Episodes

  • 16: Plantar Fasciitis in Runners: Are You Hobbling to the Bathroom in the Morning?

    16: Plantar Fasciitis in Runners: Are You Hobbling to the Bathroom in the Morning?
    Apr 3 2026
    Are you hobbling to the bathroom in the morning because of heel pain? Many runners with plantar fasciitis ignore that early symptom for months until it starts affecting every run. In episode 16 of the Interdisciplinary Case Miles Podcast, Dr. Sara Raiser, sports medicine physician and running specialist, Dr. Kate Mihevc Edwards, orthopedic physical therapist and running PT, and sports dietitian Kelsey Pontius break down a case involving chronic plantar fasciitis that slowly worsened over time.

    The case involves a 42-year-old runner who runs 3–5 miles nearly every day to manage work stress. For over a year she ignored classic plantar fasciitis symptoms, morning heel pain and stiffness after sitting because the pain would improve once she started moving. Eventually, the pain began showing up during her runs and getting worse halfway through, forcing her to finally seek help.In this episode, the team explains why plantar fasciitis often becomes a chronic plantar fasciopathy, why morning heel pain happens, and why runners often wait far too long before addressing the root causes.You’ll learn:
    • Why morning heel pain and hobbling after sitting are classic plantar fasciitis symptoms
    • Why many runners develop plantar fasciitis after months or years of subtle warning signs
    • Why foot strength and running mechanics matter more than stretching alone
    • The role of calf mobility, great toe motion, and the kinetic chain in plantar fascia loading
    • When treatments like shockwave therapy, PRP, or injections may be appropriate
    • Why plantar fasciitis rehab can take 6–9 months for chronic cases
    • How nutrition, protein intake, vitamin D, and micronutrients support connective tissue healing
    • The mental side of injury when running is your primary stress relief
    • How long rehab realistically takes
    If you're a runner struggling with heel pain, plantar fasciitis, or foot pain when you first step out of bed, this episode will help you understand what’s really happening and how to recover without giving up 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: Chronic Plantar Fasciitis
    A 42-year-old runner dealing with persistent heel pain.
    03:20 — What Plantar Fasciopathy Means
    Why this injury is usually chronic rather than inflammatory.
    05:40 — Evaluation & Diagnosis
    Gait analysis, imaging, and identifying root causes.
    08:40 — Treatment Foundations
    Strengthening the foot and addressing biomechanics.
    11:20 — Physical Therapy & Rehab Timeline
    Why recovery may take several months.
    14:10 — Running Mechanics & Foot Function
    Key mobility and strength factors affecting the plantar fascia.
    17:00 — Nutrition for Healing
    Protein, collagen support, and key micronutrients.
    19:30 — Vegetarian Diet Considerations
    Ensuring adequate amino acids and nutrients.
    21:10 — Mental Side of Injury
    Managing stress and staying engaged during recovery.
    23:20 — Key Takeaways
    Final advice from each expert.
    24:40 — Episode Wrap-Up
    Closing thoughts and how to submit a case.

    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 mins
  • 15: High Hamstring Pain in Runners: Do You Need PRP or Is Rehab the Real Fix?

