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Interdisciplinary Case Miles

Interdisciplinary Case Miles

By: Dr. Kate Mihevc Edwards PT
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 Real runners. Real problems. Real solutions.

The Interdisciplinary Case Miles podcast dives deep into clinical cases affecting runners of all levels, analyzed through the lens of three leading experts in running health. Each episode presents a runner’s story—pain, performance, or puzzling symptoms—and explores it from the collaborative perspectives of an orthopedic physical therapist, a running medicine physician, and a sports dietitian. Tune in for practical, evidence-based strategies and behind-the-scenes insight into what really helps runners return to the roads stronger than before.

Dr. Kate Mihevc Edwards PT, DPT, OCS
Dr. Kate Mihevc Edwards is a board-certified orthopedic clinical specialist and founder of Precision Performance & Physical Therapy and Fast Bananas RUNsource. She is a researcher, author, and national speaker on running-related injuries, performance, and recovery. Kate treats runners of all levels—from recreational to professional—and specializes in working with those who haven’t had success elsewhere. She is part of the interdisciplinary team for the Atlanta Track Club Elite, serves as adjunct faculty at Emory University School of Medicine, and regularly lectures at running camps, universities, and team programs nationwide.

Dr. Sara Raiser MD, FAAPMR, CAQSM, LMT
Dr. Sara Raiser is a sports medicine physician and academic physiatrist at the University of Virginia Runner’s Clinic, where she specializes in the care of runners across all levels. Her clinical and research work focuses on bone stress injuries, gait mechanics, female athlete health, and interdisciplinary care models in running medicine. Dr. Raiser has served as team physician for Atlanta Track Club Elite, Stanford University, and several collegiate and high school programs. She brings a deeply collaborative and evidence-based approach to helping runners recover, adapt, and perform.

Kelsey Pontius, RD CSSD
Kelsey Pontius is a board-certified specialist in sports dietetics and the founder of Meteor Nutrition. A two-time U.S. Olympic Marathon Trials qualifier, she combines elite-level athletic experience with clinical expertise to help runners fuel for performance, recovery, and health. Kelsey is the sports dietitian for Atlanta Track Club Elite and consults with NCAA Division I teams, as well as individual runners across the country. Her practice focuses on endurance nutrition, gut health, injury recovery, and hormone balance through food.

Become a supporter of this podcast: https://www.spreaker.com/podcast/interdisciplinary-case-miles--6623567/support.Copyright Dr. Kate Mihevc Edwards PT Hygiene & Healthy Living Physical Illness & Disease Running & Jogging
Episodes
  • 08: Butt Pain, Gut Issues & The Whole-Body Puzzle.

    08: Butt Pain, Gut Issues & The Whole-Body Puzzle.
    Dec 12 2025
    Welcome back to Interdisciplinary Case: Miles, where real runner stories meet clinical expertise. In Episode 8, Dr. Sara Raiser MD, sports dietitian Kelsey Pontius, and physical therapist Dr. Kate Mihevc Edwards team up to break down an especially complex case: a mid-30s female roadrunner and backpacker navigating persistent butt pain, posterior leg symptoms, and unexpected GI challenges. This episode uncovers why seemingly simple running injuries often have not-so-simple causes and why a whole-body, interdisciplinary lens matters. In this case study, we explore:
    • Buttock and posterior thigh pain, what “sciatica” really means, why it’s often misdiagnosed, and how nerves, joints, tendons, and biomechanics interact
    • The nervous system connection how an injury high up (like the hip or butt) can contribute to issues farther down the chain, including the Achilles
    • The hidden role of nutrition & gut health, IBS, GI testing, microbiome insights, nutrient absorption, and how underfueling impacts nerve healing and recovery
    • Breathing, stress & recovery why parasympathetic activation, rest, and mindful eating support both performance and injury resolution
    • Clinical decision-making differential diagnoses, red flags, when imaging is needed, and how PT, nutrition, and sports medicine intersect
    • Real-life biomechanics like hiking with a backpack, running form, posture, core engagement, nerve mobility, and how everyday habits amplify or relieve symptoms
    This episode takes a comprehensive look at the messy, interconnected reality of running injuries where gut function influences glute activation, posture affects nerve mobility, and stress and recovery can make or break healing. Whether you’re a runner, clinician, or coach, you’ll walk away with: A clearer understanding of butt and posterior leg pain Practical insights on GI issues, fueling, and stress management A roadmap for thinking holistically about athlete health


