Hey! My name is Nathan Carlson and I’m a physical therapist, coach, and consultant based out of Kansas City.
I’m lucky enough to work with runners every day. My professional career has revolved around running. I've spent the last decade trying to learn as much as possible. Delving into the running literature. Taking every continuing education I can find. Trying to learn from the experts in the field of running, strength training, and psychology. I've sat with hundreds of runners struggling with injuries. I've heard their stories and frustrations. I've woken up every day with the single goal of trying to master and understand my craft. Whether working with a patient, training a client, or making a piece of content, my goal is to help YOU! I want to help answer all your running questions and provide you with the knowledge to get the most out of your running experience.
Life is hard. Training and injuries are complex. Let me give you some simple solutions to complex problems.
Had a distal fib fracture with a plate and screws. 6 weeks nwb. Doc said 1-2 weeks in the boot fwb. I ditched the crutches straight away and the boot after 1.5 weeks because it was just keeping my ankle stiff and swollen. I think once fwb the sooner you can exit the boot the better imo
@@NathanCarlsonLove the answer. May I ask what your general advice would be for the management of someone with a stress fracture of the medial sesamoid? Do you have any experience with that?
I have medial malleolus fracture and doctors fixed my fracture with orif surgery I m very confused regarding ankle movement and exercise when I can walk with full weight bearing and I have four week can I start exercises
Do NOT, I repeat…DO NOT LISTEN TO THIS GUY!!! I went and bought a pair of Jordan’s for my Achilles tendinitis. As a floor nurse, I was desperate for a nice pair of shoes for my Achilles tendinitis. I’ve worn various Hokas (which were nice), Brooks (durable, not as comfortable), and Sauconys (literally fell apart). I ended up wearing my hunting boots-Irish Setters, and they were the best. I bought $175 Jordans and I damn nearly had to crawl to my car after my 12 hour shift. My bone spurs are so swollen, my feet aching, and I was in SO much pain. Another nurse said, “Jordan’s are more for style, not comfort”-I’m like, really? Because Jordan’s are the ugliest damn shoes I’ve ever seen. Made in China. They are torture devices
My dr won’t don’t my knee operation until my stress fracture goes he put me on vitamin d yet iv still got it a month later and now I’m my other leg were I just had knee replacement
Grade 3 distal tibia stress response with involvement of medial malleolus. 9 weeks with the boot on and still having pain and swelling. No rehabilitation plan, nothing whatsoever. I started to see a Physio privately last week, to try and fix me. I'm a Tango dancer and a sporty person but I wonder how long all this will take to disappear...
Well I guess I’m here for a right broken fibula.. 2 days in 😮💨😣 ( beyond painful ) .. in a boot till I see an orthopedic doctor today .. I’m needing of this video for my healing 🫤..
Stress reactions (grade I-III) tend to heal quicker than a stress fracture. However, BSIs around the hip/pelvis take longer than more distal sites like the tibia and metatarsals.
@@espaciotraful9460 thanks sir better now but still hurts while sprints and hard surface running, avoiding road for now, any further recommendation is welcome
Oh my goodness! I have this exact symptom of pain when unloading the weight, and no one could tell me why. I got MRI confirmed yesterday a stress reaction - wish I stumbled across this video a few weeks ago 😂
2 xrays and 2 MRIs and finally the OS said its a stress fracture. 4 months no running so far. Another 6 weeks and I go for my follow up. Its in the medial area. Do you (or anyone) know about infrared therapy and cold plunge? I am not sure if it helkps, but I have been doing this consistently. The cold plunge relieves the pain at least!
The Air Jordan 1's have been a Godsend for my achilles pain. Quick question, would the lows have the same heel to toe differential as the mids or highs?
@@user-kc6wu2gc2m Correct, I've got the mids. I saw the slope was the same for the lows too. I'm just gonna give it a go when a colorway I like goes on sale at Nike!
