The Running Injury Podcast (Formerly Interdisciplinary Case Miles)

The Running Injury Podcast (Formerly Interdisciplinary Case Miles)https://www.spreaker.com/podcast/the-running-injury-podcast-formerly-interdisciplinary-case-miles--6623567
The Interdisciplinary Case Miles podcast dives deep into clinical cases affecting runners of all levels, analyzed through the lens of three leading experts in running health. Each episode presents a runner’s story—pain, performance, or puzzling symptoms—and explores it from the collaborative perspectives of an orthopedic physical therapist, a running medicine physician, and a sports dietitian. Tune in for practical, evidence-based strategies and behind-the-scenes insight into what really helps runners return to the roads stronger than before.

Dr. Kate Mihevc Edwards PT, DPT, OCS
Dr. Kate Mihevc Edwards is a board-certified orthopedic clinical specialist and founder of Precision Performance & Physical Therapy and Fast Bananas RUNsource. She is a researcher, author, and national speaker on running-related injuries, performance, and recovery. Kate treats runners of all levels—from recreational to professional—and specializes in working with those who haven’t had success elsewhere. She is part of the interdisciplinary team for the Atlanta Track Club Elite, serves as adjunct faculty at Emory University School of Medicine, and regularly lectures at running camps, universities, and team programs nationwide.

Dr. Sara Raiser MD, FAAPMR, CAQSM, LMT
Dr. Sara Raiser is a sports medicine physician and academic physiatrist at the University of Virginia Runner’s Clinic, where she specializes in the care of runners across all levels. Her clinical and research work focuses on bone stress injuries, gait mechanics, female athlete health, and interdisciplinary care models in running medicine. Dr. Raiser has served as team physician for Atlanta Track Club Elite, Stanford University, and several collegiate and high school programs. She brings a deeply collaborative and evidence-based approach to helping runners recover, adapt, and perform.

Kelsey Pontius, RD CSSD
Kelsey Pontius is a board-certified specialist in sports dietetics and the founder of Meteor Nutrition. A two-time U.S. Olympic Marathon Trials qualifier, she combines elite-level athletic experience with clinical expertise to help runners fuel for performance, recovery, and health. Kelsey is the sports dietitian for Atlanta Track Club Elite and consults with NCAA Division I teams, as well as individual runners across the country. Her practice focuses on endurance nutrition, gut health, injury recovery, and hormone balance through food.

Become a supporter of this podcast: https://www.spreaker.com/podcast/the-running-injury-podcast-formerly-interdisciplinary-case-miles--6623567/support.]]>enMedicineCopyright Dr. Kate Mihevc Edwards PThttps://d3wo5wojvuv7l.cloudfront.net/t_rss_itunes_square_1400/images.spreaker.com/original/e0acd9c0515abc5cbf4e72d2b7bc937a.jpgThe Running Injury Podcast (Formerly Interdisciplinary Case Miles)https://www.spreaker.com/podcast/the-running-injury-podcast-formerly-interdisciplinary-case-miles--6623567Tue, 25 Aug 2026 14:52:57 +0000Dr. Kate Mihevc Edwards PTDr. Kate Mihevc Edwardsruncasemiles@gmail.comReal runners. Real problems. Real solutions. The Interdisciplinary Case Miles podcast dives deep into clinical cases affecting runners of all levels, analyzed through the lens of three leading experts in running health. Each episode presents a...
The Interdisciplinary Case Miles podcast dives deep into clinical cases affecting runners of all levels, analyzed through the lens of three leading experts in running health. Each episode presents a runner’s story—pain, performance, or puzzling symptoms—and explores it from the collaborative perspectives of an orthopedic physical therapist, a running medicine physician, and a sports dietitian. Tune in for practical, evidence-based strategies and behind-the-scenes insight into what really helps runners return to the roads stronger than before.

Dr. Kate Mihevc Edwards PT, DPT, OCS
Dr. Kate Mihevc Edwards is a board-certified orthopedic clinical specialist and founder of Precision Performance & Physical Therapy and Fast Bananas RUNsource. She is a researcher, author, and national speaker on running-related injuries, performance, and recovery. Kate treats runners of all levels—from recreational to professional—and specializes in working with those who haven’t had success elsewhere. She is part of the interdisciplinary team for the Atlanta Track Club Elite, serves as adjunct faculty at Emory University School of Medicine, and regularly lectures at running camps, universities, and team programs nationwide.

Dr. Sara Raiser MD, FAAPMR, CAQSM, LMT
Dr. Sara Raiser is a sports medicine physician and academic physiatrist at the University of Virginia Runner’s Clinic, where she specializes in the care of runners across all levels. Her clinical and research work focuses on bone stress injuries, gait mechanics, female athlete health, and interdisciplinary care models in running medicine. Dr. Raiser has served as team physician for Atlanta Track Club Elite, Stanford University, and several collegiate and high school programs. She brings a deeply collaborative and evidence-based approach to helping runners recover, adapt, and perform.

Kelsey Pontius, RD CSSD
Kelsey Pontius is a board-certified specialist in sports dietetics and the founder of Meteor Nutrition. A two-time U.S. Olympic Marathon Trials qualifier, she combines elite-level athletic experience with clinical expertise to help runners fuel for performance, recovery, and health. Kelsey is the sports dietitian for Atlanta Track Club Elite and consults with NCAA Division I teams, as well as individual runners across the country. Her practice focuses on endurance nutrition, gut health, injury recovery, and hormone balance through food.

Become a supporter of this podcast: https://www.spreaker.com/podcast/the-running-injury-podcast-formerly-interdisciplinary-case-miles--6623567/support.]]>false9f39d479-12ff-5596-8aef-1669907c38c0episodicSupport the podcast!26: Is It Really Plantar Fasciitis? The Foot Injury Many Runners Misdiagnosehttps://www.spreaker.com/episode/26-is-it-really-plantar-fasciitis-the-foot-injury-many-runners-misdiagnose--73197102Whether you're dealing with stubborn foot pain, recurring arch pain, or simply want to avoid common running injuries, this episode offers practical, evidence-informed strategies to help you stay healthy and running strong.

In this episode, you'll learn:

Why heel pain isn't always plantar fasciitis
How posterior tibial tendinopathy can mimic plantar fasciitis
The importance of a thorough running and biomechanical evaluation
When imaging is necessary to rule out stress fractures and other serious injuries
How footwear including carbon-plated shoes can impact recovery
Why nutrition and adequate fueling play a critical role in tendon health
How progressive tendon loading helps runners recover safely

Whether you're a recreational runner, marathoner, coach, healthcare provider, or someone struggling with persistent foot pain, this episode will help you better understand what may really be causing your symptoms and what to do about it.

Featured Experts

Dr. Sara Raiser MD – Running Medicine Physician

Kelsey Pontius, MS, RD, CSSD – Sports Dietitian

Dr. Kate Mihevc Edwards PT – Physical Therapist & Orthopedic Clinical SpecialistChapter Highlights

00:00 Introduction to today's case

01:20 Why this wasn't typical plantar fasciitis
06:15 Differential diagnosis: Stress fractures, tendon injuries, and nerve pain
12:30 Biomechanics, hip strength, and running gait analysis
18:45 Carbon-plated shoes: When they help and when they hurt
24:00 Nutrition strategies for tendon healing and recovery
30:30 Female athletes, menstrual cycles, and injury risk
37:45 Why tendon loading- not complete rest is essential
44:30 The importance of getting the correct diagnosis
49:15 Final takeaways for runners with persistent foot pain

Become a supporter of this podcast: https://www.spreaker.com/podcast/the-running-injury-podcast-formerly-interdisciplinary-case-miles--6623567/support.

If you enjoyed this episode, don’t forget to follow and subscribe so you never miss a case.

Have a question or a case you'd like us to explore on the show? We’d love to hear from you. Reach out anytime at runcasemiles@gmail.com.

]]>https://api.spreaker.com/episode/73197102Fri, 21 Aug 2026 11:00:02 +0000Dr. Kate Mihevc Edwards PTNot every case of heel or arch pain is plantar fasciitis.In Episode 26 of Interdisciplinary Case Miles, Dr. Sara Raiser, sports dietitian Kelsey Pontius, and Dr. Kate Mihevc Edwards break down a challenging case of a runner who had been treated...Whether you're dealing with stubborn foot pain, recurring arch pain, or simply want to avoid common running injuries, this episode offers practical, evidence-informed strategies to help you stay healthy and running strong.

In this episode, you'll learn:

Why heel pain isn't always plantar fasciitis
How posterior tibial tendinopathy can mimic plantar fasciitis
The importance of a thorough running and biomechanical evaluation
When imaging is necessary to rule out stress fractures and other serious injuries
How footwear including carbon-plated shoes can impact recovery
Why nutrition and adequate fueling play a critical role in tendon health
How progressive tendon loading helps runners recover safely

Dr. Sara Raiser MD – Running Medicine Physician

Kelsey Pontius, MS, RD, CSSD – Sports Dietitian

Dr. Kate Mihevc Edwards PT – Physical Therapist & Orthopedic Clinical SpecialistChapter Highlights

00:00 Introduction to today's case

01:20 Why this wasn't typical plantar fasciitis
06:15 Differential diagnosis: Stress fractures, tendon injuries, and nerve pain
12:30 Biomechanics, hip strength, and running gait analysis
18:45 Carbon-plated shoes: When they help and when they hurt
24:00 Nutrition strategies for tendon healing and recovery
30:30 Female athletes, menstrual cycles, and injury risk
37:45 Why tendon loading- not complete rest is essential
44:30 The importance of getting the correct diagnosis
49:15 Final takeaways for runners with persistent foot pain

Become a supporter of this podcast: https://www.spreaker.com/podcast/the-running-injury-podcast-formerly-interdisciplinary-case-miles--6623567/support.

If you enjoyed this episode, don’t forget to follow and subscribe so you never miss a case.

Have a question or a case you'd like us to explore on the show? We’d love to hear from you. Reach out anytime at runcasemiles@gmail.com.

]]>1496biomechanics,distancerunning,footpain,healthyrunner,injuryprevention,interdisciplinarycasemiles,marathontraining,physicaltherapy,plantarfasciitis,posteriortibialtendinopathy,posteriortibialtendon,runner,runninginjury,runningpodcast,runningtips,sportsmedicine,sportsnutrition,sportspt,tendonhealth,trailrunningfalse126full25: She Had a Baby, Started Running Again…and Ended Up With a Stress Fracturehttps://www.spreaker.com/episode/25-she-had-a-baby-started-running-again-and-ended-up-with-a-stress-fracture--73197007

Why postpartum runners are at increased risk for bone stress injuries
How RED-S and low energy availability affect recovery and bone health
The nutritional demands of breastfeeding while returning to trainin
Why femoral neck stress fractures require careful managemen
How individualized return-to-run programs reduce the risk of reinjury
The importance of repeat imaging and interdisciplinary care during recovery
Why listening to your body is essential after childbirth and injury

This conversation explores the intersection of sports medicine, physical therapy, nutrition, and women's health to help runners recover safely, rebuild confidence, and return to doing what they love.

Featured Experts

Dr. Sara Raiser MD – Running Medicine Physician
Kelsey Pontius, MS, RD, CSSD – Sports Dietitian
Dr. Kate Mihevc Edwards PT – Physical Therapist & Orthopedic Clinical Specialist

Why postpartum runners are at increased risk for bone stress injuries
How RED-S and low energy availability affect recovery and bone health
The nutritional demands of breastfeeding while returning to trainin
Why femoral neck stress fractures require careful managemen
How individualized return-to-run programs reduce the risk of reinjury
The importance of repeat imaging and interdisciplinary care during recovery
Why listening to your body is essential after childbirth and injury

Dr. Sara Raiser MD – Running Medicine Physician
Kelsey Pontius, MS, RD, CSSD – Sports Dietitian
Dr. Kate Mihevc Edwards PT – Physical Therapist & Orthopedic Clinical Specialist

00:00 Introduction to this postpartum running case
02:00 RED-S, infertility history, and postpartum recovery
07:15 Breastfeeding nutrition and increased energy demands
14:30 Femoral neck stress fractures explained
21:00 Bone health, medications, and metabolic risk factors
30:15 Returning to running after a high-risk stress fracture
39:30 Why repeat imaging can change treatment decisions
46:00 Balancing healing, motherhood, and athletic identity
52:15 Key takeaways for postpartum runners and healthcare providers

Become a supporter of this podcast: https://www.spreaker.com/podcast/the-running-injury-podcast-formerly-interdisciplinary-case-miles--6623567/support.

If you enjoyed this episode, don’t forget to follow and subscribe so you never miss a case.

Have a question or a case you'd like us to explore on the show? We’d love to hear from you. Reach out anytime at runcasemiles@gmail.com.

]]>1967bonehealth,breastfeeding,enduranceathlete,femaleathlete,femoralneckstressfracture,lowenergyavailability,marathontraining,physicaltherapy,postpartumrunning,reds,returntorun,runner,runningafterpregnancy,runningcommunity,runninginjury,sportsdietitian,sportsmedicine,sportsnutrition,stressfracture,women'shealthfalse125full24: Are Bunions Ruining Your Running?https://www.spreaker.com/episode/24-are-bunions-ruining-your-running--73095802
Think again.

In Episode 24 of Interdisciplinary Case Miles, Dr. Sara Raiser, sports dietitian Kelsey Pontius, and Dr. Kate Mihevc Edwards take a closer look at one of the most common foot conditions affecting runners: bunions (hallux valgus).
From biomechanics and footwear to nutrition, strength training, and surgical considerations, this episode explains why bunions are much more than a bump on your foot.Whether you've noticed your big toe drifting, struggle with foot pain during runs, or simply want to keep your feet healthy for years to come, this episode provides practical, evidence-informed strategies to help you run stronger and stay injury-free.In this episode, you'll learn:What a bunion (hallux valgus) actually is and why it develops.

Why bunions can contribute to knee, hip, and running injuries.
How foot mechanics and pronation influence bunion progression.
When physical therapy, toe strengthening, and footwear changes can help.
The role of nutrition in supporting tendon, ligament, and joint health.
When bunion surgery should (and shouldn't) be considered.

Simple exercises that can improve foot stability and running mechanicsWhether you're a recreational runner, marathoner, trail runner, coach, healthcare provider, or simply looking to stay active without foot pain, this episode will help you better understand how your feet influence every step you take.

Featured Experts
Dr. Sara Raiser MD – Running Medicine Physician
Kelsey Pontius, MS, RD, CSSD – Sports Dietitian
Dr. Kate Mihevc Edwards PT – Physical Therapist & Orthopedic Clinical Specialist

00:00 Introduction
01:15 What is a bunion? Understanding hallux valgus
04:20 Why bunions affect the entire kinetic chain
08:35 Running mechanics, pronation, and foot stability
13:15 Nutrition strategies to support healthy tendons and ligaments
19:10 Toe strength, toe yoga, and improving foot control
24:20 When should runners consider bunion surgery?
31:30 Footwear, toe spacers, and shoe modifications
37:45 Sleep, recovery, and protecting your running mechanics
44:15 Final takeaways for preventing bunion progression

Become a supporter of this podcast: https://www.spreaker.com/podcast/the-running-injury-podcast-formerly-interdisciplinary-case-miles--6623567/support.

