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Ready to Run
Ready to Run
30 episodes
4 days ago
Welcome to the Ready to Run Podcast, hosted by Kurt Roeser, DPT (physical therapist and sub-elite long distance runner) and Efren Caballes, DO (sports medicine physician). The goal of our podcast is to engage in thoughtful discussions with athletes, coaches, clinicians, and researchers to share knowledge within the field of sports medicine and inspire progression in the sport of running. We hope to empower individuals to navigate injuries, reduce injury risk, optimize training and performance, and provide listeners with the tools needed to get Ready to Run!
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Running
Sports
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All content for Ready to Run is the property of Ready to Run and is served directly from their servers with no modification, redirects, or rehosting. The podcast is not affiliated with or endorsed by Podjoint in any way.
Welcome to the Ready to Run Podcast, hosted by Kurt Roeser, DPT (physical therapist and sub-elite long distance runner) and Efren Caballes, DO (sports medicine physician). The goal of our podcast is to engage in thoughtful discussions with athletes, coaches, clinicians, and researchers to share knowledge within the field of sports medicine and inspire progression in the sport of running. We hope to empower individuals to navigate injuries, reduce injury risk, optimize training and performance, and provide listeners with the tools needed to get Ready to Run!
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Running
Sports
Episodes (20/30)
Ready to Run
Episode 30: Iron Deficiency in Endurance Athletes

What we talked about:

3:10- Outlining the episode

3:40- What is iron and why it is importance for endurance athletes

4:35- Different types of iron deficiency

7:50- Diagnosis of iron deficiency

11:05- Altitude training and optimization of iron

11:55- Who is screened for iron deficiency

12:40- Goal ferritin levels for athletes

13:45- Getting more iron in your diet

14:55- When and how to take iron supplementation

17:25- IV supplementation

18:50- Summary of episode

Sponsors:

2Before

Use the code "Lindsey" for 30% off of 20 packs plus free shipping

Sidekick Tool

Go to sidekicktool.com/rtr and use the code "readytorun" for a 15% discount

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2 years ago
19 minutes 52 seconds

Ready to Run
Episode 29: Calcaneal Bone Stress Injuries
What we talked about: 4:00- Introduction to calcaneal bone stress injuries 4:25- What is the calcaneus? 4:55- Where these injuries typically occur within the heel 5:55- Risk factors 7:15- Presentation 10:30- Progression of the injury 11:15- Treatment 13:40- Summary Sponsors: 2Before Use the code "Lindsey" for 30% off of 20 packs plus free shipping Sidekick Tool Go to sidekicktool.com/rtr and use the code "readytorun" for a 15% discount
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2 years ago
14 minutes 39 seconds

Ready to Run
Episode 28: Groin Pain in Runners

What we talked about:

4:00- Terminology of groin pain

6:10- How to start treatment with groin pain

9:20- Utilizing ultrasound

15:20- Finding the source of pain to provide an effective treatment strategy

18:00- Running protocol with these injuries

21:55- Rehabilitation exercises

25:45- Return to run expectations

29:00- Sports hernia protocol

Sponsors:

2Before

Use the code "Lindsey" for 30% off of 20 packs plus free shipping

Sidekick Tool

Go to sidekicktool.com/rtr and use the code "readytorun" for a 15% discount

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2 years ago
33 minutes 28 seconds

Ready to Run
Episode 27: High Risk Stress Fractures of the Hip

What we talked about:

3:40- Quick introduction to stress injuries

6:05- Bone stress injuries of the femoral neck

7:35- How these injuries present with these injuries

11:00- Recovery and return to run program

18:20- Bone stress injuries of the lesser trochanter

20:40- Injuries of the femoral shaft

23:20- Takeaways from the episode


Sponsors:

2Before

Use the code "Lindsey" for 30% off of 20 packs plus free shipping

Sidekick Tool

Go to sidekicktool.com/rtr and use the code "readytorun" for a 15% discount

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2 years ago
25 minutes 25 seconds

Ready to Run
Episode 26: Sacral Bone Stress Injuries

What we talked about:

3:00- What is the sacrum

3:45- Characteristics of a bone stress injury

6:20- Defining a sacral stress fracture

6:45- Signs and symptoms

8:25- Imaging

9:35- Treatment

11:55- Different layers of bone

13:30- DEXA scans

15:30- Rehabilitation

Sponsors:

2Before

Use the code "Lindsey" for 30% off of 20 packs plus free shipping

Sidekick Tool

Go to sidekicktool.com/rtr and use the code "readytorun" for a 15% discount

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2 years ago
21 minutes 2 seconds

