Doc On The Run Podcast
Running injury tips on self-diagnosis and self-treatment. Simple strategies for rapid recovery of running injuries.
Episodes
If you have a stress fracture and your doctor starts talking about X-ray grading systems, you may think that grading is the key to deciding whether you can run, cross-train, or still make it to your race.
But for runners, X-ray grading is often not the most useful thing at all.
In this episode, Dr. Christopher Segler explains the two things that matter more than X-ray grading of a stress fracture:
Your goal, and the true severity o...
If you feel an unusual ache in your foot during marathon or triathlon training, you might worry that you have a stress fracture. But many runners actually develop a stress reaction before a true stress fracture occurs.
The problem is that runners often ignore the early warning signs. They experiment with shorter runs, slower workouts, or simply hope the discomfort goes away.
In this episode of the Doc On The Run Podcast, Dr. Christ...
If you suspect a metatarsal stress fracture but your most important marathon is on the calendar, you need a plan—not panic. In this episode, Dr. Christopher Segler explains the only two questions that determine whether you can keep training (or even race) without making the stress fracture worse, plus what you should measure and track starting today.
If you think you have a stress fracture, you’re probably wondering how long it will take to heal — and when you can run again.
In this episode, Dr. Christopher Segler explains the three stages of bone healing, why early protection matters, why pain can disappear before the bone is strong, and how to safely apply stress at the right time so you don’t restart the healing clock.
If you want to heal faster and protect your race, this e...
If you’re a runner dealing with a stress fracture, you’ve probably been told to “just stop running” and come back in six to eight weeks. But that advice completely ignores the way runners think. In this episode, Dr. Christopher Segler is going to walk you through the crucial questions every runner with a stress fracture should be asking—but that most doctors never do. We’re talking about what might actually be slowing your healing ...
When does a metatarsal stress reaction actually show up on imaging? In this episode of the Doc On The Run Podcast, Dr. Christopher Segler explains the difference between a stress response, stress reaction, and true stress fracture—and why timing matters when choosing X-rays, MRI, ultrasound, or CT scans. Learn how early imaging can help you make smarter race decisions, avoid false reassurance from a “normal” X-ray, and protect your...
Can you still run a race if you have a stress fracture—or will it permanently set you back? In this episode of Doc On The Run, Dr. Christopher Segler answers the most urgent question injured runners ask when a big event is approaching: can I still run my race with a stress fracture? You’ll learn how to assess risk, distinguish pain from damage, and make a clear decision without sabotaging your long-term recovery.
How much walking is too much when you have a tibial stress fracture? In this episode of Doc On The Run, Dr. Christopher Segler breaks down how runners can safely stay active while healing, explains the key differences between Fredrickson Grade 1 and Grade 2 tibial stress fractures, and outlines the two critical factors that determine how fast you can recover—without making the injury worse.
Today I was on a strategy call with an injured, but recovering runner who is trying to figure out how to organize his workouts to get strong quickly, without re-injuring his stress fracture.
He was headed in the right direction, but was making a critical mistake when trying to do more with split workouts. It’s not about splitting workouts.
It's all about the stressors that are applied to the stress out bone. But this also appl...
The Walk-Run Routine is likely the most overprescribed and least understood plan for returning to running after an overtraining injury like a metatarsal stress fracture for a plantar plate sprain.
But the commutative forces that result from that specific routine may put your foot at unnecessary risk of re-injury. Understanding how and why those unique stresses happen may help you make better decisions about your first few runs a...
Kettlebell workouts can be a great way to maintaining strength, even if you have a running injury.
If you are a runner who has an overtraining injury like a metatarsal stress fracture or a plantar plate sprain, you are probably doing everything you can to keep the rest of your running body strong, while that one injured part heals.
Kettlebell training can help, as long as you don’t let those kettlebell workouts overload that ...
This morning I was on a webcam call with a runner who had healed a fracture and started running again. He has been running every Monday, Wednesday and Friday, with cross-training in between.
Now he is ready to add a fourth running workout to his weekly training schedule.
The question is:
“What day of the week is best to add an additional run, because I want to make sure I don’t overload the healing tissue and re-injure it...
The half-ass boot routine is no good. Slow improvement with unnecessarily increased risk of atrophy, weakness, stiffness, loss of neuromuscular connections, and destruction of your running form. Your running form, your strength, your flexibility, all protect you from another overtraining injury.
When you wear a fracture walking boot for a long time inconsistently, or a long time walking on it, you're going to get more of those b...
The biggest enemy in the injured runner’s battle is your desire to run as fast or faster than you were right before you got injured.
This morning I was on a call with a recovering elite Masters athlete and she has been doing great, but she seems to be drifting into dangerous territory!
During our call, I got worried about the way she was thinking about her upcoming workouts. But was thinking was very common, and very dangerous. An...
This morning I was on a consultation call with a runner at 4:30 a.m. and he's been suffering from a plantar plate injury. But he's been doing pretty well. He actually just finished his first run!
Now, what I asked him about was his plan for his next run. What he said, made me uneasy.
It seemed risky, and I started kind of squirming as he was describing his plan to me. It wasn't really a bad plan. It wasn't really a crazy plan. Bu...
Runners glorify the suffering needed to keep moving in spite of pain, and the payoff is almost always increased fitness, and improvements and mental fortitude needed for running endurance.
No pain, no gain is a terrible approach when you are an injured runner. If you really want to get back to training, racing in full return to running fitness as fast as possible after a running injury you have to stop causing pain in that one inju...
Today on the Doc On The Run Podcast we are talking about Mental Rehab for Recovering Runners with Mental Skills Coach Carrie Jackson.
It may sound dramatic, but in reference to doctors casually telling runners they just cannot run a race (when maybe the runner could run), or worse…they may never run again, Carrie says, “These doctors have no idea the trauma they are causing to the runner by saying that....
Today on the Doc On The Run Podcast we are talking with Dr. Samantha Braun about training fro Ultra’s, running Hell’s Hills and how her training as a Physical and Rehabilitation Medicine Physician helps her avoid overtraining injuries. How do you think you're training in rehabilitation help you understand your own mechanics, physical training limits and overtraining injury prevention while training for Ultra’s? Durin...
Over the past couple of months I have done a whole bunch of stress fracture strategy calls with runners who seem to be stuck. I take notes every time I do those calls and there're number of steps that all of them seem to be missing. Let's face it, if they weren't missing some critical steps, we would've never gotten on a call to try to figure out a strategy to get them back on the path to healing and running again.
I just got off of a Stress Fracture Strategy call with a real runner who has been suffering from a stress fracture for 47 days.
Over the past five weeks she has been getting worse, not better.
And she hasn’t even been running for more than a month!
If you have a stress fracture, or a stress reaction and you are:
1. worried about canceling race because of a stress fracture 2. your stress fracture is not getting better fast enough ...
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