Shows
Doc On The Run PodcastHow soon can I run after 5th Metatarsal Fracture Surgery?Today's episode actually comes from a comment and a question sent in by one of the viewers of the Doc On The Run YouTube channel.
This was Jean, wrote in and she said,
"Hello, Dr. Segler. I had a fifth metatarsal fracture repair surgery five weeks ago. I was started to walk without crutches and a knee walker or a scooter as of yesterday, but my foot feels achy, though. Well, as a runner, when can I possibly resume running after my metatarsal surgery?"
This is what everybody wants to know.
I d...
2022-12-1207 min
Healthy Runner PodcastWhy Runners Should Be Treated Differently with Dr. Christopher Segler From Doc On The Run🤔 Have you ever been to a medical professional for an injury and you are told to just stop running? Have you had to give up running because you were struggling with pain? Were you starting to think it is just "par for the course" that running will cause pain? In this episode, I had the pleasure of interviewing the Doc On The Run podcast host, Dr. Christopher Segler! Dr. Segler is not only an award winning foot and ankle surgeon who is board cer...
2020-09-241h 04
Doc On The Run PodcastHow can you work with injured runners all day?I was just invited to give a lecture at the International Foot & Ankle Foundation’s 42nd Seattle Seminar. I was asked to give a lecture entitled “Potential Complications of Returning Athletes Back to Activity After Injury.”
The very last question of the entire weekend seminar was directed to me.
“Dr. Segler…How can you work with injured runners all day?”
Today on the Doc On The Run Podcast we’re talking about the 3 reasons I love working with injured runners.
2020-07-0306 min
HardWodder RadioEpisode 87 – Christopher Segler – Going Beyond the Standard of Care
Episode 87 - Christopher Segler - Going Beyond the Standard of Care
by Highly Functional | Podcast
https://hhf-podcast.s3-us-west-1.amazonaws.com/HHF.Episode87.GoingBeyondTheStandardOfCare.mp3
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For this episode, I had the pleasure of speaking with Dr. Christopher Segler. We had a great conversation about injuries, specifically, running injuries. We discussed what the standard of care is when it comes to these injuries and why we need to be more aggressive in treatment of these injuries in athletes. You can connect with Christopher on his website, docontherun.com, and on instagram @docontherun.
That’...
2020-03-1749 min
Highly Functional Runners And Obstacle Course RacersEpisode 87 – Christopher Segler – Going Beyond the Standard of Care
Episode 87 - Christopher Segler - Going Beyond the Standard of Care
by Highly Functional | Podcast
https://hhf-podcast.s3-us-west-1.amazonaws.com/HHF.Episode87.GoingBeyondTheStandardOfCare.mp3
Subscribe Now!
For this episode, I had the pleasure of speaking with Dr. Christopher Segler. We had a great conversation about injuries, specifically, running injuries. We discussed what the standard of care is when it comes to these injuries and why we need to be more aggressive in treatment of these injuries in athletes. You can connect with Christopher on his website, docontherun.com, and on instagram @docontherun.
That’...
2020-03-1749 min
Doc On The Run Podcast3 Keys to Less Time on CrutchesLet’s Face it…Crutches Suck!
It’s still hard for me to believe that the same crutches, the same design that doctors hand out to patients today are more or less the same kind of crutches handed out to injured soldiers during the Civil War.
And although crutches are truly terrible, they can be a useful treatment to help any injured runner heal faster.
But you as a runner have to understand there’s a very high price to pay for using crutches. With one week of immobilization and non-weight-bearing on crutches you will...
2018-08-0810 minDoc On The Run PodcastAvoid foot fungus from swimming poolsYesterday I was talking to my sister, who is of course, also a marathon runner. She has been running marathons way longer than me and she is always fit.
She runs in the morning and then swims later in the day.
Swimming is a great way to cross train, supplement your aerobic fitness, strengthen your core fitness and frankly stay cool and relax in the summer.
But I got an email from a runner who had a bout of toenail fungus that was severe enough to need laser treatment to kill the fungus i...
2018-08-0111 minDoc On The Run PodcastWhy you aren’t healing like a professional runnerI actually did some research recently in preparation for a presentation I was going to be giving on running injuries at the International Foot & Ankle Foundation medical conference in Seattle.
When I went to Medline, which is the search engine that catalogs medical research articles for the National Center for Biotechnology Information, I entered the search terms “running” and “injury.” That search produced 5,093 articles that were published in authoritative medical journals around the world. So not only do a lot of runners get injured, apparently a lot of researchers are writing scientific articles about running injuries.
The p...
2018-07-2513 minDoc On The Run PodcastInjury recovery with Elite Triathlete Christiann ArbiniToday on the Doc On The Run podcast we’re talking with Christiann Arbini about injury, recovery and what it takes to bounce back to national championship racing after a doctor told her she was done.
For years I’ve been saying you should fire your doctor when they try to rob you of hope and Christiann was a great example of how are you can succeed even if the conventional medical wisdom is not really on your side.
Christiann qualified for the 2018 USA Olympic distance national championship triathlon race and that’s not really the aw...
2018-07-1848 minDoc On The Run PodcastHow Can A Runner Heal a Plantar Plate Sprain?A plantar plate sprain is an overstretched, possibly even partially ripped ligament on the bottom of one your little toe joints in the ball of the foot.
When you get a plantar plate sprain, there are really 3 issues:
Inflammation
Tissue damage
Stress preventing healing
You have to address all three if you really want to get better quickly and get back to running.
Today on the Doc On The Run podcast we’re talking about how a runner can heal a plantar plate sprain.
2018-07-1118 minDoc On The Run Podcast100% Recovery Means Free SpeedAre you recovering at 100% capacity?
Are you doing truly everything you can to maximize your capacity for healing after your workouts? If you’re not, you’re wasting a lot of time when you’re training.
On Friday I was lecturing at the International Foot and Ankle Foundation meeting in Seattle. This is a medical conference where foot and ankle surgeons, podiatrists and sports medicine physicians go to get their continuing medical education. One of the lectures I was giving was on recidivism in runners and what doctors can and should be doing differently to help r...
