing is a lot like sports medicine

05 Jul 2019

Contributed by Lukas

This weekend I was rock climbing in Joshua Tree National Park with my son. At one point he started climbing up to a point where we were going to pract...

#203 The 3 most important ways runners prevent foot fungus

03 Jul 2019

Contributed by Lukas

Toenail fungus may be gross but it's common, especially in runners.  Running shoes are perfect little incubators for foot fungus. The inside of shoes...

#202 if you haven’t taken an action you haven’t made a decision

01 Jul 2019

Contributed by Lukas

Many years ago I heard a quote from Tony Robbins. He said, “Remember, a real decision is measured by the fact that you've taken new action. If there...

#201 3 Ways a runner can confirm a self diagnosis of plantar plate sprain

28 Jun 2019

Contributed by Lukas

If you are a runner and you have some pain, and maybe a little bit of swelling, in the ball of the foot under the toes, you might be concerned you hav...

#200 Should an injured runner be patient?

26 Jun 2019

Contributed by Lukas

I just got an email recently from someone who is a runner and one of the things he asked, he said, "Should I be patient, and are the chances good that...

#199 How do trail runners get chronic ankle instability?

24 Jun 2019

Contributed by Lukas

If you go to the doctor, and you tell the doctor that you run on trails, you've sprained your ankles before, and you seem to roll ankles frequently, t...

#198 Healing a running injury is an active process

21 Jun 2019

Contributed by Lukas

Training for a marathon is an active process. You have to think about what you're going to do, you have to come up with a plan.  You have to design a...

#197 The only 2 times a metatarsal stress fracture needs surgery

19 Jun 2019

Contributed by Lukas

There are only two cases in which a metatarsal stress fracture needs surgery. Before we get into that, I want to stress one point.  If someone tells ...

#196 Lack of Discipline causes running injury

17 Jun 2019

Contributed by Lukas

Today on the Doc On The Run Podcast, we're talking about how lack of discipline causes running injury. This episode is probably going to rub a lot of ...

#195 What runners should do before getting custom orthotics

14 Jun 2019

Contributed by Lukas

Lots of runners who are in the midst of training, for some reason, they want to get custom orthotics. I know that we, as runners, we're always looking...

#194 Does a Jones fracture need surgery?

12 Jun 2019

Contributed by Lukas

A few days ago, I got an email from a runner who wanted to know whether or not he should have surgery to fix his Jones fracture.  Well, the first thi...

#193 Arch supports make my arch hurt worse

10 Jun 2019

Contributed by Lukas

A couple of days ago I saw a runner who started having some arch pain in his left foot after he was did a run.  After he noticed this arch pain, he g...

#192 Top 3 weapons against poison oak for trail runners

07 Jun 2019

Contributed by Lukas

It's that time of year, and here in California there is tons of poison oak out on the trails!  I recently ran the American River 50 mile Endurance Ru...

#191 Top 3 reasons doctors hate treating runners

05 Jun 2019

Contributed by Lukas

For about 15 years now, I've been teaching other doctors about running injuries. Every time I speak in a medical conference now, I ask doctors why the...

#190 Why fracture boots fail to heal plantar plate sprains in runners

03 Jun 2019

Contributed by Lukas

A plantar plate sprain is actually one of the worst possible injuries for an injured runner. They can be notoriously difficult to heal quickly if you ...

#189 The only 2 reasons to get an X-Ray for a metatarsal stress fracture

31 May 2019

Contributed by Lukas

If you are runner and you started having pain in your foot and you concerned you have a metatarsal stress fracture, you may think you need to get an x...

#188 The slope of 2 lines you need to compare when running after an over-training injury.

29 May 2019

Contributed by Lukas

When you've been injured and you are starting to run again you have a very delicate balance to maintain.  Your number one goal is to increase your fi...

#187 Top 3 conditions misdiagnosed as a stress fracture in a runner

27 May 2019

Contributed by Lukas

A metatarsal stress fracture, is probably one of the most common running injuries that you could get when you're training for a long distance event li...

#186 Periodization in recovery and healing running injuries

25 May 2019

Contributed by Lukas

For most runners, when they're training for a marathon training program, or an Ironman the period of growth is usually about three weeks.  You take a...