Ready to Run
Episode 25: Femoroacetabular impingement (FAI) and hip labrum tears in runners - Lindsey Plass
On this week’s episode of the Ready to Run Podcast, we have the pleasure of meeting with Lindsey Plass to discuss femoroacetabular impingement (otherwise known as FAI) and hip labrum tears in runners. Lindsey is a Chicago-based physical therapist, performance coach, author, and international speaker. Lindsey is a former college soccer player turned 10-time marathoner and triathlete. She completed an orthopedic physical therapy residency and manual therapy fellowship making her a board certified Orthopedic Clinical Specialist and Fellow of the American Academy of Orthopedic Manual therapists.  It was her own lived experience, nearly 10 years ago, with hip pain related to FAI and a labral tear that sparked her interest in helping others with hip issues getting back to doing the things they love.  She is a clinician and coach and owner of Plass Physical Therapy and Performance. She is currently faculty in the University of Chicago Medicine Orthopedic Physical Therapy Residency and University of Chicago Manual Physical Therapy Fellowship. In 2021, Lindsey was invited to be a part of the international Young Athlete’s Hip Research Collaboration led by Dr. Henrik (Paul) Dijkstra who is the Director of Medical Education at Aspetar. Lindsey was also invited as an expert clinician panel member of the 2022 Oxford University Young Adult Hip Consensus meeting, where she represented physical therapists internationally.  We are excited to share her wealth of knowledge and expertise in how to recognize and manage these injuries with the best current evidence. Let’s get ready to run with Lindsey Plass! Show notes: 5:10- What is FAI and its associated pathologies? 7:50- Prevalence of FAI  9:15- When does cam/pincer morphology develop? 12:15- Signs and symptoms of FAI/hip labrum tear 19:15- Key components of the physical exam and diagnostic work-up 28:45- Interpretation of MRI findings 33:00- Common functional impairments in patients with symptomatic FAI 39:10- Understanding non-surgical and surgical treatment options and managing expectations  44:10- Effect of athlete level of sport and decision-making process for surgical and non-surgical treatment of FAI References: Freke MD, Kemp J, Svege I, Risberg MA, Sem-ciw A, Crossley KM. Physical impairments in symptomatic femoroacetabular impingement: a systematic review of the evidence. Br J Sports Med. 2016;50:1180. Kemp JL, Coburn SL, Jones DM, Crossley KM. The Physiotherapy for Femoroacetabular Impingement Rehabilitation STudy (physioFIRST): A Pilot Randomized Controlled Trial. J Orthop Sports Phys Ther. 2018 Apr;48(4):307-315. Mansell NS, Rhon DI, Meyer J, Slevin JM, Marchant BG. Arthroscopic Surgery or Physical Therapy for Patients With Femoroacetabular Impingement Syndrome: A Randomized Controlled Trial With 2-Year Follow-up. Am J Sports Med. 2018 May;46(6):1306-1314. Thorborg K, Reiman MP, Weir A, Kemp JL, Serner A, Mosler AB, HÖlmich P. Clinical Examination, Diagnostic Imaging, and Testing of Athletes With Groin Pain: An Evidence-Based Approach to Effective Management. J Orthop Sports Phys Ther. 2018 Apr;48(4):239-249.  Social media links: Website: https://plassptperformance.com/ Instagram: @plassptperformance
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2 years ago
54 minutes 4 seconds

Ready to Run
Episode 24: Dan King - US Masters runner and 1 mile world record holder (60-64 age group)

In this episode, we meet with Dan King who is a US masters runner from Boulder, CO. Dan is an accomplished runner and currently holds the world record in the 60-64 age group in the mile with a time of 4:49:08 set in 2020. He discusses how he overcame a years long history of recurring plantar fasciitis and calf strains which led to his unique training regimen focusing on high volume cross training and Easy Interval Method running. His training methods and plant-based lifestyle have led to his success and longevity in running as a world class masters athlete, and he shares some great advice for the person who has the goal of being a lifelong runner. Let’s get ready to run with masters runner and cross training king – Dan King!

What we talked about:

3:25- Setting the world record for the mile for the 60-64 age group

8:15- Managing injuries

12:35- Strength training

16:45- Nutrition as a masters athlete

21:10- His current training methods

26:55- The easy interval method

30:55- The long run

37:10- Racing shorter distances versus the marathon

42:50- Nutrition

56:00- Advice he would give his younger self

Show notes:

The China Study

Connect with the Ready to Run Podcast:

Ready to Run Podcast on Instagram

Ready to Run Website

Follow SandyBoy Productions:

Sandyboy Productions on Twitter

Sandyboy Productions on Instagram

SandyBoy Productions Shows:

Why is Everyone Yelling?