If you enjoyed this episode, don’t forget to follow and subscribe so you never miss a case.

Have a question or a case you'd like us to explore on the show? We’d love to hear from you. Reach out anytime at runcasemiles@gmail.com.

]]>https://api.spreaker.com/episode/73095802Fri, 24 Jul 2026 11:00:03 +0000Dr. Kate Mihevc Edwards PTAre Bunions Ruining Your Running? Think bunions are just a cosmetic issue? Think again. In Episode 24 of Interdisciplinary Case Miles, Dr. Sara Raiser, sports dietitian Kelsey Pontius, and Dr. Kate Mihevc Edwards take a closer look at one of the...
Think again.

In Episode 24 of Interdisciplinary Case Miles, Dr. Sara Raiser, sports dietitian Kelsey Pontius, and Dr. Kate Mihevc Edwards take a closer look at one of the most common foot conditions affecting runners: bunions (hallux valgus).
From biomechanics and footwear to nutrition, strength training, and surgical considerations, this episode explains why bunions are much more than a bump on your foot.Whether you've noticed your big toe drifting, struggle with foot pain during runs, or simply want to keep your feet healthy for years to come, this episode provides practical, evidence-informed strategies to help you run stronger and stay injury-free.In this episode, you'll learn:What a bunion (hallux valgus) actually is and why it develops.

Why bunions can contribute to knee, hip, and running injuries.
How foot mechanics and pronation influence bunion progression.
When physical therapy, toe strengthening, and footwear changes can help.
The role of nutrition in supporting tendon, ligament, and joint health.
When bunion surgery should (and shouldn't) be considered.

Simple exercises that can improve foot stability and running mechanicsWhether you're a recreational runner, marathoner, trail runner, coach, healthcare provider, or simply looking to stay active without foot pain, this episode will help you better understand how your feet influence every step you take.

Featured Experts
Dr. Sara Raiser MD – Running Medicine Physician
Kelsey Pontius, MS, RD, CSSD – Sports Dietitian
Dr. Kate Mihevc Edwards PT – Physical Therapist & Orthopedic Clinical Specialist

00:00 Introduction
01:15 What is a bunion? Understanding hallux valgus
04:20 Why bunions affect the entire kinetic chain
08:35 Running mechanics, pronation, and foot stability
13:15 Nutrition strategies to support healthy tendons and ligaments
19:10 Toe strength, toe yoga, and improving foot control
24:20 When should runners consider bunion surgery?
31:30 Footwear, toe spacers, and shoe modifications
37:45 Sleep, recovery, and protecting your running mechanics
44:15 Final takeaways for preventing bunion progression

Become a supporter of this podcast: https://www.spreaker.com/podcast/the-running-injury-podcast-formerly-interdisciplinary-case-miles--6623567/support.

If you enjoyed this episode, don’t forget to follow and subscribe so you never miss a case.

Have a question or a case you'd like us to explore on the show? We’d love to hear from you. Reach out anytime at runcasemiles@gmail.com.

]]>1405biomechanics,bunions,foothealth,footpain,halfmarathon,halluxvalgus,healthyfeet,injuryprevention,marathon,marathontraining,physicaltherapy,runner,running,runningcommunity,runninginjury,runningtips,sportsmedicine,sportsnutrition,strengthtraining,trailrunningfalse124full23: Knee Pain, Clicking, and MRI Findings: Does Every Meniscus Tear Need Surgery?https://www.spreaker.com/episode/23-knee-pain-clicking-and-mri-findings-does-every-meniscus-tear-need-surgery--72467556
In this episode of Interdisciplinary Case Miles, we discuss a runner whose knee pain gradually started limiting his training. We cover meniscus injuries, why knee pain can develop even when your training hasn't changed, when imaging is helpful, and why surgery is often not the first step.We also discuss strength, mobility, biomechanics, trail running, downhill running, and other factors that can contribute to knee pain.

If you've ever had a run cut short by knee pain or wondered what an MRI finding really means, this episode is for you.

In This Episode
00:00 Introduction and today's runner case
01:45 A runner whose knee pain gradually stopped him from training
04:30 What clinicians look for during a knee evaluation
08:00 Meniscus pain, mechanical symptoms, and common misconceptions
11:30 Degenerative versus traumatic meniscus tears
15:00 When imaging helps and when it doesn't change treatment
18:30 Trail running, downhill running, and rotational stress on the knee
22:00 Strength, mobility, and movement patterns that matter
26:00 Conservative treatment options for runners
30:00 When surgery may be appropriate
33:00 Key takeaways for runners dealing with knee pain

About Interdisciplinary Case MilesInterdisciplinary Case Miles brings together a running medicine physician, sports dietitian, and physical therapist to discuss real runner cases and the challenges runners face every day. Through an evidence-informed approach, we help runners better understand injuries, recovery, performance, and long-term health so they can keep doing what they love.

Become a supporter of this podcast: https://www.spreaker.com/podcast/the-running-injury-podcast-formerly-interdisciplinary-case-miles--6623567/support.

If you enjoyed this episode, don’t forget to follow and subscribe so you never miss a case.

Have a question or a case you'd like us to explore on the show? We’d love to hear from you. Reach out anytime at runcasemiles@gmail.com.

]]>https://api.spreaker.com/episode/72467556Fri, 10 Jul 2026 11:00:01 +0000Dr. Kate Mihevc Edwards PTKnee pain can stop even the most consistent runner in their tracks—but does knee pain automatically mean you need an MRI, an injection, or surgery? In this episode of Interdisciplinary Case Miles, we discuss a runner whose knee pain gradually started...
In this episode of Interdisciplinary Case Miles, we discuss a runner whose knee pain gradually started limiting his training. We cover meniscus injuries, why knee pain can develop even when your training hasn't changed, when imaging is helpful, and why surgery is often not the first step.We also discuss strength, mobility, biomechanics, trail running, downhill running, and other factors that can contribute to knee pain.

If you've ever had a run cut short by knee pain or wondered what an MRI finding really means, this episode is for you.

In This Episode
00:00 Introduction and today's runner case
01:45 A runner whose knee pain gradually stopped him from training
04:30 What clinicians look for during a knee evaluation
08:00 Meniscus pain, mechanical symptoms, and common misconceptions
11:30 Degenerative versus traumatic meniscus tears
15:00 When imaging helps and when it doesn't change treatment
18:30 Trail running, downhill running, and rotational stress on the knee
22:00 Strength, mobility, and movement patterns that matter
26:00 Conservative treatment options for runners
30:00 When surgery may be appropriate
33:00 Key takeaways for runners dealing with knee pain

About Interdisciplinary Case MilesInterdisciplinary Case Miles brings together a running medicine physician, sports dietitian, and physical therapist to discuss real runner cases and the challenges runners face every day. Through an evidence-informed approach, we help runners better understand injuries, recovery, performance, and long-term health so they can keep doing what they love.

Become a supporter of this podcast: https://www.spreaker.com/podcast/the-running-injury-podcast-formerly-interdisciplinary-case-miles--6623567/support.

If you enjoyed this episode, don’t forget to follow and subscribe so you never miss a case.

Have a question or a case you'd like us to explore on the show? We’d love to hear from you. Reach out anytime at runcasemiles@gmail.com.

]]>1372enduranceathlete,evidencebasedpractice,idcm,injuryprevention,interdisciplinarycasemiles,kneepain,meniscusrecovery,meniscustear,returntorunning,runnerhealth,runnerinjury,runninginjury,runningmedicine,runningrehab,runstrong,sportsdietitian,sportsmedicine,sportsphysicaltherapy,strengthforrunners,trailrunningfalse123full22: Don't Let Summer Derail Your Fall Running Goals | 3 Injury Mistakes Every Runner Should Avoidhttps://www.spreaker.com/episode/22-don-t-let-summer-derail-your-fall-running-goals-3-injury-mistakes-every-runner-should-avoid--72694601
In Episode 22 of Interdisciplinary Case Miles, Dr. Sara Raiser MD, sports dietitian Kelsey Pontius, and Dr. Kate Mihevc Edwards PT take a quick break from injury cases to help decrease your risk for injury later.

They share the three biggest mistakes runners make during the summer that often lead to injuries when fall marathon training, cross-country season, and race preparation begin.

Whether you're training for your first 5K, a marathon, or preparing for a competitive cross-country season, this episode offers practical, evidence-informed strategies to help you stay healthy, recover well, and build a stronger foundation before race season.

In this episode, you'll learn:

Why under-fueling is more common during hot weather than you think
How summer travel and inconsistent training increase injury risk
The importance of maintaining running and strength training consistency
Why recovery is the missing piece in many training plans
Smart nutrition and hydration strategies for hot-weather running
How to avoid training spikes before marathon and cross-country season

Whether you're a recreational runner, competitive athlete, coach, parent, or healthcare professional working with runners, these simple adjustments can help keep injuries away and performance moving forward.

Featured Experts

Dr. Sara Raiser MD – Running Medicine Physician
Kelsey Pontius, MS, RD, CSSD – Sports Dietitian
Dr. Kate Mihevc Edwards PT – Physical Therapist & Orthopedic Clinical Specialist

Why under-fueling is more common during hot weather than you think
How summer travel and inconsistent training increase injury risk
The importance of maintaining running and strength training consistency
Why recovery is the missing piece in many training plans
Smart nutrition and hydration strategies for hot-weather running
How to avoid training spikes before marathon and cross-country season

Dr. Sara Raiser MD – Running Medicine Physician
Kelsey Pontius, MS, RD, CSSD – Sports Dietitian
Dr. Kate Mihevc Edwards PT – Physical Therapist & Orthopedic Clinical Specialist

Chapter Highlights
00:00 Introduction
01:20 Summer training mistakes that lead to fall injuries
02:10 Why runners under-fuel during hot weather
06:45 Staying consistent while traveling this summer
10:55 Preventing training spikes before marathon season
14:10 Recovery strategies every runner needs
18:45 Cross-training, rest days, and avoiding burnout
22:10 Fueling before, during, and after summer workouts
26:00 Final takeaways for staying healthy all season

Have a running injury or case you'd like discussed on a future episode?

Email us: runcasemiles@gmail.com

If you enjoyed this episode, please like, subscribe, leave a review, and share it with a fellow runner. Every share helps us reach more athletes and continue providing evidence-informed education to help runners stay healthy and perform their best.

Become a supporter of this podcast: https://www.spreaker.com/podcast/the-running-injury-podcast-formerly-interdisciplinary-case-miles--6623567/support.

If you enjoyed this episode, don’t forget to follow and subscribe so you never miss a case.

Have a question or a case you'd like us to explore on the show? We’d love to hear from you. Reach out anytime at runcasemiles@gmail.com.

]]>79410k,5k,crosscountry,endurancetraining,halfmarathon,hydration,injuryprevention,marathontraining,physicaltherapy,recovery,runner,running,runningcommunity,runninginjury,runningtips,sportsdietitian,sportsmedicine,sportsnutrition,strengthtraining,trailrunningfalse122full21: Forefoot Pain in Runners: Understanding Metatarsalgia & Training Loadhttps://www.spreaker.com/episode/21-forefoot-pain-in-runners-understanding-metatarsalgia-training-load--72191230Using the case of a recreational runner in her mid-20s who recently increased her mileage after joining a social running group, they explore the many factors that can contribute to forefoot pain — from rapid training increases and footwear choices to biomechanics, nutrition, and overall load management.
The conversation highlights how lifestyle changes such as walking more in a new city, wearing heels for work, increasing weekly mileage, and under-fueling can all add up to overload the body.
They discuss how clinicians evaluate metatarsalgia, when imaging may be necessary, and why assessing gait mechanics, strength, and movement patterns is essential for long-term recovery.

The episode also explores the role of nutrition in injury prevention, including the importance of fueling appropriately when transitioning from casual exercise to training like an athlete.Listeners will also hear discussion around common contributors to forefoot pain such as calf tightness, forefoot loading, Morton’s neuroma, footwear transitions, and even referred pain coming from the lower back. Throughout the episode, the importance of treating the whole athlete- not just the painful area- is emphasized, along with understanding whether the body can truly tolerate the physical and mental load being placed upon it.
Whether you’re a runner dealing with foot pain, a clinician treating runners, or someone trying to better understand training load and recovery, this episode provides practical insights into injury prevention, rehabilitation, and performance optimization.

00:00 – Welcome to Interdisciplinary Case Miles
Introduction to the podcast and the interdisciplinary approach to runner health and performance.
01:20 – The Case: Recreational Runner with Forefoot Pain
A runner in her mid-20s develops metatarsal pain after increasing mileage and joining a social run group.
03:00 – Understanding Metatarsalgia
Dr. Sara Raiser MD explains why forefoot pain is often multifactorial and requires a broad differential diagnosis.
05:30 – Stress Fractures & Medical Red Flags
Discussion around bone stress injuries, imaging, neurological screening, and determining when further investigation is needed.
09:15 – Biomechanics, Gait & Foot Loading
Dr. Kate Mihevc Edwards PT reviews running mechanics, calf tightness, forefoot loading patterns, and mobility considerations.
14:00 – Morton’s Neuroma, Orthotics & Footwear Choices
Discussion around nerve irritation, shoe structure, metatarsal pads, toe spreaders, and footwear transitions.
17:30 – Nutrition, Under-Fueling & the “Girl Dinner” Problem
Kelsey Pontius explains how convenience eating, low carbohydrate intake, and under-fueling can contribute to injury risk.
24:00 – Shifting Into the Athlete Mindset
Why recreational runners often underestimate their training demands and recovery needs.
28:00 – When Foot Pain Might Actually Be Coming From the Back
The importance of screening for referred pain, neural tension, and lumbar spine involvement.
34:00 – Training Load Includes More Than Running
How walking, commuting, standing at work, and social activity all contribute to overall load.
39:00 – Managing Recovery & Modifying Activity
Strategies for reducing stress on the foot while maintaining activity and supporting healing.
43:00 – Key Takeaways for Runners & Providers
Final thoughts on strength, biomechanics, fueling, and finding clinicians who understand runners.
46:00 – Closing Thoughts & Listener Questions
How listeners can submit their own running cases and support the podcast.

Become a supporter of this podcast: https://www.spreaker.com/podcast/the-running-injury-podcast-formerly-interdisciplinary-case-miles--6623567/support.

If you enjoyed this episode, don’t forget to follow and subscribe so you never miss a case.

Have a question or a case you'd like us to explore on the show? We’d love to hear from you. Reach out anytime at runcasemiles@gmail.com.

]]>https://api.spreaker.com/episode/72191230Fri, 12 Jun 2026 11:00:03 +0000Dr. Kate Mihevc Edwards PTIn this episode of Interdisciplinary Case Miles, Dr. Sara Raiser MD, Dr. Kate Mihevc Edwards PT, and sports dietitian Kelsey Pontius discuss a common running injury that is often oversimplified: metatarsal pain, or forefoot pain. Using the case of a...Using the case of a recreational runner in her mid-20s who recently increased her mileage after joining a social running group, they explore the many factors that can contribute to forefoot pain — from rapid training increases and footwear choices to biomechanics, nutrition, and overall load management.
The conversation highlights how lifestyle changes such as walking more in a new city, wearing heels for work, increasing weekly mileage, and under-fueling can all add up to overload the body.
They discuss how clinicians evaluate metatarsalgia, when imaging may be necessary, and why assessing gait mechanics, strength, and movement patterns is essential for long-term recovery.

