Podcasts about doc on the run

Over the past couple of months I have done a whole bunch of stress fracture strategy calls with runners who seem to be stuck. I take notes every time I do those calls and there're number of steps that all of them seem to be missing. Let's face it, if they weren't missing some critical steps, we would've never gotten on a call to try to figure out a strategy to get them back on the path to healing and running again. In this episode I'm going to explain the five critical stress fracture steps every runner should take if they really want to get back to training and back to running as quickly as possible. Today on the Doc On The Run podcast we're talking about the five critical stress fracture steps for runners.

One of the most useless obsessions I witness in runners is to focus on the grade a doctor uses to label the stress fracture.  You should care if you can run, you should care if you can work out, you should care if you have to sit around in a fracture walking boot and do nothing. Most of the time runners call me and they are trying to get an answer from me on what they can do, I know their stress fracture grading is useless.  The reason for that is because I just asked two questions based on it and if you ask your doctor these same two questions, it will help you figure out whether or not you can start working out sooner. Today on the Doc On The Run podcast, we're talking about two questions that prove to me your stress fracture grading is useless. 

I was on a second opinion call with a runner. She developed a stress fracture in her accessory navicular bone. If that wasn't enough, she then started having pain in her arch in the tendon that pulls on her big toe. That tendon is called the Flexor Hallucis Longus Tendon, or FHL Tendon.  Can an accessory navicular stress fracture cause flexor hallucis longus tendinitis in a runner? Well, the short answer is yes, and I am going to explain how in today's episode of the Doc On The Run podcast.

Today I was on the call with an injured runner who is trying to figure out how soon she can start running. She had been having pain and she was getting relief by taking over-the-counter medication. She asked me whether not that was good or bad. Whenever we have pain, we can simply take a pill, and the pain will go away. Non-steroidal anti-inflammatory drugs or NSAIDs are powerful readily available painkillers. I do not just get rid of inflammation they also control or reduce pain. So, when is it okay or not okay to reduce your pain with NSAIDs if you are in the process of recovering from a running over training injury? That is a great question and that is what we're talking about today on the Doc On The Run podcast!

I got a call from a runner who had a stress fracture that was not healing, who needed a second opinion.  When we were on the webcam call, one of the things that he did not understand was the specific medical terms on his MRI report. The MRI report said that he had "troughing" of the fractured metatarsal bone.  I just thought that it might be helpful to explain to you what metatarsal troughing really means and how it shows up on an MRI. Today on the Doc On The Run podcast, we're talking about what is metatarsal stress fracture troughing.

I was just giving a lecture at the 46th annual International Foot & Ankle foundation meeting at the Swedish Medical Center in Seattle. A foot surgeon in the audience asked a great question during the question-and-answer period following one of my lectures. Specifically, the lecture was medical imaging strategies to avert misdiagnosis in runners. She asked,  “After a runner has been offloaded with crutches and placed in a fracture walking boot or a cast for immobilization, do you incorporate cross training, or only focus on running?” What is the one biggest mistake any doctor can make with a runner who has been on crutches?  Well, that is what we're talking about today on the Doc On The Run podcast.

If you have a fractured sesamoid bone, the biggest concern is that the sesamoid fracture will turn into a fracture nonunion. "Non-union" means it did not unite. The two broken pieces did not get back together, and the fractured sesamoid bone did not heal.  I was talking to a runner who had a sesamoid injury and she wanted to know whether or not surgery was a good option in her case.  We talked broadly speaking about three different possible kinds of sesamoid surgeries. Today on the Doc On The Run podcast, we're talking about surgical options for sesamoid fracture nonunion.

A couple of weeks ago, I was invited to give some lectures at the Heartland Podiatry Conference in Des Moines, Iowa.  The conference organizers asked me to give an entire "Doc On The Run session" during which I presented five lectures back to back...all on how doctors could approach treatment of  injured runners differently.  During the attendee question and answer session, a doctor asked:  "Do you use ankle braces for ankle sprains, and under what circumstances would you recommend braces for recovering runners? This question came out of what's called Conservative Management of Ankle Sprains in Runners Who Want to Run.  Do I recommend ankle braces for runners?  Well, that's what we're talking about today on the Doc On The Run Podcast. 

