Dr. Duane Scotti, host of the Healthy Runner podcast was one of the guest experts at the 2-Day Runner’s Rapid Recovery Summit. This replay is a recording of his session on Hip Pain in Runners is one you won’t want to miss. Here is some of what we’re going to cover: The top 3 most common causes of hip pain in runners. What exactly is the labrum and how does it get injured in runners? How does joint laxity or hip instability contribute to hip injuries? What is the number one indication that somebo...
Dec 29, 2020•34 min•Ep. 344
I was just doing a telemedicine visit with a runner who needed a second opinion for a metatarsal stress fracture. She wanted to know if her healing timeline was accurate and if her estimate on getting back to running was realistic. The healing timeline for any running injury always depends upon is what you do. Not what your read, and not what your doctor said. The “realistic” part is based on what you do, not arbitrary timelines. Today the Doc On The Run Podcast, we’re talking about whether or n...
Dec 22, 2020•6 min•Ep. 343
If you're a runner who's been injured, recovering, and you feel like you're plateaued or you're not really getting anywhere, I have some very good news for you today. That's awesome! Most of the runners who call me for a telemedicine visit, they've hit a plateau. Although that can be really frustrating, I can tell you from experience, this is very, very good news. What's going on is really simple. The changes you need to make, they're all around you, they're right in front of you, and they're av...
Dec 17, 2020•5 min•Ep. 342
Just for a moment I want you to imagine something. You made a decision to become a champion. And after years of continual effort and constant training you have won a World Championship. Today you are packing and getting ready to travel to Switzerland to defend your European title. And then you fall and break both heel bones. In that painful moment everything changes. You aren't getting on a plane to go to defend your European title. Instead you're going to the emergency room. The question is wha...
Dec 10, 2020•52 min•Ep. 341
One of the worst possible injuries you could get as a runner would be a rupture of the Achilles tendon. Because if you tear the Achilles, whether you have surgery to repair the Achilles tendon or you if don't have surgery and allow the tendon to heal without surgery, even if it heals, I can promise you, you are never going to be the same. Running hills puts a lot of stress on the Achilles. If you have Achilles tendinitis, Achilles tendonosis or just mild Achilles irritation, understanding what t...
Dec 04, 2020•7 min•Ep. 340
Almost all runners who call me just need to take one step to change course. My job on that call is to help you identify and recognize the step you are missing. Every run begins with one step. Right now, you are doing one of two things. Either you are getting stronger. Or you are getting weaker. You are never staying the same. That is the biggest problem with recovering from an injury. Doctors typically tell you to stop running and then you get stuck in a trap of decreasing fitness, increasing st...
Dec 02, 2020•5 min•Ep. 339
This morning I was on a telemedicine call talking to a recovering runner, from my inner circle coaching private group. This guy was having some trouble and tenderness in his Achilles Tendon. We talked about his plan for running tomorrow. It turns out he had a plan of actually going and running on a winding, hilly trail. If you have Achilles tendon pain and want to make it worse, do 4 things in succession. Because Achilles ruptures happens when you take 4 very specific steps in a specific way. Th...
Nov 30, 2020•7 min•Ep. 338
As an injured runner who wanted to run the worst piece of advice of I ever received from a doctor, was, “Go run and see how you feel.” Sometimes, we as doctors take what we think will work for most people in and we apply it to everyone, including runners. But walking is not running. If you check yourself and do a little self evaluation you can be more confident you won’t hurt yourself and have a setback. Today on the Doc On The Run podcast, we're talking about how running injury testing is as si...
Nov 22, 2020•7 min•Ep. 337
Earlier today, I was doing a telemedicine call with a runner who has been injured. She actually mentioned that she thought she might have started getting this injury back when the whole COVID shutdown happened. Because she started running with a mask. She started trying to stay away from people and she was socially isolating. Today on the Doc on the run Podcast, we're talking about how you need to be careful when you're dodging other runners out on a run during this period of social isolation....
Nov 12, 2020•7 min•Ep. 336
"Time heals all wounds.” Or at least that is the saying. The medically speaking I can tell you that is completely false when it comes to running injuries. It does take time to heal running injuries, but a tincture of time is not enough. I just spoke to an injured runner so I helped over a telemedicine visit. Her question was, "I sprained my ankle two months ago and I still have pain. Is this normal?" The answer is no. It's not normal to have pain anytime, much less two months after you sprain yo...