#185 Avoiding injury on mixed trail runs

23 May 2019

Contributed by Lukas

Sometimes it's hard to do a trail run and have that run be only on a trail surface.  You can't always run a trail run…entirely on a trail. What I m...

#184 Why the Hop Test is the worst test for a runner with a stress fracture

20 May 2019

Contributed by Lukas

The worst thing you can do after you've been healing with a stress fracture is to re-injure the bone. Obviously when that happens, you have a huge set...

#183 Put the trouble in the middle of the run

17 May 2019

Contributed by Lukas

If you think about most of your runs, you do a warmup, you do the body of the workout, and then you do a cool down.  One thing that is interesting is...

#182 The #1 Riskiest Running Activity

16 May 2019

Contributed by Lukas

  The harder you train during your big build blocks just before a marathon, the more risk you will sustain an over training injury. Because that’s ...

#181 Legs up the Wall Pose

13 May 2019

Contributed by Lukas

I get calls all day from people who do a lot of stuff and push the limits a little too far on the weekends. But if you do some simple things to accele...

#180 How to do your first Test Run outside

10 May 2019

Contributed by Lukas

Once your injury is clearly improving, you will want to run. I know you want to run. You are runner!  I get it! Many recovering runners blow it and ...

#179 How bad is my stress fracture 4 critical steps to deciding

08 May 2019

Contributed by Lukas

When you get a metatarsal stress fracture, and you want to get back to running, you have to make an assessment on how bad it really is. The only other...

#178 Cycling workouts for recovering runners

06 May 2019

Contributed by Lukas

Resting is not all healing. If you rest too much, you’ll get weaker.  If you want to get back to running, as soon as you're healed, you need to do ...

#177 Achilles early warning signs in runners

04 May 2019

Contributed by Lukas

The Achilles tendon is the largest tendon in your entire body, and if it gets injured, you've got a real problem.  The Achilles tendon is what allows...

#176 My foot hurt when I ran today…what do I do NOW?

02 May 2019

Contributed by Lukas

I received and email from a runner who wrote, “I ran today and my foot hurt when I ran. What should I do right now?"  You want to take the quickest...

#175 If you don't think it will work, you shouldn't do it.

29 Apr 2019

Contributed by Lukas

As an athlete I'm sure you know that it's important you believe you can accomplish your goal. What's interesting to me is that many patients, many inj...

#174 Runners take note of Doctor’s F.E.A.R.

26 Apr 2019

Contributed by Lukas

There are lots of things that you as an injured runner may hear in a doctor's office that really can be false evidence. Something that the doctor pres...

#173 How the Hippocratic Oath can help you get back to running sooner.

24 Apr 2019

Contributed by Lukas

“First, do no harm.” This basic idea is at the foundation of medicine. Doctor’s are sworn to the Hippocratic Oath, and they want you to get bett...

#172 Capsulitis vs Neuroma: Diagnosis Matters!

22 Apr 2019

Contributed by Lukas

Two very common causes of foot pain in runners are neuroma and capsulitis. Some treatments help both conditions. But some treatments will only help on...

#171 Reduce your risk for injury and run the other way!

19 Apr 2019

Contributed by Lukas

Running injuries aren't caused by running too much!  Running injuries are caused by applying too much stress to specific structures when you're runni...

#170 Slow may be your injury speed

18 Apr 2019

Contributed by Lukas

Which is more likely to cause an injury....running fast, or running slow? Explosive speed workouts can put you at risk of injury. Running at your limi...

#169 Do not let Mortons Neuroma stop you from running

15 Apr 2019

Contributed by Lukas

Morton’s neuroma is a common cause of pain in the ball of the foot in runners. Doctors often tell runners to stop running when when they get a neuro...

#168 Should I add carbon fiber stiffening insoles to my running shoes?

13 Apr 2019

Contributed by Lukas

Lots of running injuries are aggravated by bending of the toes. Plantar plate sprains, sesamoiditis, and Morton’s neuroma all get irritated when you...

#167 Signs you are heading for a running injury

10 Apr 2019

Contributed by Lukas

When you get an over training injury, what happens? It's too much stress applied to one structure over too shorter time without enough recovery to act...

