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  • 29: Hip Arthritis Doesn’t Always Mean Your Running Days Are Over

    29: Hip Arthritis Doesn’t Always Mean Your Running Days Are Over
    Oct 2 2026
    Hip arthritis doesn't always mean your running days are over but it does raise some important questions.

    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
    This episode is packed with practical advice for runners trying to stay active while managing hip arthritis and for anyone wondering what life and running can look like before and after a hip replacement.Featured Experts
    • 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.

    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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    18 Min.
  • 28: Haglund’s Deformity & Achilles Pain | When Rehab Isn’t Enough

    28: Haglund’s Deformity & Achilles Pain | When Rehab Isn’t Enough
    Sep 18 2026
    When Achilles pain keeps coming back, the problem may be more complicated than “just tendonitis.”

    In Episode 28 of The Running Injury Podcast, Dr. Sara Raiser, sports dietitian Kelsey Pontius, and Dr. Kate Mihevc Edwards walk through the show’s first listener-submitted case: an ultra runner dealing with recurrent Achilles pain, a visible bump at the heel, bursitis, and a confirmed Haglund’s deformity.After months of rest, physical therapy, cycling, shoe changes, shockwave therapy, and multiple medical opinions, she was still trying to answer one big question: Should she keep managing it conservatively or is it time to consider surgery?

    This episode looks at why stubborn Achilles injuries require more than treating the painful spot and why the right diagnosis, rehab plan, nutrition strategy, footwear, and provider can make all the difference.

    In this episode, you'll learn:
    -What Haglund’s deformity is and how it can irritate the Achilles tendon
    -Why insertional Achilles tendinopathy can be so difficult to treat
    -How bursitis can be part of a larger problem rather than the primary diagnosis
    -Why ultrasound can be especially helpful when evaluating Achilles tendon injuries
    -When shockwave, orthotics, footwear changes, and other procedures may help
    -Why physical therapy should address the entire kinetic chain—not just the calf and ankle
    -How vegan athletes can support tendon healing through energy, protein, carbohydrates, B12, zinc, omega-3s, and creatine
    -When it may be reasonable to discuss surgery after conservative treatment has failed

    This case is a reminder that persistent pain deserves another look. If treatment isn’t working, it may be time to question whether you’re treating the right problem in the first place.

    Featured Experts
    Dr. Sara Raiser MD – Running Medicine Physician
    Kelsey Pontius, MS, RD, CSSD – Sports Dietitian
    Dr. Kate Mihevc Edwards PT – Physical Therapist & Orthopedic Clinical Specialist

    Chapter Highlights
    00:00 Welcome to Episode 28
    03:00 The first listener-submitted case
    05:30 Recurrent Achilles pain and Haglund’s deformity
    10:45 Is it really Achilles tendinopathy? Getting the diagnosis right
    16:30 Ultrasound, bursitis, insertional tendinopathy, and tendon changes
    24:00 Physical therapy: What good Achilles rehab should include
    31:30 When conservative treatment isn’t working
    36:45 Haglund’s surgery and return-to-sport outcomes
    42:00 Vegan athletes, fueling, and tendon healing
    49:15 Choosing the right provider and the right treatment
    55:00 Final takeaways


    Become a supporter of this podcast: https://www.spreaker.com/podcast/the-running-injury-podcast-formerly-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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    29 Min.
  • 27: Is It Actually Your Hip Flexor...Or Something Else

    27: Is It Actually Your Hip Flexor...Or Something Else
    Sep 4 2026
    Welcome to Season 2 and welcome to The Running Injury Podcast!

    If you've been with us before, you may notice one big change: Interdisciplinary Case Miles has a new name. While the name is new, everything you love about the show remains the same real runner cases, evidence-informed conversations, and practical advice from a team of experts dedicated to helping runners stay healthy and perform at their best.

    To kick off the new season, the hosts catch up on what they've been working on from a successful High School Runners Summit focused on injury prevention, nutrition, sleep, and mental health, to exciting behind-the-scenes projects, and Dr. Kate Mihevc Edwards' emotional return to racing after completing her first 5K in 11 years following her ARVC diagnosis.

    Then it's time for the first case of Season 2:A 24-year-old runner develops pain in the front of his hip after an aggressive track workout. His symptoms worsen with stairs, speed work, hills, prolonged sitting, and frequent work travel raising important questions about what could really be causing his pain.