2018-07-0408 minDoc On The Run PodcastHow Can A Runner Heal a Stress FractureToday on the Doc On The Run podcast we are talking about how a runner can heal a stress fracture.
When you get a stress fracture, there are really 3 issues:
Inflammation
Tissue damage
Too much stress preventing healing
You have to address all three if you really want to get better quickly and get back to running.
2018-06-2711 minDoc On The Run PodcastCan I Run With A Stress Fracture In The Heel Bone?Today on the Doc On The Run podcast we’re talking about whether or not you should run when you have a stress fracture in the heel bone.
The first thing to think about is like what is a stress fracture in the heel bone. The heel bone is an irregular bone. It’s an odd shape. It’s not tubular. It’s not square. It’s very thin on the outside and it’s sort of squishy on the inside. It’s kind of like a sponge. It’s really kind of like a hard boiled egg. A hard boil...
2018-06-2015 minDoc On The Run PodcastCan I Run with a Partial Rupture of the Plantar Fascia?Today on the Doc On The Run podcast, we’re going to talk about whether or not you can run with a partial rupture of the plantar fascia.
Can I run my race if I have a partial rupture of the plantar fascia? Well that’s a question I’ve got in a number of times from runners who’ve been to the doctor, they thought they have plantar fasciitis, they were told they had a partial rupture or a tear in the plantar fascia and then they want to know if they can do their race.
I...
2018-06-1312 minDoc On The Run PodcastHow 2 Days in a Fracture Walking Boot can Help you Decide If You Can Run a 100 Mile RaceThat may seem like a silly thing like you think if you’re wearing a fracture walking boot, there’s no way you're going to run a hundred miles. But there is a patient I just had a consultation with yesterday on the phone and we were talking about this because she's actually signed up for a one hundred miles trail race, she wants to do this ultramarathon and she's having a problem.
The task is to figure out really is it safe for her to do this run which is a hundred miles basically a month away...
2018-06-0616 minDoc On The Run PodcastCan I Run with a Metatarsal Stress Fracture?Stress fractures are extremely common. But first thing is that if you’re going to figure out how to run the race, if you should run the race, whether or not it’s a good idea to run a race, you have to really understand what really is metatarsal stress fracture.
Doctors want to put everybody in the same little bucket of “You have a metatarsal stress fracture. You can’t run.” That’s not true at all. In fact I have had lots of patients who have actually had not only done an Ironman but I had one that...
2018-05-3019 minDoc On The Run PodcastCan I Run with Plantar Fasciitis?Can I run my race if I think I have plantar fasciitis? That’s a good question. In this session what we are going to talk about is whether or not you can or should run if you think you have plantar fasciitis.
A lot of doctors tell you stop running if you have plantar fasciitis. Well, the idea is that you’re stressing the plantar fascia when you’re walking on it and of course when you’re running.
Today on the Doc On The Run podcast we’re talking about whether or not you should...
2018-05-2312 minDoc On The Run PodcastHow a Runner Got His Physical Therapy Aimed at His Running GoalsToday on the doc on the run podcast we’re talking with Patrick about how to stay on track when you see a doctor or physical therapist and make sure that they focus on your running goals.
The main reason I wanted to have him on the podcast today is he actually had this experience with physical therapy that can help people understand how to better get your physical therapists and doctors more on track with your goals instead of just focused on the injury.
2018-05-1627 minDoc On The Run PodcastCan I Run With Peroneal Tendonitis?One of the million dollar questions I get from runners is whether or not you can run when you have this specific injury. Just today I was on a remote consultation call on Skype with a runner who is an ultramarathoner. He is training for a huge trail race in the Dolomites and he wants to be able to run.
Well it turns out that he got a little bit peroneal tendonitis, he got some pain and swelling around the ankle and it was starting to bug in. So his big question is “Can I do the ra...
2018-05-0913 minDoc On The Run PodcastWhy Doctors Tell You to Stop RunningI think when a doctor tells a runner to quit running it doesn’t make any more sense than telling an accountant to quit working with numbers. Running is what we do. And running should be the goal. You have to work with a doctor who will help you get back to running. And no matter where you are, you should be able to find a doctor who will help you heal AND get back to running.
I talk to runners all over the world. Of course most of them are injured runners. The main reason injured ru...
2018-05-0217 minDoc On The Run Podcast4 Types of Injured Runners Who Won’t Get Back to Running QuicklyHealing takes time. The longer you take to recover the more fitness you’re going to lose. But when you’re an injured runner the less time you spend healing the sooner you are going back to running. So we all want to heal as quickly as possible.
When doing virtual doctor visit consultations with patients over the phone or via webcam, just about every patient who comes to me for running injury advice is trying to figure out how to get better faster.
After many years of working with runners I have identified a few...
2018-04-2516 minDoc On The Run Podcast5 Plantar Fasciitis Treatments Your Doctor is Selling and Runners DON”T Need!If you are a runner with plantar fasciitis, you don't need to watch hundreds of different videos to get better. You just have to do some simple things at home consistently and your heel pain will go away. If you do the right things, but you’re not getting better, then the chances are good you probably don't have plantar fasciitis and have been misdiagnosed.
Runners are so frequently misdiagnosed with plantar fasciitis that I even wrote an entire book on Runners Heel Pain that you can get on Amazon. Even after I wrote the book on he...
2018-04-1815 minDoc On The Run PodcastThe Only 3 Steps Runners Need to Heal Plantar FasciitisToday on the Doc On The Run Podcast we’re talking about the only three steps runners need to heal plantar fasciitis.
You don’t need to watch a hundred of different videos to get better. If you do these three things and you really have plantar fasciitis you should start getting better. In this episode we’re going to talk about the only three treatments needed to heal plantar fasciitis in almost every runner. If you’re not getting better, then the chances are good that you probably don’t have plantar fasciitis and have been misdiagnos...
2018-04-1117 minDoc On The Run PodcastTop 3 Mistakes Runners Make When Getting a Second OpinionToday on the Doc On the Run Podcast were talking about how runners can get the very best second opinion.
The other day I had an interesting conversation with a runner who has had a really difficult time recovering. The bottom line is that she had a couple of surgeries that didn’t work out exactly the way she expected and now she is still having trouble.