#166 Choose The Best Running Shoes For The Run

08 Apr 2019

Contributed by Lukas

Are your running shoes the best for your run today? There are all kinds of running shoes, and they are all built for different runs, different foot ty...

#165 The worst running shoes for stress fractures

05 Apr 2019

Contributed by Lukas

Are your current running shoes putting you at risk for a stress fracture? One common reason for too much bone stress is that a runner didn't have eno...

#164 What causes really stress fractures

03 Apr 2019

Contributed by Lukas

I was recently at a medical conference and I asked all the doctors in the audience ... I said, "What causes stress fractures?" A doctor raised his han...

#163 How much rest does your running body need?

01 Apr 2019

Contributed by Lukas

If you really think about it, the number of hours that you sleep really has a direct correlation with your risk for running injury. Running injuries n...

#162 3 Crucial Mistakes Runners Make with Stress Fractures

29 Mar 2019

Contributed by Lukas

Metatarsal stress fractures are one of the most common running injuries.  If you are runner and suspect a metatarsal stress fracture, you have to use...

#161 #1 mistake runners make with minimalist running shoes

27 Mar 2019

Contributed by Lukas

Barefoot running injuries don’t happen to novice runners.  Most runners who decide to run in minimalist running shoes or run purely barefoot, they ...

#160 Can I run my race with broken toes

25 Mar 2019

Contributed by Lukas

Broken toes are common, but they can really hamper your training when you're getting ready to run a race. If you break your toes a few weeks before a ...

#159 When a fracture boot is necessary for a stress fracture in a runner

22 Mar 2019

Contributed by Lukas

It's no big secret that I really don't like fracture walking boots for runners.  I think doctors over-prescribe them.  When you use fracture walking...

#158 Achilles tendinosis treatment failures in a runner

20 Mar 2019

Contributed by Lukas

Achilles tendinosis can be a tough problem. If you're a runner who gets tightness in your calves and then develops Achilles tendinosis, it can be very...

#157 Toe stress fractures from running

18 Mar 2019

Contributed by Lukas

If you have pain and swelling in the toes after a run, you might be worried you have a stress fracture in the toes. But you have to figure out if the ...

#156 Can I race with a plantar plate sprain?

15 Mar 2019

Contributed by Lukas

If you are running with pain in the ball of the foot that seems like a stress fracture, it could be a plantar plate sprain. If you get a plantar plate...

#155 Hydration tips for runners with Josh Sprague of Orange Mud

13 Mar 2019

Contributed by Lukas

Hydration is one of the limiters for many runners. It seems like often-missed, low hanging fruit that has the potential to boost performance in long e...

#154 How often should I replace my running shoes?

11 Mar 2019

Contributed by Lukas

How often should you get new running shoes? That depends on how quickly they wear out! Some runners get new running shoes every few months. Some runni...

#153 Do I need custom orthotics for running?

08 Mar 2019

Contributed by Lukas

Do you really need custom orthotics if you're a runner?  If you're a runner and a doctor suggests custom orthotics, you may need orthotic inserts, bu...

#152 Why Injured Runners get Depressed and Dynamic Running Therapy with William Pullen

06 Mar 2019

Contributed by Lukas

When we run, we feel better. But what happens when you get busy, or even worse you get injured and you're not really able to run. Do you get bummed ou...

#151 12 Steps to healing and running with a metatarsal stress fracture.

04 Mar 2019

Contributed by Lukas

If you are a runner with a metatarsal stress fracture, you can simply stop running and wait for the bone to heal. The other option is to figure out ho...

#150 Single best treatment for plantar fasciitis in runners.

01 Mar 2019

Contributed by Lukas

If you are running and you get plantar fasciitis, you probably want to get back to running as soon as possible. Many doctors will tell you to quit run...

#149 Running on a healing stress fracture is about risk management.

27 Feb 2019

Contributed by Lukas

Medicine is all about risk versus benefit. Everything in medicine has risk. There's risk with everything. There is risk with running with a stress fra...

#148 If it doesn't hurt worse, can I still ramp up running?

25 Feb 2019

Contributed by Lukas

Should you ramp up your running training when your healing injury doesn't feel like it does not hurt much worse while running? As soon as the healing ...