    In this episode, you'll learn:
    -Why groin pain in runners should be treated as a femoral neck stress fracture until proven otherwise
    -Other causes of anterior hip pain, including labral tears, hip impingement, hip retroversion, pubic symphysis injuries, and athletic pubalgia
    -Why hip flexors need strength-not just stretching- to support efficient running mechanics
    -How travel, missed meals, hydration, and sleep can contribute to injury risk
    -What actually matters when it comes to breathing mechanics, core stability, and pelvic floor function
    -How strength, mobility, gait analysis, and training load all work together to keep runners healthy

    Whether you're training for your next race, recovering from an injury, or simply trying to understand why your hip hurts, this episode offers practical, evidence-informed strategies to help you run stronger and recover smarter.

    Featured Experts:
    Dr. Sara Raiser MD – Running Medicine Physician
    Kelsey Pontius, MS, RD, CSSD – Sports Dietitian
    Dr. Kate Mihevc Edwards PT – Physical Therapist & Orthopedic Clinical Specialis

    tChapter Highlights
    00:00 Welcome to The Running Injury Podcast
    02:30 Host updates and what's new for Season 2
    08:15 Case introduction: Anterior hip pain in a runner
    12:45 Why ruling out a femoral neck stress fracture comes first
    19:30 Understanding hip flexors and running mechanics
    28:20 Nutrition, travel, and recovery challenges for busy runners
    36:45 Breathing mechanics, core stability, and pelvic floor function
    45:00 Physical therapy strategies for hip flexor injuries
    54:15 Key takeaways for preventing and treating hip pain

    Become a supporter of this podcast: https://www.spreaker.com/podcast/the-running-injury-podcast-formerly-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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    25 Min.
  • 26: Is It Really Plantar Fasciitis? The Foot Injury Many Runners Misdiagnose

    26: Is It Really Plantar Fasciitis? The Foot Injury Many Runners Misdiagnose
    Aug 21 2026
    Not every case of heel or arch pain is plantar fasciitis.In Episode 26 of Interdisciplinary Case Miles, Dr. Sara Raiser, sports dietitian Kelsey Pontius, and Dr. Kate Mihevc Edwards break down a challenging case of a runner who had been treated for plantar fasciitis by multiple providers but the real diagnosis was something entirely different.From differential diagnosis and biomechanics to nutrition, footwear, and tendon rehabilitation, this episode explores why getting the right diagnosis is the first step toward lasting recovery.
    Whether you're dealing with stubborn foot pain, recurring arch pain, or simply want to avoid common running injuries, this episode offers practical, evidence-informed strategies to help you stay healthy and running strong.

    In this episode, you'll learn:
    • Why heel pain isn't always plantar fasciitis
    • How posterior tibial tendinopathy can mimic plantar fasciitis
    • The importance of a thorough running and biomechanical evaluation
    • When imaging is necessary to rule out stress fractures and other serious injuries
    • How footwear including carbon-plated shoes can impact recovery
    • Why nutrition and adequate fueling play a critical role in tendon health
    • How progressive tendon loading helps runners recover safely

    Whether you're a recreational runner, marathoner, coach, healthcare provider, or someone struggling with persistent foot pain, this episode will help you better understand what may really be causing your symptoms and what to do about it.

    Featured Experts
    • Dr. Sara Raiser MD – Running Medicine Physician

    • Kelsey Pontius, MS, RD, CSSD – Sports Dietitian
    • Dr. Kate Mihevc Edwards PT – Physical Therapist & Orthopedic Clinical SpecialistChapter Highlights
    00:00 Introduction to today's case

    01:20 Why this wasn't typical plantar fasciitis
    06:15 Differential diagnosis: Stress fractures, tendon injuries, and nerve pain
    12:30 Biomechanics, hip strength, and running gait analysis
    18:45 Carbon-plated shoes: When they help and when they hurt
    24:00 Nutrition strategies for tendon healing and recovery
    30:30 Female athletes, menstrual cycles, and injury risk
    37:45 Why tendon loading- not complete rest is essential
    44:30 The importance of getting the correct diagnosis
    49:15 Final takeaways for runners with persistent foot pain

    Become a supporter of this podcast: https://www.spreaker.com/podcast/the-running-injury-podcast-formerly-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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    25 Min.
  • 25: She Had a Baby, Started Running Again…and Ended Up With a Stress Fracture