So we were having a conversation about how she can make sure that her current treatment plan is the best plan to get her back to running. We ta...
2018-04-0415 minDoc On The Run PodcastHope… An Invaluable CommodityHave you ever had a race that you really only made it through just because you believe you can do it?
Sometimes you get to a place where it seems like all you have left is hope and when you get to that place it seems like hope is really all that you need.
Today I was doing a remote consultation call with a frustrated runner in Texas. We worked through her problem and came up with some options that should help her figure out what’s really going on and get her back on tr...
2018-03-2805 minDoc On The Run PodcastThe Power Of Meditation To Relax And Heal With Jason StephensonToday on the Doc On The Run podcast we are talking about how you can use the power of meditation to relax and heal.
Jason Stephenson has been involved in the meditation and relaxation field for over fifteen years and he even has a YouTube meditation sleep music channel that has over 700,00 subscribers with over 90 million views.
For whatever reason when runners become injured they don't really seem to recognize the value of meditation. Maybe it's just that they've lost their focus and they kind of forgot about it. Maybe they're distracted because they're kind...
2018-03-2141 minDoc On The Run PodcastNot Running is OptionalEvery day I talk to runners who tell me their doctor said they have to stop running. Just stop and think about that for a minute. A runner is told to stop running.
A runner has pain in her foot. Maybe it’s a metatarsal stress fracture. Maybe it’s a plantar plate sprain. Maybe it’s plantar fasciitis. But the runner wants to run and not have foot pain.
So the runner makes an appointment with a supposed expert (a doctor), sits in a waiting room, then sits in a second waiting room waiting for the...
2018-03-1412 minDoc On The Run PodcastThere Is No Key To Healing. It’s A Combination.Today I was on a 15 minute Virtual Doctor Visit call with a runner who has been trying to get over a nagging case of Achilles tendinitis and still wants to do well in the Boston Marathon.
It may not surprise you to hear that he is worried about how skipping long runs to protect the Achilles tendon will make it very difficult for him to have a good run in Boston.
He’s been doing all the right stuff. He has taken the right steps to remove the inflammatory fluid around the Achilles tendon. He’s be...
2018-03-0711 minDoc On The Run PodcastCan You Fix The Plantar Fascia After Surgery? Question From A RunnerThis episode is based on a question sent in from one of our listeners and she actually wrote in and said “I mistakenly had “plantar release” done to my right foot 16 years ago. I am no longer able to run because my arch has collapsed and my foot now rolls inward significantly with every step. I’m in constant pain in both of my knees (because of the change in my gait) as well as my foot as a result. A Mayo Clinic orthopedic surgeon recommended fusing the first and second metatarsals above my arch to reduce pain affected by the re...
2018-02-2814 minDoc On The Run PodcastFrom 400 Pounds To Running 100 MilesToday on the Doc On the Run Podcast we’re talking about the special considerations overweight runners need to think about when they want to get to their goals without getting injured.
I am really excited to have Gary Stotler on the show today and Gary is a guy who is truly inspirational. He actually went from 400 pounds to running 100 miles.
2018-02-211h 03Doc On The Run PodcastStress Related Eating and the Consequences for Injured Runners with Stephan Guyenet, PhDI’m really excited to have Dr. Stephan Guyenet as a guest expert today. Dr. Guyenet spent 12 years at the University of Washington as a neuroscience and obesity researcher. Much of that time he was studying the role of the brain in eating behavior and body fatness. His publications have been cited more than 1,400 times by other scientists and in peer-reviewed scientific publications. He is the author an intriguing book entitled “The Hungry Brain” which explores the neuroscience of overeating, focusing on the following perplexing question: Why do we overeat, even though we don’t want to?
One of t...
2018-02-1402 minDoc On The Run PodcastMindfulness For Runners With Linda HallToday on the Doc On The Run podcast we’re talking with Linda Hall about meditation and how to focus on the mind-body connection and stress management as a tool that runners can use to recover faster, decrease the risk of running injury and hopefully even recover from overtraining injuries.
2018-02-0839 minDoc On The Run PodcastWhat Is Synovitis In Runners?This week I got a couple of calls from runners who had various different forms of foot pain and they both said the doctor they saw said they had a condition called synovitis. They were both understandably confused because neither one of them really understood what “synovitis” really means.
Synovial tissue is the tissue that makes the fluid that lubricates your joints. The fluid on the inside of your joints is called “synovial fluid.”
This is the stuff that lubricates and nourishes the cartilage on the inside of your knee joint, your ankle joint and all the o...
2018-01-3113 minDoc On The Run PodcastMuscle Atrophy After Recovering In A Fracture Walking BootToday on the Doc On The Run Podcast we’re talking about muscle atrophy after recovering in a fracture walking boot, and what runners can do to prevent it.”
I recently met Kim and she was explaining to me that she had an Achilles tendon rupture and then developed this same kind of muscle atrophy we all become concerned about. Fortunately for all of us, she was willing enough to come on the show and share her experience.
We are also going to talk about some strategies for avoiding all of the weakness if you ever have...
2018-01-2420 minDoc On The Run PodcastSleep - The Recovering Runner’s Secret WeaponSleep may be the most valuable, most abundant, least expensive, and yet most underutilized resource available to a recovering or injured runner.
If you are a runner, you are always recovering. You do tissue damage every time you run. If you run a little too much, or you run a little too far, you might get an over training injury. That overtraining injury is really nothing more than an exaggerated version of the intentional injury you are attempting induce when you are training.
Sleep Helps You Heal, Running Doesn’t Help You Heal.
Sl...
2018-01-1719 minDoc On The Run PodcastCommunication Is The Key
The problem with running injuries is that they are easy to ignore. A little tightness here or little achiness there is nothing compared to the pain you feel in those final few miles of a marathon. Runners are used to ignoring pain. One of the most important elements of training for endurance sports is learning how to endure. After all, enduring is the name of the game. You have to learn how to keep running when your quads tell you to quit. You learn to ignore the burn, tune out the noise and keep going. You have to...
2018-01-1012 minDoc On The Run PodcastHow injured runners should focus on the goalA goal is not a fantasy. A goal is not a dream. It’s a place you clearly want to end up. If that goal is important to you, I believe you can get there. No matter how far-fetched, outlandish, or seemingly difficult to achieve, there is always a way to get there.They set all kinds of goals for themselves, their families, their finances, and of course, their athletic goals as well.
