Difference between MRI vs MRA in runner with ankle injury
Doc On The Run Podcast
by Dr. Christopher Segler
4d ago
Let's say you had an ankle injury a long time ago.  You sprained the ankle when you were out on a trail run, it got better , and you went right back to running. But over time, you slowly got more and more pain in the ankle.  In that case, you doctor might order an MRI of your ankle, or a similar imaging study called an MRA (instead of MRI).  What's the difference between MRI or MRA in a runner with an old nagging ankle injury? That's what we're talking about today on the Doc On The Run Podcast ..read more
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2 Ways running shoes cause shin splints
Doc On The Run Podcast
by Dr. Christopher Segler
4d ago
I recently saw a runner who thought that he might have a tibial stress fracture. But it turns out, it was just shin splints, which of course is good news. Because you don't really want a tibial stress fracture. Shin splints is much easier to treat.  One of the questions he asked me was about the best running shoes based on his foot type.  This runner really needed more stability than got from the running shoes that he was wearing. What are two different ways shoes can actually cause shin splints in runners? That's what we're talking about today on the Doc On The Run Podcast.  ..read more
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2 reasons toe drifts sideways with plantar plate injury
Doc On The Run Podcast
by Dr. Christopher Segler
1w ago
If you got pain on the ball of the foot, at the base on the 2nd, and you have been running in a minimalist shoe,  running uphill, doing lots of calf raises, or running on steps, you could have an injury to a little bitty ligament called the plantar plate ligament.  If you get an injury to the plantar plate, sometimes your second toe will drift toward your big toe or away from your big toe. The toe drifting sideways can happen for two different reasons. They are very different causes and so they are treated differently.  Why does the toe drift sideways when you have a plantar pla ..read more
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3 Phases of ankle sprain recovery in runners
Doc On The Run Podcast
by Dr. Christopher Segler
1w ago
If you roll your ankle on a trail run and it turns black and blue and swollen, you may think you just have to take a few days off.  In fact, if you research how long it will take to get back to running, you might find a study that says that if you do early range of motion after an ankle sprain, it only takes 4 days to get back to pre-injury levels of activity.  However, if you do that, you can wind up with a lot of trouble later.   When I lecture at medical conferences on how doctors should treat ankle sprains in runners, I teach 3 phases of ankle sprain injury recovery. If you ..read more
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Calcaneal stress fracture in runners good news bad news
Doc On The Run Podcast
by Dr. Christopher Segler
2w ago
If you're out on a run, and you have heel pain that suddenly hurts a lot, you may have a calcaneal stress fracture, especially if you see bruising and swelling. If you go see a doctor, they take an x-ray, and they don't see anything at all but they squeeze your heel and it hurts. The suspicion goes up.   If your doctor gets an MRI that shows a calcaneal stress fracture, the doctor is probably going to tell you, "you can't do anything until the stress fracture heels." Today on the Doc On The Run Podcast, we're talking about calcaneal stress fractures in runners and I have some good news an ..read more
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Broken toe can I compete in 4 weeks?
Doc On The Run Podcast
by Dr. Christopher Segler
2w ago
Last night, I was doing a consultation with an athlete who actually broke one of her toes and her main question was: Can I compete in four weeks? I have a competition in four weeks, I want to compete. Do you think I'll be ready?  Well, I actually told her, no joke, I actually said, “I'm very sorry, but my crystal ball is broken.”  However, I can tell you how to figure that out because that is what I teach athletes to figure out when they do the Fast Track challenge. I have a broken toe and I want to compete in four weeks. Is it possible?  Well, that's what we're talking about to ..read more
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Orthopedic doctor said come back 4 weeks after fracture
Doc On The Run Podcast
by Dr. Christopher Segler
2w ago
Yesterday, I went to an appointment with a friend who had an appointment with an orthopedist.  She had 3 fractures. She wanted to know what she could do in terms of activity while she's healing and recovering from these different injuries.  I just went with her, not as her physician, but to serve as a friend and advocate for her at her appointment. This episode is going to explain why you really need to take an advocate with you to any doctor's appointment.  I went to an orthopedic appointment yesterday and they told me to come back in four weeks. What do I do now?  Well, t ..read more
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Can I use a bone stimulator for a broken toe?
Doc On The Run Podcast
by Dr. Christopher Segler
3w ago
Yesterday, I was doing a consultation with an athlete who broke one of her toes when she accidentally kicked a piece of furniture. If you fracture your toe, and you just run and ignore it, it can turn into a painful nonunion (non-healed fracture).  As a runner, you want to speed the healing as much as possible. One of the ways to stimulate fracture healing is with a thing called a bone stimulator.  This particular athlete actually happened to already have a bone stimulator. Her question was pretty obvious: “Can I just use that bone stimulator for this broken toe since it's a differen ..read more
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Medial calcaneal neuritis vs Baxter's neuritis in runners with heel pain
Doc On The Run Podcast
by Dr. Christopher Segler
3w ago
If you're a runner with heel pain you may think you have plantar fasciitis. But if it is not getting better, your heel pain may be caused by "neuritis." I was just giving a lecture to a group of physicians getting their continuing medical education credits at the International foot Medical Foundation medical conference in Lake Tahoe. I was giving a lecture called “When Heel Pain is NOT Plantar Fasciitis in Runners.”  One of the conditions I was talking about was "medial calcaneal neuritis."  One of the doctors in the audience asked a really great question... He said, “I see a lot of ..read more
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How dress shoes with long toe box act as a lever to stress plantar plate
Doc On The Run Podcast
by Dr. Christopher Segler
3w ago
I recently did a consultation with a runner who had gotten a plantar plate injury. He had been getting better by using some of the tricks I teach in the Plantar Plate Course For Runners.  He got better, he was protecting it, he reduced the stress and strain on the ligament, and he got back to running. He was doing great.  But then he had a setback when he went to the synagogue. He was dressed up and wearing some fancy dress shoes, and he started to get plantar plate pain again. Today on the Doc On The Run Podcast, we're talking about how dress shoes with a long toe box can actually w ..read more
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