Physical Therapy Clinic in St. Augustine, FL
Keep Running, Training, and Moving Right Here in St. Augustine
Whether you're logging miles through the historic district, putting in work at a local gym, or chasing a PR at your next race, injuries shouldn't be the thing that slows you down. At First Coast Running Medicine, we help runners and active adults in St. Augustine find the root cause, build a real plan, and get back to the activities they love — without skipping a beat.

Performance PT Built for Active St. Augustine
From running injuries to orthopedic setbacks, we help St. Augustine athletes and active adults get back to training with a plan that actually fits their life.
Performance Physical Therapy
Hurt and don't want to stop training? Get a root cause diagnosis and a personalized plan, not generic exercises and a referral to rest.
Running Physical Therapy
For runners who keep getting hurt every training cycle, running gait analysis and specialist rehab that finds the root cause, so you can build mileage without starting over.
Prescribed Strength for Runners
Strength training for runners, designed and led by a DPT. Small groups of up to six, progressive programming, and individual modifications — so you can run more and break down less.
What St. Augustine Runners and Athletes Are Saying
Real results from active adults and athletes who refused to settle for sitting on the sideline.



Frequently Asked Questions
Everything you need to know before booking your first visit at First Coast Running Medicine in St. Augustine.
No. Florida allows direct access to physical therapy, so you can schedule a free discovery call and evaluation without seeing a physician first. If your insurance plan requires a referral for potential out-of-network reimbursement, we can help guide you through that process after your first visit.
Absolutely. Despite the name, we treat all active adults and athletes, runners, lifters, pickleball players, soccer athletes, and anyone dealing with an orthopedic injury that is limiting their training or daily activity. If you move and you want to keep moving, we can help.
That is rarely the goal. We work with your schedule and your activity level modifying intensity or load where needed but our aim is to keep you moving through your recovery, not bench you until you feel better. For most patients, staying active is part of the plan.
We are a cash-based practice, which means every session is one-on-one with Dr. Brooke, not split between multiple patients or handed off to an aide. We provide superbills upon request for potential out-of-network reimbursement, and we accept HSA and FSA payments. You're investing in focused, doctorate-level care every single visit.
We start with a free discovery call to make sure we're a good fit and talk through what's going on. If you decide to move forward, you'll schedule a comprehensive one-on-one evaluation with Dr. Brooke. From there, she identifies the root cause and builds a personalized plan around your goals and your training not a generic protocol.
Still have questions?
Reach out with any questions and we'll be happy to help you get started.
Stop Letting Injuries Interrupt Your Training
Whether you're chasing a PR, working through a nagging injury, or just want to move without pain holding you back, we're here in St. Augustine and ready to help you get back to it.

