In this episode of the Legacy Running Podcast, Dr. Sarah sits down with Dr. Duane Scotti, founder of Spark Healthy Runner, to explore his remarkable journey from hip surgery and chronic injuries to completing six marathons and coaching runners around the world. Duane shares how a labral tear, chondral defect, and proximal hamstring tendinopathy became the turning points that shaped his career—and his mission to help runners stay healthy for life. Together, he and Dr. Sarah break down his “Restore, Rebuild, Retrain” framework for returning to running after hip pain, the truth about pain tolerance and flare-ups, and why running can actually protect your joints.
Bio:
Dr. Duane Scotti, DPT, PhD, OCS is a running physical therapist, run coach, host of the Healthy Runner podcast, and founder of Spark Healthy Runner and has been a leader in the rehab and running community for 20+ years. He is truly living his passion educating the running community that they don’t need to stop running to get over a running injury. After 19 years teaching in higher education, Duane decided to step away as a Clinical Associate Professor of Physical Therapy to pursue his passion educating the running community. Through his signature 1:1 coaching program, Healthy Runner Academy membership, weekly videos, and podcast episodes, he empowers runners to get stronger, run faster, and enjoy lifelong injury free running. Through strength and run specific training you can build your body to have a strong mind, strong body, and just keep running! Learn more about how Duane became a healthy runner here!
If you are recovering from an injury and want to get back into running without setbacks:
[Download] Return to Run Program
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Instagram - @sparkhealthyrunner
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Get More From Dr. Sarah aka "The Hip Doc"
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In this episode of the Legacy Running Podcast, Dr. Sarah sits down with Dr. Sam (@docsammoves), founder of Unleashed Athletics, to unpack her powerful journey from chronic hip and ankle pain to running a half marathon—without surgery. Dr. Sam shares how years of instability, under-fueling, and frustration with traditional PT led her to create a more holistic, empowering model of care for women. Together, they explore the missing links in rehab—nutrition, strength, mindset, and aerobic capacity—and how reframing flare-ups as feedback can help women reclaim control over their recovery. This honest, hopeful conversation shines a light on what’s possible when you combine science with self-trust.
Connect with Dr. Sam
work with Dr. Sam:https://unleashedathletics.co/
instagram:https://www.instagram.com/docsammoves/
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In this episode of the Legacy Running Podcast, Dr. Sarah unpacks a question many women runners quietly wrestle with: Is surgery the next step for my hip pain? Whether you're dealing with a labral tear, impingement, or dysplasia, this conversation offers clarity and reassurance. Dr. Sarah shares the thoughtful decision-making framework she uses with clients, how to define true progress in PT, and why your personal goals and lifestyle matter just as much as your MRI results. If you're weighing your options, this episode is here to help you make an informed and confident choice .Disclaimer: This episode is for educational purposes only and is not medical advice. Please consult with your medical team to make decisions specific to your health and situation.
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In this raw and empowering episode, Dr. Sarah pulls back the curtain on five surprising factors that could be flaring your hip pain — and it’s not just your mileage. From hidden mechanical issues to hormonal shifts, she explains why many women runners are stuck in pain despite doing “all the right things.” If you’ve ever been told to stop running or felt dismissed by the system, this conversation will reignite your hope and give you a clearer path forward. Let’s unpack what’s really holding you back — and how to take control of your recovery.
Apply for the October EmpowHER Hip Program Here: https://legacyrehabandperformance.com/empowher-hip-program-october-cohort
Get More From Dr. Sarah aka "The Hip Doc"
Free Hip Mobility Guide
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In this episode, I’m breaking down 10 of the most common strategies women try to overcome hip pain—and rating each one from 0 to 10 based on how much it actually helps you get back to running. From monster walks and rest to rotational exercises and plyometrics, I’m giving you my honest, no-fluff take on what’s worth your time… and what’s not. If you’ve been stuck doing the same rehab moves with zero progress (or Googling your next “hip fix”), this episode will give you real clarity, actionable takeaways, and a new way forward. Hit play to find out which strategies are making you stronger—and which ones are keeping you stuck.
Apply for the October EmpowHER Hip Program Here: https://legacyrehabandperformance.com/empowher-hip-program-october-cohort
Get More From Dr. Sarah aka "The Hip Doc"
Free Hip Mobility Guide
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If you're stuck in the cycle of hip pain, second-guessing your workouts, and wondering why nothing is working—this episode is your shortcut. Dr. Sarah shares the 5 game-changing lessons she wishes she knew before spending a full year battling hip pain. From overlooked strength strategies to misused running intensity and why your symptoms might not fit the textbook, this is the real-world insight every woman runner needs to hear.