I'll Have Another Podcast

The Illuminate Podcast

The Herban Farmacy Podcast

Sponsors:

Previnex

Use the code "ReadytoRun" for 15% off your first order

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2 years ago
1 hour 1 minute 14 seconds

Ready to Run
Episode 23: Not so Simple Ankle Injuries

While most runners return to sport following an acute ankle sprain without complications, not all ankle sprains are simple. In this episode, we'll discuss an example case to demonstrate several important considerations for someone with chronic ankle instability. This includes a discussion on the most common causes of persistent ankle pain including cartilage injuries, peroneal tendinopathy, posterior tibialis tendinopathy, and recurring sprains. We'll break down some of the alterations in movement patterns seen after ankle sprain, physical exam pearls, and rehabilitation plan. If you've ever had an ankle injury that has taken a long time to heal then you'll want to check out this episode and explore the main reasons why runners can end up with ankle instability and what you can do to break the cycle of injury.Show notes:

  • 3:30 - What is chronic ankle instability?
  • 4:00- Key findings from 2016 consensus statement on lateral ankle sprains
  • 6:40- Common causes of persisting ankle pain
  • 11:10- Why is it important to manage ankle sprains early on? 
  • 25:50- Pathomechanical impairments following an ankle sprain
  • 30:30- Alterations in joint forces and movement patterns 
  • 31:50- Effect of loss of range of motion
  • 38:00- Too much supination on landing
  • 42:00- Assessment and physical exam pearls
  • 45:00- Rehab programming 

    References:

    • Cho JH, et al. Value of stress ultrasound for the diagnosis of chronic ankle instability compared to manual anterior drawer test, stress radiography, magnetic resonance imaging, and arthroscopy. Knee Surg Sports Traumatol Arthrosc. 2016 Apr;24(4):1022-8.Delahunt E, et al. Clinical assessment of acute lateral ankle sprain injuries (ROAST): 2019 consensus statement and recommendations of the International Ankle Consortium. Br J Sports Med. 2018 Oct;52(20):1304-1310.
    • Hertel J, Corbett RO. An Updated Model of Chronic Ankle Instability. J Athl Train. 2019 Jun;54(6):572-588.
    • Palmieri RM, et al. Arthrogenic muscle response to a simulated ankle joint effusion. Br J Sports Med. 2004 Feb;38(1):26-30.
    • Roemer FW, et al. Ligamentous Injuries and the Risk of Associated Tissue Damage in Acute Ankle Sprains in Athletes: A Cross-sectional MRI Study. Am J Sports Med. 2014 Jul;42(7):1549-57. 
    • Saltzman CL, Salamon ML, Blanchard GM, Huff T, Hayes A, Buckwalter JA, Amendola A. Epidemiology of ankle arthritis: report of a consecutive series of 639 patients from a tertiary orthopaedic center. Iowa Orthop J. 2005;25:44-6. 

    Sponsors:

    Previnex

    Use the code "ReadytoRun" for 15% off your first order

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2 years ago
49 minutes 39 seconds

Ready to Run
Episode 22: Rochelle Basil - Re-finding the Fun in Running

This week, our guest is Rochelle Basil. Rochelle is a local elite long-distance runner, coach, and dog mom. She is originally from New Zealand but now lives just outside of Boulder, Colorado. Her career highlights include competing in the World Cross Country Championships and running a 2:39 marathon in London.

In this episode, she shares her personal story of the ups and downs of her career following a peroneal tendon injury and multiple bone stress injuries which changed the trajectory of her career for multiple years. Getting back to good health and getting to the starting line of a marathon was a goal that she didn't think was possible for a long time. With patience, consistency, trust in the process, and support from those around her, she was finally able to reach her goal of getting to the start line of a marathon and crossing that finish line. In this episode, you'll hear about how she ran shoeless for the last 6 miles!

Rochelle's journey is one that is defined by refinding the fun in running. This is a story that we know many runners go through and we wanted to open this conversation to share the message that getting back to good health is possible! So if you are someone who is looking to break the cycle of injury, we hope that this episode inspires you as much as Rochelle has inspired us!

Let's get ready to run with Rochelle Basil.

What we talked about:

4:05- Introduction to Rochelle

7:15- Rochelle’s running and coaching career

11:45- Her injury history

22:20- Your body’s ability to recover from energy deficiency

29:15- The impact of diet culture

32:00- Peroneal tendon injury

39:45- Finding joy in her comeback

43:50- Racing CIM and how she ended up finishing without shoes on

58:00- Changing the narrative of her career

Show notes:

Follow Rochelle on Instagram

Connect with the Ready to Run Podcast:

Ready to Run Podcast on Instagram

Ready to Run Website

Follow SandyBoy Productions:

Sandyboy Productions on Twitter

Sandyboy Productions on Instagram

SandyBoy Productions Shows:

Why is Everyone Yelling?