The episode also explores the role of nutrition in injury prevention, including the importance of fueling appropriately when transitioning from casual exercise to training like an athlete.Listeners will also hear discussion around common contributors to forefoot pain such as calf tightness, forefoot loading, Morton’s neuroma, footwear transitions, and even referred pain coming from the lower back. Throughout the episode, the importance of treating the whole athlete- not just the painful area- is emphasized, along with understanding whether the body can truly tolerate the physical and mental load being placed upon it.
Whether you’re a runner dealing with foot pain, a clinician treating runners, or someone trying to better understand training load and recovery, this episode provides practical insights into injury prevention, rehabilitation, and performance optimization.

00:00 – Welcome to Interdisciplinary Case Miles
Introduction to the podcast and the interdisciplinary approach to runner health and performance.
01:20 – The Case: Recreational Runner with Forefoot Pain
A runner in her mid-20s develops metatarsal pain after increasing mileage and joining a social run group.
03:00 – Understanding Metatarsalgia
Dr. Sara Raiser MD explains why forefoot pain is often multifactorial and requires a broad differential diagnosis.
05:30 – Stress Fractures & Medical Red Flags
Discussion around bone stress injuries, imaging, neurological screening, and determining when further investigation is needed.
09:15 – Biomechanics, Gait & Foot Loading
Dr. Kate Mihevc Edwards PT reviews running mechanics, calf tightness, forefoot loading patterns, and mobility considerations.
14:00 – Morton’s Neuroma, Orthotics & Footwear Choices
Discussion around nerve irritation, shoe structure, metatarsal pads, toe spreaders, and footwear transitions.
17:30 – Nutrition, Under-Fueling & the “Girl Dinner” Problem
Kelsey Pontius explains how convenience eating, low carbohydrate intake, and under-fueling can contribute to injury risk.
24:00 – Shifting Into the Athlete Mindset
Why recreational runners often underestimate their training demands and recovery needs.
28:00 – When Foot Pain Might Actually Be Coming From the Back
The importance of screening for referred pain, neural tension, and lumbar spine involvement.
34:00 – Training Load Includes More Than Running
How walking, commuting, standing at work, and social activity all contribute to overall load.
39:00 – Managing Recovery & Modifying Activity
Strategies for reducing stress on the foot while maintaining activity and supporting healing.
43:00 – Key Takeaways for Runners & Providers
Final thoughts on strength, biomechanics, fueling, and finding clinicians who understand runners.
46:00 – Closing Thoughts & Listener Questions
How listeners can submit their own running cases and support the podcast.

Become a...]]>1358and,halfmarathon,marathontraining,medicine,performance,physicaltherapy,physiotherapy,podcast,rehab,runhappy,runlife,runner,running,runningcoach,runningmotivation,sports,sportsmedicine,sportsrehab,trailrunningfalse121full20:This Knee Injury Ends a 400-Day Run Streak… But Surgery Isn’t the Answer?https://www.spreaker.com/episode/20-this-knee-injury-ends-a-400-day-run-streak-but-surgery-isn-t-the-answer--71240003
This episode covers how these injuries present, what imaging like MRI actually tells us, and why physical therapy is often just as effective as surgery for long-term outcomes. You’ll hear how biomechanics, strength, and running form all influence knee stress and what can be adjusted to stay active without making things worse.

There’s also an important conversation around nutrition and long-held beliefs in running culture, including the risks of underfueling and the pressure to chase an “ideal” race weight.
For many experienced runners, habits built over decades can become the very thing that increases injury risk. Whether you're managing knee pain, coaching athletes, or working in sports medicine, this episode offers practical, evidence-informed strategies to support recovery and longevity in the sport. Topics include:

Degenerative meniscus injuries in runners MRI vs. clinical diagnosis PT vs. surgery outcomes Running biomechanics and cadence adjustments Nutrition myths and underfueling Injury trends in long-term runners

00:00 – Introduction to the Case A 52-year-old runner’s streak ends due to knee pain
02:00 – Understanding the Medial Meniscus What it does and why it matters for runners
04:30 – Diagnosis & Imaging When MRIs are helpful—and when they aren’t
08:00 – PT vs. Surgery What the research says about outcomes
12:30 – Running Mechanics & Knee Load How form and movement patterns contribute to pain
18:00 – Strength, Stability & Gait Changes Key rehab strategies to stay running
22:30 – The “Race Weight” Mindset Why this belief can backfire
27:00 – Underfueling & Recovery How nutrition impacts healing and performance
31:00 – Long-Term Runners & Injury Risk Why experience doesn’t always mean protection
35:00 – Expert Takeaways Key insights from medicine, PT, and nutrition
39:00 – Closing Thoughts & Call to Action

Become a supporter of this podcast: https://www.spreaker.com/podcast/the-running-injury-podcast-formerly-interdisciplinary-case-miles--6623567/support.

If you enjoyed this episode, don’t forget to follow and subscribe so you never miss a case.

Have a question or a case you'd like us to explore on the show? We’d love to hear from you. Reach out anytime at runcasemiles@gmail.com.

]]>https://api.spreaker.com/episode/71240003Fri, 29 May 2026 11:00:02 +0000Dr. Kate Mihevc Edwards PTWhat happens when a lifelong runner is forced to stop just short of a 400-day streak? In Episode 20 of Interdisciplinary Case Miles, a real case highlights the challenges of a 52-year-old runner dealing with a degenerative medial meniscus injury and...
This episode covers how these injuries present, what imaging like MRI actually tells us, and why physical therapy is often just as effective as surgery for long-term outcomes. You’ll hear how biomechanics, strength, and running form all influence knee stress and what can be adjusted to stay active without making things worse.

There’s also an important conversation around nutrition and long-held beliefs in running culture, including the risks of underfueling and the pressure to chase an “ideal” race weight.
For many experienced runners, habits built over decades can become the very thing that increases injury risk. Whether you're managing knee pain, coaching athletes, or working in sports medicine, this episode offers practical, evidence-informed strategies to support recovery and longevity in the sport. Topics include:

Degenerative meniscus injuries in runners MRI vs. clinical diagnosis PT vs. surgery outcomes Running biomechanics and cadence adjustments Nutrition myths and underfueling Injury trends in long-term runners

00:00 – Introduction to the Case A 52-year-old runner’s streak ends due to knee pain
02:00 – Understanding the Medial Meniscus What it does and why it matters for runners
04:30 – Diagnosis & Imaging When MRIs are helpful—and when they aren’t
08:00 – PT vs. Surgery What the research says about outcomes
12:30 – Running Mechanics & Knee Load How form and movement patterns contribute to pain
18:00 – Strength, Stability & Gait Changes Key rehab strategies to stay running
22:30 – The “Race Weight” Mindset Why this belief can backfire
27:00 – Underfueling & Recovery How nutrition impacts healing and performance
31:00 – Long-Term Runners & Injury Risk Why experience doesn’t always mean protection
35:00 – Expert Takeaways Key insights from medicine, PT, and nutrition
39:00 – Closing Thoughts & Call to Action

Become a supporter of this podcast: https://www.spreaker.com/podcast/the-running-injury-podcast-formerly-interdisciplinary-case-miles--6623567/support.

If you enjoyed this episode, don’t forget to follow and subscribe so you never miss a case.

Have a question or a case you'd like us to explore on the show? We’d love to hear from you. Reach out anytime at runcasemiles@gmail.com.

]]>1229biomechanics,enduranceathlete,fuelyourrun,healthyrunner,injuryprevention,injuryrecovery,kneepain,marathontraining,mastersathlete,meniscustear,over40runners,physicaltherapy,runhealthy,runnerlife,runnersofinstagram,runninginjury,runningtips,runstrong,sportsmedicine,sportsnutritionfalse120full19: Navicular Stress Fractures in Runners: Why Foot Pain Lingers and What You Might be Missinghttps://www.spreaker.com/episode/19-navicular-stress-fractures-in-runners-why-foot-pain-lingers-and-what-you-might-be-missing--71239201
This type of injury is one of the most challenging in running due to limited blood supply, high biomechanical demand, and the need for strict management early on. This case highlights how bone stress injuries develop from a combination of training load, biomechanics, and nutrition especially low energy availability in adolescent athletes. It also addresses why navicular injuries require careful progression, non-weight bearing phases, and long-term follow-up to avoid delayed healing or recurrence.

You’ll hear how foot mechanics, posterior tibial function, and arch control influence stress at the navicular, along with how strength, mobility, and confidence all play a role in returning to sport. The conversation also emphasizes the importance of fueling, growth demands, and the unique challenges faced by youth and first-generation athletes navigating high training loads.

Whether you’re a runner dealing with stubborn foot pain, a parent supporting a young athlete, or training in high-impact environments like track, trail, or jumping sports, this episode provides clear direction on preventing and managing navicular stress injuries.

00:00 – Intro to Interdisciplinary Case Miles Overview of the podcast and today’s complex case.
01:05 – Case Overview: High School Athlete with Persistent Foot Pain Track athlete with a year-long navicular bone stress injury.
03:10 – What Is the Navicular Bone & Why It Matters Location, function, and role as the “keystone” of the arch.
06:00 – Why Navicular Stress Injuries Are High Risk Limited blood supply and challenges with healing. 09:20 – The Perfect Storm: Load, Biomechanics & Nutrition How multiple factors combine to create bone stress injuries.
12:40 – Low Energy Availability in Young Athletes How underfueling impacts bone health and recovery.
16:30 – Growth, Development & High Calorie Needs Why adolescent runners require more fuel than expected.
20:10 – Practical Fueling Strategies for Busy Athletes Snacking, meal timing, and closing energy gaps.
24:00 – Posterior Tibial Function & Foot Mechanics How pronation control affects stress at the navicular.
27:45 – Physical Therapy Approach to Navicular Injuries Strength, mobility, stability, and load management.
31:20 – Confidence & Fear in Return to Sport Mental barriers after long-term injury.
35:00 – When to Repeat Imaging & Monitor Healing Using MRI and clinical signs to guide progression.
38:40 – Surgical vs Conservative Treatment Options When athletes consider early intervention.
42:10 – Athlete Stage Matters: Youth vs Elite Decisions How treatment varies by age and competition level.
45:30 – Key Takeaways from Each Expert Education, fueling, and whole-athlete care.

Become a supporter of this podcast: https://www.spreaker.com/podcast/the-running-injury-podcast-formerly-interdisciplinary-case-miles--6623567/support.

If you enjoyed this episode, don’t forget to follow and subscribe so you never miss a case.

Have a question or a case you'd like us to explore on the show? We’d love to hear from you. Reach out anytime at runcasemiles@gmail.com.

]]>https://api.spreaker.com/episode/71239201Fri, 15 May 2026 11:00:01 +0000Dr. Kate Mihevc Edwards PTFoot pain that lingers, comes and goes, or never fully heals can signal something more serious especially in runners. Episode 19 of Interdisciplinary Case Miles centers on a high school track athlete dealing with a navicular bone stress injury that...
This type of injury is one of the most challenging in running due to limited blood supply, high biomechanical demand, and the need for strict management early on. This case highlights how bone stress injuries develop from a combination of training load, biomechanics, and nutrition especially low energy availability in adolescent athletes. It also addresses why navicular injuries require careful progression, non-weight bearing phases, and long-term follow-up to avoid delayed healing or recurrence.

You’ll hear how foot mechanics, posterior tibial function, and arch control influence stress at the navicular, along with how strength, mobility, and confidence all play a role in returning to sport. The conversation also emphasizes the importance of fueling, growth demands, and the unique challenges faced by youth and first-generation athletes navigating high training loads.

Whether you’re a runner dealing with stubborn foot pain, a parent supporting a young athlete, or training in high-impact environments like track, trail, or jumping sports, this episode provides clear direction on preventing and managing navicular stress injuries.

00:00 – Intro to Interdisciplinary Case Miles Overview of the podcast and today’s complex case.
01:05 – Case Overview: High School Athlete with Persistent Foot Pain Track athlete with a year-long navicular bone stress injury.
03:10 – What Is the Navicular Bone & Why It Matters Location, function, and role as the “keystone” of the arch.
06:00 – Why Navicular Stress Injuries Are High Risk Limited blood supply and challenges with healing. 09:20 – The Perfect Storm: Load, Biomechanics & Nutrition How multiple factors combine to create bone stress injuries.
12:40 – Low Energy Availability in Young Athletes How underfueling impacts bone health and recovery.
16:30 – Growth, Development & High Calorie Needs Why adolescent runners require more fuel than expected.
20:10 – Practical Fueling Strategies for Busy Athletes Snacking, meal timing, and closing energy gaps.
24:00 – Posterior Tibial Function & Foot Mechanics How pronation control affects stress at the navicular.
27:45 – Physical Therapy Approach to Navicular Injuries Strength, mobility, stability, and load management.
31:20 – Confidence & Fear in Return to Sport Mental barriers after long-term injury.
35:00 – When to Repeat Imaging & Monitor Healing Using MRI and clinical signs to guide progression.
38:40 – Surgical vs Conservative Treatment Options When athletes consider early intervention.
42:10 – Athlete Stage Matters: Youth vs Elite Decisions How treatment varies by age and competition level.
45:30 – Key Takeaways from Each Expert Education, fueling, and whole-athlete care.

Become a supporter of this podcast: https://www.spreaker.com/podcast/the-running-injury-podcast-formerly-interdisciplinary-case-miles--6623567/support.

If you enjoyed this episode, don’t forget to follow and subscribe so you never miss a case.

Have a question or a case you'd like us to explore on the show? We’d love to hear from you. Reach out anytime at runcasemiles@gmail.com.

]]>1289footpain,highschoolathlete,injuryprevention,marathontraining,navicular,physicaltherapy,runhealthy,runnerlife,runnersofinstagram,runningtips,runstrong,sportsmedicine,sportsnutrition,sportsrehab,stressfracture,trackandfield,tracknation,trailrunning,ultrarunning,youthathletesfalse119full18: Chronic Ankle Instability in Runners: One Overlooked Cause of Hip and Back Painhttps://www.spreaker.com/episode/18-chronic-ankle-instability-in-runners-one-overlooked-cause-of-hip-and-back-pain--71239101
What many runners dismiss as “no big deal” can lead to instability, altered mechanics, and long-term performance limitations.

This conversation connects chronic ankle sprains to changes in the kinetic chain, showing how foot and ankle instability can drive hip and back pain. It also highlights the role of ligament health, balance, and neuromuscular control in keeping runners strong and resilient. Nutrition and hydration are also key factors especially for ultra and trail runners.

Fueling, collagen support, and electrolyte balance all influence healing, coordination, and injury risk. Whether you’re running trails in the mountains, training for your next ultra, or dealing with nagging injuries that won’t go away, this episode offers practical, evidence-informed strategies to improve stability, prevent setbacks, and optimize performance.