For most people the process of goal setting includes some analysis of the past. Maybe your just look at how fast you have run hi...
2018-01-0311 minDoc On The Run PodcastRunning doesn’t cause running injuriesOver and over patients tell me their doctor has told them to quit running. The doctor has said that running is at the root cause of the running injury. B.S.!
Breathing doesn't cause lung disease. Eating doesn't cause stomach upset or heart disease. Driving doesn't cause automobile accidents. Spending money doesn't cause bankruptcy.
Running doesn't cause running injuries. Running isn't the problem. It's the choices we make when we are running (and recovering) that leads to a problem.
If you're a runner it's important you understand first and foremost that running does n...
2017-12-2719 min
Doc On The Run PodcastHow X-Rays Show Metatarsal Fracture HealingRodney asked about a non-displaced fifth metatarsal fracture. He said “Hi, it’s been 8 weeks and my orthopedic doctor says it’s healed. Even though the x-ray doesn’t look like it’s healed. There is still a black in the gap where it was broken. He says that line will be there. Is this possible?”
Metatarsal fractures are extremely common. In fact metatarsal bones are fractured more often than any other bones in the foot among runners. Because these little bones happen to be the longest bones in your foot they’re also crucially important to the stability...
2017-12-2016 min
Doc On The Run PodcastHow to tell when it is okay to resume running with a stress fractureToday on the Doc On The Run Podcast we’re talking about how you can tell when it’s okay to resume running with a stress fracture.
A runner named Whitney recently sent a great question to me on Twitter. Whitney asked “if you suspect a stress reaction/fracture how do you know when it’s healed enough to resume running? Thanks for your podcast!”
As we all know stress fractures in the foot are one of the most common overuse injuries among runners. But just because stress fractures are common, it doesn’t necessarily mean that every runner who gets an aching...
2017-12-1317 min
Doc On The Run PodcastMarla Explains How To Shift Your Mindset, Reset Your Expectations And Recover After An Injection Fails To Help A Running InjuryToday on the Doc On The Run Podcast I’m really excited to have Marla on the show to talk about her experience with recovering from a running injury.
Running injuries can be really difficult for lots of reasons and one of the reasons I think they seem to be so difficult is that the standard of approach in medicine is to first tell you to “stop running”. Sometimes the standard medical approach, or the “standard of care” as we like to call it, can send you spiraling down this path of frustration and despair and it becomes mo...
2017-12-061h 04
Doc On The Run PodcastPaternalistic Medicine Fails RunnersToday on the Doc On The Run podcast we are going to discuss how Paternalism fails runners.
During a sermon one Sunday morning in 1896 in Dayton, Ohio, Bishop Milton Wright said, “If man was meant to fly, God would have given him wings!”
Lucky for us, his sons didn't listen. Had Wilbur and Orville actually taken their father’s admonitions to heart, it would certainly take us a lot longer to get from San Francisco to New York.
As a father myself I cannot believe the good bishop was hoping to crush his childr...
2017-11-2917 min
Doc On The Run PodcastShould A Runner Get An MRI For A Stress Fracture?Stress fractures are one of the most common running injuries. And every runner who gets a stress fracture has to, at least in same capacity, reduce their activity to heal. Sometimes the runner has to stop running for a brief period of time. Sometime you can just run less, modify the way that you run, or come up with some creative strategies to keep running.
You never get a second chance to do your first marathon, so you certainly need to do everything possible to stay fit and not lose all that effort you put into training. Y...
2017-11-2220 min
Doc On The Run PodcastHow a Pain Journal Can Help You Get Back to Running SoonerPain is a part of running. There is a saying often lauded by athletes and we have all heard, “Pain is just weakness leaving your body.” We affectionately call our training studios “Pain Caves.” We bask in the discomfort of pain, knowing it will make us stronger. In training we embrace pain as an ally.
But when you get an over-training injury, pain when running is no longer your friend. The pain forces you to run slower or run shorter distances. Pain forces you to skip workouts. Pain is wrecking your training schedule. Pain is in the way. Pai...
2017-11-1513 min
Doc On The Run PodcastCan I Run After Wearing a Fracture Boot?A few days ago a guy named Vito sent in a great question.
“I was in a walking boot for 6 weeks due to ankle fracture, no surgery. I am out of the boot and doing physical therapy to restore flexibility and strength. Can I safely being running again after a period of time?"
This is a very common question I hear from runners simply because one of the most common treatments for running injures like stress fractures, stable ankle fractures, Achilles tendinitis, peroneal tendinitis and even chronic plantar fasciitis is a fracture walking bo...
2017-11-0813 min
Doc On The Run PodcastHormone DisruptersToday on the Doc On The Run podcast I’m really excited have Dr. Vinh Ngo from Smart Medicine San Francisco. Doctor Ngo is going to explain hormone replacement as a way to make sure your training at full capacity and at lowest risk of injury. Dr. Ngo is a UCSF trained physician and he is an expert in men’s health and hormone optimization. So today I’m really excited that he’s here to share his integrative approach which can help athletes train harder by looking at hormonal limiters to identify changes that can be managed to improve...
2017-11-0147 min
Doc On The Run PodcastShould I wear compression socks if I have a running injury?A few days ago I was doing a phone consultation for a patient who had a fracture in his fifth metatarsal. I was trying to help him understand how important it is to reduce inflammation to speed healing. During our call he asked a great question.
“Should I wear compression socks if I have a running injury?”
In this episode were talking about whether or not you should wear compression socks when you have a running injury.
2017-10-2514 min
Doc On The Run PodcastHow massage helps runners run more and avoid injuryToday on the Doc On The Run podcast we have Tina Deane who is the owner of Massage Works in Los Gatos. This episode will help you understand how runners and triathletes can use massage as a tool to simply run more, train more, train harder, workout more, build your fitness more with a lower risk of injury.
2017-10-1831 min
Doc On The Run PodcastDiscipline and what it takes to recover from running injuriesDiscipline is the difference between choosing what you want now and what you want most.