I'll Have Another Podcast

The Illuminate Podcast

The Herban Farmacy Podcast

Sponsors:

Previnex

Use the code "ReadytoRun" for 15% off your first order

Show more...
2 years ago
1 hour 3 minutes 1 second

Ready to Run
Episode 21: Haglund's Syndrome - Diagnosis and Treatment

What we talked about:

1:50- Defining Haglund’s syndrome

4:40- Prevalence of Haglund’s syndrome

8:00- How these patients present

14:50- Diagnosis

18:40- Prognosis

25:20- Rehab from this injury and return to running program

40:10- Alternative treatments if there is not full recovery with physical therapy

54:20- Evolution of the treatment of Haglund's syndrome

Sponsors:

Previnex

Use the code "ReadytoRun" for 15% off your first order

Show more...
2 years ago
58 minutes 10 seconds

Ready to Run
Episode 20: Platelet rich plasma (PRP) for running injuries with UVA PM&R Sports Medicine physician Dr. David Hryvniak

Dr. David Hryvniak is a physical medicine and rehabilitation sports medicine physician based out of Charlottesville, Virginia at the University of Virginia. He is an expert in several areas of sports medicine including sports ultrasound, running medicine, and Orthobiologics. In this episode, he shares his expertise on platelet rich plasma (PRP). PRP is a tool used by many sports medicine physicians. The goal of today's episode is to discuss the state of the science and to discuss some of the myths and facts, common clinical applications, and ways we can optimize our outcomes for patients with use of ultrasounds to guide our injections, and formulating a post PRP rehabilitation strategy.

This is an exciting topic that generates a lot of attention in our sports medicine practice and we are excited to have a leading expert in this arena share his knowledge on PRP! So let's get ready to run with Dr. David Hryvniak.

What we talked about:

4:10- Introduction to Dr. David Hryvniak 

12:25- What PRP is and how it works

17:45- Common applications of PRP for runners

20:35- Timing in the rehab process to utilize PRP

24:05- Patients that have the most success with PRP

29:15- PRP procedure

38:20- Return to run protocol after PRP

43:55- Tendons that have the highest success rate

50:05- Increase in proximal hamstring tendinopathy

53:00- Ultrasound guided PRP

55:15- Summary of PRP for clinicians and patients

59:20- The Running Medicine conference


Sponsors:

Previnex

Use the code "ReadytoRun" for 15% off your first order


Guest info:

Dr. David Hryvniak: https://uvahealth.com/provider/David-Hryvniak-1316238934 

UVA Runner's clinic: https://www.uvarunnersclinic.com/ 

Instagram: @uvarundoc


PRP references: 

-Malanga G, Ibrahim V. Scientific evidence of platelet-rich plasma for orthopedic conditions: basic science to clinical research and applications. Regenerative Treatments in Sports Medicine and Orthopedics. 2018. Chapter 7. 89-117.

-Mautner K, Malanga G, Colberg R. Optimization of ingredients, procedures, and rehabilitation for platelet-rich plasma injections for chronic tendinopathy. Pain Manag. 2011. 1(6):523-532.

-Dai WL, Zhou AG, Zhang H, Zhang J. Efficacy of platelet-rich plasma in the treatment of knee osteoarthritis: a meta-analysis of randomized controlled trials. Arthroscopy. 2017 33(3): 659-670.


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2 years ago
1 hour 1 minute 36 seconds

Ready to Run
Episode 19: Joe Klecker - 2020 Olympian and 2022 USATF Men's 10,000m champion

In today's episode of The Ready to Run Podcast, we are joined by professional runner, Joe Klecker. Joe competed at the University of Colorado in Boulder, Colorado where he was a 9-time All-American and is currently the school record holder in the 5000m. He turned pro in 2020 with the On Athletics Club in Boulder and became an Olympian in 2020 in the 10,000m. 

Joe is originally from Minneapolis and both of his parents were professional marathoners and US National record holders in the ultramarathon.

He won his first national championship in 2020 where he edged out Grant Fisher in the 10,000m. He went on to finish 9th at the World Championships in Eugene, Oregon later that year.

In this episode, we discuss some highlights from last season and some factors that have led to his success and his ability to overcome past injuries including a foot injury that happened prior to some of his breakout performances last year. Joe also shares some of his goals for the upcoming season and beyond. Hearing his take on how to maintain Achilles strength provided a unique perspective in our conversation and ties in nicely to a previous recording where Kurt and I discussed Achilles tendon exercise strategies.