Apply for the October EmpowHER Hip Program Here: https://legacyrehabandperformance.com/empowher-hip-program-october-cohort
Get More From Dr. Sarah aka "The Hip Doc"
Free Hip Mobility Guide
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On this episode of the Legacy Running Podcast, Dr. Sarah is joined by sports dietitian Nikki Jupe to unpack the biggest fueling mistakes runners make—and the simple fixes that can change your performance. From skipping breakfast and skimping on hydration to chasing quick supplement fixes, Nikki explains how small, consistent habits can help you train smarter, recover faster, and feel stronger on every run. Whether you’re training for your first 5K or an ultramarathon, this episode gives you practical tools to fuel your body with confidence.
Connect with Nikki
Apply for the October EmpowHER Hip Program Here: https://legacyrehabandperformance.com/empowher-hip-program-october-cohort
Get More From Dr. Sarah aka "The Hip Doc"
Free Hip Mobility Guide
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In this powerful episode, Dr. Sarah—The Hip Doc—pulls back the curtain on the real reasons it’s so hard to be a woman runner with hip pain in 2025. Sharing her own journey from frustrated patient to founder of the Empower HIP Program, she breaks down the gaps in the healthcare system, the emotional toll of not being heard, and the exact strategies she now uses to help women get back to running confidently and sustainably. If you've ever felt dismissed, overwhelmed, or stuck in your recovery, this episode is your permission slip to stop blaming yourself—and start getting the support you deserve.
Apply for the October EmpowHER Hip Program Here: https://legacyrehabandperformance.com/empowher-hip-program-october-cohort
Get More From Dr. Sarah aka "The Hip Doc"
Free Hip Mobility Guide
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In this episode of the Legacy Running Podcast, I chat with personal trainer Alex about why strength training matters so much for women runners. We dive into breaking the “getting bulky” myth, why simpler programming beats flashy combo moves, and how to fit lifting into a busy lifestyle without the all-or-nothing mindset. Alex also shares how just two days of strength per week helped one of her marathon clients run faster and feel stronger—proof that strength and running can (and should) go hand in hand.
Connect with Alex
work with alex: https://form.typeform.com/to/O1zYbfEN?typeform-source=linktr.ee
Instagram: https://www.instagram.com/sweatwithalexx/
Get More From Dr. Sarah aka "The Hip Doc"
14 Days FREE Trial: Empowered Runners Club
Free Hip Mobility Guide
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Female runners are up to 3x more likely to experience hip and groin pain—but most are left without clear answers. In this episode, Dr. Sarah is joined by renowned physiotherapist Benoy Mathew to break down the four most common causes of hip pain in runners, why diagnosis alone isn't enough, and what makes recovery different (and more complex) for women. From bone stress injuries to labral tears, pelvic floor dysfunction, and postpartum pain, this conversation is packed with clarity, expert insight, and actionable hope for any runner ready to take control of their comeback.
Get More From Dr. Sarah aka "The Hip Doc"
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Connect with Benoy Mathews
Description: In this raw and unfiltered episode, Dr. Sarah shares her personal story of navigating hip pain and why stepping into the medical system felt overwhelming—even as a trained physical therapist. From frustrating past experiences to the fear of wasting time and hearing limiting diagnoses, she opens up about what held her back and what ultimately helped her move forward. If you’ve ever felt anxious, unheard, or confused about your next steps in recovery, this episode will help you feel seen—and remind you that hope, collaboration, and the right provider can change everything.
Get More From Dr. Sarah aka "The Hip Doc"
14 Days FREE Trial: Empowered Runners Club
Free Hip Mobility Guide
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Interested in working with me? Book a Call Here
If you’ve been stretching your hip flexors and still feel stuck, you’re not alone—and no, you’re not doing it wrong. In this episode, Dr. Sarah unpacks five often-overlooked reasons your hips might still feel tight, from posture habits and muscle imbalances to running mechanics and past injuries. You won’t find a magic fix here, but you will leave with a better understanding of what might be going on—and where to start if you want to make meaningful progress.
Get More From Dr. Sarah aka "The Hip Doc"
14 Days FREE Trial: Empowered Runners Club
Free Hip Mobility Guide
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Interested in working with me? Book a Call Here
In this Q&A episode, Dr. Sarah answers your most pressing questions about hip labral tears—covering everything from how they feel, why some cause pain and others don’t, to what actually works for recovery. You’ll hear real client examples, learn why personalized care matters, and walk away with clarity and confidence for your running journey—even with a labral tear.
As Mentioned in the Episode
Info/Apply for the EmpowHER Hip Program (July) - 2 spots left
14 Days FREE Trial: Empowered Runners Club
Hip Labral Tear Pain: 4 Causes + How to Fix It Youtube
Get More From Dr. Sarah aka "The Hip Doc"
Free Hip Mobility Guide
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Ever feel fine on easy runs, but your hip starts nagging the second speed work or long runs hit the calendar? You’re not broken—and you’re not alone. In this episode, I’m sharing the exact strategy I use with my running clients to figure out why hip pain shows up under higher effort. We’ll walk through four key factors I assess and adjust—so you can start making sense of your symptoms and feel more in control of your training. This isn’t prescriptive advice, just a behind-the-scenes look at how I approach these tricky cases every week.
