Doc On The Run Podcast

Peroneal Tenosynovitis is the first Peroneal Tendon Problem in Runners

If 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, continuing to run with peroneal tendinitis can result in permanent damage to the tendons. So a diagnosis of peroneal tendinitis can and should be concerning. The most important thing is to figure out whether or not you actually have peroneal tendinitis or you have another condition that might be easier to treat, like peroneal tenosynovitis.

Today on the Doc On The Run podcast we’re talking about peroneal tenosynovitis in runners.

Peroneal Tendon Injuries In Runners: An Overview From The Runners Connect Running Injury Summit

I 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 page and I’ll explain how you can also get access to the corresponding video lecture that was presented during the 4-Day Injury Prevention Summit.

How 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 will treat the problem. So you may be one of those runners who just really didn’t realize you were developing a problem with the Achilles tendon. You might have noticed some weird sensations that went on for months.

If so, you may have developed one of the more severe forms of Achilles tendon injury.

In today's podcast we’re talking about how runners with severe cases of Achilles tendinitis keep running without surgery.

 

 

How Runners Heal Achilles Tendinitis Without A Doctor And Keep Running

Today 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 an aching pain in the back of your leg down near your heel and you worry you have Achilles tendinitis you’re probably freaked out and concerned that you’re going to have to stop running. But don’t worry. I’m going to explain to you exactly what runners do that helps them get over those early forms of Achilles tendinitis without ever seeing a doctor.

Runners Knee Preservation Strategies With Dr. Kevin Stone

Today 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.

Sesamoid Injuries Are Risky For Runners

Today 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 few causes.  The key of course is to make sure you know which condition is causing the trouble.

So first and foremost, you want to make sure that you don’t miss a sesamoid injury.

5 Tips To Avoid Surgery Complications Common In July

Summer 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 surgery or any other surgical procedure associated with hospitalization.

This is not complicated. After eight years of sitting in college classrooms and medical school lecture halls, the wet-behind-the-ears medical intern is just itching to try out all of those skills he or she has read about. The problem is, they have a lot of learning left to do.

You don’t really want to be the first person when a new foot doctor tries to make a surgical incision on your foot. You also don’t want that new, nervous, over-worked and sleep deprived intern fumbling through a Pharmacy handbook while writing your medication orders at 4:00 a.m. You are far more likely to have a bad outcome in July for several reasons.

In this episode, I will discuss the 5 tips to avoid surgery complications common in July.

Shin Splints: What to do if your shin splints won’t go away

If 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 if you have misdiagnosed yourself, you may be using the “right treatment” on the “wrong problem.” Of course if you do that, it’s unlikely you will improve.

In this episode we are going try to eliminate some confusion so you can know what to do if you get a case shin splints that doesn’t seem to go away.

How Strict Rest can actually make your injury last longer

Is 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 just been told by his doctor that he needed another month or so of rest before he could start regaining strength and becoming active again.

Understandably, he became frustrated.

Today on the Doc On The Run Podcast we’re talking about how over-resting can actually slow down your recovery from a running injury.

You need new running shoes

Let'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 are the best. That's not an easy answer. Of course the short answer is that the best running shoes are the ones that work best for you. But you have lots of variables. Your foot type is probably different than mine. Chances are good that you're a faster runner than me. You also probably have a different training regimen and set of goals for this year. Your running shoes are supposed to help you run further, decrease your risk of injury and protect you while you train.

The very best running shoes are always an accurate reflection of the runner’s particular biomechanics, running form, training regimen and particular goals. So in this episode we're going to talk about some of the ways you might want to reconsider your running shoe choices.