This episode was recorded just before his 2023 season opener at the BU Invitational where he achieved his goal of breaking the 13-minute barrier in the 5k by going 12:54 which is now the third-fastest indoor 5k for American men! 

What we talked about:

3:40- Introduction to Joe Klecker and how training has been going

6:40- 2022 highlights

11:55- Preparing for racing the best in the world

16:20- Racing strategy

19:05- Other factors in training

23:20- Achilles injuries

37:40 - Imaging of his Achilles

47:20- Takeaways from his first two years running professionally

Sponsors:

Previnex

Use the code "ReadytoRun" for 15% off your first order

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2 years ago
49 minutes 52 seconds

Ready to Run
Episode 18 (The Down Week): Loading Strategies for Achilles Tendon Injuries

Our goal in this week's Down Week episode of the Ready to Run Podcast is to sort through the literature on Achilles tendinopathy and provide practical rehabilitation strategies for the athlete with acute reactive tendinopathy and chronic recurring degenerative tendinopathy.

We'll also highlight some of the key articles on Achilles tendinopathy rehabilitation as well as a few other considerations including the role of the forefoot and load management strategies for the runner returning from Achilles injury.

What we talked about:

1:15- Outlining achilles tendon injuries

3:05- Initial examinations of a patient with achilles pain

7:05- Load management

15:45- Rehab strategies

32:50- Restoring stability

35:00- Mobility, stability, and strength

37:30- Degenerative changes in the tendon

References:

  • Alfredson H, Pietilä T, Jonsson P, Lorentzon R. Heavy-Load Eccentric Calf Muscle Training For the Treatment of Chronic Achilles Tendinosis. The American Journal of Sports Medicine. 1998;26(3):360-366. doi:10.1177/03635465980260030301
  • Beyer R, Kongsgaard M, Hougs Kjær B, Øhlenschlæger T, Kjær M, Magnusson SP. Heavy Slow Resistance Versus Eccentric Training as Treatment for Achilles Tendinopathy: A Randomized Controlled Trial. Am J Sports Med. 2015 Jul;43(7):1704-11.
  • Ganderton, Charlotte, et al. "Achilles tendinopathy: Understanding the key concepts to improve clinical management." Australasian Musculoskeletal Medicine 19.2 (2015): 12-18.
  • Rio E, Kidgell D, Moseley GL, Gaida J, Docking S, Purdam C, Cook J. Tendon neuroplastic training: changing the way we think about tendon rehabilitation: a narrative review. Br J Sports Med. 2016 Feb;50(4):209-15.
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2 years ago
42 minutes 18 seconds

Ready to Run
Episode 17: Paige Stoner - 2022 USATF marathon champion and new CIM course record holder
In today's episode of the Ready to Run Podcast, we will kick off our first episode of the new year with professional long-distance runner, Paige Stoner. Paige is originally from Pennsylvania and competed in the 5k and 3000m steeplechase at Syracuse University where she was an ACC Champion in both events. She started her professional running career with the Reebok Boston Track Club in Charlottesville, Virginia. She recently relocated to Flagstaff, Arizona. Paige transitioned to the marathon in 2020 where she debuted at the Marathon Project in a time of 2:28:43. This earned her the fastest marathon time for an American female under 25 years old. In just her third marathon, Paige earned her first career US Championship title and also set a new course record of 2:26:02 at CIM in December. Our discussion provides a lens into some of the things that have led to her success in transitioning to the marathon at an early stage in her career. We also discuss the adjustment to living and training at altitude during a marathon training block. Lastly, we recap her race at CIM and discuss her goals for 2023.  What we talked about: 5:05- Introduction to Paige Stoner 6:20- What her training looked like going into CIM 8:40- Adjusting to training at altitude 12:30- The decision to move to Flagstaff 15:40- Her running history 18:05- Debuting in the marathon at a young age 21:05- Her future in marathoning 22:15- Lessons that she learned at the Boston Marathon that helped her prepare for CIM 25:40- Strength training 27:25- Recapping her race day at CIM 30:45- Training at altitude 34:45- Goals for 2023 36:50- Advice to younger athletes Show notes: Paige on Instagram Sponsors: Green Growers Farm Elderberry Syrup Use the code “Sandyboy” for free shipping Previnex Use the code "ReadytoRun" for 15% off your first order
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2 years ago
39 minutes 21 seconds

Ready to Run
Episode 16: Bria Wetsch - 4th place finisher @ 2022 CIM Marathon/ USATF Marathon Championships