Oh yes I do! I don’t wanna see any abortions. There’s millions of people who can’t have a baby out there they can have it and give it to someone who wants to love a child. I don’t know any Christian who would want to kill a child basically you are voting satanic. neither of you should even be an office. You haven’t got what America needs. You are not there for us. You are not there for our soldiers I can’t even turn the TV on when either one of you were out there. I am all American three husbands in the military. Six members of military in my family we are 100% America and we want our country to be safe. I feel you do not have the capacity to even see that what what you did with the border I don’t feel safe even going to the corner how sad.
I suffered from a stress fracture in my foot in July 2020. I suffered from a stress fracture in my femur Feb 2024. And I’m now, again, suffering from a stress fracture in my foot (July 2024). I have suffered from these stress fractures while breastfeeding. I have been researching and learned that women’s bone density decreases as much as 1%-3% PER MONTH during breastfeeding. I breastfed all three of my babies at least 1 year each and my stress fractures happened around 1 year postpartum. I have also read that bone density returns to normal 6-18 months post weaning. I’m sharing this information bc I do not believe running, breastfeeding, and bone density is talked enough within the running community! I’m just not sure there’s enough R&D on the subject.
For those specifically will malleolus fractures who have had ORIF surgery - PLEASE google early weight bearing vs delayed weight bearing. Your surgeon is wrong, and is completely ignoring the published science. Science states that post ORIF for ankle surgery that early weight bearing is safe and as the video states, avoids all the issues you have by delaying weight bearing. Do the research, the published papers can be a tad confusing but they all offer summaries. Take it to your surgeon and ask why you're delayed - why you're in a cast 6-8 weeks, etc. It's wrong.
I had a Weber B fracture that required ORIF. Cast four 4.5 wks, no cast for a week, then at 5.5 wks, the surgeon said just start 25% weight bearing and add more each week as tolerated. I was nervous at the time not going into a boot, but it has been going great this last week, and physio has started.
This study is only on women, so it is effectively useless for 50% of the population. Bone mineral density, energy availability and hormone function are all far higher in men.
Correct, this study was only in female runners. However, there’s lots of research to support similar patterns of low BMD, hormone dysfunction,and a poor relationship with food being likely variables in male runners developing BSIs.
I appreciate this video. I went with a zero drop years ago but stubbornly i ignored a little pain in my achilles fast forward and I now have pretty bad pain in both and just recently started having trouble just going for a walk. For whatever reason It hit me tonight, I know it sounds so dumb, but I think these zero drops are killing me 🤷🏽♂️ I got to find some heel lifts.
4ish days ago i was playing soccer at school i went to kick the ball but missed and kicked this kids shin my shin imidenty felt so sore could barely walk took me a few minuets to run i had footy training it started getting better butsensitivity to touch basicallly the same aswell as i have pain while running and it hurts with rest le continue to monitor so far m coping and it snt too badbut its still quite sensitive to touch il keep a eye i tend ti be able to manage higher intensities of pain comfortably il continue to monitor for worsin of symtoms right now im alright earlier was a little worse then the day beftore but im coping
I've had tibia stress fractures in both legs for over 8 years now. My only option is surgery. And I played every single sport known to man and also ran a lot. Excluding my military service, I dont think enough knowledge has been gathered to truly understand and explain why this type of injury keeps occurring. Even after years of resting and taking it easy, my legs still won't heal. In my humble opinion, more research needs to be done to cure this problem. Personally, I believe it's a combination of the invention of the modern shoe and concrete running paths.
I broke both calcaneus 9 months ago. One required surgery. I was in a wheelchair for 8 weeks and my ankle which required surgery was in a boot/ cast cast 3.5 months. The muscle atrophy was unreal. six months out the boot, my leg is slowly gaining strength in both the calf and quad which still have significantly less volume than the leg which was in a boot for only six weeks. My rehab on leg continues - if slower than I had thought.
I first went to A&E with concerns of a stress fracture. After months of pushing I finally got a MRI scan and have been diagnosed with a Webber A and B fracture in the outside ankle bone. I'm still waiting for any sort of treatment.