If you have been running with a nagging aching pain on the outside of your foot, just in front of your ankle, you might think you have a cuboid stress fracture.    If you then get an x-ray of the foot and it shows a tiny little extra bone sitting just next to the cuboid, well that bone has a specific name and it is called an Os Peroneum.    Sometimes you can get pain from the Os Peroneum, sometimes you can get pain from the cuboid bone that's right next to it.  If you're a runner and you have Os Peroneum pain, how do you tell the difference from a cuboid stress fracture?    Well, that's what we're talking about today on the Doc On The Run podcast.  

If you call me and you tell me, I think I have a cuboid stress fracture, the first thing I'd say is...pretty unlikely.    In fact, cuboid stress fractures are less than 1% of all the stress fractures that happen in the foot in athletes.    So they really are very rare.    One thing you can get that's actually much more common is arthritis within the joint. That's also pretty rare, but you can tell the difference.   How can a runner tell the difference between a cuboid stress fracture or calcaneocuboid joint arthritis?    Well, that's what we're talking about today on the Doc On The Run podcast.  

I was just speaking at a medical conference in Las Vegas, and of course I flew on a plane to get there.    To me, as a podiatrist, the most dangerous two spots in the airport are in the security screening line.  I don't like standing on those yellow footprints in the security scanner spots because I think it's a little gross to stand without shoes, where thousands of people a day step barefoot.  I see people in airports with fungal toenails and with athlete's foot infections. I can see the skin on their feet peeling, and I know exactly what's happening.    When that skin is peeling they are shedding live fungal filaments and fungal spores everywhere they step. And I worry that travelers are depositing, sharing and spreading foot fungus on those yellow footprints.    Want a foot fungus pro tip? Well, I'm going to give you one. Wear old socks to the airport. It might be kinda gross, but that's what we're talking about today on the Doc On The Run podcast.

The #1 concern all injured runners face is time.  How long will I have to use crutches. How long will it take the surgery to heal. How long will I have to wear a fracture walking boot.  How long will I have to stop running. How much running fitness will I lose in that time. I feel like most of the runners who call me for a second opinion over webcam are making a critical mistake. They are hiding from the injury. Are you an injured runner who's hiding from your injury? Well, that's what we're talking about today on the Doc On The Run podcast. 

If you have ever run with a rock in your shoe, you know just how painful a little pebble can be. Sometimes a callus forms in a way that it gets rock hard and starts to get embedded in the skin. Painful calluses can literally feel like a rock taped to your foot. The problem is that callus removal pads don't work. Using a pumice stone to shave down the surface of the callus doesn't really help much either.   But you can fix them the same way I do using what I call the Strawberry Stem Technique.   Let's talk about how they form and how this technique works.   Today on the Doc On The Run podcast, we're talking about how you can fix painful calluses in a runner with what I call the Strawberry Stem Technique.

One time at a medical conference, an expert lecturing on biomechanics said,  “When a runner develops Hallux Rigidus, he becomes a swimmer instead of a runner.” Most of the doctors in the audience laughed. I really didn't think that was very funny. I actually have hallux rigidus myself, and it doesn't disrupt my running. It is true Hallux Rigidus can cause pain and swelling in the big toe joint. If you aren't careful the joint can get destroyed. If you understand a little bit about the mechanics of the joint, it may help you understand how to avoid the arthritis that can hamper your ability to run in the future. How can pronation cause hallux rigidus in a runner? Well, that's what we're talking about today on the Doc On The Run podcast. 

I was just giving 3 lectures on running injuries at a medical conference in Las Vegas.   As is often the case, after one of my lectures one of the physicians in the audience approached me in the hallway to ask a question. What do you do with activity level when somebody has an old fracture where the bone was broken long ago? The runner recently had a re-injury at that spot. It has been painful, it's been swelling, and he's trying to figure out what to do. What's a bone bruise at an old fracture site? Is it a big problem or a little problem? Well, that's what we're talking about today on the Doc On The Run podcast.

When you have two painful problems in different parts of the same foot, things can get complicated. I recently had a call with an injured runner with a couple of different problems.  On the outside of his foot, between the third and fourth toes, he has a painful neuroma.  The other problem is that he's got bursitis. The inflamed bursa is in a completely different place, no where near the irritated nerve. When a runner has two injuries, like a neuroma on one side of the foot and bursitis on the other side of the foot, which one is worse? Which one should you pay attention to first? Well, that's a great question and that's what we're talking about today on the Doc On The Run podcast. 