00:00 – Intro to Interdisciplinary Case Miles Meet the team and today’s focus on real runner cases. 01:10 – Case Overview: Ultra Runner with Hip & Back Pain A 38-year-old athlete presents with lateral hip pain, but there’s more to the story.
03:15 – The Overlooked Clue: Chronic Ankle Sprains Why “it doesn’t hurt” doesn’t mean it’s not a problem.
06:20 – Hip Impingement vs. Kinetic Chain Dysfunction How foot and ankle issues can drive hip pathology.
09:10 – Hypermobility vs. Tightness Explained Why some joints are loose while others compensate. 12:00 – What Happens When You Keep Spraining Your Ankle Ligament damage, collagen breakdown, and loss of stability over time.
15:30 – The 2% Stability Loss Rule Why repeated ankle sprains create long-term dysfunction. 18:40 – How Ankle Instability Causes Hip & Back Pain Connection between foot mechanics, glutes, and loading patterns.
22:10 – Physical Therapy Strategies for Ankle Stability Balance training, foot control, joint mobilization, and plyometrics.
27:00 – Collagen, Nutrition & Ligament Healing What runners need to know about fueling and recovery.
30:15 – Electrolytes, Hydration & Injury Risk How dehydration affects reaction time, coordination, and proprioception.
34:40 – Trail Running Risks & Cognitive Fatigue Why fueling impacts decision-making and injury prevention.
38:10 – Shoe Choice & Terrain Considerations Stack height, stability, and trail-specific risks.
42:20 – When an “Ankle Sprain” Might Be More Serious Recognizing fractures and complications. 45:00 – Key Takeaways from Each Expert Simple, actionable advice to prevent and manage ankle
instability.

Become a supporter of this podcast: https://www.spreaker.com/podcast/the-running-injury-podcast-formerly-interdisciplinary-case-miles--6623567/support.

If you enjoyed this episode, don’t forget to follow and subscribe so you never miss a case.

Have a question or a case you'd like us to explore on the show? We’d love to hear from you. Reach out anytime at runcasemiles@gmail.com.

]]>https://api.spreaker.com/episode/71239101Fri, 01 May 2026 11:00:02 +0000Dr. Kate Mihevc Edwards PTWhat if your hip pain is actually coming from your ankle? Episode 18 of Interdisciplinary Case Miles follows a 38-year-old ultra marathon runner with lateral hip pain, back discomfort, and a long history of recurring ankle sprains. What many runners...
What many runners dismiss as “no big deal” can lead to instability, altered mechanics, and long-term performance limitations.

This conversation connects chronic ankle sprains to changes in the kinetic chain, showing how foot and ankle instability can drive hip and back pain. It also highlights the role of ligament health, balance, and neuromuscular control in keeping runners strong and resilient. Nutrition and hydration are also key factors especially for ultra and trail runners.

Fueling, collagen support, and electrolyte balance all influence healing, coordination, and injury risk. Whether you’re running trails in the mountains, training for your next ultra, or dealing with nagging injuries that won’t go away, this episode offers practical, evidence-informed strategies to improve stability, prevent setbacks, and optimize performance.

00:00 – Intro to Interdisciplinary Case Miles Meet the team and today’s focus on real runner cases. 01:10 – Case Overview: Ultra Runner with Hip & Back Pain A 38-year-old athlete presents with lateral hip pain, but there’s more to the story.
03:15 – The Overlooked Clue: Chronic Ankle Sprains Why “it doesn’t hurt” doesn’t mean it’s not a problem.
06:20 – Hip Impingement vs. Kinetic Chain Dysfunction How foot and ankle issues can drive hip pathology.
09:10 – Hypermobility vs. Tightness Explained Why some joints are loose while others compensate. 12:00 – What Happens When You Keep Spraining Your Ankle Ligament damage, collagen breakdown, and loss of stability over time.
15:30 – The 2% Stability Loss Rule Why repeated ankle sprains create long-term dysfunction. 18:40 – How Ankle Instability Causes Hip & Back Pain Connection between foot mechanics, glutes, and loading patterns.
22:10 – Physical Therapy Strategies for Ankle Stability Balance training, foot control, joint mobilization, and plyometrics.
27:00 – Collagen, Nutrition & Ligament Healing What runners need to know about fueling and recovery.
30:15 – Electrolytes, Hydration & Injury Risk How dehydration affects reaction time, coordination, and proprioception.
34:40 – Trail Running Risks & Cognitive Fatigue Why fueling impacts decision-making and injury prevention.
38:10 – Shoe Choice & Terrain Considerations Stack height, stability, and trail-specific risks.
42:20 – When an “Ankle Sprain” Might Be More Serious Recognizing fractures and complications. 45:00 – Key Takeaways from Each Expert Simple, actionable advice to prevent and manage ankle
instability.

Become a supporter of this podcast: https://www.spreaker.com/podcast/the-running-injury-podcast-formerly-interdisciplinary-case-miles--6623567/support.

If you enjoyed this episode, don’t forget to follow and subscribe so you never miss a case.

Have a question or a case you'd like us to explore on the show? We’d love to hear from you. Reach out anytime at runcasemiles@gmail.com.

]]>1404anklesprain,halfmarathontraining,hydration,injuryprevention,marathontraining,mobilitytraining,physicaltherapy,runhealthy,runnerslife,runnersofinstagram,runningcoach,runninginjury,runningtips,runstrong,sportsmedicine,sportsnutrition,sportsperformance,strengthtrainingforrunners,trailrunning,ultrarunningfalse118full17: Low Back Pain in Runners: When Hormones, Sleep, and Core Stability Collidehttps://www.spreaker.com/episode/17-low-back-pain-in-runners-when-hormones-sleep-and-core-stability-collide--70658620
In this episode of Interdisciplinary Case Miles, Dr. Sara Raiser, sports medicine physician and running medicine speicalist, Dr. Kate Mihevc Edwards, orthopedic physical therapist and running PT, and sports dietitian Kelsey Pontius walk through a runner case involving low back pain during the perimenopause transition.

The case involves a 41-year-old female physician and half-marathon runner who initially seeks help for nutrition during perimenopause. During the consultation, she casually mentions intermittent low back pain, poor sleep, and high work stress, factors that can all influence recovery and musculoskeletal health.The conversation expands into a deeper discussion of how hormonal changes, sleep quality, fueling habits, biomechanics, and pelvic floor health can all play a role in back pain for runners. We explain how shifting hormones like estrogen, progesterone, and testosterone influence collagen health, tendon recovery, muscle repair, sleep quality, and energy levels. For active women, these changes can show up as slower recovery, stubborn body changes, and nagging aches that weren’t there before.In this episode, we discuss:

Why low back pain in runners is often multifactorial
The impact of perimenopause and hormonal changes on recovery and connective tissue
How sleep and fueling patterns influence injury risk and healing
Why runners with back pain should evaluate core stability, breathing, and pelvic floor function
How hip mobility and running mechanics can affect the lower back
When back pain requires medical evaluation—and when runners can safely stay active
Strategies to keep running while managing back discomfort

If you're a runner dealing with low back pain, sleep disruption, hormonal changes, or training stress, this episode explores how all of these factors intersect and what you can do to stay healthy and keep running.

If you’re enjoying these conversations, please follow the podcast and take a moment to rate or review it. Sharing it with a runner, coach, or healthcare provider helps us reach the people who can make the biggest difference in athletes’ lives. This podcast is for runners at every level, the coaches guiding them, and the healthcare professionals who care for them. We believe interdisciplinary care leads to better outcomes and stronger runners.

00:00 — Podcast Introduction
Meet the hosts and overview of Interdisciplinary Case Miles.
01:05 — Case Introduction: Perimenopausal Runner. A 41-year-old half-marathoner experiencing body changes, sleep issues, and intermittent low back pain.
02:30 — Nutrition & Hormonal Changes in Perimenopause
How hormonal shifts affect recovery, metabolism, and nutrition needs.
05:10 — Addressing Body Changes & Sleep First
Body neutrality, sleep quality, and fueling regularly during busy workdays.
08:00 — Medical Evaluation of Low Back Pain
Dr. Reiser explains axial back pain, possible causes, and clinical screening.
11:00 — Physical Therapy Assessment
Core activation, breathing patterns, pelvic floor health, and movement mechanics.
14:00 — Running Mechanics & Back Pain
Hip mobility, posture, and how running form can influence back stress.
17:00 — Training Modifications & Staying Active
When runners should modify activity instead of stopping completely.
20:00 — Managing Persistent “Niggling” Pain
Understanding chronic discomfort and avoiding unnecessary interventions.
22:00 — Pre-Run & Post-Run Strategies
Simple mobility and activation exercises that may reduce pain.
23:30 — Key Takeaways from Each Expert
Back pain management, nutrition mindset during body changes, and pelvic floor considerations.
24:45 — Episode Wrap-Up
Closing thoughts and invitation to follow and share the podcast.

Become a supporter of this podcast: https://www.spreaker.com/podcast/the-running-injury-podcast-formerly-interdisciplinary-case-miles--6623567/support.

If you enjoyed this episode, don’t forget to follow and subscribe so you never miss a case.

Have a question or a case you'd like us to explore on the show? We’d love to hear from you. Reach out anytime at runcasemiles@gmail.com.

]]>https://api.spreaker.com/episode/70658620Fri, 17 Apr 2026 11:00:02 +0000Dr. Kate Mihevc Edwards PTIs your low back pain coming from running or is it something else entirely? In this episode of Interdisciplinary Case Miles, Dr. Sara Raiser, sports medicine physician and running medicine speicalist, Dr. Kate Mihevc Edwards, orthopedic physical...
In this episode of Interdisciplinary Case Miles, Dr. Sara Raiser, sports medicine physician and running medicine speicalist, Dr. Kate Mihevc Edwards, orthopedic physical therapist and running PT, and sports dietitian Kelsey Pontius walk through a runner case involving low back pain during the perimenopause transition.

The case involves a 41-year-old female physician and half-marathon runner who initially seeks help for nutrition during perimenopause. During the consultation, she casually mentions intermittent low back pain, poor sleep, and high work stress, factors that can all influence recovery and musculoskeletal health.The conversation expands into a deeper discussion of how hormonal changes, sleep quality, fueling habits, biomechanics, and pelvic floor health can all play a role in back pain for runners. We explain how shifting hormones like estrogen, progesterone, and testosterone influence collagen health, tendon recovery, muscle repair, sleep quality, and energy levels. For active women, these changes can show up as slower recovery, stubborn body changes, and nagging aches that weren’t there before.In this episode, we discuss:

Why low back pain in runners is often multifactorial
The impact of perimenopause and hormonal changes on recovery and connective tissue
How sleep and fueling patterns influence injury risk and healing
Why runners with back pain should evaluate core stability, breathing, and pelvic floor function
How hip mobility and running mechanics can affect the lower back
When back pain requires medical evaluation—and when runners can safely stay active
Strategies to keep running while managing back discomfort

If you're a runner dealing with low back pain, sleep disruption, hormonal changes, or training stress, this episode explores how all of these factors intersect and what you can do to stay healthy and keep running.

If you’re enjoying these conversations, please follow the podcast and take a moment to rate or review it. Sharing it with a runner, coach, or healthcare provider helps us reach the people who can make the biggest difference in athletes’ lives. This podcast is for runners at every level, the coaches guiding them, and the healthcare professionals who care for them. We believe interdisciplinary care leads to better outcomes and stronger runners.

00:00 — Podcast Introduction
Meet the hosts and overview of Interdisciplinary Case Miles.
01:05 — Case Introduction: Perimenopausal Runner. A 41-year-old half-marathoner experiencing body changes, sleep issues, and intermittent low back pain.
02:30 — Nutrition & Hormonal Changes in Perimenopause
How hormonal shifts affect recovery, metabolism, and nutrition needs.
05:10 — Addressing Body Changes & Sleep First
Body neutrality, sleep quality, and fueling regularly during busy workdays.
08:00 — Medical Evaluation of Low Back Pain
Dr. Reiser explains axial back pain, possible causes, and clinical screening.
11:00 — Physical Therapy Assessment
Core activation, breathing patterns, pelvic floor health, and movement mechanics.
14:00 — Running Mechanics & Back Pain
Hip mobility, posture, and how running form can influence back stress.
17:00 — Training Modifications & Staying Active
When runners should modify activity instead of stopping completely.
20:00 — Managing Persistent “Niggling” Pain
Understanding chronic discomfort and avoiding unnecessary interventions.
22:00 — Pre-Run & Post-Run Strategies
Simple mobility and activation exercises that may reduce pain.
23:30 — Key Takeaways from Each Expert
Back pain management, nutrition mindset during body changes, and pelvic floor considerations.
24:45 — Episode Wrap-Up
Closing thoughts and...]]>1112activewomenover40,femaleathlete,halfmarathontraining,hormonehealth,idcmpodcast,interdisciplinarycasemiles,lowbackpain,menopausetransition,pelvicfloorhealth,perimenopause,physicaltherapy,runninginjury,sportsmedicine,sportsnutrition,womenwhorunfalse114full16: Plantar Fasciitis in Runners: Are You Hobbling to the Bathroom in the Morning?https://www.spreaker.com/episode/16-plantar-fasciitis-in-runners-are-you-hobbling-to-the-bathroom-in-the-morning--70658511
The case involves a 42-year-old runner who runs 3–5 miles nearly every day to manage work stress. For over a year she ignored classic plantar fasciitis symptoms, morning heel pain and stiffness after sitting because the pain would improve once she started moving. Eventually, the pain began showing up during her runs and getting worse halfway through, forcing her to finally seek help.In this episode, the team explains why plantar fasciitis often becomes a chronic plantar fasciopathy, why morning heel pain happens, and why runners often wait far too long before addressing the root causes.You’ll learn:

Why morning heel pain and hobbling after sitting are classic plantar fasciitis symptoms
Why many runners develop plantar fasciitis after months or years of subtle warning signs
Why foot strength and running mechanics matter more than stretching alone
The role of calf mobility, great toe motion, and the kinetic chain in plantar fascia loading
When treatments like shockwave therapy, PRP, or injections may be appropriate
Why plantar fasciitis rehab can take 6–9 months for chronic cases
How nutrition, protein intake, vitamin D, and micronutrients support connective tissue healing
The mental side of injury when running is your primary stress relief
How long rehab realistically takes

Why morning heel pain and hobbling after sitting are classic plantar fasciitis symptoms
Why many runners develop plantar fasciitis after months or years of subtle warning signs
Why foot strength and running mechanics matter more than stretching alone
The role of calf mobility, great toe motion, and the kinetic chain in plantar fascia loading
When treatments like shockwave therapy, PRP, or injections may be appropriate
Why plantar fasciitis rehab can take 6–9 months for chronic cases
How nutrition, protein intake, vitamin D, and micronutrients support connective tissue healing
The mental side of injury when running is your primary stress relief
How long rehab realistically takes

If you're a runner struggling with heel pain, plantar fasciitis, or foot pain when you first step out of bed, this episode will help you understand what’s really happening and how to recover without giving up running.

