Engaging Multiple Medical Epistemologies: Medical Professionals’ Distance Running Advice and Treatment

in Sociology of Sport Journal
Restricted access

Purchase article

USD  $24.95

Student 1 year subscription

USD  $64.00

1 year subscription

USD  $85.00

Student 2 year subscription

USD  $121.00

2 year subscription

USD  $158.00

Distance running is a popular form of physical activity within the United States and the world. Many distance runners experience some form of injury, causing them to seek treatment and advice from a variety of medical professionals. The authors explored how a small group of medical professionals advised and treated patients in regard to engaging in distance running. The authors found that with diverse personal experiences in running, medical professionals are clearly impacted by their own embodied experiences of, and personal beliefs about, distance running in how they treat and advise patients. Therefore, they draw from diverse medical epistemologies in their clinical judgments, including their own embodied experiences, clinical observations, evidenced-based research, narrative medicine, and intersectionality.

The authors are with the Kent State University, Kent, OH.

Address author correspondence to T.A. Walton-Fisette at twalton1@kent.edu
  • Barned, C., Lajoie, C., & Racine, E. (2019). Addressing the practical implications of intersectionality in clinical medicine: Ethical, embodied and institutional dimensions. The American Journal of Bioethics, 19(2), 2729. PubMed ID: 30784387 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Bridel, W., Markula, P., & Denison, J. (Eds.). (2015). Endurance running: A socio-cultural examination. New York, NY: Routledge.

  • Buist, I., Bredeweg, S.W., Bessem, B., van Mechelen, W., Lemmink, K., & Diercks, R.L. (2010). Incidence and risk factors of running-related injuries during preparation for a 4-mile recreational running event. Journal of Sports Medicine, 44, 598604.

    • Search Google Scholar
    • Export Citation
  • Campbell, P. (2016). Public participation, mediated expertise, and reflexivity: How multiple medical realities are negotiated in runners’ self(care) practices (Unpublished doctoral dissertation). University of Calgary, Calgary, Canada.

    • Search Google Scholar
    • Export Citation
  • Cardinal, B.J., Park, E.A., Kim, M, & Cardinal, M.K. (2015). If exercise is medicine, where is exercise in medicine? Review of U.S. medical education curricula for physical activity-related content. Journal of Physical Activity and Health, 12, 13361343. PubMed ID: 25459966 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Collinson, J.A. (2003). Running into injury time: Distance running and temporality. Sociology of Sport Journal, 20(4), 331370. doi:

  • Collinson, J.A. (2005). Emotions, interaction and the injured sporting body. International Review for the Sociology of Sport, 40(2), 221240. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Collinson, J.A., & Hockey, J. (2007). “Working out” identity: Distance runners and the management of disrupted identity. Leisure Studies, 26(4), 381398. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Corbin, J.M., & Strauss, A.L. (2008). Basics of qualitative research: Techniques and procedures for developing grounded theory. London, UK: Sage Publications.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Dashper, K. (2013). Getting better: An autoethnographic tale of recovery from sporting injury. Sociology of Sport Journal, 30(3), 323339. doi:

  • Dean, N. (2019). “Just act normal”: Concussion and the (re)negotiation of athletic identity. Sociology of Sport Journal, 36(1), 2231. doi:

  • Eilenberger, H-G., Halsema, A., & Slatman, J. (2019). Age difference in the clinical encounter: Intersectionality and phenomenology. The American Journal of Bioethics, 19(2), 3234. PubMed ID: 31543015 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Evans, M.B., McLaren, C., Budziszewski, R., Gilchrist, J. (2019). When a sense of “we” shapes the sense of “me”: Exploring how groups impact running identity and behavior. Self and Identity, 18(3), 227246. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Fisette, J. (2015). The marathon journey of my body-self and performing identity. Sociology of Sport Journal, 32, 6888. doi:

  • Harris, J., & Parker, A. (Eds.). (2009). Sport and social identities. Basingstoke, UK: Palgrave.

