Doc On The Run Podcast Dr. Christopher Segler

Your doctor might recommend custom orthotics if you're an athlete, and you happen to be pregnant. 
When you get pregnant, you have lots of hormones going through your systems that can cause ligamentous laxity. 
The reason that's a problem if you're a runner is that you have rapid weight gain during pregnancy. That weight combined with additional relaxation in your feet can accentuate mild foot problems and even cause deformities that persist later after the pregnancy is over with. 
When does a pregnant runner need custom orthotics? 
Well, that's what we're talking about today on the Doc On The Run Podcast. 

Today we're talking about the Yasso 800's developed by a guy named Bart Yasso. 
I was lucky enough to meet him after he gave a talk before the Salt Lake City marathon back when I was in residency about 20 years ago.
In any event, this workout is a useful way to analyze your fitness and determine your marathon pace. Yasso 800's can be really helpful to an injured runner who's returning to running when trying to figure out how fast you should run your post-injury marathon. 
Today on the Doc On The Run Podcast we're talking about how to use the Yasso 800s to test your marathon fitness after you've recovered from a running injury.

Today's episode comes from one of the YouTube viewers who was watching a video called "Can I run with a split peroneal tendon?"
I was trying to explain the circumstances when you can run with a split tendon, and when you really shouldn't. 
He wanted to know if his doctor could tell whether or not he needed surgery just by looking at his ankle. 
“The MRI tells me I have a split tear. So, presumably as a tear in the peroneal tendon, but I don't know which one."
Can my doctor tell me if I need surgery on my peroneal tendon just by looking at my ankle? 
Well, that's a great question and that's what we're talking about today on the Doc On The Run Podcast. 

This episode comes from a consultation call on webcam with a runner with a sesamoid stress fracture. 
Interestingly, his doctor wasn't even sure what it was, if it was really a crack in the bone that wasn't healing, or if it was what I call a "sprain" of the bipartite sesamoid. 
Today on the Doc On The Run Podcast we're talking about how big toe positioning can actually help a medial tibial sesamoid stress fracture or bipartite sesamoid disruption. 

Today's episode comes from Benda, who was watching a video called "12 steps to healing and running with a metatarsal stress fracture" on the Doc On The Run YouTube channel. 
She asked a question, 
“I'm so confused. I don't have a stress fracture. It was an acute injury. I have a half marathon in early December. Is there hope for me?”
I got injured five weeks out from my half marathon. Is there hope? 
Well, that's what we're talking about today on the Doc On The Run Podcast. 

I recently got a comment from Michael on a video on the Doc On The Run YouTube channel which was about how fracture walking boots are one of the worst treatments for an injured runner. 
He posted an interesting comment which is really a valid question. He said, 
“What is the boot for? Is it for protection? Is it for immobilization? Is it to keep weight off?"
What does a fracture walking boot actually do? 
Well, that's what we're talking about today on the Doc On The Run Podcast.