If you’re enjoying these conversations, please follow the podcast and take a moment to rate or review it. Sharing it with a runner, coach, or healthcare provider helps us reach the people who can make the biggest difference in athletes’ lives.This podcast is for runners at every level, the coaches guiding them, and the healthcare professionals who care for them. We believe interdisciplinary care leads to better outcomes and stronger runners.

00:00 — Podcast Introduction
Meet the hosts and overview of Interdisciplinary Case Miles.
01:05 — Case: Chronic Plantar Fasciitis
A 42-year-old runner dealing with persistent heel pain.
03:20 — What Plantar Fasciopathy Means
Why this injury is usually chronic rather than inflammatory.
05:40 — Evaluation & Diagnosis
Gait analysis, imaging, and identifying root causes.
08:40 — Treatment Foundations
Strengthening the foot and addressing biomechanics.
11:20 — Physical Therapy & Rehab Timeline
Why recovery may take several months.
14:10 — Running Mechanics & Foot Function
Key mobility and strength factors affecting the plantar fascia.
17:00 — Nutrition for Healing
Protein, collagen support, and key micronutrients.
19:30 — Vegetarian Diet Considerations
Ensuring adequate amino acids and nutrients.
21:10 — Mental Side of Injury
Managing stress and staying engaged during recovery.
23:20 — Key Takeaways
Final advice from each expert.
24:40 — Episode Wrap-Up
Closing thoughts and how to submit a case.

Become a supporter of this podcast: 1535calftightness,footstrength,gaitanalysis,idcmpodcast,interdisciplinarycasemiles,physicaltherapy,plantarfasciitis,plantarfasciopathy #heelpain,runners,runninginjury,runningrecovery,sportsmedicine,sportsnutrition,vegetarianrunnerfalse116full15: High Hamstring Pain in Runners: Do You Need PRP or Is Rehab the Real Fix?https://www.spreaker.com/episode/15-high-hamstring-pain-in-runners-do-you-need-prp-or-is-rehab-the-real-fix--70630798
In Episode 15 of the Interdisciplinary Case Miles podcast, we discuss a case involving a 40-year-old age group runner whose long-standing hamstring tendinopathy became acutely aggravated after a slip on ice revealing the layered challenges of acute-on-chronic tendon pain in runners.

This case highlights why proximal hamstring injuries require precise diagnosis and an individualized treatment plan. Dr. Sara Raiser(MD) explains how to differentiate high hamstring tendinopathy from lumbar spine or nerve-related pain, when imaging such as MRI or diagnostic ultrasound is indicated, and how to determine whether a partial tear is present.

The conversation also covers when regenerative medicine options like platelet-rich plasma (PRP) injections or percutaneous tenotomy may be appropriate, and why they are rarely first-line treatment.

Dr. Kate Mihevc Edwards(PT) takes us through the rehabilitation process, including early integration after PRP, the role of blood flow restriction (BFR) training, and why eccentric strengthening remains the gold standard for tendon rehabilitation. She emphasizes addressing the entire kinetic chain hip mobility, lumbar and thoracic spine mechanics, neural tension, gait changes, and stiffness patterns that often contribute to chronic hamstring overload. You’ll also hear practical insight into return-to-run timelines, common pain spikes around the six-week mark post-PRP, and how to safely reload a healing tendon.

Sports dietitian Kelsey Pontius rounds out the discussion by explaining how nutrition directly influences tendon healing and regenerative outcomes.

The team discusses energy availability, protein targets, iron status, collagen-supporting micronutrients like vitamin C, zinc, and copper, and how fueling strategies can optimize recovery after procedures like PRP and during BFR training.

If you’re dealing with chronic hamstring pain, considering PRP for a running injury, or navigating a return to running after a proximal hamstring tear, this episode offers evidence-informed guidance from a running medicine physician, physical therapist, and sports dietitian working collaboratively to support runner health and performance.

If you’re enjoying these conversations, please follow the podcast and take a moment to rate or review it. Sharing it with a runner, coach, or healthcare provider helps us reach the people who can make the biggest difference in athletes’ lives. This podcast is for runners at every level, the coaches guiding them, and the healthcare professionals who care for them. We believe interdisciplinary care leads to better outcomes and stronger runners.

00:00 – Welcome to Interdisciplinary Case Miles
Hosts introduce the case-based, evidence-informed discussion format.

02:00 – Case Presentation: High Hamstring Pain After a Slip
40-year-old runner with chronic hamstring tightness that became acute after slipping on ice.

05:00 – Why This Case Is Tricky
Chronic symptoms masked until an acute event; athletes often keep training through early tendon pain.

08:00 – Medical Evaluation Priorities
Rule out lumbar spine and nerve involvement; assess for proximal hamstring tendon injury vs referral.

12:00 – Timeline Matters: Acute on Chronic Injury
Long-standing tendon changes increase the likelihood of partial tearing with sudden load.

15:00 – Imaging Decisions: When and Why
MRI used to confirm tendon involvement and rule out hip pathology that can mimic hamstring pain.

18:00 – Why Rehab Comes First
Conservative care focuses on progressive loading, not rest, to restore tendon capacity.

21:00 – Key Biomechanics: Hip Extension Drives Load
Limited hip extension shifts demand to the hamstring, increasing strain and injury risk.

24:00 – When to Consider PRP or Tenotomy
Procedures introduced after failed rehab; choice depends on presence and size of tendon tear.

27:00 – PRP vs Tenotomy: Clinical Decision Making
PRP for larger tears; tenotomy for smaller or degenerative tendon changes

30:00 – Post-Procedure Management
Initial protection followed by gradual return to loading and early reintroduction of rehab.

33:00 – Rehab Progression After Intervention
Isometrics → eccentric loading → return to running with controlled progression.

36:00 – The Biggest Mistake Runners Make
Relying on passive treatments instead of structured strength and loading progression.

39:00 – Final Takeaways
Sara: Rule out spine and confirm diagnosis early
Kelsey: Recovery requires supporting the whole system
Kate: Tendons don’t heal with rest—they need progressive load

42:00 – Closing and Where to Learn More
Outro and resources for runners dealing with hamstring pain.

Become a supporter of this podcast: https://www.spreaker.com/podcast/the-running-injury-podcast-formerly-interdisciplinary-case-miles--6623567/support.

If you enjoyed this episode, don’t forget to follow and subscribe so you never miss a case.

Have a question or a case you'd like us to explore on the show? We’d love to hear from you. Reach out anytime at runcasemiles@gmail.com.

]]>https://api.spreaker.com/episode/70630798Fri, 20 Mar 2026 11:00:03 +0000Dr. Kate Mihevc Edwards PT Do You Need PRP or Is Rehab the Real Fix? In Episode 15 of the Interdisciplinary Case Miles podcast, we discuss a case involving a 40-year-old age group runner whose long-standing hamstring tendinopathy became acutely aggravated after a slip on ice...
In Episode 15 of the Interdisciplinary Case Miles podcast, we discuss a case involving a 40-year-old age group runner whose long-standing hamstring tendinopathy became acutely aggravated after a slip on ice revealing the layered challenges of acute-on-chronic tendon pain in runners.

This case highlights why proximal hamstring injuries require precise diagnosis and an individualized treatment plan. Dr. Sara Raiser(MD) explains how to differentiate high hamstring tendinopathy from lumbar spine or nerve-related pain, when imaging such as MRI or diagnostic ultrasound is indicated, and how to determine whether a partial tear is present.

The conversation also covers when regenerative medicine options like platelet-rich plasma (PRP) injections or percutaneous tenotomy may be appropriate, and why they are rarely first-line treatment.

Dr. Kate Mihevc Edwards(PT) takes us through the rehabilitation process, including early integration after PRP, the role of blood flow restriction (BFR) training, and why eccentric strengthening remains the gold standard for tendon rehabilitation. She emphasizes addressing the entire kinetic chain hip mobility, lumbar and thoracic spine mechanics, neural tension, gait changes, and stiffness patterns that often contribute to chronic hamstring overload. You’ll also hear practical insight into return-to-run timelines, common pain spikes around the six-week mark post-PRP, and how to safely reload a healing tendon.

Sports dietitian Kelsey Pontius rounds out the discussion by explaining how nutrition directly influences tendon healing and regenerative outcomes.

The team discusses energy availability, protein targets, iron status, collagen-supporting micronutrients like vitamin C, zinc, and copper, and how fueling strategies can optimize recovery after procedures like PRP and during BFR training.

If you’re dealing with chronic hamstring pain, considering PRP for a running injury, or navigating a return to running after a proximal hamstring tear, this episode offers evidence-informed guidance from a running medicine physician, physical therapist, and sports dietitian working collaboratively to support runner health and performance.

If you’re enjoying these conversations, please follow the podcast and take a moment to rate or review it. Sharing it with a runner, coach, or healthcare provider helps us reach the people who can make the biggest difference in athletes’ lives. This podcast is for runners at every level, the coaches guiding them, and the healthcare professionals who care for them. We believe interdisciplinary care leads to better outcomes and stronger runners.

00:00 – Welcome to Interdisciplinary Case Miles
Hosts introduce the case-based, evidence-informed discussion format.

02:00 – Case Presentation: High Hamstring Pain After a Slip
40-year-old runner with chronic hamstring tightness that became acute after slipping on ice.

05:00 – Why This Case Is Tricky
Chronic symptoms masked until an acute event; athletes often keep training through early tendon pain.

08:00 – Medical Evaluation Priorities
Rule out lumbar spine and nerve involvement; assess for proximal hamstring tendon injury vs referral.

12:00 – Timeline Matters: Acute on Chronic Injury
Long-standing tendon changes increase the likelihood of partial tearing with sudden load.

15:00 – Imaging Decisions: When and Why
MRI used to confirm tendon involvement and rule out hip pathology that can mimic hamstring pain.

18:00 – Why Rehab Comes First
Conservative care focuses on progressive loading, not rest, to restore tendon capacity.

21:00 – Key Biomechanics: Hip Extension Drives Load
Limited hip extension shifts demand to the hamstring, increasing strain and injury risk.2038bfrtraining,bloodflowrestriction,eccentrictraining,hamstringinjury,hamstringtendinopathy,highhamstring,idcm,interdisciplinarycasemiles,mastersrunners,physicaltherapy,plateletrichplasma,proximalhamstring,prp,regenerativemedicine,returntorun,runnerhealth,runninginjury,sportsdietitian,sportsmedicine,tendonrehabfalse115full14: Achilles Tendinopathy in Runners - Can I Keep Running?https://www.spreaker.com/episode/14-achilles-tendinopathy-in-runners-can-i-keep-running--70117841
In this episode of Interdisciplinary Case Miles, Dr. Sara Raiser (MD) , Kelsey Pontius, and Dr. Kate Mihevc Edwards (PT) discuss the clinical presentation of Achilles tendinopathy, why it often becomes chronic, and why complete rest is rarely the solution.Key topics include:

Tendon loading principles and why tendons require progressive strength work
Biomechanical contributors such as foot control, dorsiflexion limits, hip extension, and proximal weakness
The role of perimenopause, estrogen changes, and life stress in tendon vulnerability
Nutrition foundations for tendon healing, including energy availability, collagen synthesis, and carbohydrate support
Practical considerations around footwear, heel-to-toe drop changes, and carbon-plated shoes

If you’re enjoying these conversations, please follow the podcast and take a moment to rate or review it. Sharing it with a runner, coach, or healthcare provider helps us reach the people who can make the biggest difference in athletes’ lives.This podcast is for runners at every level, the coaches guiding them, and the healthcare professionals who care for them. We believe interdisciplinary care leads to better outcomes and stronger runners.

00:00 – Welcome to Interdisciplinary Case MilesHosts introduce the evidence-informed case format.
02:05 – Case Presentation: Mid-Achilles Pain in a Half-Marathon Runner
Morning stiffness, crepitus, tendon thickening, and pain that fluctuates during runs.
05:10 – Why These Cases Are Challenging
The warm-up effect, post-run soreness, and training “push-through” patterns.
08:20 – Medical Evaluation Priorities
Training changes, hormonal factors, surgery history, and load management.
12:30 – Tendons Require More Than Rest
Why conservative care emphasizes strength, mechanics, and progressive loading.
16:10 – Foot Posture and the Kinetic Chain
Rigid vs flexible feet, arches, glute engagement, and core contribution.
20:05 – Achilles Mechanics: The “Wringing Out” Effect
How pronation and poor control increase tendon stress.
24:40 – Running With Tendinopathy: Pain Monitoring Guidelines
When continued running can be appropriate and how to track symptom response.
28:10 – PT Interventions: Eccentrics, BFR, and Load Progression
Strength-based tendon rehab and improving blood flow.
32:45 – Nutrition for Tendon Healing
Energy availability, collagen synthesis decline with age, and micronutrient support.
37:20 – Collagen Supplement Timing and Practical Use
Why collagen works best 30–60 minutes before tendon loading.
41:10 – During-Run Fueling and Injury Risk
Carbohydrate needs, glycogen depletion, fatigue-related mechanics breakdown.
45:30 – Chronic Tendon Changes Take Time
Why tendinopathy develops over years and requires patience in rehab.
48:10 – Proximal Drivers: Low Back, Hip Extension, and Glute Function
How upstream issues overload the Achilles.
52:20 – Footwear Considerations and Heel-to-Toe Drop Shifts
Carbon-plated shoes, shoe rotation, cushion effects, and transition errors.
57:30 – Final Takeaways

Sara: Tendon recovery takes time but allows continued activity
Kelsey: Fueling protects long-term tissue health
Kate: Rest alone fails tendons need load and strength adaptation

1:01:30 – Closing and Case Submission Info

Become a supporter of this podcast: https://www.spreaker.com/podcast/the-running-injury-podcast-formerly-interdisciplinary-case-miles--6623567/support.

If you enjoyed this episode, don’t forget to follow and subscribe so you never miss a case.

Have a question or a case you'd like us to explore on the show? We’d love to hear from you. Reach out anytime at runcasemiles@gmail.com.

]]>https://api.spreaker.com/episode/70117841Fri, 06 Mar 2026 12:00:03 +0000Dr. Kate Mihevc Edwards PTA 41-year-old female runner and experienced half-marathoner develops mid-Achilles tendon pain, morning stiffness, and a noticeable bump along the tendon. Symptoms improve after warming up but return with longer runs, leaving her caught in the common...
In this episode of Interdisciplinary Case Miles, Dr. Sara Raiser (MD) , Kelsey Pontius, and Dr. Kate Mihevc Edwards (PT) discuss the clinical presentation of Achilles tendinopathy, why it often becomes chronic, and why complete rest is rarely the solution.Key topics include:

Tendon loading principles and why tendons require progressive strength work
Biomechanical contributors such as foot control, dorsiflexion limits, hip extension, and proximal weakness
The role of perimenopause, estrogen changes, and life stress in tendon vulnerability
Nutrition foundations for tendon healing, including energy availability, collagen synthesis, and carbohydrate support
Practical considerations around footwear, heel-to-toe drop changes, and carbon-plated shoes

Sara: Tendon recovery takes time but allows continued activity
Kelsey: Fueling protects long-term tissue health
Kate: Rest alone fails tendons need load and strength adaptation

1:01:30 – Closing and Case Submission Info

Become a supporter of this podcast: 1384enduranceathlete,injuryprevention,marathon,physicaltherapy,pt,runner,runninginjury,sportsdietician,sportsmedicine,wellnessfalse114full13: From Pool to Pavement: Low Ferritin, Bone Stress Injuries, and the Swimmer-to-Runner Traphttps://www.spreaker.com/episode/13-from-pool-to-pavement-low-ferritin-bone-stress-injuries-and-the-swimmer-to-runner-trap--70112978

Why ferritin is often a marker of a larger issue
The relationship between nutrition, iron stores, and bone health
Unique injury risks when transitioning from non-weight-bearing sports
How cardiovascular fitness can exceed musculoskeletal readiness
Rehabilitation principles, plyometric loading, and safe return-to-run progressions

This episode is essential listening for runners, clinicians, coaches, and endurance athletes navigating performance concerns, injury prevention, and the demands of marathon training.

