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Interdisciplinary Case Miles
Interdisciplinary Case Miles
Author: 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.
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.
11 Episodes
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Welcome to Interdisciplinary Case Miles, a podcast where real runner stories meet clinical expertise.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 injuriesWhy adolescents are at higher risk during growth spurtsThe role of nutrition and energy availability in healing shin painCommon fueling challenges for high school athletesHow training load, surfaces, shoes, and spikes affect shin stressWhy interdisciplinary care leads to better outcomes for young runnersAs 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 healthLike, rate, and share this episode with parents, coaches, and runnersHave a case you’d like us to discuss? Email us at runcasemiles@gmail.comBecome 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.
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 runnersThis 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 Miles01:25 Meet the Hosts & Their Clinical Roles04:00 What We’ve Been Working On Lately06:15 Kelsey’s New Ebook: Miles & Meals09:30 Outreach, Education & Bridging the Gap in Running Medicine13:10 Returning to Running After Health Challenges16:20 Introducing the Case: Lateral Hip Pain in a Midlife Runner19:45 Nutrition, Hormones & Gut Health in Perimenopause24:30 Bodies Are Meant to Change28:40 Weight Is Not Health & The Risk of Under-Fueling33:20 Why Glute Tendinopathy Is Often Misdiagnosed as Bursitis38:10 Estrogen, Collagen & Tendon Healing43:50 Biomechanics, Hip Load & Physical Therapy Considerations49:30 Pelvic Floor, Core Health & Hip Pain53:40 Sleep, Stress & Recovery During Midlife Transitions57:45 Doing Less to Heal More01:01:30 Key Takeaways from Each Expert01:04:10 Final Thoughts & How to Connect with the TeamBecome 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.
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 runnersWhen running may still be appropriate and how to modify itThe role of physical therapy, gait retraining, and strength workInjection and regenerative medicine options for knee OANutrition strategies to support joint health and recoveryHow to think about longevity, pain management, and performance00:00 – 02:30 | What this podcast is aboutAn interdisciplinary approach to keeping runners healthy and active.02:30 – 05:00 | The case: 60-year-old runner with knee OAAnterior/medial knee pain and the big question—can I keep running?05:00 – 09:30 | How clinicians decide if running is appropriateImaging, goals, symptom history, and functional exams matter more than age alone.09:30 – 13:30 | Using pain to guide training decisionsWhy pain doesn’t have to be zero—but must stay controlled to avoid gait changes.13:30 – 18:30 | Physical therapy priorities for knee OABalance, quad/glute/core strength, and restoring mobility across the kinetic chain.18:30 – 23:00 | Injection options explainedSteroids vs. hyaluronic acid (“oil change”) and realistic expectations for pain relief.23:00 – 27:30 | Regenerative medicine: who benefits mostPRP, mild-to-moderate OA, bone pain considerations, and insurance realities.27:30 – 32:30 | Gait retraining and shoe changesCadence, footwear, and subtle form tweaks to reduce knee stress while running.32:30 – 36:30 | Training modifications for longevityCross-training, deloads, and strategic adjustments instead of stopping running.36:30 – 41:00 | Running after knee replacementCurrent recommendations, real-world experiences, and individualized decisions.41:00 – 46:00 | Nutrition strategies to support joint healthAnti-inflammatory foods, hydration challenges in master’s athletes, and consistency.46:00 – 49:30 | Lifestyle factors that affect recoveryEating patterns, fueling consistency, and supporting healing capacity.49:30 – 52:00 | Key takeaways & closing thoughtsPain 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.
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 interactThe nervous system connection how an injury high up (like the hip or butt) can contribute to issues farther down the chain, including the AchillesThe hidden role of nutrition & gut health, IBS, GI testing, microbiome insights, nutrient absorption, and how underfueling impacts nerve healing and recoveryBreathing, stress & recovery why parasympathetic activation, rest, and mindful eating support both performance and injury resolutionClinical decision-making differential diagnoses, red flags, when imaging is needed, and how PT, nutrition, and sports medicine intersectReal-life biomechanics like hiking with a backpack, running form, posture, core engagement, nerve mobility, and how everyday habits amplify or relieve symptomsThis 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 & HostsOverview of Interdisciplinary Case Miles and introduction of the three clinicians. 01:35 – Case Overview: Mid-30s Female Road RunnerRunner background, hiking/backpacking at altitude, work-from-home lifestyle, inconsistent meals. 03:40 – Initial Presentation: Butt & Posterior Thigh PainWhy the PT flagged nutrition as a possible barrier to healing.05:30 – GI Symptoms & IBS-C / IBS-D ExplainedConnection between alternating constipation/diarrhea, discomfort after meals, and training disruption. 07:40 – Why Gut Health Matters for Injury RecoveryMicronutrient absorption, inflammation, and nerve healing considerations.09:40 – Nutrition Interventions: Eating Enough & ConsistentlyHydration, missed meals, work-from-home challenges, and fueling basics.12:00 – Gut Testing & Microbiome FindingsTrail runner risks, lab testing, microbiome imbalance, and implications for healing. 14:20 – Polyphenols, Probiotics & Fiber StrategyGreen tea, targeted probiotics, fibers, and supporting beneficial bacteria.16:20 – Chewing, Digestion & Parasympathetic StateWhy 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 PainHip vs spine vs nerve vs tendon; complexity of posterior chain pain in runners.22:20 – Red Flags & Imaging DecisionsWhen imaging, injections, and stepwise diagnostics are appropriate.24:45 – What “Sciatica” Really MeansWhy true sciatica is uncommon and often misdiagnosed.26:30 – Sciatic Nerve Anatomy & Referred PainLumbar roots, piriformis myths, nerve pathways, and distal injury risk.29:45 – Nerve Loading: Hiking, Backpacks & Downhill StressHow posture, stride length, and load affect nerve irritation.32:10 – Nerve Mobility & Gliding ConceptsWhy nerves get “stuck” and how that mimics muscle tightness.34:10 – PT Assessment PrioritiesSingle-leg control, posterior chain loading, core and hip coordination.36:30 – Piriformis Syndrome: What’s Really Going OnSecondary pain generators, trigger points, and referral patterns.39:00 – Gut Health, Core Control & Pelvic FloorHow GI distress, surgeries, trauma, and bloating affect muscle engagement.42:00 – Medications, Microbiome & Bone HealthPPIs, acne meds, absorption issues, and injury risk.44:30 – Manual Therapy & Anterior Chain ConsiderationsAbdominal work, hip flexors, visceral restrictions, and pain patterns.46:40 – Recovery Is the Missing LinkSleep, relative rest, nutrition, and why breakdown exceeds adaptation.48:40 – Key Takeaways: Nutrition PerspectiveSeeing experts, gut health beyond trends, mental health, and mindfulness.50:20 – Key Takeaways: PT & BiomechanicsRunning gait, hiking mechanics, backpacks, unloading the nerve.52:40 – Final Thoughts & ClosingBecome 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.
