『17: Low Back Pain in Runners: When Hormones, Sleep, and Core Stability Collide』のカバーアート

17: Low Back Pain in Runners: When Hormones, Sleep, and Core Stability Collide

17: Low Back Pain in Runners: When Hormones, Sleep, and Core Stability Collide

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今ならプレミアムプランが3カ月 月額99円

2026年5月12日まで。4か月目以降は月額1,500円で自動更新します。

概要

 Is your low back pain coming from running or is it something else entirely?

In this episode of Interdisciplinary Case Miles, Dr. Sara Raiser, sports medicine physician and running medicine speicalist, Dr. Kate Mihevc Edwards, orthopedic physical therapist and running PT, and sports dietitian Kelsey Pontius walk through a runner case involving low back pain during the perimenopause transition.

The case involves a 41-year-old female physician and half-marathon runner who initially seeks help for nutrition during perimenopause. During the consultation, she casually mentions intermittent low back pain, poor sleep, and high work stress, factors that can all influence recovery and musculoskeletal health.The conversation expands into a deeper discussion of how hormonal changes, sleep quality, fueling habits, biomechanics, and pelvic floor health can all play a role in back pain for runners. We explain how shifting hormones like estrogen, progesterone, and testosterone influence collagen health, tendon recovery, muscle repair, sleep quality, and energy levels. For active women, these changes can show up as slower recovery, stubborn body changes, and nagging aches that weren’t there before.In this episode, we discuss:
  • Why low back pain in runners is often multifactorial
  • The impact of perimenopause and hormonal changes on recovery and connective tissue
  • How sleep and fueling patterns influence injury risk and healing
  • Why runners with back pain should evaluate core stability, breathing, and pelvic floor function
  • How hip mobility and running mechanics can affect the lower back
  • When back pain requires medical evaluation—and when runners can safely stay active
  • Strategies to keep running while managing back discomfort
If you're a runner dealing with low back pain, sleep disruption, hormonal changes, or training stress, this episode explores how all of these factors intersect and what you can do to stay healthy and keep 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 Introduction: Perimenopausal Runner. A 41-year-old half-marathoner experiencing body changes, sleep issues, and intermittent low back pain.
02:30 — Nutrition & Hormonal Changes in Perimenopause
How hormonal shifts affect recovery, metabolism, and nutrition needs.
05:10 — Addressing Body Changes & Sleep First
Body neutrality, sleep quality, and fueling regularly during busy workdays.
08:00 — Medical Evaluation of Low Back Pain
Dr. Reiser explains axial back pain, possible causes, and clinical screening.
11:00 — Physical Therapy Assessment
Core activation, breathing patterns, pelvic floor health, and movement mechanics.
14:00 — Running Mechanics & Back Pain
Hip mobility, posture, and how running form can influence back stress.
17:00 — Training Modifications & Staying Active
When runners should modify activity instead of stopping completely.
20:00 — Managing Persistent “Niggling” Pain
Understanding chronic discomfort and avoiding unnecessary interventions.
22:00 — Pre-Run & Post-Run Strategies
Simple mobility and activation exercises that may reduce pain.
23:30 — Key Takeaways from Each Expert
Back pain management, nutrition mindset during body changes, and pelvic floor considerations.
24:45 — Episode Wrap-Up
Closing thoughts and invitation to follow and share the podcast.





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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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