Nov 10, 2020•3 min•Ep. 335
I just got off a coaching call with a guy who I've talked to a number of times over the years with a number of different running injuries and this guy is not a new runner. He actually is a running coach and he understands how to train and what to do to make sure that he decreases his risk of getting an over-training injury by recovering appropriately after all of his workouts, so this guy is not a novice. But running injuries are a fact of life, if you are going to be a lifelong runner. You are ...
Nov 05, 2020•7 min•Ep. 334
Today on the Doc On The Run Podcast, we're talking about what is capsulitis in the big toe joint. Yesterday, I was seeing someone who is a long-time athlete and she had pain in the big toe joint and she was given a diagnosis of capsulitis. I was seeing her for a second opinion and when we started talking, she was a little dismayed because she said that she was given this diagnosis of capsulitis and she felt a little bit like it wasn't a real thing, it wasn't a real problem, and I have talked abo...
Nov 02, 2020•5 min•Ep. 333
I just got a telemedicine call with a runner who had a question about neuroma treatment for somebody who likes to use minimalist shoes. And he had a really good question. He said he went and saw another doctor who made a couple of recommendations, but he was a little concerned about the neuroma treatment options that were given to him. Runners have to realize that runners are different. And I don't think most runners should want to jump to a drastic neuroma treatment, especially not when the neu...
Oct 29, 2020•10 min•Ep. 332
When pro runners get running injures, they get different treatment. Elite athletes and professional athletes all have, if not better medical care, they certainly have more consistent follow up, earlier interventions and better access to medical specialists than the average person. So we know that something is different when someone is a professional athlete. But its not just better, faster care, it is also the approach pro runners take to the recovery process that helps them accelerate their rec...
Oct 25, 2020•5 min•Ep. 331
This past weekend, I was giving a lecture at a medical conference. It was the International Foot and Ankle Foundation Conference that was supposed to be in Las Vegas, but it ended up being an online conference as many of these conferences are these days. But in any event, it's a large medical conference where doctors, foot and ankle surgeons, podiatrist, where they all go to get continuing medical education credits to maintain their licenses and learn new techniques. Today on the Doc On The Run ...
Oct 19, 2020•7 min•Ep. 330
Today on the Doc on the Run Podcast, we're talking about how a grade one stress fracture is not a stress fracture at all. This weekend I was lecturing at the International Foot and Ankle Foundation meeting, which was supposed to be in Las Vegas, but it ended up being online, as many things are these days. But still, this is one of the largest medical conferences that is put on by the International Foot and Ankle Foundation For Education and Research specifically to help doctors, podiatrists, foo...
Oct 03, 2020•6 min•Ep. 329
The most difficult thing about being injured is not having a plan to follow. As Mark Spitz once said, “If you fail to prepare, you’re prepared to fail.” So if you're an injured runner and you're trying to figure out how to get back on track and get back to running the most important thing you can do right now is to plan your injury recovery. Prepare for your journey ahead, by looking back at past successes. Today on the Doc On The Run Podcast we're talking about how you can use your running succ...
Sep 27, 2020•4 min•Ep. 328
I just got off a telemedicine call with a guy who has an Achilles tendon injury and called me specifically because he wanted me to do a PRP injection on his Achilles tendon. This guy's a physician. He understands injuries. He understands athletics. He actually had a PRP injection before. He's even had surgery in the past for his Achilles tendons. So this is an athlete and a doctor who actually really understands and knows all of the stuff that goes into the decision process when you're thinking ...
Sep 19, 2020•6 min•Ep. 327
I was just on a telemedicine call with a patient. We were doing a webcam call and she had been running on a trail, rolled her ankle, and had a really bad ankle sprain. Her ankle was black and blue, swollen, and really painful. She was having trouble walking. This is a really active runner who wants to get back to running as quickly as she can. Running on trails is obviously a little more difficult and puts you at a little more risk of having another ankle sprain just because it's an irregular, u...
Sep 14, 2020•8 min•Ep. 326
I just got off a telemedicine call with an injured runner who has pain and swelling in her foot. We were on a recovering runner coaching call talking about all of the little things that can help you recover and heal faster. During our discussion she asked a great question. She kind of laughed and said she was confused about something as simple as going up the flight of stairs to her bedroom. How do I go up steps when my foot is painful? Do I start with my good foot or my bad foot? Today on the D...
