Should a runner have surgery to remove bone fragments?

Today's question comes from a telemedicine visit second opinion for a runner. 

She was asking if she should have surgery to remove bone fragments.

I said, "Well, let's talk about what's going on with you first." 

Anytime we see something abnormal on an x-ray or an MRI, we often think that it's pathologic. We presume something is wrong, just because it doesn't look right. 

We think if something's wrong, we should go cut your foot open and fix it.

Should a runner have surgery to remove bone fragments? Well, that's a great question and that's what we're talking about today on the Doc On The Run podcast.