    15: High Hamstring Pain in Runners: Do You Need PRP or Is Rehab the Real Fix?
    Mar 20 2026
    Do You Need PRP or Is Rehab the Real Fix?In Episode 15 of the Interdisciplinary Case Miles podcast, we discuss a case involving a 40-year-old age group runner whose long-standing hamstring tendinopathy became acutely aggravated after a slip on ice revealing the layered challenges of acute-on-chronic tendon pain in runners.This case highlights why proximal hamstring injuries require precise diagnosis and an individualized treatment plan. Dr. Sara Raiser(MD) explains how to differentiate high hamstring tendinopathy from lumbar spine or nerve-related pain, when imaging such as MRI or diagnostic ultrasound is indicated, and how to determine whether a partial tear is present.The conversation also covers when regenerative medicine options like platelet-rich plasma (PRP) injections or percutaneous tenotomy may be appropriate, and why they are rarely first-line treatment.Dr. Kate Mihevc Edwards(PT) takes us through the rehabilitation process, including early integration after PRP, the role of blood flow restriction (BFR) training, and why eccentric strengthening remains the gold standard for tendon rehabilitation. She emphasizes addressing the entire kinetic chain hip mobility, lumbar and thoracic spine mechanics, neural tension, gait changes, and stiffness patterns that often contribute to chronic hamstring overload. You’ll also hear practical insight into return-to-run timelines, common pain spikes around the six-week mark post-PRP, and how to safely reload a healing tendon.Sports dietitian Kelsey Pontius rounds out the discussion by explaining how nutrition directly influences tendon healing and regenerative outcomes.The team discusses energy availability, protein targets, iron status, collagen-supporting micronutrients like vitamin C, zinc, and copper, and how fueling strategies can optimize recovery after procedures like PRP and during BFR training.If you’re dealing with chronic hamstring pain, considering PRP for a running injury, or navigating a return to running after a proximal hamstring tear, this episode offers evidence-informed guidance from a running medicine physician, physical therapist, and sports dietitian working collaboratively to support runner health and performance.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 – Welcome to Interdisciplinary Case MilesHosts introduce the case-based, evidence-informed discussion format.02:00 – Case Presentation: High Hamstring Pain After a Slip40-year-old runner with chronic hamstring tightness that became acute after slipping on ice.05:00 – Why This Case Is TrickyChronic symptoms masked until an acute event; athletes often keep training through early tendon pain.08:00 – Medical Evaluation PrioritiesRule out lumbar spine and nerve involvement; assess for proximal hamstring tendon injury vs referral.12:00 – Timeline Matters: Acute on Chronic InjuryLong-standing tendon changes increase the likelihood of partial tearing with sudden load.15:00 – Imaging Decisions: When and WhyMRI used to confirm tendon involvement and rule out hip pathology that can mimic hamstring pain.18:00 – Why Rehab Comes FirstConservative care focuses on progressive loading, not rest, to restore tendon capacity.21:00 – Key Biomechanics: Hip Extension Drives LoadLimited hip extension shifts demand to the hamstring, increasing strain and injury risk.24:00 – When to Consider PRP or TenotomyProcedures introduced after failed rehab; choice depends on presence and size of tendon tear.27:00 – PRP vs Tenotomy: Clinical Decision MakingPRP for larger tears; tenotomy for smaller or degenerative tendon changes30:00 – Post-Procedure ManagementInitial protection followed by gradual return to loading and early reintroduction of rehab.33:00 – Rehab Progression After InterventionIsometrics → eccentric loading → return to running with controlled progression.36:00 – The Biggest Mistake Runners MakeRelying on passive treatments instead of structured strength and loading progression.39:00 – Final TakeawaysSara: Rule out spine and confirm diagnosis earlyKelsey: Recovery requires supporting the whole systemKate: Tendons don’t heal with rest—they need progressive load42:00 – Closing and Where to Learn MoreOutro and resources for runners dealing with hamstring pain.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. ...
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    34 mins
  • 14: Achilles Tendinopathy in Runners - Can I Keep Running?

    14: Achilles Tendinopathy in Runners - Can I Keep Running?
    Mar 6 2026
    A 41-year-old female runner and experienced half-marathoner develops mid-Achilles tendon pain, morning stiffness, and a noticeable bump along the tendon. Symptoms improve after warming up but return with longer runs, leaving her caught in the common cycle of pushing through pain, resting without progress, and uncertainty about what actually helps. She wonders if her tendon, “hurts at the start but warms up, is that okay?”

