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Doctor insights on: Physical Appearance Of A Long Distance Runner

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How often does conservative treatment of a sesamoid fracture lead to full recovery? Enough to participate in athletics, distance running, etc?

How often does conservative treatment of a sesamoid fracture lead to full recovery?  Enough to participate in athletics, distance running, etc?

Open Sesame!: Before arriving at the diagnosis of a fractured sesamoid, it is always wise to x-ray the other foot and examine the sesamoids there. These little sesame shapped bones can be in two, three and even more pieces, normally. Having said that, the earlier treatment begins as well as the less weight bearing, the better the chances of a heal. The chances of resolution are so so but not great. ...Read more

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Roughly how long is the recovery time for a young runner of with pes bursitis when taking inflammatory pills, rice technique, and stretching everyday?

Roughly how long is the recovery time for a young runner of with pes bursitis when taking inflammatory pills, rice technique, and stretching everyday?

Foot bursitis: Depending on the location of the bursiitis (achilles, plantar heel, great toe, etc), it can vary but usually recommended nonsurgical treatments are between 3-6 months. Resting is the hardest part and discipline to rest. ...Read more

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What is the average full recovery time for tailor bunion surgery? Full recovery means that running is permited. Happy new year!

What is the average full recovery time for tailor bunion surgery? Full recovery means that running is permited. Happy new year!

All depends on : What is done. Sometimes a simple bunionectomy with no cutting shifting over of the metatarsal head and sometimes the metatarsal is cut into to shift the head over. Healing periods will differ. These are questions to discuss with your surgeon. ...Read more

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What is the benefit of going for a long run the day after a race or an intense strength/speed workout?

What is the benefit of going for a long run the day after a race or an intense strength/speed workout?

Not for recovery: It is a myth that a recovery workout will help your recover faster. But, some people say still do it because you are pushing yourself when your body is already tired. There is evidence of benefits of exercise in the so called "fatigued state", but for the casual athlete these benefits may be minimal. ...Read more

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What is the process of getting surgery for Anterior Ankle Impingement? How long would someone be out of intense sports like gymnastics?

What is the process of getting surgery for Anterior Ankle Impingement? How long would someone be out of intense sports like gymnastics?

ANKLES AWAY!: Recovery will involve physical therapy. Debridement surgery is most common. Recovery generally rapid; return to normal activity typically 4-6wks-- add 2-4wks for return to high-performance sports. Excision of the os trigonum (posterior impingement surgery); slower process; physical therapy 2-3 months+; Full recovery 6 months+. ...Read more

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Is that helpful to hike or walk a few miles for someone with scoliosis of 50 degree?

Is that helpful to hike or walk a few miles for someone with scoliosis of 50 degree?

Scoliosis : Walking and hiking are always excellent options for exercise. If the walking aggravates the back pain then a low impact exercise like a recumbent bicycle may be a better option. Discuss the best exercise strategies with your spine surgeon. ...Read more

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Is it possible to lenthen the spine by yoga or other exercise after 20?What's the difference between a short guy and a tall guy's spine?

Is it possible to lenthen the spine by yoga or other exercise after 20?What's the difference between a short guy and a tall guy's spine?

No: You can not lengthen the spine or other bones after 20. A tall guy has a longer spine and especially long bones in the leg, than a short guy. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Drink enough water daily so that your urine is mostly colorless. Practice safe sex. ...Read more

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What are the best long distance running shoes for over pronation?

What are the best long distance running shoes for over pronation?

I would recommend : An orthotic to control the biomechanics and worry less on which exact sneaker. ...Read more

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Can physical activity lengthen the duration of a cold?

Can physical activity lengthen the duration of a cold?

Possibly: When you have a cold or any other infection, you body needs adequate rest and nutrition to recover. If you are exercising excessively during this time, you are going to prolong the healing and recovery from your illness. Plus you won't be exercising efficiently. You may even make the infection worse. ...Read more

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What kind of injuries would result if you put a former ballet dancer in stability shoes for running?

What kind of injuries would result if you put a former ballet dancer in stability shoes for running?

Hi Hope: The answer would depend on the foot type. Hypermobile feet (flat) should be in stability shoes, but rigid (high arched) feet are better off in cushioned shoes for running. However, a ballet dancer should become acclimated to stability shoes gradually, as he/she would be used to a less rigid shoe. Failure to break the shoe in gradually may result in injuries like fasciitis, stress fractures, etc. ...Read more

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What is the best arch support or brace to wear for plantar fasciitis while running long distances?

What is the best arch support or brace to wear for plantar fasciitis while running long distances?

A custom orthotic!: A good, supportive shoe and a custom orthotic is the very best. See your podiatrist for recommendations on shoes for your particular feet, and ask them about over the counter vs. Custom orthotics. ...Read more

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How long would someone with Anterior Ankle Impingement for over 4 months be in a cast or boot? A rough guess would be great!

How long would someone with Anterior Ankle Impingement for over 4 months be in a cast or boot? A rough guess would be great!

Casting: Anterior ankle impingement is not typically treated with casting... unless there is a surgical procedure performed... which would then put a patient in a cast for 3-8 weeks depending on the procedure planned. ...Read more

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In terms of recovery time, which takes longer: a torn ACL or a broken arm?

In terms of recovery time, which takes longer: a torn ACL or a broken arm?

Variable: Depends on break and intervention. Acl in my office does not go back to sports for at least 4 months and a non op humerus depends on healing but at least 4steady months as well. ...Read more

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Looking for low impact adrenaline sports recent fractured wrist and ankle the latter will be long term injury?

Looking for low impact adrenaline sports recent fractured wrist and ankle the latter will be long term injury?

Tough one...: Hmm, this is a tough one! you run a risk of falling and/or injuring something else if you try to get some exercise outside on uneven terrain. To get your heartrate up using only one arm and leg is going to be challenging and may make you a little disproportionate, but maybe a recumbent bike or rowing machine using only the unaffected limbs? Expect swelling in the injured areas. ...Read more

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I have a bunionette as a result of wearing a moon boot for a foot fracture and subsequently changing walking gait. It is painful to walk and shoes mak?

I have a bunionette as a result of wearing a moon boot for a foot fracture and subsequently changing walking gait. It is painful to walk and shoes mak?

By design...: The purpose of the moon boot is to change your gait in a way the dissipates the force of the ground over a larger surface area. This is what allows the fracture to heal. The boot may or may not irritate already existing problems such as bunions or bunionettes. There is a transition back into regular shoes. This may involve athletic shoe first. Ask your doctor for advice on shoes or therapy. ...Read more

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While training for a marathon on 20 mile run knee pain increased. Diagnosed with runners knee, cartilage loss possibly. Will this ever improve?

While training for a marathon on 20 mile run knee pain increased. Diagnosed with runners knee, cartilage loss possibly. Will this ever improve?

It can improve: Strengthen quadriceps muscles, especially vmo muscle. Cross train with cycling or stationary bike. Depending on your age and xray and MRI findings, sometimes prp injection may play a role. Avoid surgery. Physical therapy an option. Get a good sports medicine doctor. ...Read more

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Can morton's neuroma (absence of tight fitting shoes history) develop as result of a trimaleolar ankle fracture? What criteria relates it to injury

Can morton's neuroma (absence of tight fitting shoes history) develop as result of a trimaleolar ankle fracture? What  criteria  relates it  to injury

Morton's neuroma: Unlikely, but a trimalleolar fracture can cause a change in one's gait and since a neuroma is an inflammatory problem of the nerve due to irriation (could be b/c of shoes, or an altered gait pattern) there may be a link, again it's very unlikely. ...Read more

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