#147 How much stress reduction does your foot need to heal and run?

22 Feb 2019

Contributed by Lukas

Any over-training running injury is caused by too much stress applied to that one structure. Once it starts to heal and you are trying to return to ru...

#146 Why injured runners should avoid out and back runs

20 Feb 2019

Contributed by Lukas

The reason I like out in back runs for long runs is it makes me committed. I can’t quit. But out and back runs can actually put you in a really vuln...

#145 Top 3 Road Hazards for Runners

18 Feb 2019

Contributed by Lukas

A pothole is a classic road hazard. It is an obstacle in the road that can cause trouble. If you're going fast in your car and you hit a pothole, it c...

The Best Night Splint for Runners

15 Feb 2019

Contributed by Lukas

A tight Achilles tendon can cause a variety of problems for runners. A night splint is a brace that is supposed to help stretch a tight Achilles tendo...

#143 How a marathon mindset can predispose you to injury

13 Feb 2019

Contributed by Lukas

As soon as you sign up for a marathon you start to think about what it will take to finish it. You come up with a plan. You design a series of of work...

#142 The One Goal when you have a running injury

11 Feb 2019

Contributed by Lukas

Last week I was lecturing on running injuries at a medical conference.  A doctor in the audience asked, "What do you do exactly when a runner tries t...

#141 How long before I can run with a stress fracture?

08 Feb 2019

Contributed by Lukas

How long before I can run on a metatarsal stress fracture? The short answer is this, you can run as soon as the metatarsal bone has healed enough, bec...

#140 Pain is a tool to recover faster from running injury

06 Feb 2019

Contributed by Lukas

If you want to get back to running sooner, you have to figure out a way to maintain the maximum level of activity your healing tissues can withstand w...

#139 Is it dangerous to run on a stress fracture?

04 Feb 2019

Contributed by Lukas

Is it dangerous to run on a stress fracture? Stress fractures are one of the most common problems runners get when over training. When injured, stress...

#138 Fracture in the ball of the foot. Getting back to running with Coach Craig Moss

01 Feb 2019

Contributed by Lukas

If you get pain and swelling in the ball of the foot you might become worried you have a fracture. Let's face it. When runners get an aching pain in t...

There is no accidental healing for running injuries.

30 Jan 2019

Contributed by Lukas

You get a running injury because you made a mistake in over-training. You tripped over something. You did just a little too much in your workout. Some...

If you're not moving, you're actually getting more injury-prone

28 Jan 2019

Contributed by Lukas

If you're not moving, you're more injury-prone. If you got an over-training injury from running, and you're not moving, if you're not exercising, thin...

#135 Runners fast forward healing

25 Jan 2019

Contributed by Lukas

Faster means faster! It means making decisions quicker. Forward means you and your doctor are making decisions more frequently so you can shorten the ...

#134 Don't have high hopes for healing if you have downhill habits

23 Jan 2019

Contributed by Lukas

The key with recovering from running injuries faster than normal patients is to identify what it is helping your healing, and what may be hindering yo...

#133 Last week's healing plan won't heal you today.

21 Jan 2019

Contributed by Lukas

How does healing change on a weekly basis? It's going to continue to change throughout the healing process from day to day. No, it's not going to chan...

#132 Why runners heal faster

18 Jan 2019

Contributed by Lukas

Why do runners heal faster? Simple...You are not a normal patient if you're a runner. Not only do you exercise more, you eat better, you sleep better....

#1 Book for Runners in 2019 is by David Goggins.mp3

17 Jan 2019

Contributed by Lukas

Today on the Doc on the Run podcast, we're talking about the number one book every runner should read in 2019. I may be going out on a limb here, bu...

#131 New Pain 10 Days Before Marathon Should I Run Now?

16 Jan 2019

Contributed by Lukas

Today we're talking about whether or not you should run when you have pain about 10 days out from a marathon.  This morning I got a call from Amy in ...

#130 Should I Taper or Keep Training?

14 Jan 2019

Contributed by Lukas

Today on the Doc On The Run podcast, we're talking about whether or not you should taper or just continue training when you have soreness right before...

Who will you be 1 Year from Now?

07 Jan 2019

Contributed by Lukas

I’m recording this episode right around the start of the New Year, and this time of year everybody starts talking about their goals. Most people tal...