    In this episode of Interdisciplinary Case Miles, Dr. Sara Raiser (MD) , Kelsey Pontius, and Dr. Kate Mihevc Edwards (PT) discuss the clinical presentation of Achilles tendinopathy, why it often becomes chronic, and why complete rest is rarely the solution.Key topics include:
    • Tendon loading principles and why tendons require progressive strength work
    • Biomechanical contributors such as foot control, dorsiflexion limits, hip extension, and proximal weakness
    • The role of perimenopause, estrogen changes, and life stress in tendon vulnerability
    • Nutrition foundations for tendon healing, including energy availability, collagen synthesis, and carbohydrate support
    • Practical considerations around footwear, heel-to-toe drop changes, and carbon-plated shoes
    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 – Welcome to Interdisciplinary Case MilesHosts introduce the evidence-informed case format.
    02:05 – Case Presentation: Mid-Achilles Pain in a Half-Marathon Runner
    Morning stiffness, crepitus, tendon thickening, and pain that fluctuates during runs.
    05:10 – Why These Cases Are Challenging
    The warm-up effect, post-run soreness, and training “push-through” patterns.
    08:20 – Medical Evaluation Priorities
    Training changes, hormonal factors, surgery history, and load management.
    12:30 – Tendons Require More Than Rest
    Why conservative care emphasizes strength, mechanics, and progressive loading.
    16:10 – Foot Posture and the Kinetic Chain
    Rigid vs flexible feet, arches, glute engagement, and core contribution.
    20:05 – Achilles Mechanics: The “Wringing Out” Effect
    How pronation and poor control increase tendon stress.
    24:40 – Running With Tendinopathy: Pain Monitoring Guidelines
    When continued running can be appropriate and how to track symptom response.
    28:10 – PT Interventions: Eccentrics, BFR, and Load Progression
    Strength-based tendon rehab and improving blood flow.
    32:45 – Nutrition for Tendon Healing
    Energy availability, collagen synthesis decline with age, and micronutrient support.
    37:20 – Collagen Supplement Timing and Practical Use
    Why collagen works best 30–60 minutes before tendon loading.
    41:10 – During-Run Fueling and Injury Risk
    Carbohydrate needs, glycogen depletion, fatigue-related mechanics breakdown.
    45:30 – Chronic Tendon Changes Take Time
    Why tendinopathy develops over years and requires patience in rehab.
    48:10 – Proximal Drivers: Low Back, Hip Extension, and Glute Function
    How upstream issues overload the Achilles.
    52:20 – Footwear Considerations and Heel-to-Toe Drop Shifts
    Carbon-plated shoes, shoe rotation, cushion effects, and transition errors.
    57:30 – Final Takeaways
    • Sara: Tendon recovery takes time but allows continued activity
    • Kelsey: Fueling protects long-term tissue health
    • Kate: Rest alone fails tendons need load and strength adaptation
    1:01:30 – Closing and Case Submission Info

    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 mins
  • 13: From Pool to Pavement: Low Ferritin, Bone Stress Injuries, and the Swimmer-to-Runner Trap

    13: From Pool to Pavement: Low Ferritin, Bone Stress Injuries, and the Swimmer-to-Runner Trap
    Feb 20 2026
    What happens when a highly conditioned collegiate swimmer transitions into marathon training too quickly? In this episode of Interdisciplinary Case Miles, a 23-year-old former swimmer increases weekly mileage from 15–20 miles to 40 miles, adds hills and speed work, and begins to worry about low ferritin when performance stalls.What initially appears to be an iron concern reveals a broader picture involving low energy availability, fueling gaps, training load errors, and bone stress injury risk, ultimately resulting in a diagnosis of femoral shaft stress fracture.Dr. Sara Raiser (running medicine physician), Kelsey Pontius (sports dietitian), and Dr. Kate Mihevc Edwards (physical therapist) discuss:
    • Why ferritin is often a marker of a larger issue
    • The relationship between nutrition, iron stores, and bone health
    • Unique injury risks when transitioning from non-weight-bearing sports
    • How cardiovascular fitness can exceed musculoskeletal readiness
    • Rehabilitation principles, plyometric loading, and safe return-to-run progressions
    This episode is essential listening for runners, clinicians, coaches, and endurance athletes navigating performance concerns, injury prevention, and the demands of marathon training.