The problem with discipline is that most runners often seem to perceive discipline and hard work are synonymous. After all, it does take lots of discipline and hard work to become a strong runner. We learn to suffer. Through discipline we learn to put on our running shoes and run in the dark. We run in the rain. We run through aches and pains because we have, through years of training, developed discipline.
So it’s not really surprising that wh...
2017-10-1114 min
Doc On The Run PodcastPeroneal Subluxation In RunnersMy ankles pop and click all the time. They have for years. I am going to help you understand whether or not you might have subluxing peroneal tendons and whether or not it’s a problem.
If you think you have peroneal tendon subluxation you probably have some popping or clicking sensation or maybe even pain at the outside of the ankle. So what causes all of that noise?
Today on the Doc On The Run Podcast we’re talking about peroneal tendon subluxation in runners.
2017-10-0418 min
Doc On The Run PodcastPeroneus Longus Tendinitis in RunnersToday on the Doc On The Run Podcast we’re talking about peroneus longus tendonitis, and what runners can do about it.
Whenever I do consultations for runners who have peroneal tendinitis, they seem to be confused. Even though many of them have already been seen by an emergency room physician or their primary care doctor, they seem to be really unclear about what exactly is going on in their foot and ankle. If you aren’t clear on what is wrong, it’s hard to be clear on what you need to do to heal, and run wi...
2017-09-2718 min
Doc On The Run PodcastPeroneus Brevis Tendinitis in RunnersIn the earlier episodes we explained that peroneal tendinitis is just inflammation of one of two tendons on the outside of your ankle: peroneus brevis and peroneus longus. In most runners these are overuse injuries.
Although they have similar names and they’re both in a similar location they each have very different functions when you run. In the simplest terms, they work together to act as your landing gear when your foot hits the ground and you decelerate. They both stabilize your foot.
But these two tendons stabilize your foot in very different ways. In...
2017-09-2021 min
Doc On The Run PodcastPeroneal Tenosynovitis is the first Peroneal Tendon Problem in RunnersIf you are listening to this, you’re probably a runner and you probably also have pain on the outside of your ankle. You may have already been to see a doctor, or you may just be trying to figure this out on your own. Either way, either you or someone else has suggested that you have a problem with the peroneal tendons. And you’re probably worried that it’s going to screw up your ability to run at least for the next several weeks.
Your doctor may have told you, or you may have read, contin...
2017-09-1318 min
Doc On The Run PodcastPeroneal Tendon Injuries In Runners: An Overview From The Runners Connect Running Injury SummitI recently had the honor of being interviewed by Runner’s Connect to contribute my thoughts on peroneal tendinitis in runners. This live recording was part of the 4-Day Injury Prevent Summit where Runners Connect interviewed 25 of the world’s most renowned running injury experts.
This episode is going to be an overview on peroneal tendon injuries in runners. For most of you listening this, it will give you all the information you need to figure out what’s going on with your peroneal tendons and get back to running. Make sure you go to the show notes...
2017-09-0637 min
Doc On The Run PodcastHow Runners With Severe Achilles Tendinosis Heal Without Surgery
In Part 1 of our series on Achilles tendinitis we talked about how runners with mild forms of Achilles tendon injuries can decrease the inflammation, decrease the stress and tension on the Achilles tendon, get better and keep running.
But we also talked about the unfortunate reality of some runners having a tendency to ignore these injuries when they are in there earliest stages. Because many runners have a high pain threshold you may not even notice the first stage of Achilles tendinitis.
If you don’t notice there is a problem, it’s unlikely you...
2017-08-3033 min
Doc On The Run PodcastHow Runners Heal Achilles Tendinitis Without A Doctor And Keep RunningToday on the Doc On The Run Podcast we’re talking about how runners with Achilles tendinitis skip the doctor visit and keep running.
The Achilles tendon is the biggest tendon in the body. So when the Achilles tendon gets injured, the runner has a really big problem. If you neglect the early sign of problems with the Achilles tendon and develop a severe form of Achilles tendinitis, you can be crippled temporarily and have your running form altered permanently. In short, you may never run the same way again.
If you’ve been running with...
2017-08-2343 min
Doc On The Run PodcastRunners Knee Preservation Strategies With Dr. Kevin StoneToday on the Doc On The Run Podcast we’re talking with legendary orthopedic surgeon Kevin Stone, M.D. about runner’s knee and knee preservation strategies for runners.
Dr. Stone gets invited to travel to medical conferences all over the world to teach other orthopedic surgeons the specifics of his joint preservation research and knee surgery techniques. And in this episode he will share some strategies runners can use to keep running longer with healthy knees.
2017-08-1638 min
Doc On The Run PodcastSesamoid Injuries Are Risky For RunnersToday on the Doc On the Run Podcast, we’re talking about what a runner should do if you’re worried the pain under the big toe joint might be a sesamoid stress fracture.
Sesamoid stress fractures may be one of the very worst injuries affecting runners. In fact, of all overtraining injuries that could actually seriously put your future of running at risk, it may be the sesamoid fracture that has the potential to ruin your ability to run forever.
Pain in the ball of the foot under the big toe joint can have a fe...
2017-08-0226 min
Doc On The Run Podcast5 Tips To Avoid Surgery Complications Common In JulySummer has a dirty little Secret…
If you get injured and wander into the hospital in the summer months you are more likely to end up with a bad result. Believe it or not, statistically, you are even more likely to die.
Your chances of dying in a hospital are highest in July. A study published in 2010 in the Journal of General Internal Medicine exposed one of medicine’s dirty little secrets. All medical internships, surgery residencies, and fellowships begin on July 1st every year. Because of this, July is simply the riskiest month have foot...
2017-07-2419 min
Doc On The Run PodcastShin Splints: What to do if your shin splints won’t go awayIf you’re a runner, the chances are good at some point in your running career you have had an aching, throbbing sensation in the front of your shins. And chances are also good if you talk to your running buddies they would quickly explain to you that you have a case of shin splints.
Shin splints may be common, but they can also be confusing.
As I have said in many other episodes, you have to know what you are treating, before you can treat it correctly. If your doctor has misdiagnosed your condition, or...