Sep 08, 2020•4 min•Ep. 325
Today’s episode comes from a runner named Gordon who asked a question during a live webinar entitled “Am I Ready to Run? How to tell if its safe to start running again.” He asked, “Is it okay to run on a treadmill? I'm returning from a stress fracture injury. I read that a treadmill gives the exact same stress with every step versus, say a trail, but with COVID-19 and smoke, running outside is a challenge and all that." That is a great question! Because, there is a lot of evidence that treadmill...
Aug 31, 2020•6 min•Ep. 324
Every day, all day, I help injured runners get back to running. I have noticed runners consistently make crucial mistakes in each of the three phases of injury recovery. These are simple avoidable errors in recovery that can slow the process of returning to running, or increase the chances of getting re-injured once you get back to full training. Avoid these mistakes to make sure that you heal your running injury as quickly as possible and then don't get re-injured when you're returning to runni...
Aug 27, 2020•9 min•Ep. 323
One of the biggest problems when you get a metatarsal stress fracture is deciding when it's safe for you to go to the next level of activity. I just got a great question from a high school cross country runner who is healing from a stress fracture and wanted to get back to running as quickly as possible. The question was whether or not it was okay to begin a walk/run program at four weeks of stress fracture healing? Today on the Doc On The Run Podcast we’re talking about whether or not it is oka...
Aug 24, 2020•6 min•Ep. 322
What does it mean when your doctor says you might be able to run in 3 weeks, depending on what your x-rays shows? If your doctor guesses that in three weeks, you're going to have something appear on an X- Ray, that assumes the bone is going to be stronger at that time you get the x-ray. Right? So what that also really means is that until three weeks from today, every single day, healing happens. Tissues are getting stronger. More collagen is forming. The osteoblasts and osteoclasts are working i...
Aug 21, 2020•12 min•Ep. 321
A runner broke her ankle and foot in five places and had surgery. She wrote in and wanted to know if she might run again: “I’m 34 years old. I had a bike accident 4 days ago. I broke my tibia bone at the medial malleolus, distal fibula bone, and metatarsal bones 2, 3, and 4. The surgery went well. I was a runner. I used to run 4 times a week. Is there any chance I can run again?” Today on the Doc On The Run Podcast we’re talking about what whether or not there is any chance you can run again aft...
Aug 17, 2020•16 min•Ep. 320
Everything about the process of training is inherently inspiring and aspirational. It is all positive, and with each step of the process we get the opportunity to make a conscious decision to move forward. Overcoming a running injury is inherently negative. It just feels like damage control mode. Running injuries feel more about digging yourself out of a hole, and less about accomplishing something significant. Every over training injury is unique and can have a unique healing timeline. But it a...
Aug 14, 2020•7 min•Ep. 319
I was recently watching the Wizard of Oz with my kids. There’s this one scene, where Glenda tells Dorothy that she already had has all the ability to get home. That all she has to do is click her heels together and say, “There's no place like home” and she'll be transported there. Dorothy had that power all along. When I see runners who have had running injuries, they've been injured. They've been on this long journey of seeming like running through the haunted forest and trying to dodge the wic...
Aug 10, 2020•4 min•Ep. 318
There's nothing worse than being in a race, and you feel like your stomach is upset. You're sick to your stomach and you're keeping on pace, but then suddenly, because you literally have an upset stomach, and you start losing pace. You know that your competition is getting further ahead, and you're getting further behind. That is what's really painful. Most doctors think runners like you call me because I can help you heal your running injury. I know that those doctors are wrong. It's not really...
Aug 08, 2020•5 min•Ep. 317
Earlier today I was talking with a runner who felt some pain in her foot during a run yesterday. So she got worried she might have a metatarsal stress fracture in her foot. So she booked a consultation call and we had a discussion on the phone about the possibilities. Here is what she asked: “I had an aching pain for a few steps during my run yesterday...is that a stress fracture? The aching pain was on the top of my foot for a few steps today…I want to know if it could be a stress fracture?” So...
Aug 05, 2020•12 min•Ep. 316
A partial rupture of the plantar fascia can be a truly debilitating injury for a runner. It's much worse than plantar fasciitis. You take time off. It starts feel better. Then you run and it starts to feel worse again. Because it can be so frustrating it becomes very easy to convince yourself that you need surgery. In fact I was just having a conversation with an athlete who started to talk himself into surgery, even though he has absolutely no desire to have surgery one the plantar fascia. His ...
Aug 01, 2020•13 min•Ep. 315