Get More From Dr. Sarah aka "The Hip Doc"
14 Days FREE Trial: Empowered Runners Club
Free Hip Mobility Guide
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Interested in working with me? Book a Call Here
If you’ve been stuck in the walk-run loop, flaring up with every increase in mileage, or feeling like your progress is slower than everyone else’s—this episode is for you. I’m diving into one of the most overlooked mistakes that keeps runners from building consistent volume and finally running pain-free. You’ll hear how one of my clients broke the cycle and built a rock-solid base that’s setting her up for long-term success. Whether you’re training for a race or just want to enjoy your miles without setbacks, this episode gives you the clarity and strategy you’ve been missing.
Get More From Dr. Sarah aka "The Hip Doc"
14 Days FREE Trial: Empowered Runners Club
Free Hip Mobility Guide
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In this solo episode, I’m breaking down the 3 key pillars that actually lead to long-term relief from hip pain—especially for runners who feel like they’ve “done all the things” but still can’t stay consistent. You’ll learn how to move through the recovery phases (Discover → Develop → Deploy → Do It Again), why discharge is a lie, and what it really takes to maintain progress once you’re back to running. I dive into how to build a smart running and strength cycle, why strength alone isn’t enough, and what a “rescue plan” looks like when flare-ups happen. This episode is your roadmap to staying out of pain for good.
As Mentioned: – HAVE THESE LINKS BE THE NAME OF THE PODCAST PLEASE!
https://podcasts.apple.com/us/podcast/legacy-running/id1683202339?i=1000708029060
https://podcasts.apple.com/us/podcast/legacy-running/id1683202339?i=1000697643713
https://podcasts.apple.com/us/podcast/legacy-running/id1683202339?i=1000698709380
Get More From Dr. Sarah aka "The Hip Doc"
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Dr. Carrie Pagliano—nationally recognized pelvic health physical therapist and run coach—gets personal about her own journey through labral tears, surgery, setbacks, and recovery. In this candid conversation, she shares what it was like navigating hip pain as both a clinician and an athlete, how the landscape of rehab has changed over the years, and what she wishes she’d known earlier. Whether you're facing hip pain or supporting others who are, this episode offers real-life insights, hard-earned wisdom, and hope for healing.
Get More From Dr. Sarah aka "The Hip Doc"
14 Days FREE Trial: Empowered Runners Club
Free Hip Mobility Guide
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Connect with Dr. Carrie Pagliano
In this episode, I chat with Miran (founder of ANA Coaching) and Jenny (coach at ANA) about what it really looks like to empower adult runners to do hard things—and not do it alone. We get into how ANA Coaching is building something bigger than training plans: a community where runners feel supported, female coaches are uplifted, and real-life goals are chased with strategy, grace, and grit. If you’re craving community, coach support, or proof that your big goal is possible—you’ll love this one.
Get More From Dr. Sarah aka "The Hip Doc"
14 Days FREE Trial: Empowered Runners Club
Free Hip Mobility Guide
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Connect with ANA Coaching
Website: https://www.anaruncoaching.com/
In this solo episode, Dr. Sarah shares her honest journey of navigating hip pain as both a runner and a physical therapist—revealing how the traditional PT system fell short in helping her fully return to running. She walks through the frustrations, breakthroughs, and mindset shifts that ultimately led her to create a more holistic, effective approach that blends physical therapy with run coaching. If you’ve ever felt like your recovery is missing something, this episode will speak directly to you.
Apply for the EmpowHER Hip Program HERE: https://legacyrehabandperformance.com/empowher-hip-program-july-cohort
Get More From Dr. Sarah aka "The Hip Doc"
14 Days FREE Trial: Empowered Runners Club
Free Hip Mobility Guide
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In this episode, Sarah unpacks the essential yet often-missed elements of hip mobility, stability, and control—and why these matter deeply for women runners navigating unique physical phases like pregnancy, postpartum, and perimenopause. This isn't about DIY fixes, but about increasing awareness and understanding of how your body moves, what influences discomfort, and how guided, individualized strategies can build true resilience. Whether you're feeling strong or sensing a gap in your training, this episode will expand your perspective on what real, functional hip strength looks like.
Get More From Dr. Sarah aka "The Hip Doc"
14 Days FREE Trial: Empowered Runners Club
Free Hip Mobility Guide
Connect with me on Instagram or Facebook or my webiste
Interested in working with me? Book a Call Here