Performance Physical Therapy in St. Augustine, FL
Stop Managing Pain. Start Training Through It.
You don't want to be benched, you want answers and a plan that works with your active life. At First Coast Running Medicine, Dr. Brooke Shivers delivers one-on-one performance physical therapy built around your goals, your sport, and your body.
What Happens When the Wrong Care Keeps You Stuck
You Keep Getting the Same Generic Advice
Rest, ice, and a handful of exercises you found online aren't solving the problem. Without identifying the root cause, the pain keeps coming back every training cycle.
You See an Aide, Not a Doctor
At most PT clinics, you spend more time with a tech than with your therapist. Cookie-cutter protocols and rushed appointments don't move the needle for active adults with real performance goals.
You're Told to Stop With No Plan to Restart,
Being told to stop running, lifting, or playing without a structured path back isn't care, it's a dead end. You deserve a provider who keeps you in the game while your body heals.
One-on-One Care That Meets You Where You Are
Dr. Brooke combines board-certified orthopedic expertise with firsthand athlete experience to build a plan that fits your life, and keeps you moving toward your goals.
What's Keeping You Out of the Gym or Off the Field
Whether it's a nagging orthopedic issue or an acute setback, these are the kinds of problems active adults and athletes bring to First Coast Running Medicine.
Shoulder Pain - Shoulder pain limiting pressing, pulling, or overhead movement in training or sport.
Knee Pain - Knee pain with squatting, running, cutting, or loaded lower-body movement.
Lower Back Pain - Low back issues interfering with lifting, sport, or daily activity.
Hip Pain - Hip and glute pain affecting strength, mobility, or athletic performance.
Ankle Sprains and Instability - Recurring ankle issues limiting agility, running, or court sport participation.
Post-Surgical Rehabilitation - Structured return-to-sport progressions following orthopedic surgery.
From First Call to Full Stride
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.
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.
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 Performance Physical Therapy
See how active adults and athletes in St. Augustine got out of pain, rebuilt strength, and returned to the sports and training they love.
Frequently Asked Questions
Active adults and athletes in St. Augustine ask us these questions most often, here's what you need to know before booking.
Absolutely. First Coast Running Medicine treats runners, field and court athletes, weightlifters, and active adults of all kinds. If you move and you want to keep moving, we can help. The name reflects our niche expertise, not a limit on who we see.
The goal is to keep you as active as possible throughout your care. Dr. Brooke will work with your training schedule and modify activity where clinically appropriate, not shut everything down. Most patients continue some version of their training from day one.
One-on-one, doctorate-level care every session takes time and focus that insurance-driven PT simply can't accommodate. You always see Dr. Brooke, not an aide or assistant and your plan is built specifically for you. We also accept HSA/FSA, and superbills are available upon request for potential out-of-network reimbursement.
Your first session with Dr. Brooke is a thorough one-on-one evaluation a detailed history, full movement assessment, and root cause analysis. You'll leave with a clear understanding of what's going on and a personalized plan to address it.
That depends on your specific injury, history, and goals. What we can tell you is that many patients notice meaningful improvement in their activity and pain levels over the course of their individualized plan. Dr. Brooke will give you honest, realistic expectations from the start.
Still have questions?
Have a question that's not covered here? Reach out, we're happy to talk it through before you book.
Ready to Get Back to What You Love?
Stop waiting for the pain to go away on its own. Book a free discovery call with Dr. Brooke and get a clear plan to return to training, sport, and the active life you've built.
