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Interdisciplinary Case Miles

Interdisciplinary Case Miles

Auteur(s): Dr. Kate Mihevc Edwards PT
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 Real 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 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/interdisciplinary-case-miles--6623567/support.Copyright Dr. Kate Mihevc Edwards PT Course et jogging Hygiène et mode de vie sain Troubles et maladies
Épisodes
  • 10: Glute Tendinopathy & The Impact of Hormones in a Female Runner During the Menopause Transition

    10: Glute Tendinopathy & The Impact of Hormones in a Female Runner During the Menopause Transition
    Jan 9 2026
    Welcome 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 of glute tendinopathy in a female runner during the menopause transition.

    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/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.
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    32 min
  • 09: Knee OA in the Master Runner, Should You Keep Running?

    09: Knee OA in the Master Runner, Should You Keep Running?
    Dec 26 2025
    Welcome 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 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/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.
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    21 min
  • 08: Butt Pain, Gut Issues & The Whole-Body Puzzle.

    08: Butt Pain, Gut Issues & The Whole-Body Puzzle.
    Dec 12 2025
    Welcome back to Interdisciplinary Case: Miles, where real runner stories meet clinical expertise. In Episode 8, Dr. Sara Raiser (MD), sports dietitian Kelsey Pontius, and physical therapist Dr. Kate Mihevc Edwards (PT) team up to break down a complex case: a mid-30s female roadrunner and backpacker navigating persistent butt pain, posterior leg symptoms, and unexpected GI challenges. This episode uncovers why seemingly simple running injuries often have not-so-simple causes and why a whole-body, interdisciplinary lens matters.

    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
    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

    Become a supporter of this podcast: https://www.spreaker.com/podcast/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.
    Voir plus Voir moins
    30 min
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