2017-07-1929 min
Doc On The Run PodcastHow Strict Rest can actually make your injury last longerIs over-resting slowing your recovery? It might be. Sitting still is a killer for athletes. Not only does it bum you out, but a long period of immobilization can actually increase your chances of having another injury later.
A few days ago I got a call from an athlete who had been unfortunate enough to have a serious injury that required surgery. So when he called me, he already had surgery and was well on the way to recovery.
After six weeks of rest he felt like the rest was killing him. And he had...
2017-07-1219 min
Doc On The Run PodcastYou need new running shoesLet's face it, the primary tool used by runners are running shoes. Although we often think about heart rate monitors, GPS watches and all sort of fancy fabrics for our running clothes, nothing will affect your performance as much as the very best, properly chosen running shoes.
Given I am a sports medicine podiatrist with a practice catering solely to helping runners run, and I like to run, you can rest assured I always run in the very best running shoes.
And not surprisingly, other doctors, and lots of runners ask me which running shoes...
2017-07-0520 min
Doc On The Run PodcastOvertraining Injury BSWhether you’re training for your first 5K, a half-marathon, Ironman triathlon or 100 mile ultramarathon, you have to put in lots of miles. To keep logging miles, increasing your speed and building your strength…you have to avoid injury.
The real game with building strength and fitness in long distance running is to systematically stress your tissues so those muscles, bones, tendons and ligaments all have to rebuild themselves and become stronger.
So whether you are self-coached, you purchased an online training program, or you have hired a professional coach to help you, the task is t...
2017-06-2817 min
Doc On The Run PodcastLessons on plantar fasciitis for runnersThis week I was invited to lecture on Runners Heel: Pearls for Podiatric Physicians at the International Foot & Ankle Foundation Meeting at the Swedish Medical Center in Seattle, Washington.
The attendees to this conference included podiatrists, foot and ankle surgeons and sports medicine specialists. The lecture was on runner’s heel pain and I was discussing the differences between plantar fasciitis, infracalcaneal bursitis, neuritis and stress fractures of the heel bone.
The goal was to try to explain to doctors the ways that they could tell the difference between all these conditions in runners how th...
2017-06-2015 min
Doc On The Run PodcastIronCowboy... 50 Ironmans in 50 states in 50 daysToday on the Doc On the Run Podcast we have a truly inspirational guest: the Iron Cowboy, James Lawrence who is famous for settling two world records: both the number of Half Iron Distance triathlons done in one year and then in 2012 he also set a new world record for the number of full Iron Distance triathlons done in one year. But then, he did 50 Ironman distance triathlons in 50 days, and in all 50 states!
2017-06-1451 min
Doc On The Run PodcastTop 5 Worst Exercises for a Plantar Plate TearThe very first step in healing a plantar plate sprain is to make sure that you don't make the condition worse. Because it's a tiny little ligament and it's easy to make it worse!
In many cases you can continue to run and still heal a sprain of the plantar plate. But this depends on many different factors. However, there are some exercises which I believe are much more stressful than running when it comes to the stresses applied to the plantar plate. If you do these exercises you can rest assured that a tear in the...
2017-06-0611 min
Doc On The Run PodcastFat pad atrophy in runnersOne of the less common ways you can get pain in the ball of the foot is if the cushioning within the foot becomes diminished. If that happens it can feel like you’re walking on rocks or standing right on the bones on the ball of the foot.
If you think about it, when you stand up, your skeletal system, primarily the bones and everything that hold the bones together is what supports you. Obviously, you have a lot of bones in your foot. The bones are resting on top of the skin. So if you th...
2017-05-3123 min
Doc On The Run Podcast5 signs your doctor may not be on your teamIs your doctor on your team?
If you’ve been training for a marathon or any other event and you suffer a running injury the first thing that happens is that you become concerned that your foot is going to hurt and slow you down during your training. But then as things get worse you actually realize it may not just hurt when you’re running. You may have to change your training schedule or even stop running to get it to heal.
If you’ve ever suffered this sort of contemptuous delivery of healthcare, you ma...
2017-05-2414 min
Doc On The Run PodcastTop 5 Ankle Sprain Myths for RunnersAnkle sprains are one of the most common injuries that brings an athlete to the emergency room. Of course, as we talked about before, the emergency room may be the very worst place to go when you actually have an ankle sprain.
Since many runners are starting to learn that they don’t need to sit around all day in the emergency room it’s important to understand what is a myth and what is reality when it comes to a sprained ankle.
If you understand a few simple things about ankle sprains you can make...
2017-05-1712 min
Doc On The Run PodcastDifference between metatarsal stress fractures, Morton’s neuroma, plantar plate sprains and osteochondritisIn previous episodes we talked about the different causes of pain in the ball of the foot in runners. We talked about the differences between Morton’s neuroma, plantar plate sprains, and osteochondritis.
But a great question occurred to one of our listeners. Why didn’t you include metatarsal stress fractures in this series of discussions? After all, the metatarsal stress fracture can also cause pain in the ball of the foot in runners.
So today we’re going to talk about how you can tell the difference between metatarsal stress fractures, Morton’s neuroma, plantar...
2017-05-1017 min
Doc On The Run PodcastOsteochondritis In RunnersIf you are a runner and you have pain in the ball of the foot there are really only a few conditions that could be causing the trouble. This episode is the third of a three part series that explains what you need to think about if you’re a runner seeking treatment for these problems. Previously we talked about pain in the ball of the foot caused by plantar plate sprains and neuromas. Today, we're going to talk a little bit about another condition which is in a similar location in the ball of the foot and can al...
2017-05-0316 min
Doc On The Run PodcastPlantar Plate Sprain in RunnersIf you are a runner and you have pain in the ball of the foot there are really only a few conditions that could be causing the trouble. This episode will be the second of a three part series that explains all of the things you need to think about if you’re a runner seeking treatment for any of these problems. Last week talked about neuroma treatment in runners. Today I’m going to explain a little bit about another condition which is in almost the exact same location as a neuroma.
The plantar plate is a sm...
2017-04-2626 min
Doc On The Run PodcastNeuroma treatment is different in runnersIf you are a runner and you have pain in the ball of the foot there are really only a few conditions that could be causing the trouble. This episode will be the first of a three part series that explains all of the things you need to think about if you’re a runner seeking treatment for any of these problems.
