Episode
14: Achilles Tendinopathy in Runners - Can I Keep Running?
- Podcast
- Interdisciplinary Case Miles
- Published
- Mar 6, 2026
- Duration seconds
- 1384
- Processing state
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- https://www.spreaker.com/episode/14-achilles-tendinopathy-in-runners-can-i-keep-running--70117841
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Summary
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 Morn…