10: Glute Tendinopathy & The Impact of Hormones in a Female Runner During the Menopause Transition
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10: Glute Tendinopathy & The Impact of Hormones in a Female Runner During the Menopause Transition
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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
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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.
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