The most common cause of pain in the ball of the foot is most likely a neuroma. So in this episode we’re going to talk about neuroma treatments and give you some things to thin...
2017-04-1916 min
Doc On The Run PodcastPRICE The first steps when you have a running injuryOvertraining injuries come in lots of different forms. Metatarsal stress fractures, Achilles tendinitis, peroneal tendinitis, and plantar fasciitis, they all may affect different structures but what they all have in common is an impending inflammatory response.
When you feel any aching sensation in your foot or your ankle and you think you have an overtraining injury, you want to take steps to control the damage and prevent things from getting any worse. Believe it or not there are a lot of simple things you can do to speed the healing and then get back to running as...
2017-04-1214 min
Doc On The Run PodcastEpisode #35: What a runner should think about when diagnosed with Metatarsalgia?If you are a runner and you start having pain in the ball of your foot, you might be worried that you have a stress fracture. So you have a couple of choices. One option is to go see your local orthopedist or sports medicine podiatrist. The second option is to stop running and see if the pain gets better.
If you’re listening to this podcast right now you are likely not very interested in option number two. After all, most runners want to run. So you might try to figure out a third option such as trying to tre...
2017-04-0512 min
Doc On The Run PodcastWhat if you sprain your ankle on a trail run?The unfortunate reality is that every single day, over 10,000 suspected ankle sprains show up in the ER. While an emergency room may be the best place for someone with a heart attack, it isn’t the best place to get treatment for a sprained ankle.
Today on the Doc On The Run podcast we’re going to talk about the first things you should think about if you believe you need treatment after you sprain your ankle on a trail run.
2017-03-2917 min
Doc On The Run PodcastFat Fueling for Runners: Sports Nutritionist and Triathlete Heidi ButteryToday on the Doc On The Run podcast we’re talking with sports nutritionist and triathlete Heidi Buttery about Good Fat, Bad Fat and Fat Fueling as a way to fuel better and avoid running injuries.
She will discuss what she knows as a nutrition coach, how that's all tied together and to give idea of her approach, where she came from and what she's up to now.
2017-03-2239 min
Doc On The Run PodcastCan I Run With A Broken Toe?Last night I did a remote consultation for a patient who had a broken toe and wanted to get back to running. That discussion generated several thoughtful questions that I have heard before. These are all excellent questions for an injured runner!
So we’re going to talk about all of the things that you should consider if you’re a runner and you break one of your toes, but want to keep running.
2017-03-1532 min
Doc On The Run PodcastMinimalist vs Maximalist Running ShoesMinimalist running shoes, maximalist running shoes and barefoot running, they’re all some of the more recent trends in running and running shoe technology. There's a lot of debate around these different kinds of running shoes as well as different running forms and I was recently invited to give a lecture at the International Foot and Ankle Foundation meeting in Lake Tahoe on February 17, 2017.
Today on the Doc On The Run podcast we're talking about the differences between minimalist and maximalist running shoes.
2017-03-0831 min
Doc On The Run PodcastWhy “Not Running” is a terrible treatment for running injuriesIf you are a runner, and you got a running injury, you may have been to the doctor. And let me guess, your doctor told you to stop running.
Today on the Doc On The Run podcast we’re going to talk about the way stopping running can place you at higher risk of running injuries down the road.
2017-03-0118 min
Doc On The Run PodcastInterview with Brad Beer - Legendary physical therapist and Amazon best-selling author of “You Can Run Pain Free!"Today on the Doc On The Run podcast we're speaking with Brad Beer, legendary physical therapist and Amazon best-selling author of “You Can Run Pain Free! A physio’s 5 step guide to enjoying injury-free and faster running”.
In this episode you're going to learn about Brad's approach to decreasing overused injuries that plague endurance runners and long-distance triathletes.
2017-02-2238 min
Doc On The Run PodcastTop 5 Reasons Runners Should Fire Their DoctorIf you are runner, you probably like to run. If your get injured, you probably still want to run. You need a doctor who will be on your team, not the other way around.
Times in medicine have changed. It used to be that there was this very paternalistic attitude among doctors. Whenever the patient would seek treatment, the doctor would simply tell the patient what to do. The patient was expected to do as he was told.
But in the last few decades the power has clearly shifted back toward the patient. Patients expect...
2017-02-1512 min
Doc On The Run PodcastRunning After Partial Rupture Of The Plantar FasciaToday on the Doc On The Run podcast we’re talking with Darin about his history of issues with the plantar fascia and being an athlete and what it takes to get back to training and recovery and survive these types of injuries.
He shares his experience as a runner with a partial rupture of the plantar fascia who was able to get back to running and training.
2017-02-0829 min
Doc On The Run PodcastWhen do injured runners really have to stop running?The other day I got a call from a patient who had an injury and briefly she explained her scenario and then she asked me the million dollar question, “Do I really have to stop running to get better? More importantly, is it possible that I might actually have to stop running forever because of this injury?”
That’s the big concern we all have as runners. It is a pretty common question when runners get injured. So today I’m going to share my opinion about when people should stop running and not stop running.
All o...
2017-02-0128 min
Doc On The Run PodcastWhat every runner needs to know about plantar fascia surgeryToday on Doc On The Run podcast we’re talking about everything that runners should need to know about surgery on the plantar fascia.
It’s really important that you understand what all the different surgical procedures mean in terms of the procedures themselves but also what that mean to you as a runner. I personally believe that my entire job is to help runners continue running and so I have a perspective that’s a little different than some other surgeons. So we are going talk all of the special considerations that you need to take into a...
2017-01-2531 min
Doc On The Run PodcastTop 5 Mistakes Runners Make with Their ToenailsWhich is better…clear healthy toenails or thick, yellow, black and blue or missing toenails? Running can be hard on the feet. We all know that lots of runners bash their toes. But neglected tootsies can lead to discolored toenails and even lost toenails if you’re not careful.
In today’s podcast, I will discuss the Top 5 Mistakes Runners Make with Their Toenails.