    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.
    Show More Show Less
    30 mins
  • 07: Inside IT Band Syndrome: Biomechanics, Stress, and Recovery

    07: Inside IT Band Syndrome: Biomechanics, Stress, and Recovery
    Nov 28 2025
    In this episode of Interdisciplinary Case Miles, Dr. Sara Raiser, sports dietitian Kelsey Pontius, and physical therapist Dr. Kate Mihevc Edwards team up to break down a challenging and relatable case of IT Band Syndrome in a 25-year-old female runner. What begins as knee pain following increased training and emotional stress unfolds into a deep dive on biomechanics, movement evaluation, nutrition, recovery, and the mind–body connection.
    Kate walks listeners through the full clinical picture from movement screens and gait analysis to the complex interplay between hip strength, foot mechanics, and neuromuscular control. Dr. Sara highlights the medical lens, including pain modulation, the role of the hip joint, and when interventions like shockwave therapy or injections can help support progress. Kelsey adds a nutrition-centered perspective, sharing how hydration, collagen-supportive foods, inflammation management, and lifestyle factors can influence tissue health and recovery.
    Together, the team explores why IT Band Syndrome develops, how emotional load and training spikes contribute, what to expect from a proper rehab timeline, and how seemingly small insights from running shoes to callus patterns can reveal key movement issues. Listeners will gain a clearer understanding of evidence-informed gait retraining, strength programming, and the importance of patience and consistency in healing.
    Whether you're a runner, clinician, or coach, this case is packed with practical takeaways, thoughtful discussion, and a healthy dose of running-nerdery. 00:00 Welcome & introductions
    01:00 Case overview: 25-year-old runner with IT Band Syndrome
    04:30 Biomechanical findings: hip drop, knee valgus & overpronation
    08:30 Dr. Raiser’s medical insights: stress, pain patterns & recovery timelines
    12:30 Nutrition perspective: hydration, collagen & inflammation support
    16:00 PT approach: manual therapy, strength work & when to start gait retraining
    20:40 Footwear clues & common shoe/orthotic mistakes
    22:30 Key takeaways: patience, stress awareness & long-term strength development
    23:50 Closing thoughts & call to action

    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.
    Show More Show Less
    26 mins
  • 06: Femoral Neck Stress Fracture, Reactive Hypoglycemia in a Male Marathon Runner

    06: Femoral Neck Stress Fracture, Reactive Hypoglycemia in a Male Marathon Runner
    Nov 14 2025
    In this episode of Interdisciplinary Case Miles, hosts Dr. Sara Raiser, Kelsey Pontius, and Dr. Kate Mihevc Edwards break down a complex real-world case of a male marathoner caught in a cycle of injury, underfueling, and recovery.When multiple stress fractures, low testosterone, and low ferritin collide with emotional stress and high training volume, the team dives deep into how Relative Energy Deficiency in Sport (RED-S) affects performance, hormones, and bone health.

    Kelsey unpacks the concept of within-day energy deficits and the athlete’s struggles with reactive hypoglycemia. Dr. Raiser highlights why femoral neck stress fractures are among the most serious running injuries often requiring urgent imaging and complete rest. Dr. Edwards shares the detailed process of returning safely to running, from load management and biomechanics to rebuilding strength and confidence.This episode showcases the power of an interdisciplinary approach where nutrition, medicine, and physical therapy work together to help runners heal fully and sustainably.

    Episode Highlights
    • 00:00 Welcome & introductions
    • 01:10 Kelsey presents the case: male runner with recurring stress injuries
    • 07:45 Understanding reactive hypoglycemia and RED-S
    • 10:20 Dr. Reiser explains femoral neck stress fractures & key lab work
    • 16:50 Dr. Edwards on rehab, biomechanics, and safe return-to-run
    • 23:30 The importance of interdisciplinary collaboration
    • 28:40 Top takeaways for clinicians & athletes


    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.
    Show More Show Less
    32 mins
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