  • Jastrzębski, Z., Żychowska, M., Radzimiński, L., Konieczna, A., & Kortas, J. (2015). Damage to liver and skeletal muscles in marathon runners during a 100 km run with regard to age and running speed. Journal of Human Kinetics, 45, 93102. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Kelly, M., Ellaway, R., Scherpbier, A., King, N. & Dorman, T. (2019). Body pedagogics: Embodied learning for health professions. Medical Education, 53(10), 967977. PubMed ID: 31216603 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Lopes, A.D., Hespanhol, L.C., Jr., Yeung, S.S., & Pena, L.O. (2012). What are the main running-related musculoskeletal injuries? A systematic review. Sports Medicine, 42(10), 891905. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Newman, J.I. (2013). This pain in my neck: Living conscientization and/as paradox of praxis. Qualitative Inquiry, 19(4), 247260. doi:

  • Riva, G., Serino, S., Di Lernia, D., Pavone, E.F., & Dakanalis, A. (2017). Embodied medicine: Mens Sana in Corpore Vituale Sano. Frontiers in Human Neuroscience, 11, 19. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Ronkainen, N.J., Shuman, A., Ding, T., You, S., & Xu, L. (2018). ‘Running fever’: Understanding runner identities in Shanghai through turning point narratives. Leisure Studies, 37(2), 211222. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Rotich, W. (2016). Because we are us: Stereotype, cultural and athletic identity in Kenya’s Kalenjin distance running success. International Sports Studies, 38(2), 2132. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Running USA. (2018). U.S. road race participation numbers hold steady for 2017. Retrieved from https://runningusa.org/RUSA/News/2018/U.S._Road_Race_Participation_Numbers_Hold_Steady_for_2017.aspx

    • Export Citation
  • Sartre, J.P. (1979/1956). The body. In E. Gerber & W. Morgan (Eds.), Sport and the Body: A Philosophical Symposium (pp. 163164). Philadelphia, PA: Lea & Febiger.

    • Search Google Scholar
    • Export Citation
  • Skinner, S. (2015). Mothering, running, and the renegotiation of running identity. Qualitative Sociology Review, 11(3), 1839.

  • Solomon, M. (2015). Making medical knowledge. Oxford: Oxford University Press.

  • United States Department of Health and Human Services. (2008). Physical activity guidelines for Americans. Rockville, MD: Office of Disease Prevention and Health Promotion. Retrieved from www.health.gov/paguidelines

    • Search Google Scholar
    • Export Citation
  • van Gent, R.N., Siem, D., van Middelkoop, M., van Os, A.G., Bierma-Zeinstra, S.M.A., & Koe, B.W. (2007). Incidence and determinants of lower extremity running injuries in long distance runners: A systematic review. Journal of Sports Medicine, 41, 469480.

    • Search Google Scholar
    • Export Citation
  • Walton-Fisette, J. (2017). Enduring or stubbornness? What it takes to be a “runner” with physical limitations. Journal of Sport & Social Issues, 41(4), 275289. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Wilson, S. (2016). Introduction: Embodiment, identity, and the patient’s story. L’Esprit Créateur, 56(2), 111. PubMed ID: 32008213 doi:

  • Wilson, Y., White, A., Jefferson, A., & Danis, M. (2019a). Intersectionality in clinical medicine: The need for a conceptual framework. The American Journal of Bioethics, 19(2), 819. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Wilson, Y., White, A., Jefferson, A., & Danis, M. (2019b). Broadening the conversation about intersectionality in clinical medicine. The American Journal of Bioethics, 19(4), W1W5. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Zavattaro, S. (2014). Athletic identity—Or an autoethnography of almost losing a leg. Qualitative Research Journal, 14(3), 272288. doi:

All Time Past Year Past 30 Days
Abstract Views 216 216 25
Full Text Views 1 1 0
PDF Downloads 1 1 0