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

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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.