Doc On The Run Podcast Dr. Christopher Segler

I had a call from a patient who wanted to know about surgical removal of Morton's neuroma. 
She said she went to the doctor. The doctor said, “Well, we can just take the nerve out. It is not a big deal. We do this all the time.”
The reason she called me for a second opinion was because the doctor told her we have to cut a ligament to take the painful nerve out. 
She wanted to know if that was true, and whether or not that could cause a problem later.
Do you have to cut a ligament in the foot to remove a painful neuroma? 
That is what we're talking about today on the Doc On The Run Podcast.

I got a comment from a runner who posted this question on one of the YouTube videos on the Doc On The Run YouTube channel.
He says he had plantar fascia surgery just over 3 months ago.
He said that following the operation, he followed all of the surgeons post-operative instructions "to a tee." 
He was feeling great, until he started developing a small pain at the back of the arch right where the heel starts. 
He said:
“My whole arch is in pain. Do you think I could have a torn plantar fascia? It was tolerable but in hindsight this has not been ignored.”
Did I tear my fascia after plantar fasciitis surgery? 
Well, that is what we're talking about today on the Doc On The Run Podcast. 
 

I was just on a call with a runner who had a plantar plate injury that has been bothering him for about a year and a half.
We did a series of calls to talk about some changes in his treatment that could get him moving in the right direction.
He asked me a great question when I was on a call with him this morning. 
He said:
“Can I run in zero drop shoes once it is really healed? Not today, but like when it is really, really healed and it is stronger and all that kind of stuff.” 
I said, “You can do whatever you want, you just have to be willing to pay the consequences.”
Can I run in zero drop shoes after a plantar plate sprain heals? 
Well, that is a great question and that is what we're talking about today on the Doc On The Run Podcast. 

When you have hallux rigidus, the problem is the big toe joint does not want to move. 
Many doctors will simply tell you that your big toe joint, or the "first metatarsal phalangeal joint" is getting progressively stiffer and developing arthritis. 
If you wear shoes that irritate the joint more, the condition will only gets worse. The question is what sandals won't make hallux rigidus worse?
What sandals can I wear with hallux rigidus? 
Well, that is a great question and that is what we're talking about today on the Doc On The Run Podcast.

Today's episode comes from a comment on one of the YouTube videos on peroneal tendinitis. A limping runner asked the question: 
“Can peroneal nerve tendinitis cause fifth metatarsal to be tender to the touch and when walking, I am not sure if I have a stress fracture.”
When I read this comment, I became confused because I am not sure what is going on with this runner, but I am going to try to explain and answer the question as best I can in this episode.
Can peroneal nerve tendinitis cause fifth metatarsal pain? 
Well, that is what we're talking about today on the Doc On The Run Podcast.

I got a great question from a runner with a sesamoid fracture that turned into a "non-union."
The sesamoid bones are two tiny little bones under the big toe joint. When you break one of the sesamoids, if two pieces of bone do not heal back together, we call a "sesamoid fracture non-union."
In this runner's case, she used a bone stimulator. She wore a fracture boot. She used crutches. But after a year of treatment, the doctor looked at her X-ray and said, “You have a non-union, we should take it out.”
Is it possible to run if you have a sesamoid fracture non-union?
That is a great question and that is what we're talking about today on the Doc On The Run Podcast.