Doc On The Run Podcast Dr. Christopher Segler

Every time a runner calls me who signs up for a consultation and they want a second opinion, they have already seen a doctor and they are often very frustrated. 
They are very frustrated because they were in a boot for a long time and it did not help, or they were told to not run for months, and it did not help. 
I hate to tell you this but almost every time I talk to one of these runners who is justifiably truly upset because the doctor did not listen to them about their goal.
But the problem is that every one of these runners I talk to, there is something that they did not do that they could have done to make this go faster and a lot of that comes down to communication between you and the doctor and it is critical that you understand this.
What is the difference between the doctor's job and the runner's job when you have an overtraining injury? 
Well, that is what we're talking about today on the Doc On The Run Podcast. 

One of the most common injuries I see in runners is a stress fracture. 
All overtraining injuries in runners are stress induced injuries and a stress fracture of course implies too much stress applied to the bone. 
A stress fracture is not a problem that you get not because you ran too much, not because you ran too far, or too soon. 
Stress fractures only result when your training exceeds the bone's threshold to recover before your next workout. If you keep doing that, it could get much worse. 
What are the three ways a stress fracture can turn into a non-union in a runner? 
Well, that is what we're talking about today on the Doc On The Run Podcast.
 

Anything the runners does to heal faster will get the runner back to running faster.
Even simple things you can do at home can help change the course of an injury.
On of the oldest treatments for musculoskeletal injury, and one any runner can do themselves,  is massage.
A runner on webcam just asked me whether or not it might help her plantar plate injury recover faster. The short answer is:
Yes, massage can help as along as you do not injure the plantar plate ligament further in the process.
How does massage really help when you have an injury? Yes, there are a couple of ways massage can help, as long as that massage does not make the injury worse.
Today on the Doc On The Run Podcast, we’re talking about the good and bad, or the risk vs benefits of massage with a plantar plate sprain.

Runners who have rolled their ankle often have trouble figuring out when to get back to running. 
Mostly they seem to be worried about a subtle fracture or delayed ligament healing.
If you think it is no big deal when you roll your ankle, you might be right, and you might be wrong. 
What is the number one most important action you can take when you roll your ankle running?
Well, that is what we're talking about today on the Doc On The Run Podcast. 

I know if you call me for a consultation, it is not because you want to talk to me because you watched a YouTube video or listened to a podcast, it is because you have a race and everybody else is telling you there is no way you can do it. 
Well, that may be my specialty, but today I am going to help you understand how you can figure this out yourself. 
It is not really that complicated, it is just that other doctors do not want to tell you how to do it, so I am going to try to explain it to you.
How can you calculate the amount of rest you really need between your running injury and your race? 
Well, that is what we're talking about today on the Doc On The Run Podcast. 
 

I recently posted an episode that was talking about four different kinds of stress and strain that can be applied to the plantar plate ligament that might slow down the healing of that little bitty ligament in runners. 
I got a couple of questions about that and one of them was specifically about how to tell whether or not that is really a problem and one person wanted to know if they had a dropped metatarsal if that might be contributing to this issue of compressive stress. 
Today on the Doc On The Run Podcast, we're talking a little bit more about compressive stress on the plantar plate ligament in runners.