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Interdisciplinary Case Miles

Interdisciplinary Case Miles

Von: 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 Hygiene & gesundes Leben Laufen & Joggen
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  • 19: Navicular Stress Fractures in Runners: Why Foot Pain Lingers and What You Might be Missing

    19: Navicular Stress Fractures in Runners: Why Foot Pain Lingers and What You Might be Missing
    May 15 2026
    Foot pain that lingers, comes and goes, or never fully heals can signal something more serious especially in runners. Episode 19 of Interdisciplinary Case Miles centers on a high school track athlete dealing with a navicular bone stress injury that persisted for nearly a year.

    This type of injury is one of the most challenging in running due to limited blood supply, high biomechanical demand, and the need for strict management early on. This case highlights how bone stress injuries develop from a combination of training load, biomechanics, and nutrition especially low energy availability in adolescent athletes. It also addresses why navicular injuries require careful progression, non-weight bearing phases, and long-term follow-up to avoid delayed healing or recurrence.

    You’ll hear how foot mechanics, posterior tibial function, and arch control influence stress at the navicular, along with how strength, mobility, and confidence all play a role in returning to sport. The conversation also emphasizes the importance of fueling, growth demands, and the unique challenges faced by youth and first-generation athletes navigating high training loads.

    Whether you’re a runner dealing with stubborn foot pain, a parent supporting a young athlete, or training in high-impact environments like track, trail, or jumping sports, this episode provides clear direction on preventing and managing navicular stress injuries.

    00:00 – Intro to Interdisciplinary Case Miles Overview of the podcast and today’s complex case.
    01:05 – Case Overview: High School Athlete with Persistent Foot Pain Track athlete with a year-long navicular bone stress injury.
    03:10 – What Is the Navicular Bone & Why It Matters Location, function, and role as the “keystone” of the arch.
    06:00 – Why Navicular Stress Injuries Are High Risk Limited blood supply and challenges with healing. 09:20 – The Perfect Storm: Load, Biomechanics & Nutrition How multiple factors combine to create bone stress injuries.
    12:40 – Low Energy Availability in Young Athletes How underfueling impacts bone health and recovery.
    16:30 – Growth, Development & High Calorie Needs Why adolescent runners require more fuel than expected.
    20:10 – Practical Fueling Strategies for Busy Athletes Snacking, meal timing, and closing energy gaps.
    24:00 – Posterior Tibial Function & Foot Mechanics How pronation control affects stress at the navicular.
    27:45 – Physical Therapy Approach to Navicular Injuries Strength, mobility, stability, and load management.
    31:20 – Confidence & Fear in Return to Sport Mental barriers after long-term injury.
    35:00 – When to Repeat Imaging & Monitor Healing Using MRI and clinical signs to guide progression.
    38:40 – Surgical vs Conservative Treatment Options When athletes consider early intervention.
    42:10 – Athlete Stage Matters: Youth vs Elite Decisions How treatment varies by age and competition level.
    45:30 – Key Takeaways from Each Expert Education, fueling, and whole-athlete care.

    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.
  • 18: Chronic Ankle Instability in Runners: One Overlooked Cause of Hip and Back Pain

    18: Chronic Ankle Instability in Runners: One Overlooked Cause of Hip and Back Pain
    May 1 2026
    What if your hip pain is actually coming from your ankle? Episode 18 of Interdisciplinary Case Miles follows a 38-year-old ultra marathon runner with lateral hip pain, back discomfort, and a long history of recurring ankle sprains.

    What many runners dismiss as “no big deal” can lead to instability, altered mechanics, and long-term performance limitations.

    This conversation connects chronic ankle sprains to changes in the kinetic chain, showing how foot and ankle instability can drive hip and back pain. It also highlights the role of ligament health, balance, and neuromuscular control in keeping runners strong and resilient. Nutrition and hydration are also key factors especially for ultra and trail runners.

    Fueling, collagen support, and electrolyte balance all influence healing, coordination, and injury risk. Whether you’re running trails in the mountains, training for your next ultra, or dealing with nagging injuries that won’t go away, this episode offers practical, evidence-informed strategies to improve stability, prevent setbacks, and optimize performance.