2017-01-1811 min
Doc On The Run PodcastPro Triathlete Jess Smith on Training and Racing During and After PregnancyJess is an amazing athlete. She got a Kona slot in only her second Ironman and then in 2011 became the 2011 70.3 Ironman World Champion and since that time she’s been racing Pro.
On the past year Jess has had some major life shifts and I think that her experiences can help all athletes understand the importance of priorities and focus as life unfolds. She recently started coaching full time, she had a baby and then she got right back to racing. So if anyone knows how to keep the fitness while making major life transitions is Jess....
2017-01-1141 min
Doc On The Run PodcastDr JJ Mayo on Race Day Nutrition Planning and Making Sure You Get Enough Protein to Prevent Running InjuriesDr. Mayo holds a Ph.D. in Exercise Physiology and is a registered dietitian (RD). He is an associate professor and has published close to 50 articles in lay and scientific journals regarding various aspects of fitness and nutrition.
Also, Dr. Mayo has been quoted in magazines such as Men’s Health and US Weekly. Don’t worry, he doesn’t just write about this stuff…he walks the talk, too. JJ has done ultramarathons, he qualified for the Boston Marathon and he has finished 10 Ironman triathlons. He knows what it takes to use nutrition and apply it directly...
2017-01-0433 min
Doc On The Run PodcastShould I Worry About Pain When Running After My Injury Heals?One of the biggest concerns of injured athletes returning to activity is whether or not they should be concerned about pain when they start to run. This is a great question and certainly a valid concern.
Pain is your body’s indicator that something is not right. But you have to figure out which pain is acceptable and which pain is unacceptable. In this episode, we are talking about how to discern good pain from bad pain when returning to running after you heal an over training injury.
2016-12-2832 min
Doc On The Run PodcastPro Triathlete Kim Schwabenbauer on Nutrition Assessments for Runners and Enjoying the Holiday Season Without GuiltToday we’re talking with nutritionist and PRO triathlete Kim Schwabenbauer about the importance of a nutrition assessment for runners as well as tips for enjoying the holiday season without guilt.
Kim is a long time athlete. She ran cross country in high school, she was Team Captain of both her cross country and track teams at Penn State. She has been doing triathlons for over 10 years. She’s won lots and lots of races. She was the amateur champion at Ironman Cozumel and Ironman Lake Placid. She’s even raced at the Ironman World Championships in Kona H...
2016-12-2145 min
Doc On The Run PodcastMyths About X-rays And Running InjuriesEvery day I get calls from injured runners. Whether their foot is aching when they run and they think they have a stress fracture or if they twisted an ankle on a trail, the number one question I get is, “should I get an x-ray?” Whether or not you need an x-ray depends upon several things.
But x-rays don’t always tell the whole story. And there’s also a widespread misconception that if an x-ray doesn’t show anything then you need an MRI or Ultrasound to figure out what is going on with your foot. Frankly th...
2016-12-1428 min
Doc On The Run PodcastWhich Running Surface Is The Hardest On Your Feet?Last week we talked about how you can choose a running surface that will decrease the stress and strain on your foot. The one component of running surfaces that we did not address in that episode was how hard a certain kind of surface can be on your feet.
Today we’re going to talk about concrete, asphalt, grass, sand and all the different running surfaces. Considering the different traits of the path you choose is important if you are hoping to avoid injury, or return to running after an injury and make sure you don’t get r...
2016-12-0717 min
Doc On The Run PodcastChoose a Running Surface to Heal Faster, Run longer and Heal Running InjuriesIf you are a runner with an injury that affects one side of your foot more than another, like plantar fasciitis, picking the right running surface can make the difference between being able to run and still heal, or running and making your plantar fasciitis much worse.
This episode will help you understand how you can pick the best running surface to decrease the stress and strain when you are trying to keep running with foot pain.
2016-11-3020 min
Doc On The Run PodcastCan stem cell therapy help runners heal faster?Today we’re talking about how runners use stem cells to get back to running faster.
In this episode I am going to discuss how stem cells have the potential to transform into any and all of the cells necessary to help speed the healing process.
2016-11-2316 min
Doc On The Run Podcast5 biggest mistakes runners make when they think they have a neuromaToday we’re talking about the 5 biggest mistakes runners make when they think they have a neuroma. We’re going to discuss the most common mistakes I see runners make when they start to develop a neuroma in the ball of the foot.
2016-11-1616 min
Doc On The Run PodcastTroubleshooting the Top 5 running injuries plantar fasciitis, metatarsal stress fracture, Achilles tendinitis, shin splints and IT band syndromeToday we’re at A Runners Mind speaking with Dawson, who is a true running shoe expert. We’re going to discuss the ways that runners can troubleshoot these injuries and keep running.
2016-11-0939 min
Doc On The Run PodcastVitamin D, muscle strength and how a runner can listen to the body to prevent running injuriesToday we are featuring a recorded portion of an interview with Dr. Segler for an injury prevention seminar for RunnersConnect. In this episode you’ll learn about the importance of vitamin D as it relates to muscle strength, not just bone density. You’ll also learn about strategies for listening to your body that will help you when you might be developing a running injury.
2016-11-0236 min
Doc On The Run PodcastStresses and Lifestyle Habits That Contribute to Running InjuriesToday we are featuring a recorded portion of an interview with Dr. Segler for an injury prevention seminar for RunnersConnect. In this episode you’ll learn some strategies to modify bad habits so you can heal faster and get back to running.
2016-10-2628 min
Doc On The Run PodcastWhy runners have an unfair advantage when it comes to healing an injuryTo most runners an over-training injury is their worst nightmare. The reason that these injuries are so terrible to most runners is that they happen at the worst possible time.This often happens 4 to 6 weeks out from your race. So just as you start to see the light at the end of the tunnel, just when you start dreaming of your taper, disaster strikes. You get injured. But all is not despair.
Today we are talking about why runners have an unfair advantage when it comes to healing an injury, and how those advantages can help you...
2016-10-1921 min
Doc On The Run PodcastFracture walking boot: one of the worst treatments for a runnerFracture walking boots are one of the most often prescribed treatments for running injuries such as stress fractures and tendinitis. But runners have a much higher price to pay for immobilization.
In this episode we are going to explain why fracture walking boots are one of the worst treatments possible for an injured runner.
2016-10-1220 min