I just got off a call with a runner who needed a second opinion with his running injury recovery. He had a fracture and it has been improving. But because it was painful and swollen, he was still icing it daily. At his last follow-up appointment, the doctor actually said, "I think you're good enough to actually start cycling at this point, to get back a little of your running fitness." So, the question is, should I stop icing? Do I need to keep doing that? If my injury is good enough to start cycling can I stop icing? Does a release to cycle mean you're good enough to stop icing your foot? Well, that's what we're talking about today on the Doc On The Run podcast.  

Sometimes a doctor really needs to touch your foot to make the diagnosis. But not always with runners.  Since the pandemic pushed so many of us into Zoom meetings, we all know it's pretty easy to get on a web-cam call when it's really difficult to meet someone in person. There are a couple of times when webcam second opinion visits can be almost as good as meeting in the doctor's office. There are lots of benefits to the webcam calls that do make them almost as valuable as in person visits. When is a webcam second opinion just as good as an in-person doctor's visit for runners?  Well, that's what we're talking about today on the Doc On The Run podcast.

Today's episode comes from a great question I got during one of the Runners Aid station calls. This was someone who had a plantar plate sprain and had talked to a doctor about a couple of different procedures that might actually, potentially, speed up the healing.  He wanted to know about the difference between these two things called dry needling or a PRP injection. Today on the Doc On The Run podcast, we're talking about dry needling versus PRP in runners.

The radiologist reading your MRI knows nothing about your problem.  The only clues a radiologist gets about your injury are described in the clinical history section of the MRI order from your doctor.  I just got off a call with a runner who had gotten an MRI order from his doctor. He had a long history of injury but the only description on the MRI order was "Concern for fracture." This runner had more than just a concern for a possible fracture.  But because there was such a limited description for the radiologist, the injured runner was understandably irritated and frustrated that the radiologist didn't have the full information. I will admit that I also get very upset about this when I'm looking for something obscure that the radiologist is likely to miss, unless it's on their radar. But there is an up-side to everything! Today on the Doc On The Run podcast, we're talking about the benefit of your radiologist being clueless.  

Imagine your doctor tells you that you have a metatarsal stress fracture and you should not run.  Why would you come home from the doctor and call me asking, "Can I run in cleats with a stress fracture?"  Believe it or not, that actually happened.  In this case we are talking about an athlete who is actually getting better and who wanted to train on the track. He wanted to run in cleats.  Aside from the uncertainty, he was doing okay. He was a little hesitant and wasn't sure if cleats would aggravate the injury right or not.  Can I run in cleats with a stress fracture?  Well, that's what we're talking about today on the Doc On The Run podcast. 

We've all heard the saying that time heals all wounds. While that may be true, time also kills your running fitness when you're not training. You have to remember that the enemy of your running fitness is not the fracture walking boot.  The enemy of your running fitness is not the crutches. The enemy of your running fitness is not your doctor. The enemy of your running fitness is time! Today on the Doc On The Run podcast we're talking about how time is the enemy when you have a running injury. 

Today we're talking about some of the x-ray changes that happen when you get hallux rigidus or hallux limitus. If your doctor tells you the x-rays show hallux limitus...what does it mean? We're going to talk about these five things that you can see commonly on the x-rays when you have hallux rigidus. Today on the Doc On The Run podcast, we're talking about five changes on x-rays when you get hallux rigidus. 

The problem is not that you have a stress fracture. The problem is not that you have an Achilles tendonitis issue that is bugging you.  The problem is that you have been given advice that freaks you out and convinces you to do absolutely nothing while you wait to recover. How do I know?  Because I don't help people get better from running injuries. Instead, I help injured runners figure out how to run.  That's what I really do.  Today on the Doc On The Run podcast, we're talking about why you need to focus on possibilities and not limits or obstacles when you're an injured runner. 

I was just on a call with a runner suffering from a plantar plate sprain. He had a great question: Is inflammation really bad or is it good when you have a plantar plate sprain? Physicians commonly prescribe anti-inflammatories. There are many approaches used by injured runners to manage inflammation, reduce inflammation, and hopefully make your foot feel better. If inflammation is bad for the plantar plate ligament, part of your recovery plan should include some sort of anti-inflammatory treatment. But if the inflammation is good for the plantar plate, you should not try to interfere with the inflammatory response.  Is inflammation good or bad for a plantar plate sprain?  Well, that's what we're talking about today on the Doc On The Run podcast.