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 & introductions01:00 Case overview: 25-year-old runner with IT Band Syndrome04:30 Biomechanical findings: hip drop, knee valgus & overpronation08:30 Dr. Raiser’s medical insights: stress, pain patterns & recovery timelines12:30 Nutrition perspective: hydration, collagen & inflammation support16:00 PT approach: manual therapy, strength work & when to start gait retraining20:40 Footwear clues & common shoe/orthotic mistakes22:30 Key takeaways: patience, stress awareness & long-term strength development23:50 Closing thoughts & call to actionBecome 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.
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 Highlights00:00 Welcome & introductions01:10 Kelsey presents the case: male runner with recurring stress injuries07:45 Understanding reactive hypoglycemia and RED-S10:20 Dr. Reiser explains femoral neck stress fractures & key lab work16:50 Dr. Edwards on rehab, biomechanics, and safe return-to-run23:30 The importance of interdisciplinary collaboration28:40 Top takeaways for clinicians & athletesBecome 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 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.Timestamps0:00 – Welcome & why anterior hip pain is often misdiagnosed4:30 – Case intro: 32-year-old runner/triathlete with hip & groin pain8:15 – Red flags: femoral neck stress fracture vs. hip flexor vs. FAI13:00 – Pelvic floor clues & the diaphragm–pelvic floor piston18:45 – Gait mechanics, arm swing, and hidden rotation issues23:30 – Nutrition, hormones & pelvic floor muscle health28:50 – Lever system: managing load while rehabbing hips33:10 – Final takeaways: physician, dietitian, and PT perspectivesBecome 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.
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.Timestamps0:00 – Welcome & sponsor intro3:30 – Case intro: 17-year-old high school runner with abdominal wall/groin pain8:15 – Differential diagnosis: hernia, sports hernia, hip pathology, stress fracture14:00 – Why imaging often comes back “normal” & how to set expectations19:30 – Physical therapy perspective: thoracic spine, breathing, trunk control25:40 – Nutrition, fueling, and the risk of under-eating in injured adolescent athletes32:10 – Mental health & the identity struggle of the sidelined teen runner38:30 – The role of coaches and parents in the recovery plan45:15 – Lever system & safe return-to-run training tools50:00 – Final interdisciplinary takeawaysBecome 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.
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 introduction4:15 – Case intro: professional marathoner postpartum9:00 – 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 teamwork41:40 – RED-S, underfueling & blood sugar regulation50:10 – Long-term recovery, rest, and community support58:00 – Key takeaways from each disciplineBecome 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.
In this episode of Interdisciplinary Case Miles, Dr. Kate Mihevc Edwards (physical therapist), Dr. Sara Raiser (running medicine physician), and Kelsey Pontius (sports dietitian) dive into the case of a 26-year-old former collegiate runner who now spends his time running trails, biking, and staying active outdoors. Since leaving the structured world of collegiate athletics, his lifestyle, training, and recovery patterns have shifted—bringing new challenges to his body, including persistent anterior knee pain. 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 shoutout4:30 – Case intro: former collegiate runner with anterior knee pain9:15 – Physician’s perspective: imaging, biomechanics & tendinopathy15:00 – Nutrition, hydration & lifestyle after college athletics22:40 – Stress, recovery, and the mental load of long-term pain29:30 – The role of gait, bike fit, and strength training38:00 – Why multiple providers often miss the bigger picture45:15 – Interdisciplinary takeawaysBecome 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.
Welcome to the first episode of Interdisciplinary Case Miles, where real runner stories meet expert clinical insight. In this episode, Dr. Kate Mihevc Edwards (physical therapist), Dr. Sara Raiser (Running Medicine Physician), and Kelsey Pontius (sports dietitian) tackle a complex case: a 32-year-old professional marathoner struggling with a non-healing proximal hamstring tendinopathy. The team breaks down biomechanics, differential diagnoses, rehab strategies, hormonal and nutritional considerations, and the mental load of chronic injury. Whether you're a runner, coach, clinician, or performance professional, this episode offers real-world strategies and a fresh, interdisciplinary perspective on one of the most frustrating injuries in endurance sports.0:00 – Intro to Interdisciplinary Case Miles3:00 – Why we started this podcast6:30 – Case intro: Proximal hamstring tendinopathy9:45 – 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 steps36:30 – Sprinting, eccentrics & progressive loading42:00 – Mental fatigue, missed diagnoses & patient advocacy47:15 – Final takeaways from each expertBecome 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.




