Think back to the last time you really remember getting a second wind. Maybe it was 2 miles into your fastest 5K. Maybe it was mile 18 or mile 22 of a marathon.

Just when you felt you really couldn’t got on, just when you hit an all time low, your energy started to grow. You felt revived. Energized, you pressed on the the finish, thrilled with the boost of energy moving you forward. 

Every runner recovering from a running injury will have dark days. The energy vaporizes and is replaced by frustration. If not careful, despair can set it. 

On these days in your recovery it is crucial you dig deep. 

Today on the Doc On The Run Podcast we're talking about finding your second wind in running injury recovery.

A few minutes ago I was on a second opinion telemedicine call with runner who was told he had an MRI showing an “osteochondral defect.” 

The doctor told him to stop running.

If a joint surface gets damage, you may develop a little soft-spot called an “osteochondral defect.” 

Just because you have an osteochondral defect, it doesn't necessarily mean you have to stop running, but you do need to figure out whether or not it's actually a problem that could get worse if you don't address it.

Today on the Doc On The Run Podcast we're talking about osteochondral defects in runners.

I just got off a telemedicine call with a woman who was an elite runner in college.

She has been having a difficult time getting back to an acceptable level of activity after recovering from her overtraining injury. 

When you have been doing a certain run at a certain pace, as a part of your training for years, you always fell like you can do that workout. 

But when you get a running injury and take time off, unfortunately, your sense of reality is off in that moment. What you sense about your fitness is off.

Today on the Doc On The Run Podcast we're talking about how your sensor is broken.

If you over-stretch any nerve it can become inflamed and painful.

If you roll your ankle on a trail you can get a condition called traction neuritis.

Most of the time when I am on a telemedicine or second opinion call with a runner with traction neuritis, they have been misdiagnosed with some other condition.

If you understand how to tell the difference, you can understand how to get back to running sooner. 

Today on the Doc On The Run Podcast we're talking about traction neuritis in a runner and what it really means.

If you hire a running coach, your coach is going to design a program that is going to actually test you physically and mentally, and push you to your physiologic limits on a regular basis to make you stronger. 

Any running coach will give you a series of workouts to execute. 

And when you do runs correctly then what happens is that you do the maximum amount of tissue damage that your body can sustain and rebuild before your next workout.

Today on the Doc On The Run Podcast we're talking about why runners need to flirt with overtraining injury.

Osteophytosis is a common finding on foot and ankle x-rays of runners. Bone spurs can form anywhere bone is irritated or otherwise aggravated by jamming, jarring motion. 

Most often, osteophytosis is found in the heel, big toe joint and ankle joint. 

The real is question is whether or not the osteophytosis a problem that needs to be removed, treated, or even prevented.  

Today on the Doc On The Run Podcast we're talking about osteophytosis in the foot and ankle in a runner.

The biggest mistake any runner can make when seeing a doctor for a running injury is leaving the office without a clear picture or how bad the injury actually may be. 

If you don’t have a clear idea of your state of injury, you (or your doctor) are only guessing at how long it will take to get better and return to running. 

Part of the lack of clarity is your fault. You have to communicate what really happened when you got injured, what happened between the injury and the day you show up in the doctor’s office, and your running goals.

Without doing all of that, you cannot get an accurate baseline on your injury or expect to use it for comparison as you maintain your fitness now and ramp up your running later. 

Today on the Doc On The Run Podcast we're talking about the 3 most important days in healing any running injury.

The chances are good a lot of your friends secretly admire your ability to run. Unfortunately it seems a lot of people who want to start running, but don't think of themselves as runners find it very difficult to start.

Sooner or later one of your friends is going to call you or talk to you and ask for some advice.

The real challenge and helping one of your friends begin running is to get them to go for the initial run, and be proud of themselves for doing it.

I really believe that we as runners to understand how good it makes us feel have an obligation to be as encouraging as possible to our friends, when they want to start running as well.

Today on the Doc On The Run Podcast, we’re talking about the 3 steps you can give to any friend who wants to start running. 

I am sure that you have heard your running buddies use an analogy: 

"We just banked another long run.” 

“We got another hard workout in the bank.” 

All these efforts and investments in our training add up. They create this great store of energy for us. The accumulation of fitness is what prepares us for a marathon an Ironman, or an ultramarathon.

Today on the Doc On The Run Podcast we're talking about how running injuries are a lot like a savings account.

Snowboarder’s fracture is a small fracture in your foot that is often misdiagnosed as an ankle sprain. 

The injury occurs when you break a portion of the talus bone called the lateral process. 

The lateral process of the talus sits at the outside of your foot and ankle. 

You can break it when you roll your ankle running on a trail or stepping in a pothole while running on the road. 

These fractures are much more common that previously taught.  Not surprisingly, if you think you have an ankle sprain, but you really have a lateral process fracture, it won’t get better. 

Today on the Doc On The Run Podcast we're talking about what a snowboarders fracture really is, and why runners need to know about them.