Doubt comes from confusion. Confusion leads to paralysis when you've been injured and you don't know what to do to maintain your running fitness.  Doctors tell you to sit still.  Pill pushers tell you to take medicine.  Gizmo peddlers tell you to buy expensive devices.  Many runners don't really even know what they can do, other than rest. If you are going to doubt anything when it comes to your running injury recovery, what you should doubt is the validity of sitting around doing nothing while waiting for healing.  Today on the Doc On The Run podcast, we're talking about how doubt does the most damage to a recovering runner.  

If you are reading this, maybe you have sesamoiditis, a sesamoid stress reaction or a metatarsal stress fracture. This is a real example from a real patient. This story really illustrates how MRIs can show misleading clues leading to a potential misdiagnosed leading your doctor astray.  It is crucial that you focus more on your running goals, your injury progress and what it really means precisely where you have pain in your foot. Then and only then can the MRI findings be put in the proper perspective.  Too much emphasis on MRI findings can make you think you have a different injury. Today on the Doc On The Run podcast we're talking about how sesamoid pain got misdiagnosed as fourth and fifth metatarsal stress reactions.  

How do you know your injury is improving? How do you know that you got the green light to start running? How do you know it is healed?  Well, when I talk to runners, most of them say something like:  "Well, my x-ray shows this. Does that mean that I can run?"  "My blood test showed that, does that mean I can run?"  "My doctor said this, but I heard that on some other podcast, so does that mean I can run?" There is lots of confusion around how you can tell when you are getting better as you start regaining running fitness after an injury starts to heal. Timing is the crucial piece of information if you really want to run. Today on the Doc On The Run podcast, we're talking about two ways an injured runner can tell the injury is actually improving.

I was recently invited to give a lecture at a foot and ankle medical conference in Seattle. I was giving a talk called Conservative Treatment of Ankle Sprains in Runners Who Want To Run. This was an attempt to teach physicians what I do with ankle sprains. Mostly I was trying to get them to think about what they need to do to get runners back to running as quickly as possible instead of just doing the standard ankle sprain protocols with their patients. The Ottawa Ankle Rules are a set of rules that were created in Canada to reduce people from getting unnecessary ankle X-rays when they have an ankle sprain and go to the emergency room. Today on the Doc On The Run podcast, we're talking about a common fracture missed by the Ottawa Ankle Rules.

I just got a call from a runner who I have seen before. He had swelling in his Achilles tendon, and he was worried about it.  He was worried that he could have a ruptured or completely torn Achilles tendon. If you are a runner and you get a complete rupture of the Achilles tendon, this is one of the worst things that could possibly happen to you. A torn Achilles is way worse than a broken bone. The worst thing you could do is ignore a torn Achilles. You do not want to ignore it! Today on the Doc On The Run podcast, we're talking about an easy at home test you can do if you think you have a complete rupture of the Achilles tendon.

Every time I am in the Recovering Runner's Aid Station where I answer questions for injured runners, I get questions about how to get an advantage. Everybody wants an advantage.  I don't think most people cheat. There are some people who cheat, but certainly not everyone. But I think it is okay to look for an unfair advantage when you're injured and you're trying to get back to running.   The truth is, getting an unfair advantage when you are injured is actually really easy to do. Today on the Doc On The Run podcast, we're talking about three unfair advantages in healing running injuries.

I was just lecturing at the International Foot and Ankle Foundation meeting in Seattle. I was giving talks on running injuries. A doctor in the audience asked me if "not running" was the safest way for runners to heal running injuries. Keep in mind, this was a doctor asking the question. Have you ever thought this makes sense? After all, if a runner gets a running injury, and they stop running, that's the safest way to get it to heal. Or is it? Do you agree that not running is the safest way to heal a running injury? Well, that's what we're talking about today on the Doc On The Run podcast.

Let's consider you are a runner with a painful neuroma. The more you run, the more painful the foot becomes.  But it only started with some weird little sensations. Eventually it starts to get more numb. You notice more tingling, then more burning pain. Now your doctor wants to talk you into surgery. You just want the problem fixed. So you go to the operating room and then you're shocked to find out that you still have pain later. By the way...that's not malpractice. It just means you had a bad outcome.  But if you're the runner, you've got to figure out what to do. Today on the Doc On The Run podcast we're talking about two different types of injections your doctor might offer you after a failed neuroma surgery.

