Interdisciplinary Case Miles

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Dr. Kate Mihevc Edwards PT

5 episodes

1 week ago

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.

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Episodes (5/5)

Interdisciplinary Case Miles

05: Groin Pain in the Runner: Insights on FAI, Labral Tears & Pelvic Floor

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.

Timestamps

0:00 – Welcome & why anterior hip pain is often misdiagnosed
4:30 – Case intro: 32-year-old runner/triathlete with hip & groin pain
8:15 – Red flags: femoral neck stress fracture vs. hip flexor vs. FAI
13:00 – Pelvic floor clues & the diaphragm–pelvic floor piston
18:45 – Gait mechanics, arm swing, and hidden rotation issues
23:30 – Nutrition, hormones & pelvic floor muscle health
28:50 – Lever system: managing load while rehabbing hips
33:10 – Final takeaways: physician, dietitian, and PT perspectives

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.

A big thank you to our sponsor, Lever Movement — a treadmill-based body weight support system used by clinicians, coaches, and athletes around the world. Whether you're rehabbing from injury, managing training load, returning postpartum, or focusing on performance, Lever is a versatile tool that helps keep runners running. As a listener, use the code CaseMiles for 20% off any of their 3 units. Thanks for joining us on Interdisciplinary Case Miles — real runners, real problems, real solutions.

1 week ago

34 minutes

Interdisciplinary Case Miles

04: Abdominal Wall & Groin Pain in a Male Runner — Sports Hernia or Something Else?

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.

Timestamps

0:00 – Welcome & sponsor intro
3:30 – Case intro: 17-year-old high school runner with abdominal wall/groin pain
8:15 – Differential diagnosis: hernia, sports hernia, hip pathology, stress fracture
14:00 – Why imaging often comes back “normal” & how to set expectations
19:30 – Physical therapy perspective: thoracic spine, breathing, trunk control
25:40 – Nutrition, fueling, and the risk of under-eating in injured adolescent athletes
32:10 – Mental health & the identity struggle of the sidelined teen runner
38:30 – The role of coaches and parents in the recovery plan
45:15 – Lever system & safe return-to-run training tools
50:00 – Final interdisciplinary takeaways

3 weeks ago

27 minutes

Interdisciplinary Case Miles

03: Running on Empty- Postpartum REDs in the Elite Female Marathoner

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 introduction
4:15 – Case intro: professional marathoner postpartum
9:00 – 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 teamwork
41:40 – RED-S, underfueling & blood sugar regulation
50:10 – Long-term recovery, rest, and community support
58:00 – Key takeaways from each discipline

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.

A big thank you to our sponsor, Lever Movement — a treadmill-based body weight support system used by clinicians, coaches, and athletes around the world. Whether you're rehabbing from injury, managing training load, returning postpartum, or focusing on performance, Lever is a versatile tool that helps keep runners running. As a listener, use the code CaseMiles for 20% off any of their 3 units. Thanks for joining us on Interdisciplinary Case Miles — real runners, real problems, real solutions.

1 month ago

38 minutes

Interdisciplinary Case Miles

02: From Campus to Cubicle, Solving Runner’s Knee After a Life Shift

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 shoutout
4:30 – Case intro: former collegiate runner with anterior knee pain
9:15 – Physician’s perspective: imaging, biomechanics & tendinopathy
15:00 – Nutrition, hydration & lifestyle after college athletics
22:40 – Stress, recovery, and the mental load of long-term pain
29:30 – The role of gait, bike fit, and strength training
38:00 – Why multiple providers often miss the bigger picture
45:15 – Interdisciplinary takeaways

1 month ago

25 minutes

Interdisciplinary Case Miles

01: High Hamstring, High Stakes – Treating Tendinopathy in a Female Marathoner

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 Miles
3:00 – Why we started this podcast
6:30 – Case intro: Proximal hamstring tendinopathy
9:45 – 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 steps
36:30 – Sprinting, eccentrics & progressive loading
42:00 – Mental fatigue, missed diagnoses & patient advocacy
47:15 – Final takeaways from each expert

2 months ago

33 minutes

Interdisciplinary Case Miles