00:00 – Welcome to Interdisciplinary Case MilesMeet the hosts and the evidence-informed approach behind real runner cases.
02:10 – The Case Introduction
A former collegiate swimmer increases mileage from 20 to 40 miles/week while marathon training.
04:45 – “Is It My Ferritin?”
Why athletes fixate on iron and ferritin when performance plateaus
.07:30 – Ferritin vs Iron Explained
What ferritin actually represents and why it changes slowly.
10:15 – Red Flags for Low Energy Availability
Sleep, libido, GI symptoms, recovery, and early warning signs of REDs.
15:40 – Nutrition, Bone Density, and Stress Injury Risk
How low ferritin, low energy intake, and bone health intersect.
18:30 – Thigh Pain Isn’t “Just a Quad Strain”
Why distance runner thigh pain raises concern for femoral stress fractures.
22:15 – Diagnosing a Femoral Shaft Stress Fracture
Why this injury matters and how it differs from higher-risk stress fractures.
26:40 – The Swimmer-to-Runner Problem
Cardio fitness vs bone loading, gravity, and anti-gravity sports.
31:50 – The Three Pillars: Nutrition, Training Errors, Biomechanics
A framework for evaluating bone stress injuries.
36:20 – Training Errors That Add Up Fast
Mileage spikes, speed work, lack of rest, and life stress post-college.
41:10 – Starting PT Before You Run Again
Strength, education, and early rehab during protected weight-bearing.
45:30 – Plyometrics, Bone Loading, and Return-to-Run
Why jumping matters and how bones adapt to force.
50:40 – Bone Geometry, Density, and Multi-Directional Movement
Why specialization matters—especially in adolescence.
55:30 – The “Engine vs Chassis” Problem
When cardiovascular fitness outpaces muscles, tendons, and bones.
59:20 – Why Return-to-Run Feels So Hard
Managing athlete frustration while protecting long-term health.
1:02:30 – Final Takeaways from Each Expert
Big-picture thinking, history matters, and don’t self-coach in isolation.
1:06:00 – Wrap-Up & How to Submit a Case

Become a supporter of this podcast: https://www.spreaker.com/podcast/the-running-injury-podcast-formerly-interdisciplinary-case-miles--6623567/support.

If you enjoyed this episode, don’t forget to follow and subscribe so you never miss a case.

Have a question or a case you'd like us to explore on the show? We’d love to hear from you. Reach out anytime at runcasemiles@gmail.com.

]]>https://api.spreaker.com/episode/70112978Fri, 20 Feb 2026 12:00:02 +0000Dr. Kate Mihevc Edwards PTWhat happens when a highly conditioned collegiate swimmer transitions into marathon training too quickly? In this episode of Interdisciplinary Case Miles, a 23-year-old former swimmer increases weekly mileage from 15–20 miles to 40 miles, adds hills...

Why ferritin is often a marker of a larger issue
The relationship between nutrition, iron stores, and bone health
Unique injury risks when transitioning from non-weight-bearing sports
How cardiovascular fitness can exceed musculoskeletal readiness
Rehabilitation principles, plyometric loading, and safe return-to-run progressions

This episode is essential listening for runners, clinicians, coaches, and endurance athletes navigating performance concerns, injury prevention, and the demands of marathon training.

00:00 – Welcome to Interdisciplinary Case MilesMeet the hosts and the evidence-informed approach behind real runner cases.
02:10 – The Case Introduction
A former collegiate swimmer increases mileage from 20 to 40 miles/week while marathon training.
04:45 – “Is It My Ferritin?”
Why athletes fixate on iron and ferritin when performance plateaus
.07:30 – Ferritin vs Iron Explained
What ferritin actually represents and why it changes slowly.
10:15 – Red Flags for Low Energy Availability
Sleep, libido, GI symptoms, recovery, and early warning signs of REDs.
15:40 – Nutrition, Bone Density, and Stress Injury Risk
How low ferritin, low energy intake, and bone health intersect.
18:30 – Thigh Pain Isn’t “Just a Quad Strain”
Why distance runner thigh pain raises concern for femoral stress fractures.
22:15 – Diagnosing a Femoral Shaft Stress Fracture
Why this injury matters and how it differs from higher-risk stress fractures.
26:40 – The Swimmer-to-Runner Problem
Cardio fitness vs bone loading, gravity, and anti-gravity sports.
31:50 – The Three Pillars: Nutrition, Training Errors, Biomechanics
A framework for evaluating bone stress injuries.
36:20 – Training Errors That Add Up Fast
Mileage spikes, speed work, lack of rest, and life stress post-college.
41:10 – Starting PT Before You Run Again
Strength, education, and early rehab during protected weight-bearing.
45:30 – Plyometrics, Bone Loading, and Return-to-Run
Why jumping matters and how bones adapt to force.
50:40 – Bone Geometry, Density, and Multi-Directional Movement
Why specialization matters—especially in adolescence.
55:30 – The “Engine vs Chassis” Problem
When cardiovascular fitness outpaces muscles, tendons, and bones.
59:20 – Why Return-to-Run Feels So Hard
Managing athlete frustration while protecting long-term health.
1:02:30 – Final Takeaways from Each Expert
Big-picture thinking, history matters, and don’t self-coach in isolation.
1:06:00 – Wrap-Up & How to Submit a Case

Become a supporter of this podcast: https://www.spreaker.com/podcast/the-running-injury-podcast-formerly-interdisciplinary-case-miles--6623567/support.

If you enjoyed this episode, don’t forget to follow and subscribe so you never miss a case.

Have a question or a case you'd like us to explore on the show? We’d love to hear from you. Reach out anytime at...]]>1466athlete,eduranceathlete,marathon,nutrition,physicalthereapy,pt,runner,running,runninginjury,sportsdietician,spotsmedicine,swimmingfalse113full12: Exertional Leg Pain in Runners — Diagnosis, Gait, and Fuelinghttps://www.spreaker.com/episode/12-exertional-leg-pain-in-runners-diagnosis-gait-and-fueling--69785964
Dr. Sarah Raiser leads this case and explains how exertional leg pain can present in runners, outlining key diagnoses such as chronic exertional compartment syndrome (CECS) and popliteal artery entrapment syndrome (PAES). The discussion also covers how these conditions differ from stress fractures, nerve-related pain, and other causes of lower-leg symptoms, as well as how these cases are properly evaluated and diagnosed.Dr. Kate Mihevc Edwards addresses the physical therapy and gait-related factors that may contribute to exertional leg pain, including overstriding, crossover gait, heavy landings, strength deficits, and footwear considerations. She discusses when conservative management may be appropriate, when surgery may be indicated, and the importance of runner-specific, functional strength training during rehabilitation.Sports dietitian Kelsey Pontius shares the nutrition considerations relevant to these cases, including hydration, blood flow, anti-inflammatory nutrition, nitrates, and the role of adequate fueling to support recovery, gait changes, and long-term adaptation—particularly in injured collegiate and high-level runners.Key topics in this episode include:

Common causes of exertional leg pain in runners
Chronic exertional compartment syndrome vs. other diagnoses
Gait retraining and physical therapy considerations
Surgical and non-surgical treatment options
The role of fueling and hydration in injury recovery

This episode is relevant for runners experiencing persistent lower-leg pain, clinicians working with endurance athletes, athletes, coaches and anyone interested in an interdisciplinary, evidence-informed approach to running injuries.

Become a supporter of this podcast: https://www.spreaker.com/podcast/the-running-injury-podcast-formerly-interdisciplinary-case-miles--6623567/support.

If you enjoyed this episode, don’t forget to follow and subscribe so you never miss a case.

Have a question or a case you'd like us to explore on the show? We’d love to hear from you. Reach out anytime at runcasemiles@gmail.com.

]]>https://api.spreaker.com/episode/69785964Fri, 06 Feb 2026 11:40:02 +0000Dr. Kate Mihevc Edwards PTIn this episode of Interdisciplinary Case Miles, Co-hosts Dr. Kate Mihevc Edwards (PT), Dr. Sara Raiser (MD) and Kelsey Pontius (RD) discuss a case about a exertional leg pain in a 19-year-old collegiate distance runner. Dr. Sarah Raiser leads this...
Dr. Sarah Raiser leads this case and explains how exertional leg pain can present in runners, outlining key diagnoses such as chronic exertional compartment syndrome (CECS) and popliteal artery entrapment syndrome (PAES). The discussion also covers how these conditions differ from stress fractures, nerve-related pain, and other causes of lower-leg symptoms, as well as how these cases are properly evaluated and diagnosed.Dr. Kate Mihevc Edwards addresses the physical therapy and gait-related factors that may contribute to exertional leg pain, including overstriding, crossover gait, heavy landings, strength deficits, and footwear considerations. She discusses when conservative management may be appropriate, when surgery may be indicated, and the importance of runner-specific, functional strength training during rehabilitation.Sports dietitian Kelsey Pontius shares the nutrition considerations relevant to these cases, including hydration, blood flow, anti-inflammatory nutrition, nitrates, and the role of adequate fueling to support recovery, gait changes, and long-term adaptation—particularly in injured collegiate and high-level runners.Key topics in this episode include:

Common causes of exertional leg pain in runners
Chronic exertional compartment syndrome vs. other diagnoses
Gait retraining and physical therapy considerations
Surgical and non-surgical treatment options
The role of fueling and hydration in injury recovery

This episode is relevant for runners experiencing persistent lower-leg pain, clinicians working with endurance athletes, athletes, coaches and anyone interested in an interdisciplinary, evidence-informed approach to running injuries.

Become a supporter of this podcast: https://www.spreaker.com/podcast/the-running-injury-podcast-formerly-interdisciplinary-case-miles--6623567/support.

If you enjoyed this episode, don’t forget to follow and subscribe so you never miss a case.

Have a question or a case you'd like us to explore on the show? We’d love to hear from you. Reach out anytime at runcasemiles@gmail.com.

]]>1519athelte,cecs,chronicexertionalcompartmentsy,collegeathlete,enduranceathletes,exertionallegpain,gaitanalysis,injury,injuryprevention,paes,physicaltherapy,poplitealarteryentrapment,pt,runner,runnerhealth,running,runninginjury,runningpt,sportsdietitian,sportsmedicinefalse112full11: Shin Splints or Bone Stress Injury in Teen Runnershttps://www.spreaker.com/episode/11-shin-splints-or-bone-stress-injury-in-teen-runners--69080660
In Episode 11, Dr. Kate Mihevc Edwards (PT), Dr. Sara Raiser (MD), and sports dietitian Kelsey Pontius break down a common but often misunderstood injury: shin splints (medial tibial stress syndrome) in adolescent runners.

Using the case of a 15-year-old male cross-country runner with bilateral shin pain, the team explores why shin splints are so prevalent in this age group and how rapid growth, training load changes, biomechanics, footwear, surfaces, and nutrition all intersect. The discussion highlights the critical role of energy availability, especially during periods of rapid growth, and why skipping meals, inadequate fueling, and school-related barriers to eating can contribute to ongoing symptoms.

The hosts also discuss how shin splints can look very different depending on the athlete’s age and training history ranging from sudden spikes in mileage to more complex, layered cases involving chronic pain, stress, and low energy availability. From a physical therapy perspective, the episode covers gait patterns during growth spurts, strength and mobility needs, and the importance of collaborating with coaches and parents to support young athletes.

In this episode you’ll learn:

What shin splints are and how they differ from other bone stress injuries
Why adolescents are at higher risk during growth spurts
The role of nutrition and energy availability in healing shin pain
Common fueling challenges for high school athletes
How training load, surfaces, shoes, and spikes affect shin stress
Why interdisciplinary care leads to better outcomes for young runners

What shin splints are and how they differ from other bone stress injuries
Why adolescents are at higher risk during growth spurts
The role of nutrition and energy availability in healing shin pain
Common fueling challenges for high school athletes
How training load, surfaces, shoes, and spikes affect shin stress
Why interdisciplinary care leads to better outcomes for young runners

As always, this episode reinforces a core message of Interdisciplinary Case Miles: shin splints aren’t just a “training issue” or a “nutrition issue” they’re often both. Supporting young runners requires understanding the whole picture and meeting athletes where they are.

Subscribe for evidence-informed conversations on running health
Like, rate, and share this episode with parents, coaches, and runners
Have a case you’d like us to discuss? Email us at runcasemiles@gmail.com

Become a supporter of this podcast: https://www.spreaker.com/podcast/the-running-injury-podcast-formerly-interdisciplinary-case-miles--6623567/support.

If you enjoyed this episode, don’t forget to follow and subscribe so you never miss a case.

Have a question or a case you'd like us to explore on the show? We’d love to hear from you. Reach out anytime at runcasemiles@gmail.com.

]]>1307crosscountryrunning,energyavailability,fuelingforrunning,healthyrunning,highschoolrunning,injuryprevention,interdisciplinarycasemiles,mediatibialstresssyndrome,physicaltherapy,runnercase,runnernutrition,runninginjuries,shins,shinsplints,sportsmedicine,teenrunners,youthrunningfalse11full10: Glute Tendinopathy & The Impact of Hormones in a Female Runner During the Menopause Transitionhttps://www.spreaker.com/episode/10-glute-tendinopathy-the-impact-of-hormones-in-a-female-runner-during-the-menopause-transition--69059947
This case goes over running biomechanics, hormonal changes, nutrition, sleep, and recovery. The team explores how perimenopause and menopause-related hormonal shifts particularly changes in estrogen can affect tendon health, joint lubrication, gut function, nutrient absorption, sleep quality, and overall healing capacity.

This episode discusses misconceptions around weight, health, fueling, and aging, emphasizing that bodies are meant to change and that under-fueling, overtraining, and “black-and-white” health advice can slow recovery and increase injury risk. The hosts discuss why glute tendinopathy is often misdiagnosed as bursitis, how to properly evaluation lateral hip pain, and why a stepwise, individualized approach to care is essential.