In today's episode of the Ready to Run podcast we'll meet with professional long distance runner, Bria Wetsch. Bria lives in Colorado and has been passionate about competitive running since she was 11 years old. Following a successful high school career, Bria went on to compete at a collegiate level at the University of Oregon. After college, she began her career as a pro runner in Mammoth Lakes, CA where she met her - now husband and coach - Aaron Lange. We'll discuss her journey from Haglund's surgery in 2017 to Olympic trials qualifying time just 13 months later. Bria ultimately finished 27th at the 2020 Olympic marathon trials in Atlanta. More recently, Bria ran a marathon PR of 2:28:35 to finish in 4th place at the California International Marathon earlier this month. We'll recap her incredible performance as well as some of the mental health challenges she overcame during her build up. For Bria, CIM was about more than a marathon PR. She shares a very open conversation on her struggles with depression, anxiety, and panic attacks at the beginning of her marathon training cycle. She also discusses how the trajectory to finding groundedness was not linear. We hope this episode encourages everyone in the running community to better understand the influence of mental health in sports so that we can support those in need and help others achieve their goals. Let's get ready to run with professional long distance runner Bria Wetsch! 

What we talked about: 

4:15- Introduction to Bria 

5:25- How Bria is feeling coming off of her race at CIM 

9:50- Her racing mentality 

14:15- Her mentality during her race at CIM 

15:10- Her buildup to CIM 

20:25- Her Achilles injury she sustained post-college and her Haglund's surgery 

26:10- Bria's husband and coach, Aaron 

28:55- Return to running post Haglund's surgery 

29:45- Moving to Boulder 

31:05- What has kept her in the sport through all of the injuries 

38:05- What she is looking forward to in the coming years 

41:20- Her battle with her mental health this summer and how she treated that 

Show notes: 

Bria on Instagram 

Sponsors: 

Green Growers Farm Elderberry Syrup 

Use the code “Sandyboy” for free shipping 

Previnex 

Use the code "ReadytoRun" for 15% off your first order

Show more...
2 years ago
1 hour 1 minute 30 seconds

Ready to Run
Episode 15 (The Down Week): Anterior Knee Pain

What we talked about: 

1:10- Case presentation of anterior knee pain 

2:50- Terminology surrounding anterior knee pain 

4:20- The various myths surrounding anterior knee pain 

9:55- Primary reasons patients develop these symptoms 

11:30- Imaging to order with this injury and how to interpret it 

16:20- Where swelling occurs 

17:40- Ability to run through this injury 

21:05- Passive interventions 

26:35- Active rehab programs 

37:35- Knees over toes 

42:00- Treating someone with anterior knee pain that is still training at a high level 

45:15- Topical and oral anti-inflammatory

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2 years ago
49 minutes 14 seconds

Ready to Run
Episode 14: Identifying and treating Relative Energy Deficiency in Sport (RED-S) with Dr. Aubrey Armento and Amanda McCarthy, RD

In our last episode, Olympic marathoner Jake Riley and registered dietician and professional runner Maddie Alm shared a lens into the personal journey and athlete’s perspective on Relative Energy Deficiency in Sport (RED-S).

Today, we’ll expand on the topic of RED-S with Sports Medicine Physician - Dr. Aubrey Armento and Registered Dietician - Amanda McCarthy of Children’s Hospital Colorado. They will share their expertise and provide insight into screening, diagnosis, treatment, and recovery considerations for return to sport.

Dr. Aubrey Armento is a pediatric sports medicine physician at Children’s Hospital Colorado and Assistant Professor in the Department of Orthopedics at the University of Colorado. She is the founder and medical director of The Running Athlete Clinic (TRAC) at Children’s Hospital Colorado and is passionate about caring for runners, in addition to care of the female athlete, the athlete triad, and RED-S.

Amanda McCarthy is the Sports Nutrition Program Coordinator and Certified Specialist in Sports Dietetics at Children’s Hospital Colorado Sports Medicine Center. Amanda enjoys working with the young, competitive athlete to help them understand nutrition's role in their wellness and performance.

Let’s get ready to run with sports medicine experts - Aubrey Armento and Amanda McCarthy!

