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.
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    30 min
  • 07: Inside IT Band Syndrome: Biomechanics, Stress, and Recovery

    07: Inside IT Band Syndrome: Biomechanics, Stress, and Recovery
    Nov 28 2025
    In 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 runner. What begins as knee pain following increased training and emotional stress unfolds into a deep dive on biomechanics, movement evaluation, nutrition, recovery, and the mind–body connection.
    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/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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    26 min
  • 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 (MD), Kelsey Pontius, and Dr. Kate Mihevc Edwards (PT) 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.
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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.
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    28 min
  • 03: Running on Empty- Postpartum REDs in the Elite Female Marathoner

    03: Running on Empty- Postpartum REDs in the Elite Female Marathoner
    Oct 3 2025
    Dr. 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 biomechanics to nutrition, hormones, and the mental side of recovery, the team highlights what it really takes to get back to running. Whether you’re an athlete, coach, or medical provider, you’ll walk away with practical strategies and interdisciplinary insights to support performance and long-term health.

    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

    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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    38 min
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