    25: She Had a Baby, Started Running Again…and Ended Up With a Stress Fracture
    Aug 7 2026
    Returning to running after having a baby isn't as simple as lacing up your shoes.In Episode 25 of Interdisciplinary Case Miles, Dr. Sara Raiser, sports dietitian Kelsey Pontius, and Dr. Kate Mihevc Edwards walk through a complex case of a postpartum runner recovering from a femoral neck stress fracture while navigating breastfeeding, RED-S (Relative Energy Deficiency in Sport), infertility history, and the emotional challenge of getting back to the sport she loves.This episode highlights why postpartum runners deserve individualized care and why nutrition, bone health, biomechanics, and mental well-being all play a role in a safe return to running.Whether you're a postpartum athlete, endurance runner, coach, healthcare provider, or simply interested in female athlete health, this episode offers practical, evidence-informed insights that extend far beyond pregnancy.In this episode, you'll learn:


    • Why postpartum runners are at increased risk for bone stress injuries
    • How RED-S and low energy availability affect recovery and bone health
    • The nutritional demands of breastfeeding while returning to trainin
    • Why femoral neck stress fractures require careful managemen
    • How individualized return-to-run programs reduce the risk of reinjury
    • The importance of repeat imaging and interdisciplinary care during recovery
    • Why listening to your body is essential after childbirth and injury

    This conversation explores the intersection of sports medicine, physical therapy, nutrition, and women's health to help runners recover safely, rebuild confidence, and return to doing what they love.

    Featured Experts
    • Dr. Sara Raiser MD – Running Medicine Physician
    • Kelsey Pontius, MS, RD, CSSD – Sports Dietitian
    • Dr. Kate Mihevc Edwards PT – Physical Therapist & Orthopedic Clinical Specialist


    00:00 Introduction to this postpartum running case
    02:00 RED-S, infertility history, and postpartum recovery
    07:15 Breastfeeding nutrition and increased energy demands
    14:30 Femoral neck stress fractures explained
    21:00 Bone health, medications, and metabolic risk factors
    30:15 Returning to running after a high-risk stress fracture
    39:30 Why repeat imaging can change treatment decisions
    46:00 Balancing healing, motherhood, and athletic identity
    52:15 Key takeaways for postpartum runners and healthcare providers



    Become a supporter of this podcast: https://www.spreaker.com/podcast/the-running-injury-podcast-formerly-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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    33 Min.
  • 24: Are Bunions Ruining Your Running?

    24: Are Bunions Ruining Your Running?
    Jul 24 2026
    Are Bunions Ruining Your Running? Think bunions are just a cosmetic issue?

    Think again.

    In Episode 24 of Interdisciplinary Case Miles, Dr. Sara Raiser, sports dietitian Kelsey Pontius, and Dr. Kate Mihevc Edwards take a closer look at one of the most common foot conditions affecting runners: bunions (hallux valgus).
    From biomechanics and footwear to nutrition, strength training, and surgical considerations, this episode explains why bunions are much more than a bump on your foot.Whether you've noticed your big toe drifting, struggle with foot pain during runs, or simply want to keep your feet healthy for years to come, this episode provides practical, evidence-informed strategies to help you run stronger and stay injury-free.In this episode, you'll learn:What a bunion (hallux valgus) actually is and why it develops.

    Why bunions can contribute to knee, hip, and running injuries.
    How foot mechanics and pronation influence bunion progression.
    When physical therapy, toe strengthening, and footwear changes can help.
    The role of nutrition in supporting tendon, ligament, and joint health.
    When bunion surgery should (and shouldn't) be considered.

    Simple exercises that can improve foot stability and running mechanicsWhether you're a recreational runner, marathoner, trail runner, coach, healthcare provider, or simply looking to stay active without foot pain, this episode will help you better understand how your feet influence every step you take.

    Featured Experts
    Dr. Sara Raiser MD – Running Medicine Physician
    Kelsey Pontius, MS, RD, CSSD – Sports Dietitian
    Dr. Kate Mihevc Edwards PT – Physical Therapist & Orthopedic Clinical Specialist

    00:00 Introduction
    01:15 What is a bunion? Understanding hallux valgus
    04:20 Why bunions affect the entire kinetic chain
    08:35 Running mechanics, pronation, and foot stability
    13:15 Nutrition strategies to support healthy tendons and ligaments
    19:10 Toe strength, toe yoga, and improving foot control
    24:20 When should runners consider bunion surgery?
    31:30 Footwear, toe spacers, and shoe modifications
    37:45 Sleep, recovery, and protecting your running mechanics
    44:15 Final takeaways for preventing bunion progression

    Become a supporter of this podcast: https://www.spreaker.com/podcast/the-running-injury-podcast-formerly-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.
  • 23: Knee Pain, Clicking, and MRI Findings: Does Every Meniscus Tear Need Surgery?