 One of the questions I got in the Runners Aid Station was:   “Do I really need a fracture walking boot?”   This is a runner who went to the doctor, and was told, "You have extensor tenosynovitis. The best way to get it to calm down is to remove the inflammation and stop aggravating the tendons."   If you get aching pain on the top of your foot, it might be caused by an irritated extensor tendon sheath (which is the little tube around the extensor tendons as it goes out to the toes on the top of the foot). If so, you might be thinking you need something drastic to stop the tendons from moving so it can calm down.   Do I need a fracture walking boot for extensor tenosynovitis?    Well, that's what we're talking about today, on the Doc On The Run podcast. 

If you're reading this, it's probably not because you love toenail fungus. It it also probably not because you think black toenails are pretty. In fact, you probably think both are pretty gross and you would be right. But this bruised black toenails and toenail fungus joining the party is mostly preventable. All runners should understand the circumstances that can put you at risk of getting a fungus infection in the nail which runners call "toenail fungus," or which doctors call "onychomycosis." It is often the fungus that actually causes the skin infection called athlete's foot. It's very, very common. Fungus is all over the place! Don't freak out, but it's probably in your shoes right now!  Whether or not the fungal spores and fungal filaments will cause an infection on your feet, just depends upon the circumstances that you set up as a runner that actually allow it to get in and cause real trouble. How can a bruised toenail from running cause toenail fungus? Well, that's what we're talking about today on the Doc On The Run podcast.

If you get a plantar plate sprain, the first thing you may notice is pain and irritation at the ball of the foot, right where the second toe attaches to the foot. If the foot feels swollen, puffy or sore in that spot, it could be a plantar plate sprain. A one common injection performed for plantar plate ligament sprains is a corticosteroid injection. I just spoke with a runner who thought the doctor did the injection in the wrong part of the foot.  She saw a podiatrist, and the doctor did a corticosteroid injection for the plantar plate sprain. She was confused afterward and asked me if the doctor did the injection with the right or wrong technique. I'll explain why she was confused. I think my doctor did the wrong injection for the plantar plate ligament. Well, that's what we're talking about today on the Doc On The Run podcast.  

I was just speaking with a woman who has a suspected mild plantar plate sprain. What was interesting is the fact that she doesn't really have a whole lot of pain. I was explaining how important it is that she actually figures out her baseline "pain" numbers. I was explaining that even if you don't call it "pain" you have to rate the level of discomfort so you can track it.   How bad is it when walking with or without running shoes, or simple things like walking up and downstairs. Now, the problem is that she said, "well, it's not really painful so I can't put a pain number on it." I understand it may not really be painful. Particularly if you're an athlete with a high pain tolerance.  When you have a mild plantar plate sprain you must figure out what it is that you call discomfort or pain. You have to track it. Does a mild plantar plate sprain always hurt? Well, that's a great question and that's what we're talking about today on the Doc On The Run podcast.

I just got off a webcam call in the Injured Runners Aid Station. The runner who called me, had some down with a cold. He had been sick for a few days. He wasn't running. He was curious about whether or not his injury was going to actually get worse while he was ill. Because he knows that when he's sick, his immune system is working really hard to try to fight the infection. And your immune system can't do everything all at once. If you have an injury, it is widely accepted that the illness is going to slow down your potential ability to rebuild tissue and repair damaged tissue, whether a metatarsal stress fracture or an Achilles tendon injury. Can my foot injury heal while I'm sick? Well, that's a great question, and that's what we're talking about today on the Doc On The Run podcast.

If you recently started getting some aching pain on the outside of your ankle every time you run, you might have a condition called peroneal tendonitis.  Peroneal tendonitis is a problem often encountered by runners with high arches. It can often be exacerbated by running in ultralight unstable shoes or running on trails when you're feeling too tired to maintain good form. The two peroneal tendons are both on the outside of the ankle. But they do different things. The way you position your foot to reduce the stress and strain on the one injured tendon, will have to be different because they each do different things. Today on the Doc On The Run podcast, we're talking about how to tell the difference between the peroneus longus and the peroneus tendon when you're a runner.

If you get pain on the top of the foot when you're running you might discover  you have a painful condition called extensor tenosynovitis. "Tenosynovitis" just  means you have irritation and inflammation within the tendon sheath, or the little tube that surrounds the extensor tendons that fan out toward the toes on the top of the foot.  There are really 2 keys to calming the tendon sheath. You have to decrease the inflammation with the tendon sheath. But you also have to stop irritating the swollen tissue inside the tendon sheath. The easiest way to stop that irritation when you run is to stop putting pressure right on that irritated spot. Today on the Doc On The Run podcast, we're talking about how to lace your running shoes when you have extensor tenosynovitis.  

