Phase One
Pain
Take the heat out of it.
Hands-on work, dry needling where it fits, and focused shockwave therapy aimed at deep tendon targets. Your running gets modified around the tissue, not deleted from your week.
What We Treat
Same spot, same mile, every run. You already know what you’re about to be told: rest it. That’s not a plan, it’s a pause. A cause-first evaluation finds what’s failing under load, then gets you back on the road.
Sound Familiar?
Two or more? You don’t need rest. You need a reason.
Why It Happens
Your knee, your shin, your Achilles: none of them hurt because running is bad for you. They hurt because the demand you put on that tissue outgrew what it can currently absorb. Every stride sends force up the chain. When a calf or a hip stops taking its share, something downstream takes double. Add a mileage jump, a new pair of shoes, a faster block, or a week of bad sleep, and the gap opens.
That gap is the real injury, and it is the one thing a stretch video can’t see. A cause-first evaluation looks at how you load, absorb, and push off, not just where you’re sore. Dr. Cole Cisneros, PT, DPT, is a running specialist here, and movement assessments like SFMA and FMS show us which link quietly stopped doing its job. Raise the capacity and mile three stops being the part you dread.
The Honest Truth
Rest was never a plan. It was a pause, and the calendar kept moving anyway.
How We Fix It
You work one-on-one with a licensed physical therapist, every visit. Here’s what the four phases look like for a running injury.
Phase One
Pain
Hands-on work, dry needling where it fits, and focused shockwave therapy aimed at deep tendon targets. Your running gets modified around the tissue, not deleted from your week.
Phase Two
Prime
Movement assessment shows which link is under-loading. Calf, hip, and foot capacity get rebuilt on purpose, so force stops piling onto the one sore spot.
Phase Three
Perform
A return-to-run progression with criteria, not vibes: easy miles, then hills, then tempo, then back-to-back days, each one cleared before the next unlocks. You run in front of us so we can see what mileage does to your mechanics.
Phase Four
Prevent
You leave with your own load rules: how to add mileage, when to back off, and the short list of work that keeps this quiet. Personal training picks up where rehab ends if you want the handoff.
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Questions, Answered
Usually not completely. That’s the sentence every runner braces for, and it’s rarely the right one. Total rest quiets the pain without changing why it started, so the same thing shows up again on your first real build week. What we do instead is work out the load your tissue can handle right now, keep you at or just under that line, and raise the ceiling on purpose. Some weeks that means shorter or flatter runs. Some weeks almost nothing changes.
No. Stretching is a small piece, and it’s usually not the piece that fixes a running injury. Your evaluation is hands-on and cause-first: we look at how you load, absorb, and push off, and we use movement assessments like SFMA and FMS to find the link that stopped doing its job. Treatment can include manual therapy, dry needling, and focused shockwave therapy aimed at deep tendon targets. Then it becomes strength and a running progression, because capacity is what actually holds up at mile ten.
Nobody honest can hand you a date before they’ve seen you run, and we won’t pretend otherwise. What you get instead is a plan with an endpoint and criteria you can hold your race date against: easy miles without symptoms, then hills, then tempo, then back-to-back days. You’ll always know which phase you’re in and what’s left, so the call on race day is a real decision instead of a hope.
Book Your Visit
Request a time and a real person calls you back during business hours. No phone tree. No ‘someone will reach out.’ Just a plan.
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A real person calls you back
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That’s the hard part done. We’ll call during business hours to lock in your time. If you’d rather not wait for the call, the number below reaches the clinic directly.
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