What we talked about:

4:20- Introduction to Dr. Aubrey Armento and Amanda McCarthy

9:55- Defining RED-S

12:50- Health and performance consequences from RED-S

16:40- Micronutrients and macronutrients

20:00- Considerations for lab work while training at altitude

22:50- Assessing an athlete's diet

25:10- Screening for iron deficiencies 

27:40- Considerations for iron supplementation

34:25- Labs and tests for RED-S

37:50- Calculating an athlete’s energy availability

40:15- Treatment plans for athletes with RED-S

45:35- Assessing younger athletes for RED-S

54:10- DEXA scans

1:02:20- Treatments for low bone density

1:11:45- Return to sport considerations

1:17:15- Wrap-up message about RED-S

Sponsors:

Green Growers Farm Elderberry Syrup

Use the code “Sandyboy” for free shipping

Previnex

Use the code "ReadytoRun" for 15% off your first order

Show more...
2 years ago
1 hour 20 minutes 5 seconds

Ready to Run
Episode 13: Jake Riley and Maddie Alm - Opening the conversaion on relative energy deficiency in sport (RED-S) in males

In today's episode, we have a discussion on relative energy deficient in sport, otherwise known as RED-S with Jake Riley and Maddie Alm. 

Maddie is a Registered Dietitian and the founder of Fueling Forward Sports Nutrition. Maddie has Masters in Nutritional Science from San Diego State. She completed her training and a registered dietitian at Lipscomb University in Nashville, Tennessee. She also competed at the University of Colorado in Boulder and currently runs professionally for Team Boss. 

Jake is an American professional long distance runner and 2020 Olympic marathoner. He currently lives and trains in Boulder, Colorado and is coached by 3-time Olympic marathoner, Lee Troop. Jake grew up in Washington and was an 8-time All-American at Stanford. He previously ran with the Hanson's Distance Project. Jake had one of the most memorable performances and comeback stories at the 2020 Olympic Marathon Trials in Atlanta where he grabbed an American flag with about 400m to go and ran to a sprint finish where he finished 2nd. In June 2022, Jake shared his story about being diagnosed with RED-S in Runner's World. His story helped to open the door to discussing RED-S in the context of male athletes.

The term RED-S evolved from what was previously described as the female athlete triad. In 2014, the IOC published a description of RED-S to include a broader definition of the health and performance consequences as well as both inclusion of both male and female athletes. 

Identifying an athlete with RED-S is not always straight forward. By sharing an athlete and expert perspective, we hope that this episode can provide a unique lens into the challenges, both physical and mental, that go into diagnosing and managing RED-S.

We also get an update on where Jake is at several months after sharing his diagnosis as well as Maddie's advice on how athletes can make positive changes that can be long lasting. 

What we talked about:

3:55- Introduction to Maddie

4:25- Introduction to Jake

7:25- RED-S and low energy availability

9:55- Early signs and symptoms of RED-S

12:35- Jake’s diagnosis with RED-S and working with Maddie

20:50- What prompted him to seek help

26:30- Warning signs and symptoms to pay attention to as an athlete

32:35- Questions to ask male athletes to diagnose RED-S

34:10- Treatment approach

41:50- Timeline of recovery

45:20- Differentiating between being tired in training and symptoms of RED-S

51:30- Jake’s recovery from achilles surgery and where he is at in training

1:01:15- Fueling during the marathon

1:05:35- Take home messages about RED-S for athletes and clinicians

Show notes:

Jake on Instagram

Maddie on Instagram

Fueling Forward

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2 years ago
1 hour 14 minutes 42 seconds

Ready to Run
Episode 12: Nathan Carlson, DPT - Optimizing rehabilitation and return to run for bone stress injuries in runners

Nathan Carlson is a physical therapist, coach, and business owner based out of Kansas City. He specializes in the management of bone stress injuries, managing the high school and collegiate runner, and implementing resistance training with endurance athletes. Nathan teaches nationally and internationally on these topics. Nathan has two digital resources - A Guidebook to Running After a Stress Fracture and A Guidebook to Navigating High School Running.

In this episode, we focus on how to approach bone stress injuries once we have established our diagnosis. We open our discussion with the physiology of bone healing and what the current research says about how long it actually takes for a bone to heal and how that may differ based on the location of the injury. We also discuss the factors that influence treatment, how to test when an athlete is ready to return to running, and how to progress training load for a successful recovery. 

Bone stress injuries are one of the most complex and frustrating injuries for runners. After our discussion with Nathan, we hope that you will have a better understanding of the training, nutrition, and metabolic factors that need to be considered with diagnosing and treating these injuries.