Some of the main topics include:
-The role of hormones in tendon health and injury risk
-Why weight is not a reliable indicator of health
-The importance of adequate fueling, including carbohydrates, during midlife transitions
-How sleep, stress, and digestion impact healing
-Why interdisciplinary care leads to better outcomes for runners

This episode reinforces a core theme of the podcast: there are no one-size-fits-all answers in medicine or performance. By understanding the whole person and working with the body rather than against it runners can recover more effectively, reduce injury risk, and continue doing what they love.
00:00 Welcome to Interdisciplinary Case Miles
01:25 Meet the Hosts & Their Clinical Roles
04:00 What We’ve Been Working On Lately
06:15 Kelsey’s New Ebook: Miles & Meals
09:30 Outreach, Education & Bridging the Gap in Running Medicine
13:10 Returning to Running After Health Challenges
16:20 Introducing the Case: Lateral Hip Pain in a Midlife Runner
19:45 Nutrition, Hormones & Gut Health in Perimenopause
24:30 Bodies Are Meant to Change
28:40 Weight Is Not Health & The Risk of Under-Fueling
33:20 Why Glute Tendinopathy Is Often Misdiagnosed as Bursitis
38:10 Estrogen, Collagen & Tendon Healing
43:50 Biomechanics, Hip Load & Physical Therapy Considerations
49:30 Pelvic Floor, Core Health & Hip Pain
53:40 Sleep, Stress & Recovery During Midlife Transitions
57:45 Doing Less to Heal More
01:01:30 Key Takeaways from Each Expert
01:04:10 Final Thoughts & How to Connect with the Team

Become a supporter of this podcast: https://www.spreaker.com/podcast/the-running-injury-podcast-formerly-interdisciplinary-case-miles--6623567/support.

If you enjoyed this episode, don’t forget to follow and subscribe so you never miss a case.

Have a question or a case you'd like us to explore on the show? We’d love to hear from you. Reach out anytime at runcasemiles@gmail.com.

]]>https://api.spreaker.com/episode/69059947Fri, 09 Jan 2026 11:00:08 +0000Dr. Kate Mihevc Edwards PTWelcome to Interdisciplinary Case Miles, a podcast where real runner stories meet clinical expertise. In this episode, Dr. Kate Mihevc Edwards (PT), Dr. Sara Raiser (MD), and sports dietitian Kelsey Pontius present a common but often misdiagnosed case...
This case goes over running biomechanics, hormonal changes, nutrition, sleep, and recovery. The team explores how perimenopause and menopause-related hormonal shifts particularly changes in estrogen can affect tendon health, joint lubrication, gut function, nutrient absorption, sleep quality, and overall healing capacity.

This episode discusses misconceptions around weight, health, fueling, and aging, emphasizing that bodies are meant to change and that under-fueling, overtraining, and “black-and-white” health advice can slow recovery and increase injury risk. The hosts discuss why glute tendinopathy is often misdiagnosed as bursitis, how to properly evaluation lateral hip pain, and why a stepwise, individualized approach to care is essential.

Some of the main topics include:
-The role of hormones in tendon health and injury risk
-Why weight is not a reliable indicator of health
-The importance of adequate fueling, including carbohydrates, during midlife transitions
-How sleep, stress, and digestion impact healing
-Why interdisciplinary care leads to better outcomes for runners

This episode reinforces a core theme of the podcast: there are no one-size-fits-all answers in medicine or performance. By understanding the whole person and working with the body rather than against it runners can recover more effectively, reduce injury risk, and continue doing what they love.
00:00 Welcome to Interdisciplinary Case Miles
01:25 Meet the Hosts & Their Clinical Roles
04:00 What We’ve Been Working On Lately
06:15 Kelsey’s New Ebook: Miles & Meals
09:30 Outreach, Education & Bridging the Gap in Running Medicine
13:10 Returning to Running After Health Challenges
16:20 Introducing the Case: Lateral Hip Pain in a Midlife Runner
19:45 Nutrition, Hormones & Gut Health in Perimenopause
24:30 Bodies Are Meant to Change
28:40 Weight Is Not Health & The Risk of Under-Fueling
33:20 Why Glute Tendinopathy Is Often Misdiagnosed as Bursitis
38:10 Estrogen, Collagen & Tendon Healing
43:50 Biomechanics, Hip Load & Physical Therapy Considerations
49:30 Pelvic Floor, Core Health & Hip Pain
53:40 Sleep, Stress & Recovery During Midlife Transitions
57:45 Doing Less to Heal More
01:01:30 Key Takeaways from Each Expert
01:04:10 Final Thoughts & How to Connect with the Team

Become a supporter of this podcast: https://www.spreaker.com/podcast/the-running-injury-podcast-formerly-interdisciplinary-case-miles--6623567/support.

If you enjoyed this episode, don’t forget to follow and subscribe so you never miss a case.

Have a question or a case you'd like us to explore on the show? We’d love to hear from you. Reach out anytime at runcasemiles@gmail.com.

]]>1911athlete,femaleathlete,glute,glutetendinopathy,health,hormones,menopause,physicaltherapy,running,runninginjury,sports,sportsdietician,sportsmedicine,tendinopathy,wellnessfalse10full09: Knee OA in the Master Runner, Should You Keep Running?https://www.spreaker.com/episode/09-knee-oa-in-the-master-runner-should-you-keep-running--69063629In Episode 10, Dr. Kate Mihevc Edwards (PT), Dr. Sara Raiser (MD), and sports dietitian Kelsey Pontius address a very common question: Can you keep running with knee osteoarthritis?

Using the case of a 60-year-old male runner with knee OA, the team walks through how clinicians evaluate pain, imaging, goals, and functional limitations to help runners make informed decisions about continuing to train. The discussion covers activity modification, gait retraining, strength and mobility work, physical therapy, injections, regenerative medicine options, and when knee replacement may become part of the conversation.

The episode also highlights the role of nutrition, hydration, inflammation management, and consistency in supporting joint health and long-term running longevity especially for master’s athletes. As always, rather than offering black-and-white answers, the hosts emphasize individualized care, realistic expectations, and meeting runners where they are. This episode reinforces a core message of Interdisciplinary Case Miles: staying active with OA is often possible, but it requires an individualized, interdisciplinary approach.

In this episode, you’ll learn:

How knee osteoarthritis is evaluated in runners
When running may still be appropriate and how to modify it
The role of physical therapy, gait retraining, and strength work
Injection and regenerative medicine options for knee OA
Nutrition strategies to support joint health and recovery
How to think about longevity, pain management, and performance
00:00 – 02:30 | What this podcast is about
An interdisciplinary approach to keeping runners healthy and active.
02:30 – 05:00 | The case: 60-year-old runner with knee OA
Anterior/medial knee pain and the big question—can I keep running?
05:00 – 09:30 | How clinicians decide if running is appropriate
Imaging, goals, symptom history, and functional exams matter more than age alone.
09:30 – 13:30 | Using pain to guide training decisions
Why pain doesn’t have to be zero—but must stay controlled to avoid gait changes.
13:30 – 18:30 | Physical therapy priorities for knee OA
Balance, quad/glute/core strength, and restoring mobility across the kinetic chain.
18:30 – 23:00 | Injection options explained
Steroids vs. hyaluronic acid (“oil change”) and realistic expectations for pain relief.
23:00 – 27:30 | Regenerative medicine: who benefits most
PRP, mild-to-moderate OA, bone pain considerations, and insurance realities.
27:30 – 32:30 | Gait retraining and shoe changes
Cadence, footwear, and subtle form tweaks to reduce knee stress while running.
32:30 – 36:30 | Training modifications for longevity
Cross-training, deloads, and strategic adjustments instead of stopping running.
36:30 – 41:00 | Running after knee replacement
Current recommendations, real-world experiences, and individualized decisions.
41:00 – 46:00 | Nutrition strategies to support joint health
Anti-inflammatory foods, hydration challenges in master’s athletes, and consistency.
46:00 – 49:30 | Lifestyle factors that affect recovery
Eating patterns, fueling consistency, and supporting healing capacity.
49:30 – 52:00 | Key takeaways & closing thoughts
Pain management, teamwork, and why nutrition is always part of the equation.

Become a supporter of this podcast: https://www.spreaker.com/podcast/the-running-injury-podcast-formerly-interdisciplinary-case-miles--6623567/support.

If you enjoyed this episode, don’t forget to follow and subscribe so you never miss a case.

Have a question or a case you'd like us to explore on the show? We’d love to hear from you. Reach out anytime at runcasemiles@gmail.com.

]]>https://api.spreaker.com/episode/69063629Fri, 26 Dec 2025 11:00:08 +0000Dr. Kate Mihevc Edwards PTWelcome to Interdisciplinary Case Miles, a podcast where real runner stories meet clinical expertise. In Episode 10, Dr. Kate Mihevc Edwards (PT), Dr. Sara Raiser (MD), and sports dietitian Kelsey Pontius address a very common question: Can you keep...In Episode 10, Dr. Kate Mihevc Edwards (PT), Dr. Sara Raiser (MD), and sports dietitian Kelsey Pontius address a very common question: Can you keep running with knee osteoarthritis?

Using the case of a 60-year-old male runner with knee OA, the team walks through how clinicians evaluate pain, imaging, goals, and functional limitations to help runners make informed decisions about continuing to train. The discussion covers activity modification, gait retraining, strength and mobility work, physical therapy, injections, regenerative medicine options, and when knee replacement may become part of the conversation.

The episode also highlights the role of nutrition, hydration, inflammation management, and consistency in supporting joint health and long-term running longevity especially for master’s athletes. As always, rather than offering black-and-white answers, the hosts emphasize individualized care, realistic expectations, and meeting runners where they are. This episode reinforces a core message of Interdisciplinary Case Miles: staying active with OA is often possible, but it requires an individualized, interdisciplinary approach.

In this episode, you’ll learn:

How knee osteoarthritis is evaluated in runners
When running may still be appropriate and how to modify it
The role of physical therapy, gait retraining, and strength work
Injection and regenerative medicine options for knee OA
Nutrition strategies to support joint health and recovery
How to think about longevity, pain management, and performance
00:00 – 02:30 | What this podcast is about
An interdisciplinary approach to keeping runners healthy and active.
02:30 – 05:00 | The case: 60-year-old runner with knee OA
Anterior/medial knee pain and the big question—can I keep running?
05:00 – 09:30 | How clinicians decide if running is appropriate
Imaging, goals, symptom history, and functional exams matter more than age alone.
09:30 – 13:30 | Using pain to guide training decisions
Why pain doesn’t have to be zero—but must stay controlled to avoid gait changes.
13:30 – 18:30 | Physical therapy priorities for knee OA
Balance, quad/glute/core strength, and restoring mobility across the kinetic chain.
18:30 – 23:00 | Injection options explained
Steroids vs. hyaluronic acid (“oil change”) and realistic expectations for pain relief.
23:00 – 27:30 | Regenerative medicine: who benefits most
PRP, mild-to-moderate OA, bone pain considerations, and insurance realities.
27:30 – 32:30 | Gait retraining and shoe changes
Cadence, footwear, and subtle form tweaks to reduce knee stress while running.
32:30 – 36:30 | Training modifications for longevity
Cross-training, deloads, and strategic adjustments instead of stopping running.
36:30 – 41:00 | Running after knee replacement
Current recommendations, real-world experiences, and individualized decisions.
41:00 – 46:00 | Nutrition strategies to support joint health
Anti-inflammatory foods, hydration challenges in master’s athletes, and consistency.
46:00 – 49:30 | Lifestyle factors that affect recovery
Eating patterns, fueling consistency, and supporting healing capacity.
49:30 – 52:00 | Key takeaways & closing thoughts
Pain management, teamwork, and why nutrition is always part of the equation.

Become a supporter of this podcast: https://www.spreaker.com/podcast/the-running-injury-podcast-formerly-interdisciplinary-case-miles--6623567/support.

If you...]]>1240arthritis,athlete,health,knee,kneeoa,kneepain,masterrunners,olderrunner,osteroarthritis,physicaltherapy,recovery,running,runninginjury,runningwithkneeoa,sportsmedicine,wellnessfalse19full08: Butt Pain, Gut Issues & The Whole-Body Puzzle.https://www.spreaker.com/episode/08-butt-pain-gut-issues-the-whole-body-puzzle--68803104
In this case study, we explore:

Buttock and posterior thigh pain, what “sciatica” really means, why it’s often misdiagnosed, and how nerves, joints, tendons, and biomechanics interact
The nervous system connection how an injury high up (like the hip or butt) can contribute to issues farther down the chain, including the Achilles
The hidden role of nutrition & gut health, IBS, GI testing, microbiome insights, nutrient absorption, and how underfueling impacts nerve healing and recovery
Breathing, stress & recovery why parasympathetic activation, rest, and mindful eating support both performance and injury resolution
Clinical decision-making differential diagnoses, red flags, when imaging is needed, and how PT, nutrition, and sports medicine intersect
Real-life biomechanics like hiking with a backpack, running form, posture, core engagement, nerve mobility, and how everyday habits amplify or relieve symptoms

Buttock and posterior thigh pain, what “sciatica” really means, why it’s often misdiagnosed, and how nerves, joints, tendons, and biomechanics interact
The nervous system connection how an injury high up (like the hip or butt) can contribute to issues farther down the chain, including the Achilles
The hidden role of nutrition & gut health, IBS, GI testing, microbiome insights, nutrient absorption, and how underfueling impacts nerve healing and recovery
Breathing, stress & recovery why parasympathetic activation, rest, and mindful eating support both performance and injury resolution
Clinical decision-making differential diagnoses, red flags, when imaging is needed, and how PT, nutrition, and sports medicine intersect
Real-life biomechanics like hiking with a backpack, running form, posture, core engagement, nerve mobility, and how everyday habits amplify or relieve symptoms

This episode takes a comprehensive look at the messy, interconnected reality of running injuries where gut function influences glute activation, posture affects nerve mobility, and stress and recovery can make or break healing. Whether you’re a runner, clinician, or coach, you’ll walk away with: A clearer understanding of butt and posterior leg pain Practical insights on GI issues, fueling, and stress management A roadmap for thinking holistically about athlete health.