    00:00 – Intro to Interdisciplinary Case Miles Meet the team and today’s focus on real runner cases. 01:10 – Case Overview: Ultra Runner with Hip & Back Pain A 38-year-old athlete presents with lateral hip pain, but there’s more to the story.
    03:15 – The Overlooked Clue: Chronic Ankle Sprains Why “it doesn’t hurt” doesn’t mean it’s not a problem.
    06:20 – Hip Impingement vs. Kinetic Chain Dysfunction How foot and ankle issues can drive hip pathology.
    09:10 – Hypermobility vs. Tightness Explained Why some joints are loose while others compensate. 12:00 – What Happens When You Keep Spraining Your Ankle Ligament damage, collagen breakdown, and loss of stability over time.
    15:30 – The 2% Stability Loss Rule Why repeated ankle sprains create long-term dysfunction. 18:40 – How Ankle Instability Causes Hip & Back Pain Connection between foot mechanics, glutes, and loading patterns.
    22:10 – Physical Therapy Strategies for Ankle Stability Balance training, foot control, joint mobilization, and plyometrics.
    27:00 – Collagen, Nutrition & Ligament Healing What runners need to know about fueling and recovery.
    30:15 – Electrolytes, Hydration & Injury Risk How dehydration affects reaction time, coordination, and proprioception.
    34:40 – Trail Running Risks & Cognitive Fatigue Why fueling impacts decision-making and injury prevention.
    38:10 – Shoe Choice & Terrain Considerations Stack height, stability, and trail-specific risks.
    42:20 – When an “Ankle Sprain” Might Be More Serious Recognizing fractures and complications. 45:00 – Key Takeaways from Each Expert Simple, actionable advice to prevent and manage ankle
    instability.

    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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    23 Min.
  • 17: Low Back Pain in Runners: When Hormones, Sleep, and Core Stability Collide

    17: Low Back Pain in Runners: When Hormones, Sleep, and Core Stability Collide
    Apr 17 2026
    Is your low back pain coming from running or is it something else entirely?

    In this episode of Interdisciplinary Case Miles, Dr. Sara Raiser, sports medicine physician and running medicine speicalist, Dr. Kate Mihevc Edwards, orthopedic physical therapist and running PT, and sports dietitian Kelsey Pontius walk through a runner case involving low back pain during the perimenopause transition.

    The case involves a 41-year-old female physician and half-marathon runner who initially seeks help for nutrition during perimenopause. During the consultation, she casually mentions intermittent low back pain, poor sleep, and high work stress, factors that can all influence recovery and musculoskeletal health.The conversation expands into a deeper discussion of how hormonal changes, sleep quality, fueling habits, biomechanics, and pelvic floor health can all play a role in back pain for runners. We explain how shifting hormones like estrogen, progesterone, and testosterone influence collagen health, tendon recovery, muscle repair, sleep quality, and energy levels. For active women, these changes can show up as slower recovery, stubborn body changes, and nagging aches that weren’t there before.In this episode, we discuss:
    • Why low back pain in runners is often multifactorial
    • The impact of perimenopause and hormonal changes on recovery and connective tissue
    • How sleep and fueling patterns influence injury risk and healing
    • Why runners with back pain should evaluate core stability, breathing, and pelvic floor function
    • How hip mobility and running mechanics can affect the lower back
    • When back pain requires medical evaluation—and when runners can safely stay active
    • Strategies to keep running while managing back discomfort
    If you're a runner dealing with low back pain, sleep disruption, hormonal changes, or training stress, this episode explores how all of these factors intersect and what you can do to stay healthy and keep running.

    If you’re enjoying these conversations, please follow the podcast and take a moment to rate or review it. Sharing it with a runner, coach, or healthcare provider helps us reach the people who can make the biggest difference in athletes’ lives. This podcast is for runners at every level, the coaches guiding them, and the healthcare professionals who care for them. We believe interdisciplinary care leads to better outcomes and stronger runners.

    00:00 — Podcast Introduction
    Meet the hosts and overview of Interdisciplinary Case Miles.
    01:05 — Case Introduction: Perimenopausal Runner. A 41-year-old half-marathoner experiencing body changes, sleep issues, and intermittent low back pain.
    02:30 — Nutrition & Hormonal Changes in Perimenopause
    How hormonal shifts affect recovery, metabolism, and nutrition needs.
    05:10 — Addressing Body Changes & Sleep First
    Body neutrality, sleep quality, and fueling regularly during busy workdays.
    08:00 — Medical Evaluation of Low Back Pain
    Dr. Reiser explains axial back pain, possible causes, and clinical screening.
    11:00 — Physical Therapy Assessment
    Core activation, breathing patterns, pelvic floor health, and movement mechanics.
    14:00 — Running Mechanics & Back Pain
    Hip mobility, posture, and how running form can influence back stress.
    17:00 — Training Modifications & Staying Active
    When runners should modify activity instead of stopping completely.
    20:00 — Managing Persistent “Niggling” Pain
    Understanding chronic discomfort and avoiding unnecessary interventions.
    22:00 — Pre-Run & Post-Run Strategies
    Simple mobility and activation exercises that may reduce pain.
    23:30 — Key Takeaways from Each Expert
    Back pain management, nutrition mindset during body changes, and pelvic floor considerations.
    24:45 — Episode Wrap-Up
    Closing thoughts and invitation to follow and share the podcast.





    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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    19 Min.
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