Expert Knee Pain Treatment in St. Augustine, FL

Expert Knee Pain Treatment in St. Augustine, FL

You don't have to stop training to heal. At First Coast Running Medicine, Dr. Brooke Shivers, DPT, OCS delivers one-on-one, doctorate-level care that finds the root cause of your knee pain — and builds a plan to get you back running, competing, and moving stronger than before. No aides. No generic programs. Just real answers.

Knee Pain That Keeps Sidelining You Isn't Normal

The Pain Keeps Coming Back

You take a break, feel better, and return to training — only for the knee pain to flare up again within weeks. Without identifying the root cause, the cycle never ends.

Generic PT Isn't Working

High-volume clinics hand you off to aides and give you the same sheet of exercises as everyone else. Your injury is specific to how you move — your treatment should be too.

You're Losing Fitness and Falling Behind

Every week off the road or out of the gym costs you conditioning, confidence, and race readiness. You need a plan that keeps you active while you heal — not one that benches you.

What Makes Us Different

Why St. Augustine Athletes Choose First Coast

First Coast Running Medicine isn't your average PT clinic. Every session is one-on-one with Dr. Brooke — a Board Certified Orthopedic Clinical Specialist with advanced training in running gait mechanics, dry needling, and return-to-sport rehab. Whether you're searching for knee pain relief near me or elite-level performance work, you get a specialist fully invested in your outcome.

Common Conditions We Treat

Knee Pain Conditions We Treat in St. Augustine

From runner's knee to IT band syndrome, Dr. Brooke Shivers has the specialized training to identify what's driving your pain and create a targeted plan to resolve it. Using hands-on manual therapy, dry needling, gait retraining, and progressive exercise, we treat the full picture — not just the symptom.

Runner's Knee (Patellofemoral Pain Syndrome) — including patellar tracking issues and post-run aching

IT Band Syndrome — lateral knee pain caused by movement mechanics and hip weakness

Plantar Fasciitis, Hamstring Strains & Overuse Injuries — common in runners ramping up mileage

How It Works

From First Call to Full Stride

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Analyze

Every plan starts with a full movement assessment. Dr. Brooke digs into your history, how you move, and what's actually driving the problem, not just where it hurts. You leave the first visit with a clear picture of the root cause and a plan built around your goals.

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adapt

Once the root cause is identified, the work begins. Dr. Brooke introduces progressive strength training designed to promote tissue adaptation, building the capacity your body needs to handle the demands of running, training, and competition without breaking down.

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overcome

With the right foundation in place, the focus shifts to getting you back to full function and performance. You return to the activities you love, stronger, more durable, and with the tools to stay that way.

Real Results from St. Augustine Runners & Athletes

Rated 5.0 stars across 20 Google reviews

Didn’t know what to expect at first but this experience has totally changed my mindset on how I workout. It has brought awareness to my movements and has helped with my recovery time immensely. I find myself doing things I used to avoid out of fear of getting hurt. This experience has taught me how to listen to my body and then tell Brook what it said so we can work on it!
Julie LeBlanc
Brooke is absolutely amazing. She is confident, highly knowledgeable, and truly cares about her patients. Dry needling with her helped relieve pain I had been dealing with constantly, and I’m now finally experiencing little to no pain. Brooke was truly an integral part of my recovery. I’m so grateful for her and I can’t recommend her enough!
Blair Causseaux
I highly recommend Brooke’s PT services. She helped me tremendously in improving my running mechanics and with strengthening due to some weak calf, knee and hamstring issues. I was able to successfully complete my first marathon and had no issues. Again, thank you so much Brooke for all of your help.
Alice Derreberry
Areas We Serve

Serving St. Augustine and the Surrounding Communities

We help active adults across the First Coast get back to the activities they love. Conveniently located in St. Augustine and serving patients from Nocatee, St. Johns, and beyond.

Frequently Asked Questions

Everything you need to know before booking your first session for knee pain treatment in St. Augustine.

Do you accept insurance?

First Coast Running Medicine is a cash-based practice, meaning we do not bill insurance directly. This keeps your care 100% one-on-one and free from restrictions on session length or treatment type. We accept HSA and FSA cards, and we provide superbills so you can submit for potential out-of-network reimbursement.

Do I need a referral to be seen?

No referral is needed. You can book directly, starting with a free 15-minute discovery call to make sure we're the right fit before your first session.

What is dry needling and will it help my knee pain?

Dry needling uses thin monofilament needles to release myofascial trigger points — tight, overactive muscle areas that contribute to knee pain and movement dysfunction. Dr. Brooke holds an advanced CMTPT/DN certification and uses dry needling as part of a comprehensive rehab plan, not as a standalone treatment.

Can I keep training while I'm in physical therapy?

Yes — that's a core principle at First Coast Running Medicine. Rather than stopping activity altogether, Dr. Brooke modifies your training load so you stay as active as possible while your body heals. Most patients run or train throughout their care.

How is this different from a regular PT clinic?

At most high-volume clinics, you're seen by an aide or split between multiple patients. Here, every session is one-on-one with Dr. Brooke — a Board Certified Orthopedic Clinical Specialist. Sessions are longer, more focused, and include a running gait analysis when relevant to your injury.

Still have questions?

Still have questions?

Contact Dr. Brooke directly.