Doc On The Run Podcast

I recently saw an elite runner who had what he thought was shin splints. One of the findings on the MRI report was something called "hyperemia."

He asked me:

“What does that mean? Does that mean I ha…

I believe the most commonly prescribed and most overprescribed treatment for injured runners is probably a fracture walking boot. 

The big question for your doctor is...

Is the fracture walking boot …

When you get an overtraining injury from running, it's not because you did too much, because you were too strong or too motivated.

You got injured because you were too weak.

You were too weak to sust…

There are a lot of confusing things you can see on an MRI report, on an x-ray report or an ultrasound report when you're a runner with pain that you think might be a stress fracture. 

One of those fi…

I just had an interesting call with an elite runner, who's a high school cross country runner. 

He developed a tibial stress fracture, or stress reaction. 

But he thought it was shin splints.

When I …

When you get a stress fracture, one of the earliest visible indications on an X-ray or an MRI or a CT scan is a thing called periosteal elevation. Your doctor might see it on ultrasound, x-rays or MR…

I got an interesting question in the Injured Runners Aid Station, “Should I run without my custom orthotics to strengthen my feet?”

It seems logical that stronger runners are less prone to injury. Th…

If you're a runner and you get a stress fracture, the number one most important thing that you do is get it to calm down while you maintain your running fitness. 

Based on those ideas, I built a fram…

Pain is the most useful and likely most underutilized tool available to any runner who is tired of waiting for doctors to give them permission to run. 

How you track your pain is important. 

One of t…

Pain is the most useful and likely most underutilized tool available to any runner who is tired of waiting for doctors to give them permission to run. 

How you track your pain is important. 

One of t…

If you get a plantar plate sprain, it can take a long time to heal, particularly if you're not paying close attention. 

And because of that, many runners get frustrated.

I see 2 responses to that fru…

When you get a stress fracture, you need the little bitty crack in the bone to heal. 

How do you do that?

First, you have to stop bending or torquing or twisting the bone in a way that led to the cra…

How long does it take you to get fit enough to run a 3 hour marathon? 

Well, that depends on what? It depends on what you would actually do. Not how long you wait.

How long it takes for you to heal y…

If you're a runner with a plantar plate sprain, I can understand why you're frustrated.

You have some minor vague aching pain in the ball of the foot, and you're trying to get back to running, but yo…

If you're trying to improve and you don't improve, whose fault is it? 

Before we talk about running injuries, let's talk about when you're not injured. You hire a coach. You know the coach is qualifi…

I often get nutrition questions from runners who have overtraining injuries involving tissues made of collagen like the plantar plate ligament.

At the heart of these questions is what is the most imp…

In the Injured Runners Aid Station, I get questions from injured runners that stop me in my tracks.

“I got this injury while running. I had a stress fracture. It was grade two stress fracture. It's b…

It's no secret that I truly believe fracture walking boots are overprescribed, overused and used for way too long for many injured runners with many different kinds of overtraining injuries.

But some…

I just saw a woman with an extremely painful callus on the bottom of her foot. She got a type of callus doctors call an "intractable plantar keratosis." When you get one of these calluses, it turns i…

If you get a fracture in your big toe joint it can be easy to get talked into surgery. Especially if you see fragments on an X-ray. 

Your doctor may call old broken bone pieces by a number of terms:

…