If a treatment is best for most, is it best for a runner?

06 Jan 2019

Contributed by Lukas

The idea that one given treatment will work for one condition, when the people are different is absurd.  Runners are different than normal people.  ...

What Is The Difference Between Tendinits And Tendinosis In Runners?

02 Jan 2019

Contributed by Lukas

This question comes up a lot for runners with Achilles tendon injuries. But it can happen with any kind of tendon. The difference between an injury to...

Goals for healing your running injury

26 Dec 2018

Contributed by Lukas

Let me ask you a question. Do you set goals when you are training for a race? What about when you are injured? I mean let’s face it, if you are tra...

How long will it take to heal a running injury?

19 Dec 2018

Contributed by Lukas

The number one question I get from runners is "How long is it going to take me to heal this injury?" It could be a metatarsal stress fracture, it coul...

5 Causes of Big Toe Joint Pain in Runners podcast

12 Dec 2018

Contributed by Lukas

Today on the Doc On The Run podcast we’re talking about the 5 causes of big toe joint pain in runners. If you are a runner and you have pain in the ...

Collagen Healing- Is it working for or against your running injury

05 Dec 2018

Contributed by Lukas

I know I talk about this a lot but collagen is one of the most critical things when you’re healing any running injury. If you have a tendon, ligamen...

What's the difference between a Doctor and a Librarian

28 Nov 2018

Contributed by Lukas

In an ideal world, we would have research that actually studies everything, every variable, every possible scenario and then helps you know conclusive...

The one small shift you need when you aren't healing a running injury

21 Nov 2018

Contributed by Lukas

You’re never staying the same. You’re never the same person. You’re not the same person you were a year ago, and you’re not the same person no...

Can I Run with a Split Peroneal Tendon?

14 Nov 2018

Contributed by Lukas

Can I run with a split peroneal tendon? Well, yes. There are two cases in which you can run with a split peroneal tendon. Number one. If you’re cert...

7 Steps When a Runner is Not Healing

07 Nov 2018

Contributed by Lukas

Today on the Doc On The Run Podcast, we’re talking about the seven steps a runner should take when you’re not healing. You’re probably a runner ...

Top 10 Myths About Plantar Fasciitis in Runners

31 Oct 2018

Contributed by Lukas

Today on the Doc On The Run podcast, we’re talking about the top 10 myths about plantar fasciitis in runners. There are a lot of myths surrounding p...

Is Running Risky?

24 Oct 2018

Contributed by Lukas

I recently went to pick up my 10 year son Alex from an after school program. He and all his classmates were playing on the playground. The camp admini...

Should a Runner Ice to Treat Soreness?

17 Oct 2018

Contributed by Lukas

I recently got a great question from a runner in San Francisco. “I just want to make sure that I’m not heading for an over training injury and wan...

Inflammation Management: Keys for Runners

10 Oct 2018

Contributed by Lukas

Today we’re talking about how inflammation management can make you slower. After giving my lecture in Las Vegas a couple of weeks ago I’ve had so ...

Inflammation in Runners- Sometimes its good and sometimes its bad

03 Oct 2018

Contributed by Lukas

Just about a week ago I was giving a lecture in Las Vegas at the 24th Annual Scientific Program of the International Foot and Ankle Foundation and thi...

7 Healing Limiters that Slow Runners Down

26 Sep 2018

Contributed by Lukas

Today I was out on a run and it was a great day. I was running in the sun and I was just trying to think about like what are the things that really sl...

2 Reasons Runners Should NOT Get an MRI

19 Sep 2018

Contributed by Lukas

An MRI is an interesting diagnostic tool and we often think that an MRI is the best thing to show you what’s going on inside your body when we suspe...

Sub-Fibular Impingement in Runners

12 Sep 2018

Contributed by Lukas

In this podcast episode we’re talking about sub-fibular impingement syndrome. Why do runners get sub-fibular impingement syndrome? How can you tell...

Sinus Tarsi Syndrome in Runners

05 Sep 2018

Contributed by Lukas

What is sinus tarsi syndrome? I mean it sounds like a complicated name but it’s not really a complicated condition. The “sinus” means basically ...