    23: Knee Pain, Clicking, and MRI Findings: Does Every Meniscus Tear Need Surgery?
    Jul 10 2026
    Knee pain can stop even the most consistent runner in their tracks—but does knee pain automatically mean you need an MRI, an injection, or surgery?

    In this episode of Interdisciplinary Case Miles, we discuss a runner whose knee pain gradually started limiting his training. We cover meniscus injuries, why knee pain can develop even when your training hasn't changed, when imaging is helpful, and why surgery is often not the first step.We also discuss strength, mobility, biomechanics, trail running, downhill running, and other factors that can contribute to knee pain.

    If you've ever had a run cut short by knee pain or wondered what an MRI finding really means, this episode is for you.

    In This Episode
    00:00 Introduction and today's runner case
    01:45 A runner whose knee pain gradually stopped him from training
    04:30 What clinicians look for during a knee evaluation
    08:00 Meniscus pain, mechanical symptoms, and common misconceptions
    11:30 Degenerative versus traumatic meniscus tears
    15:00 When imaging helps and when it doesn't change treatment
    18:30 Trail running, downhill running, and rotational stress on the knee
    22:00 Strength, mobility, and movement patterns that matter
    26:00 Conservative treatment options for runners
    30:00 When surgery may be appropriate
    33:00 Key takeaways for runners dealing with knee pain

    About Interdisciplinary Case MilesInterdisciplinary Case Miles brings together a running medicine physician, sports dietitian, and physical therapist to discuss real runner cases and the challenges runners face every day. Through an evidence-informed approach, we help runners better understand injuries, recovery, performance, and long-term health so they can keep doing what they love.

    Become a supporter of this podcast: https://www.spreaker.com/podcast/the-running-injury-podcast-formerly-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.
  • 22: Don't Let Summer Derail Your Fall Running Goals | 3 Injury Mistakes Every Runner Should Avoid

    22: Don't Let Summer Derail Your Fall Running Goals | 3 Injury Mistakes Every Runner Should Avoid
    Jun 26 2026
    Summer training can set you up for your strongest racing season or leave you sidelined before it even begins.

    In Episode 22 of Interdisciplinary Case Miles, Dr. Sara Raiser MD, sports dietitian Kelsey Pontius, and Dr. Kate Mihevc Edwards PT take a quick break from injury cases to help decrease your risk for injury later.

    They share the three biggest mistakes runners make during the summer that often lead to injuries when fall marathon training, cross-country season, and race preparation begin.

    Whether you're training for your first 5K, a marathon, or preparing for a competitive cross-country season, this episode offers practical, evidence-informed strategies to help you stay healthy, recover well, and build a stronger foundation before race season.


    In this episode, you'll learn:
    • Why under-fueling is more common during hot weather than you think
    • How summer travel and inconsistent training increase injury risk
    • The importance of maintaining running and strength training consistency
    • Why recovery is the missing piece in many training plans
    • Smart nutrition and hydration strategies for hot-weather running
    • How to avoid training spikes before marathon and cross-country season


    Whether you're a recreational runner, competitive athlete, coach, parent, or healthcare professional working with runners, these simple adjustments can help keep injuries away and performance moving forward.

    Featured Experts
    • Dr. Sara Raiser MD – Running Medicine Physician
    • Kelsey Pontius, MS, RD, CSSD – Sports Dietitian
    • Dr. Kate Mihevc Edwards PT – Physical Therapist & Orthopedic Clinical Specialist


    Chapter Highlights
    00:00 Introduction
    01:20 Summer training mistakes that lead to fall injuries
    02:10 Why runners under-fuel during hot weather
    06:45 Staying consistent while traveling this summer
    10:55 Preventing training spikes before marathon season
    14:10 Recovery strategies every runner needs
    18:45 Cross-training, rest days, and avoiding burnout
    22:10 Fueling before, during, and after summer workouts
    26:00 Final takeaways for staying healthy all season

    Have a running injury or case you'd like discussed on a future episode?

    Email us: runcasemiles@gmail.com

    If you enjoyed this episode, please like, subscribe, leave a review, and share it with a fellow runner. Every share helps us reach more athletes and continue providing evidence-informed education to help runners stay healthy and perform their best.

    Become a supporter of this podcast: https://www.spreaker.com/podcast/the-running-injury-podcast-formerly-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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    13 Min.