Performance Physical Therapy in St. Augustine, FL
Expert Care That Keeps You in the Game
Whether you're a runner dealing with a nagging injury, an active adult trying to get back to training, or an athlete who wants to stay healthy and compete, First Coast Running Medicine has a program built for you. Every service is led one-on-one by Dr. Brooke Shivers, DPT, OCS, a Board Certified Orthopedic Clinical Specialist who sees every patient herself, every visit.

Three Ways We Can Help You Move Better
From running injuries to orthopedic rehab to athlete development, here's how First Coast Running Medicine works with active adults and athletes at every level.
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.
FAQs
A few things patients ask before their first visit.
Not at all. Despite the name, First Coast Running Medicine works with runners, field and court athletes, lifters, and active adults of all kinds. If an orthopedic injury or movement limitation is keeping you from doing what you love running, playing soccer, lifting, pickleball, or just staying active, you're in the right place.
At most clinics, you see your doctor for a few minutes and spend the rest of your session with an aide or assistant. Here, you see Dr. Brooke, a Board Certified Orthopedic Clinical Specialist for the entire visit, every time. Your care is one-on-one, personalized to your goals, and never handed off.
The goal is always to keep you moving. Dr. Brooke will modify activity where needed to let the injury respond, but the plan is built around your training, not around removing it. Many patients continue running, lifting, or playing their sport throughout their program with appropriate adjustments.
Yes, First Coast Running Medicine is a cash-based practice. There is no direct insurance billing. HSA and FSA payments are accepted, and superbills are provided upon request for potential out-of-network reimbursement. Pay-in-full and installment plan options are available.
Start with a free discovery call. You'll speak directly with Dr. Brooke, talk through what's going on, and figure out whether First Coast Running Medicine is the right fit. If it is, you'll schedule your initial evaluation and get a clear plan from day one.
Still have questions?
Reach out and we'll get back to you directly.