Yesterday I saw a runner with a plantar plate sprain. She wanted to know if stretching the toe would help the plantar plate ligament heal faster.  Plantar plate sprains happen because the plantar plate ligament gets overstretched, and strained.  When you get a plantar plate injury, the fastest way to allow healing is to reduce the stress and strain on that injured ligament. If you're thinking about whether or not to stretch the toe or do something to try to help the condition improve faster, you really need to think about the mechanics that are actually involved when you have a plantar plate injury. Should you stretch the toe that has a plantar plate sprain?  Well, that's what we're talking about today on the Doc On The Run podcast.

Think about what happens when you start running. You decide you want to run. You make a decision, then you go out and you actually run. You start working on your running form. Maybe you hire a coach You add a little speed work. You also start doing some strength training to supplement your running fitness. Eventually you even start working on your pacing strategies for your races. These are all things that are important pieces of running. But thinking about your pacing strategy when you haven't even started running is a really bad idea. It doesn't matter what you think about pacing if you can't actually run the whole distance. There is a most important piece, at each point in the process. This is especially true in running injury recovery as well.  Today on the Doc On The Run podcast, we're talking about finding your number one missing piece in your running injury recovery.

I just did a web-cam call with a runner who had a thing called a "mallet toe" deformity. He had pain in the ball of the foot when running. He said he was reading about plantar plate sprains, and thought, "Maybe I have a plantar plate sprain because I got this funky toe." He wanted to know if a mallet toe could cause a plantar plate injury.  Can a mallet toe cause a plantar plate injury? Well, that's what we're talking about today on the Doc On The Run podcast.

When we think about training for endurance events like marathons, we expect the payoff to feel good.  We are patient with the process, yet in the progression of building fitness, we always expect that when we have a breakthrough run, it's going to feel great. It is just not true. When you do a run that is a lot longer, or a lot faster, you know you've made a breakthrough. Breakthrough runs do not always feel great and that's what we're talking about today on the Doc On The Run podcast.

I was just watching an injured runner walk. We were trying to pin down her diagnosis and figure out why she was getting injured. She asked me what I actually saw when analyzing her gait. One of the things I saw was that she had this thing called extensor substitution.  She wanted to know how it contributed to the issues she has been having when she was running. Today on the Doc On The Run podcast, we're talking about extensor substitution in runners.

What happens when you look down at your feet as you run?  Many injured runners start looking down toward the injury, even as they run.   What do I mean by that?    We start to hunch over, our running form falls apart, and we do all the things that are completely counter to everything that we know about good running form.   If you're running after an overtraining injury, you really need to keep your head up.   That's what we're going to talk about today on the Doc On The Run podcast.

If you are reading this because you are researching Achilles tendinosis, I'm sorry.   Achilles tendinosis is one of the worst injuries a runner can get.    Tendinosis is a serious problem and must be treated aggressively.   It is helpful to understand what you really need to do. You also need to understand Achilles tendinosis treatments doctors often recommend, which you might want to avoid.    Today on the Doc On The Run podcast, we're talking about Achilles tendon calcification in runners with tendinosis. 

One of the things that's really important is that you really have to think about what it takes to ramp up without getting injured, and that requires tracking and paying attention to everything. I'm going to let you listen in on a recording from an actual live session in the Injured Runner's Aid Station explaining these keys to ramping up and running without getting reinjured, while using the advantages that you already have with your runner's mindset. Today, on the Doc On The Run podcast, we're talking about how injured runners cannot find a solution when refusing to even look at the problem.

The reality is, there are only two kinds of runners that I think really need a fracture walking boot for plantar fasciitis. The runners who don't mind losing all their running fitness and the other group of runners who really need a fracture walking boot for plantar fasciitis are those that basically assume they have the wrong diagnosis. Which kind of runners really do need a fracture walking boot for plantar fasciitis? Is it somebody with mild plantar fasciitis? Moderate plantar fasciitis? Severe plantar fasciitis? And that's what we're talking about today on the Doc On The Run podcast.

One of the worst things when you're an injured runner is to stop taking action.  Think about what would happen if you did this with a marathon. If you were to sign up for a race and you didn't do anything to actually gain fitness in preparation for that event, would you expecto to do well? It blows me away when I see injured runners who have spent years in disciplined training, yet then when they get injured, they just sit in a puddle of inaction that keeps them stagnant and prevents them getting back to running. Anxiety robs injured runners of action, and that's what we're talking about today on the Doc On The Run podcast.