What we talked about:

3:05- The physiology of bone healing and the expectations to set for patients

17:40- Modalities for recovery

22:20- Focus for the return to run program

31:00- Being flexible with the protocol

Show notes:

Nathan's website

Nathan on Instagram

References:

  • Gehman S, Ackerman KE, Caksa S, Rudolph SE, Hughes JM, Garrahan M, Tenforde AS, Bouxsein ML, Popp KL. Restrictive Eating and Prior Low-Energy Fractures Are Associated With History of Multiple Bone Stress Injuries. Int J Sport Nutr Exerc Metab. 2022 May 6;32(5):325-333.
  • Popp KL, Ackerman KE, Rudolph SE, Johannesdottir F, Hughes JM, Tenforde AS, Bredella MA, Xu C, Unnikrishnan G, Reifman J, Bouxsein ML. Changes in Volumetric Bone Mineral Density Over 12 Months After a Tibial Bone Stress Injury Diagnosis: Implications for Return to Sports and Military Duty. Am J Sports Med. 2021 Jan;49(1):226-235.
  • Rudolph SE, Caksa S, Gehman S, Garrahan M, Hughes JM, Tenforde AS, Ackerman KE, Bouxsein ML, Popp KL. Physical Activity, Menstrual History, and Bone Microarchitecture in Female Athletes with Multiple Bone Stress Injuries. Med Sci Sports Exerc. 2021 Oct 1;53(10):2182-2189.
  • Warden SJ, Davis IS, Fredericson M. Management and prevention of bone stress injuries in long-distance runners. J Orthop Sports Phys Ther. 2014 Oct;44(10):749-65.
  • Warden SJ, Edwards WB, Willy RW. Optimal Load for Managing Low-Risk Tibial and Metatarsal Bone Stress Injuries in Runners: The Science Behind the Clinical Reasoning. J Orthop Sports Phys Ther. 2021 Jul;51(7):322-330.
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3 years ago
36 minutes 36 seconds

Ready to Run
Episode 11: Nathan Carlson, DPT - Diagnosing bone stress injuries in runners

Nathan Carlson is a physical therapist, coach, and business owner based out of Kansas City. He specializes in the management of bone stress injuries, managing the high school and collegiate runner, and implementing resistance training with endurance athletes. Nathan teaches nationally and internationally on these topics. Nathan has two digital resources - A Guidebook to Running After a Stress Fracture and A Guidebook to Navigating High School Running.


In this episode, we have an in-depth conversation on bone stress injuries. Our conversation was packed with so much valuable information that we broke it down into two episodes. In part one, we discuss bone physiology, factors that contribute to bone stress injuries, clinical perils, and radiographic tools for diagnosis. 


Bone stress injuries are one of the most complex and frustrating injuries for runners. After our discussion with Nathan, we hope that you will have a better understanding of the training, nutrition, and metabolic factors that need to be considered with diagnosing and treating these injuries. 


What we talked about:

3:10- Introduction to Nathan

6:40- Weight lifting for high school athletes

8:25- Defining a bone stress injury

11:00- Differences between a stress reaction and stress fracture and what causes them

22:05- Obtaining a more in-depth background of an athlete to learn more about the injury

25:45- Diagnosis and prognosis of bone stress injuries

38:05- Testing and imaging for bone stress injuries


Show notes:

Nathan's website

Nathan on Instagram


References:

  • Bergman AG, Fredericson M, Ho C, Matheson GO. Asymptomatic tibial stress reactions: MRI detection and clinical follow-up in distance runners. AJR Am J Roentgenol. 2004 Sep;183(3):635-8. Hoenig T, Ackerman KE, Beck BR, Bouxsein ML, Burr DB, Hollander K, Popp KL, Rolvien T, Tenforde AS, Warden SJ. Bone stress injuries. Nat Rev Dis Primers. 2022 Apr 28;8(1):26.
  • Kaeding CC, Miller T. The comprehensive description of stress fractures: a new classification system. J Bone Joint Surg Am. 2013 Jul 3;95(13):1214-20.
  • Wright AA, Hegedus EJ, Lenchik L, Kuhn KJ, Santiago L, Smoliga JM. Diagnostic Accuracy of Various Imaging Modalities for Suspected Lower Extremity Stress Fractures: A Systematic Review With Evidence-Based Recommendations for Clinical Practice. Am J Sports Med. 2016 Jan;44(1):255-63.
  • RED-S CAT - https://bjsm.bmj.com/content/bjsports/49/7/421.full.pdf
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3 years ago
54 minutes 20 seconds

Ready to Run
Welcome to the Ready to Run Podcast, hosted by Kurt Roeser, DPT (physical therapist and sub-elite long distance runner) and Efren Caballes, DO (sports medicine physician). The goal of our podcast is to engage in thoughtful discussions with athletes, coaches, clinicians, and researchers to share knowledge within the field of sports medicine and inspire progression in the sport of running. We hope to empower individuals to navigate injuries, reduce injury risk, optimize training and performance, and provide listeners with the tools needed to get Ready to Run!