    00:00 – Welcome to Interdisciplinary Case MilesMeet the hosts and the evidence-informed approach behind real runner cases.
    02:10 – The Case Introduction
    A former collegiate swimmer increases mileage from 20 to 40 miles/week while marathon training.
    04:45 – “Is It My Ferritin?”
    Why athletes fixate on iron and ferritin when performance plateaus
    .07:30 – Ferritin vs Iron Explained
    What ferritin actually represents and why it changes slowly.
    10:15 – Red Flags for Low Energy Availability
    Sleep, libido, GI symptoms, recovery, and early warning signs of REDs.
    15:40 – Nutrition, Bone Density, and Stress Injury Risk
    How low ferritin, low energy intake, and bone health intersect.
    18:30 – Thigh Pain Isn’t “Just a Quad Strain”
    Why distance runner thigh pain raises concern for femoral stress fractures.
    22:15 – Diagnosing a Femoral Shaft Stress Fracture
    Why this injury matters and how it differs from higher-risk stress fractures.
    26:40 – The Swimmer-to-Runner Problem
    Cardio fitness vs bone loading, gravity, and anti-gravity sports.
    31:50 – The Three Pillars: Nutrition, Training Errors, Biomechanics
    A framework for evaluating bone stress injuries.
    36:20 – Training Errors That Add Up Fast
    Mileage spikes, speed work, lack of rest, and life stress post-college.
    41:10 – Starting PT Before You Run Again
    Strength, education, and early rehab during protected weight-bearing.
    45:30 – Plyometrics, Bone Loading, and Return-to-Run
    Why jumping matters and how bones adapt to force.
    50:40 – Bone Geometry, Density, and Multi-Directional Movement
    Why specialization matters—especially in adolescence.
    55:30 – The “Engine vs Chassis” Problem
    When cardiovascular fitness outpaces muscles, tendons, and bones.
    59:20 – Why Return-to-Run Feels So Hard
    Managing athlete frustration while protecting long-term health.
    1:02:30 – Final Takeaways from Each Expert
    Big-picture thinking, history matters, and don’t self-coach in isolation.
    1:06:00 – Wrap-Up & How to Submit a Case

    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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    24 mins
  • 12: Exertional Leg Pain in Runners — Diagnosis, Gait, and Fueling

    12: Exertional Leg Pain in Runners — Diagnosis, Gait, and Fueling
    Feb 6 2026
    In this episode of Interdisciplinary Case Miles, Co-hosts Dr. Kate Mihevc Edwards (PT), Dr. Sara Raiser (MD) and Kelsey Pontius (RD) discuss a case about a exertional leg pain in a 19-year-old collegiate distance runner.

    Dr. Sarah Raiser leads this case and explains how exertional leg pain can present in runners, outlining key diagnoses such as chronic exertional compartment syndrome (CECS) and popliteal artery entrapment syndrome (PAES). The discussion also covers how these conditions differ from stress fractures, nerve-related pain, and other causes of lower-leg symptoms, as well as how these cases are properly evaluated and diagnosed.Dr. Kate Mihevc Edwards addresses the physical therapy and gait-related factors that may contribute to exertional leg pain, including overstriding, crossover gait, heavy landings, strength deficits, and footwear considerations. She discusses when conservative management may be appropriate, when surgery may be indicated, and the importance of runner-specific, functional strength training during rehabilitation.Sports dietitian Kelsey Pontius shares the nutrition considerations relevant to these cases, including hydration, blood flow, anti-inflammatory nutrition, nitrates, and the role of adequate fueling to support recovery, gait changes, and long-term adaptation—particularly in injured collegiate and high-level runners.Key topics in this episode include:
    • Common causes of exertional leg pain in runners
    • Chronic exertional compartment syndrome vs. other diagnoses
    • Gait retraining and physical therapy considerations
    • Surgical and non-surgical treatment options
    • The role of fueling and hydration in injury recovery
    This episode is relevant for runners experiencing persistent lower-leg pain, clinicians working with endurance athletes, athletes, coaches and anyone interested in an interdisciplinary, evidence-informed approach to running injuries.

    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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    25 mins
  • 11: Shin Splints or Bone Stress Injury in Teen Runners

    11: Shin Splints or Bone Stress Injury in Teen Runners
    Jan 23 2026
    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 injuries
    • Why adolescents are at higher risk during growth spurts
    • The role of nutrition and energy availability in healing shin pain
    • Common fueling challenges for high school athletes
    • How training load, surfaces, shoes, and spikes affect shin stress
    • Why interdisciplinary care leads to better outcomes for young runners

    As 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 health
    Like, rate, and share this episode with parents, coaches, and runners
    Have a case you’d like us to discuss? Email us at runcasemiles@gmail.com








    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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    22 mins
  • 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 mins
  • 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 mins