00:00 – Podcast Intro & Hosts
Overview of Interdisciplinary Case Miles and introduction of the three clinicians.
01:35 – Case Overview: Mid-30s Female Road Runner
Runner background, hiking/backpacking at altitude, work-from-home lifestyle, inconsistent meals. 03:40 – Initial Presentation: Butt & Posterior Thigh Pain
Why the PT flagged nutrition as a possible barrier to healing.
05:30 – GI Symptoms & IBS-C / IBS-D Explained
Connection between alternating constipation/diarrhea, discomfort after meals, and training disruption. 07:40 – Why Gut Health Matters for Injury Recovery
Micronutrient absorption, inflammation, and nerve healing considerations.
09:40 – Nutrition Interventions: Eating Enough & Consistently
Hydration, missed meals, work-from-home challenges, and fueling basics.
12:00 – Gut Testing & Microbiome Findings
Trail runner risks, lab testing, microbiome imbalance, and implications for healing.
14:20 – Polyphenols, Probiotics & Fiber Strategy
Green tea, targeted probiotics, fibers, and supporting beneficial bacteria.
16:20 – Chewing, Digestion & Parasympathetic State
Why slowing down eating and breathing matters for gut regulation.
18:10 – Exercise Load vs Recovery (The “90-Minute Rest Day”)
Why constant training prevents healing and nervous system recovery.
19:50 – Medical Perspective: Diagnosing Butt Pain
Hip vs spine vs nerve vs tendon; complexity of posterior chain pain in runners.
22:20 – Red Flags & Imaging Decisions
When imaging, injections, and stepwise diagnostics are appropriate.
24:45 – What “Sciatica” Really Means
Why true sciatica is uncommon and often misdiagnosed.
26:30 – Sciatic Nerve Anatomy & Referred Pain
Lumbar roots, piriformis myths, nerve pathways, and distal injury risk.
29:45 – Nerve Loading: Hiking, Backpacks & Downhill Stress
How...]]>1806athletehealth,backpain,buttpain,hamstring,hamstringpain,hip,hippain,lowerbackpain,returntorun,running,runninginjury,sciaticarelief,sportsinjury,sportsnutritionfalse18full07: Inside IT Band Syndrome: Biomechanics, Stress, and Recoveryhttps://www.spreaker.com/episode/07-inside-it-band-syndrome-biomechanics-stress-and-recovery--68730081Kate walks listeners through the full clinical picture from movement screens and gait analysis to the complex interplay between hip strength, foot mechanics, and neuromuscular control. Dr. Sara highlights the medical lens, including pain modulation, the role of the hip joint, and when interventions like shockwave therapy or injections can help support progress. Kelsey adds a nutrition-centered perspective, sharing how hydration, collagen-supportive foods, inflammation management, and lifestyle factors can influence tissue health and recovery.
Together, the team explores why IT Band Syndrome develops, how emotional load and training spikes contribute, what to expect from a proper rehab timeline, and how seemingly small insights from running shoes to callus patterns can reveal key movement issues. Listeners will gain a clearer understanding of evidence-informed gait retraining, strength programming, and the importance of patience and consistency in healing.
Whether you're a runner, clinician, or coach, this case is packed with practical takeaways, thoughtful discussion, and a healthy dose of running-nerdery. 00:00 Welcome & introductions
01:00 Case overview: 25-year-old runner with IT Band Syndrome
04:30 Biomechanical findings: hip drop, knee valgus & overpronation
08:30 Dr. Raiser’s medical insights: stress, pain patterns & recovery timelines
12:30 Nutrition perspective: hydration, collagen & inflammation support
16:00 PT approach: manual therapy, strength work & when to start gait retraining
20:40 Footwear clues & common shoe/orthotic mistakes
22:30 Key takeaways: patience, stress awareness & long-term strength development
23:50 Closing thoughts & call to action

Become a supporter of this podcast: https://www.spreaker.com/podcast/the-running-injury-podcast-formerly-interdisciplinary-case-miles--6623567/support.

If you enjoyed this episode, don’t forget to follow and subscribe so you never miss a case.

Have a question or a case you'd like us to explore on the show? We’d love to hear from you. Reach out anytime at runcasemiles@gmail.com.

]]>https://api.spreaker.com/episode/68730081Fri, 28 Nov 2025 14:00:07 +0000Dr. Kate Mihevc Edwards PTIn this episode of Interdisciplinary Case Miles, Dr. Sara Raiser, sports dietitian Kelsey Pontius, and physical therapist Dr. Kate Mihevc Edwards team up to break down a challenging and relatable case of IT Band Syndrome in a 25-year-old female...Kate walks listeners through the full clinical picture from movement screens and gait analysis to the complex interplay between hip strength, foot mechanics, and neuromuscular control. Dr. Sara highlights the medical lens, including pain modulation, the role of the hip joint, and when interventions like shockwave therapy or injections can help support progress. Kelsey adds a nutrition-centered perspective, sharing how hydration, collagen-supportive foods, inflammation management, and lifestyle factors can influence tissue health and recovery.
Together, the team explores why IT Band Syndrome develops, how emotional load and training spikes contribute, what to expect from a proper rehab timeline, and how seemingly small insights from running shoes to callus patterns can reveal key movement issues. Listeners will gain a clearer understanding of evidence-informed gait retraining, strength programming, and the importance of patience and consistency in healing.
Whether you're a runner, clinician, or coach, this case is packed with practical takeaways, thoughtful discussion, and a healthy dose of running-nerdery. 00:00 Welcome & introductions
01:00 Case overview: 25-year-old runner with IT Band Syndrome
04:30 Biomechanical findings: hip drop, knee valgus & overpronation
08:30 Dr. Raiser’s medical insights: stress, pain patterns & recovery timelines
12:30 Nutrition perspective: hydration, collagen & inflammation support
16:00 PT approach: manual therapy, strength work & when to start gait retraining
20:40 Footwear clues & common shoe/orthotic mistakes
22:30 Key takeaways: patience, stress awareness & long-term strength development
23:50 Closing thoughts & call to action

Become a supporter of this podcast: https://www.spreaker.com/podcast/the-running-injury-podcast-formerly-interdisciplinary-case-miles--6623567/support.

If you enjoyed this episode, don’t forget to follow and subscribe so you never miss a case.

Have a question or a case you'd like us to explore on the show? We’d love to hear from you. Reach out anytime at runcasemiles@gmail.com.

]]>1558interdisciplinarycasemiles #rufalse17full06: Femoral Neck Stress Fracture, Reactive Hypoglycemia in a Male Marathon Runnerhttps://www.spreaker.com/episode/06-femoral-neck-stress-fracture-reactive-hypoglycemia-in-a-male-marathon-runner--68541278
Kelsey unpacks the concept of within-day energy deficits and the athlete’s struggles with reactive hypoglycemia. Dr. Raiser highlights why femoral neck stress fractures are among the most serious running injuries often requiring urgent imaging and complete rest. Dr. Edwards shares the detailed process of returning safely to running, from load management and biomechanics to rebuilding strength and confidence.This episode showcases the power of an interdisciplinary approach where nutrition, medicine, and physical therapy work together to help runners heal fully and sustainably.

Episode Highlights

00:00 Welcome & introductions
01:10 Kelsey presents the case: male runner with recurring stress injuries
07:45 Understanding reactive hypoglycemia and RED-S
10:20 Dr. Reiser explains femoral neck stress fractures & key lab work
16:50 Dr. Edwards on rehab, biomechanics, and safe return-to-run
23:30 The importance of interdisciplinary collaboration
28:40 Top takeaways for clinicians & athletes

00:00 Welcome & introductions
01:10 Kelsey presents the case: male runner with recurring stress injuries
07:45 Understanding reactive hypoglycemia and RED-S
10:20 Dr. Reiser explains femoral neck stress fractures & key lab work
16:50 Dr. Edwards on rehab, biomechanics, and safe return-to-run
23:30 The importance of interdisciplinary collaboration
28:40 Top takeaways for clinicians & athletes

0:00 – Welcome & why anterior hip pain is often misdiagnosed
4:30 – Case intro: 32-year-old runner/triathlete with hip & groin pain
8:15 – Red flags: femoral neck stress fracture vs. hip flexor vs. FAI
13:00 – Pelvic floor clues & the diaphragm–pelvic floor piston
18:45 – Gait mechanics, arm swing, and hidden rotation issues
23:30 – Nutrition, hormones & pelvic floor muscle health
28:50 – Lever system: managing load while rehabbing hips
33:10 – Final takeaways: physician, dietitian, and PT perspectives

0:00 – Welcome & why anterior hip pain is often misdiagnosed
4:30 – Case intro: 32-year-old runner/triathlete with hip & groin pain
8:15 – Red flags: femoral neck stress fracture vs. hip flexor vs. FAI
13:00 – Pelvic floor clues & the diaphragm–pelvic floor piston
18:45 – Gait mechanics, arm swing, and hidden rotation issues
23:30 – Nutrition, hormones & pelvic floor muscle health
28:50 – Lever system: managing load while rehabbing hips
33:10 – Final takeaways: physician, dietitian, and PT perspectives

0:00 – Welcome & sponsor intro
3:30 – Case intro: 17-year-old high school runner with abdominal wall/groin pain
8:15 – Differential diagnosis: hernia, sports hernia, hip pathology, stress fracture
14:00 – Why imaging often comes back “normal” & how to set expectations
19:30 – Physical therapy perspective: thoracic spine, breathing, trunk control
25:40 – Nutrition, fueling, and the risk of under-eating in injured adolescent athletes
32:10 – Mental health & the identity struggle of the sidelined teen runner
38:30 – The role of coaches and parents in the recovery plan
45:15 – Lever system & safe return-to-run training tools
50:00 – Final interdisciplinary takeaways

0:00 – Welcome & sponsor intro
3:30 – Case intro: 17-year-old high school runner with abdominal wall/groin pain
8:15 – Differential diagnosis: hernia, sports hernia, hip pathology, stress fracture
14:00 – Why imaging often comes back “normal” & how to set expectations
19:30 – Physical therapy perspective: thoracic spine, breathing, trunk control
25:40 – Nutrition, fueling, and the risk of under-eating in injured adolescent athletes
32:10 – Mental health & the identity struggle of the sidelined teen runner
38:30 – The role of coaches and parents in the recovery plan
45:15 – Lever system & safe return-to-run training tools
50:00 – Final interdisciplinary takeaways

Thank you to our sponsor, Lever Movement. Use code Casemiles for 20% off

Become a supporter of this podcast: https://www.spreaker.com/podcast/the-running-injury-podcast-formerly-interdisciplinary-case-miles--6623567/support.

If you enjoyed this episode, don’t forget to follow and subscribe so you never miss a case.

Have a question or a case you'd like us to explore on the show? We’d love to hear from you. Reach out anytime at runcasemiles@gmail.com.

]]>1661abdominalwallpain,adolescentathletehealth,groinpain,interdisciplinarycare,runnerhealth,runninginjuries,runningmedicine,sportshernia,sportsmedicine,teenathlete,trackandfieldfalse14full03: Running on Empty- Postpartum REDs in the Elite Female Marathonerhttps://www.spreaker.com/episode/03-running-on-empty-postpartum-reds-in-the-elite-female-marathoner--67582489
0:00 – Welcome & sponsor introduction
4:15 – Case intro: professional marathoner postpartum
9:00 – Physical therapy approach (Dr. Mihevc Edwards)
16:30 – Physician considerations: delivery, injury history, pelvic floor (Dr. Raiser)
25:20 – Nutrition & fueling postpartum (Kelsey Pontius)
34:15 – Coaching influence, mindset & interdisciplinary teamwork
41:40 – RED-S, underfueling & blood sugar regulation
50:10 – Long-term recovery, rest, and community support
58:00 – Key takeaways from each discipline

Thank you to our sponsor, Lever Movement. Use code Casemiles for 20% off

Become a supporter of this podcast: https://www.spreaker.com/podcast/the-running-injury-podcast-formerly-interdisciplinary-case-miles--6623567/support.

If you enjoyed this episode, don’t forget to follow and subscribe so you never miss a case.

Have a question or a case you'd like us to explore on the show? We’d love to hear from you. Reach out anytime at runcasemiles@gmail.com.

]]>https://api.spreaker.com/episode/67582489Fri, 03 Oct 2025 11:00:08 +0000Dr. Kate Mihevc Edwards PTDr. Kate Mihevc Edwards (physical therapist), Dr. Sara Raiser (Running Medicine Physician), and sports dietitian Kelsey Pontius break down the case of a professional marathoner returning to training postpartum after a C-section. From pelvic health and...
0:00 – Welcome & sponsor introduction
4:15 – Case intro: professional marathoner postpartum
9:00 – Physical therapy approach (Dr. Mihevc Edwards)
16:30 – Physician considerations: delivery, injury history, pelvic floor (Dr. Raiser)
25:20 – Nutrition & fueling postpartum (Kelsey Pontius)
34:15 – Coaching influence, mindset & interdisciplinary teamwork
41:40 – RED-S, underfueling & blood sugar regulation
50:10 – Long-term recovery, rest, and community support
58:00 – Key takeaways from each discipline

Thank you to our sponsor, Lever Movement. Use code Casemiles for 20% off

Become a supporter of this podcast: https://www.spreaker.com/podcast/the-running-injury-podcast-formerly-interdisciplinary-case-miles--6623567/support.

If you enjoyed this episode, don’t forget to follow and subscribe so you never miss a case.

Have a question or a case you'd like us to explore on the show? We’d love to hear from you. Reach out anytime at runcasemiles@gmail.com.

]]>2286case,elite,injury,marathoner,medicine,reds,running,studyfalse13full02: From Campus to Cubicle, Solving Runner’s Knee After a Life Shifthttps://www.spreaker.com/episode/02-from-campus-to-cubicle-solving-runner-s-knee-after-a-life-shift--67582589
The team explores how running changes once the collegiate safety net of coaches, meal plans, and regimented schedules disappears. They unpack the biomechanics of patellar tendinopathy, patellar femoral knee pain, the impact of lifestyle stressors, the role of nutrition and hydration without institutional support, and the mental frustration of injury after multiple failed treatments. This conversation highlights what clinicians, athletes, and coaches need to consider when runners transition into “real life” training, and how an interdisciplinary approach can restore both performance and confidence.

Whether you’re a weekend warrior, a coach helping athletes through transitions, or a clinician working with frustrated runners, this case will give you practical insights into recovery, resilience, and the realities of post-college running.

Timestamps:

0:00 – Intro & sponsor shoutout
4:30 – Case intro: former collegiate runner with anterior knee pain
9:15 – Physician’s perspective: imaging, biomechanics & tendinopathy
15:00 – Nutrition, hydration & lifestyle after college athletics
22:40 – Stress, recovery, and the mental load of long-term pain
29:30 – The role of gait, bike fit, and strength training
38:00 – Why multiple providers often miss the bigger picture
45:15 – Interdisciplinary takeaways

0:00 – Intro & sponsor shoutout
4:30 – Case intro: former collegiate runner with anterior knee pain
9:15 – Physician’s perspective: imaging, biomechanics & tendinopathy
15:00 – Nutrition, hydration & lifestyle after college athletics
22:40 – Stress, recovery, and the mental load of long-term pain
29:30 – The role of gait, bike fit, and strength training
38:00 – Why multiple providers often miss the bigger picture
45:15 – Interdisciplinary takeaways

0:00 – Intro to Interdisciplinary Case Miles
3:00 – Why we started this podcast
6:30 – Case intro: Proximal hamstring tendinopathy
9:45 – Physical therapy evaluation insights (Dr. Mihevc Edwards)
17:20 – Nutrition red flags and lab markers (Kelsey Pontius)
23:00 – Stress, hormones & female athlete considerations (Dr. Raiser)
30:00 – Common misdiagnoses and missed treatment steps
36:30 – Sprinting, eccentrics & progressive loading
42:00 – Mental fatigue, missed diagnoses & patient advocacy
47:15 – Final takeaways from each expert

0:00 – Intro to Interdisciplinary Case Miles
3:00 – Why we started this podcast
6:30 – Case intro: Proximal hamstring tendinopathy
9:45 – Physical therapy evaluation insights (Dr. Mihevc Edwards)
17:20 – Nutrition red flags and lab markers (Kelsey Pontius)
23:00 – Stress, hormones & female athlete considerations (Dr. Raiser)
30:00 – Common misdiagnoses and missed treatment steps
36:30 – Sprinting, eccentrics & progressive loading
42:00 – Mental fatigue, missed diagnoses & patient advocacy
47:15 – Final takeaways from each expert