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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
  • 06: Femoral Neck Stress Fracture, Reactive Hypoglycemia in a Male Marathon Runner

    06: Femoral Neck Stress Fracture, Reactive Hypoglycemia in a Male Marathon Runner
    Nov 14 2025
    In this episode of Interdisciplinary Case Miles, hosts Dr. Sara Raiser, Kelsey Pontius, and Dr. Kate Mihevc Edwards break down a complex real-world case of a male marathoner caught in a cycle of injury, underfueling, and recovery.When multiple stress fractures, low testosterone, and low ferritin collide with emotional stress and high training volume, the team dives deep into how Relative Energy Deficiency in Sport (RED-S) affects performance, hormones, and bone health.

    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


    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
  • 05: Groin Pain in the Runner: Insights on FAI, Labral Tears & Pelvic Floor

    05: Groin Pain in the Runner: Insights on FAI, Labral Tears & Pelvic Floor
    Oct 31 2025
    A 32-year-old female runner and triathlete presents with deep anterior hip and groin pain that worsens with sitting, cycling, and running. Dr. Kate Mihevc Edwards (PT), Dr. Sara Raiser (Running Medicine Physician), and sports dietitian Kelsey Pontius dig into a complex but common clinical picture: when hip impingement (FAI), labral irritation, or soft tissue overload may be compounded by pelvic floor dysfunction, hormonal shifts, or fueling gaps.

    The team breaks down differential diagnosis—how to distinguish hip joint pathology from lumbar referral, hip flexor pain, or femoral stress—and explores gait mechanics, breathing patterns, pelvic floor “piston” function, and nutrition’s role in muscle health and recovery. Practical strategies include what to look for in gait analysis, single-leg squat, and functional movement, plus how to modify training.

    This conversation is built for athletes, coaches, and clinicians alike—anyone navigating stubborn hip pain that doesn’t resolve with rest or generic rehab.

    Timestamps
    • 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


    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.

    A big thank you to our sponsor, Lever Movement — a treadmill-based body weight support system used by clinicians, coaches, and athletes around the world. Whether you're rehabbing from injury, managing training load, returning postpartum, or focusing on performance, Lever is a versatile tool that helps keep runners running. As a listener, use the code CaseMiles for 20% off any of their 3 units. Thanks for joining us on Interdisciplinary Case Miles — real runners, real problems, real solutions.
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    35 min
  • 04: Abdominal Wall & Groin Pain in a Male Runner — Sports Hernia or Something Else?

    04: Abdominal Wall & Groin Pain in a Male Runner — Sports Hernia or Something Else?
    Oct 17 2025
    Dr. Sara Raiser (Running Medicine Physician), Kelsey Pontius (Sports Dietitian), and Dr. Kate Mihevc Edwards (Physical Therapist) bring their interdisciplinary lens to a tricky injury that often occurs in male young athletes: abdominal wall and groin pain.

    In this episode, the team unpacks the case of a 17-year-old male high school track athlete presenting with lower abdominal and groin pain that radiates into the adductors and limits his stride. The pain is nagging, sometimes sharp, but mostly tight and aching. Is it a sports hernia? Or something else entirely?

    Dr. Raiser explains the red flags that must be ruled out, from inguinal and femoral hernias to femoral stress injuries and hip pathology and why standard imaging often fails to provide answers. Dr. Mihevc Edwards dives into biomechanics, thoracic mobility, breathing mechanics, and gait analysis, showing how interconnected tissues and referral patterns often blur the clinical picture. Pontius highlights the nutrition and mental health side: how underfueling, over-cross-training, and performance pressure can amplify both pain and recovery challenges in young athletes.

    Together, the team breaks down how an interdisciplinary approach combining medical care, physical therapy, nutrition, and communication with coaches can not only solve cases like this but also protect the identity and confidence of athletes who define themselves through sport. This episode is for athletes, parents, coaches, and clinicians who want to better understand abdominal wall and groin pain in runners and why “sports hernia” may be just one part of the bigger picture.

    Timestamps
    • 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


    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.

    A big thank you to our sponsor, Lever Movement — a treadmill-based body weight support system used by clinicians, coaches, and athletes around the world. Whether you're rehabbing from injury, managing training load, returning postpartum, or focusing on performance, Lever is a versatile tool that helps keep runners running. As a listener, use the code CaseMiles for 20% off any of their 3 units. Thanks for joining us on Interdisciplinary Case Miles — real runners, real problems, real solutions.
    Voir plus Voir moins
    28 min
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