29: Hip Arthritis Doesn’t Always Mean Your Running Days Are Over
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29: Hip Arthritis Doesn’t Always Mean Your Running Days Are Over
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In Episode 29 of The Running Injury Podcast, Dr. Sara Raiser (MD), Sports Dietitian Kelsey Pontius, and Dr. Kate Mihevc Edwards Physical Therapist walk through a listener-submitted case from a 50-year-old ultra runner facing progressive hip arthritis, a torn labrum, nerve pain, and the possibility of a future hip replacement. Together, they discuss how to manage symptoms, delay surgery when appropriate, and prepare for the best possible outcome if surgery becomes necessary.
Whether you're an endurance athlete, marathon runner, trail runner, or someone dealing with hip pain, this episode explores what the current evidence says about hip replacement, returning to running, and protecting long-term joint health.
In this episode, you'll learn:
- When hip pain may be a sign that it's time to consider a hip replacement
- Can you safely run after a hip replacement? What the current research says
- How physical therapy, gait analysis, and strength training can help you keep running longer
- Why rotational strength, hip stability, and running mechanics matter before surgery
- How cross-training may reduce symptoms while maintaining fitness
- Nutrition strategies before and after joint replacement surgery to support healing and recovery
- How protein, hydration, and key nutrients help optimize surgical outcomes
- Dr. Sara Raiser, MD, FAAPMR, CAQSM – Running Medicine Physician
- Kelsey Pontius, MS, RD, CSSD – Sports Dietitian
- Dr. Kate Mihevc Edwards, PT, DPT, OCS – Physical Therapist & Orthopaedic Clinical Specialist
Chapter Highlights
00:00 Welcome and host updates
04:10 Listener case: Hip arthritis in an ultra runner
09:30 Hip replacement: When is the right time?
18:45 Can runners return to running after hip replacement?
27:20 Physical therapy, strength training, and gait mechanics
36:15 Cross-training and managing symptoms before surgery
43:50 Nutrition before and after joint replacement surgery
52:40 Final advice for runners facing hip replacement
Your support helps us continue bringing evidence-informed education to runners around the world.
Become a supporter of this podcast: https://www.spreaker.com/podcast/the-running-injury-podcast-formerly-interdisciplinary-case-miles--6623567/support.
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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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