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  • 18: Chronic Ankle Instability in Runners: One Overlooked Cause of Hip and Back Pain

    18: Chronic Ankle Instability in Runners: One Overlooked Cause of Hip and Back Pain
    2026/05/01
    What if your hip pain is actually coming from your ankle? Episode 18 of Interdisciplinary Case Miles follows a 38-year-old ultra marathon runner with lateral hip pain, back discomfort, and a long history of recurring ankle sprains.

    What many runners dismiss as “no big deal” can lead to instability, altered mechanics, and long-term performance limitations.

    This conversation connects chronic ankle sprains to changes in the kinetic chain, showing how foot and ankle instability can drive hip and back pain. It also highlights the role of ligament health, balance, and neuromuscular control in keeping runners strong and resilient. Nutrition and hydration are also key factors especially for ultra and trail runners.

    Fueling, collagen support, and electrolyte balance all influence healing, coordination, and injury risk. Whether you’re running trails in the mountains, training for your next ultra, or dealing with nagging injuries that won’t go away, this episode offers practical, evidence-informed strategies to improve stability, prevent setbacks, and optimize performance.

    00:00 – Intro to Interdisciplinary Case Miles Meet the team and today’s focus on real runner cases. 01:10 – Case Overview: Ultra Runner with Hip & Back Pain A 38-year-old athlete presents with lateral hip pain, but there’s more to the story.
    03:15 – The Overlooked Clue: Chronic Ankle Sprains Why “it doesn’t hurt” doesn’t mean it’s not a problem.
    06:20 – Hip Impingement vs. Kinetic Chain Dysfunction How foot and ankle issues can drive hip pathology.
    09:10 – Hypermobility vs. Tightness Explained Why some joints are loose while others compensate. 12:00 – What Happens When You Keep Spraining Your Ankle Ligament damage, collagen breakdown, and loss of stability over time.
    15:30 – The 2% Stability Loss Rule Why repeated ankle sprains create long-term dysfunction. 18:40 – How Ankle Instability Causes Hip & Back Pain Connection between foot mechanics, glutes, and loading patterns.
    22:10 – Physical Therapy Strategies for Ankle Stability Balance training, foot control, joint mobilization, and plyometrics.
    27:00 – Collagen, Nutrition & Ligament Healing What runners need to know about fueling and recovery.
    30:15 – Electrolytes, Hydration & Injury Risk How dehydration affects reaction time, coordination, and proprioception.
    34:40 – Trail Running Risks & Cognitive Fatigue Why fueling impacts decision-making and injury prevention.
    38:10 – Shoe Choice & Terrain Considerations Stack height, stability, and trail-specific risks.
    42:20 – When an “Ankle Sprain” Might Be More Serious Recognizing fractures and complications. 45:00 – Key Takeaways from Each Expert Simple, actionable advice to prevent and manage ankle
    instability.

    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 分
  • 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
    2026/04/17
    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.





    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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    19 分
  • 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?
    2026/04/03
    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 分
  • 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?
    2026/03/20
    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 分
  • 14: Achilles Tendinopathy in Runners - Can I Keep Running?

    14: Achilles Tendinopathy in Runners - Can I Keep Running?
    2026/03/06
    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 分
  • 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
    2026/02/20
    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 分
  • 12: Exertional Leg Pain in Runners — Diagnosis, Gait, and Fueling

    12: Exertional Leg Pain in Runners — Diagnosis, Gait, and Fueling
    2026/02/06
    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 分
  • 11: Shin Splints or Bone Stress Injury in Teen Runners

    11: Shin Splints or Bone Stress Injury in Teen Runners
    2026/01/23
    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 分