Performance Physical Therapy in St. Augustine, FL for Runners and Active Adults
Get Back to Running, Training, and
Living Without Pain
Get 1:1 care with a Doctor of Physical Therapy who understands your goals. We'll help you fix what's broken, build you back stronger, and get you back to doing the things you love.
Expert Care for Runners, Athletes, and Active Adults
Whether you're training for a race, dealing with a nagging injury, or just want to get back to the gym without pain, we have a path forward for you.
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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.
One-on-One Care That Actually Fits Your Life
Most PT experiences feel like a revolving door, a different face every visit, generic exercises, and appointments that end before you feel heard. First Coast Running Medicine is built differently. Dr. Brooke Shivers sees every patient herself, every single session. No aides. No assistants. No protocols handed off to a tech. She takes the time to find the root cause of your problem and build a plan that works with your training schedule, not against it.
every session with a doctor of physical therapy
Every evaluation, every session, every follow-up is led by Dr. Brooke, a Board Certified Orthopedic Clinical Specialist with post-doctoral residency training. Nothing gets lost in translation, and your care stays consistent from day one.
Rooted in Running Science
Dr. Brooke's graduate research focused on running gait mechanics, and her doctoral capstone centered on step-rate manipulation in return-to-run rehabilitation. When she assesses how you move, it's not guesswork, it's grounded in years of specialized study and clinical training.
Built for People Who Refuse to Sit Still
First Coast Running Medicine treats runners, active adults, and field and court athletes of all kinds. If you move and you want a provider who understands athletic performance, not just pain management, you're in the right place.
A Plan That Keeps You Active
The goal is never to tell you to stop. From your first visit, Dr. Brooke builds a program that works around your training modifying where needed, progressing as you heal, and keeping you as close to full activity as possible the whole way through.
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.
Dr. Brooke Shivers
PT, DPT, OCS
Dr. Brooke is a Physical Therapist and Board Certified Orthopedic Clinical Specialist with a passion for helping active adults continue doing the activities that they love.
Dr. Brooke got her Bachelor’s Degree in Psychology at the University of Florida in 2011, where she played goalkeeper for the Women’s Soccer Team. Upon graduation, she earned her Master’s Degree in Health and Human Performance from the University of Florida in 2013, where her love for running gait mechanics began.
Dr. Brooke then earned her Doctorate in Physical Therapy from the University of Central Florida in 2018, where she completed her Capstone Research on the Effects of Step-Rate Manipulation During the Return to Run Phase of Post-Operative Rehabilitation of the Lower Extremity. She then completed her Post-Doctoral Orthopedic Residency at the Brooks Rehabilitation Institute of Higher Learning, where she deepened her understanding of and passion for running gait mechanics.
In her free time, Dr. Brooke loves skateboarding, riding motocross, and running and exercising to set a good example her for her four year old daughter.
What Our Patients Are Saying
Real stories from runners and active adults in St. Augustine who got back to the things they love.
FAQs
Have questions about how we work or what to expect? Here are the ones we hear most often.
Absolutely. The name reflects our deep specialization in running mechanics and running-related injuries, but we treat all active adults and athletes. Whether you lift, play recreational sports, or just want to stay active without pain, if you move and something is slowing you down, we can help. First Coast Running Medicine serves runners, field and court athletes, and active adults of all kinds.
Our goal is to keep you moving not put you on the bench. Dr. Brooke will work with you to modify your activity where clinically needed while the injury heals, so you can stay as close to your training routine as safely possible throughout the process. Stopping entirely is rarely the answer.
Cash-based care means every session is one-on-one with a Doctor of Physical Therapy, not a 15-minute insurance appointment split across three patients with an aide doing most of the work. You get Dr. Brooke's full, undivided attention every visit, every time. We provide superbills upon request for potential out-of-network reimbursement, and we accept HSA/FSA.
It's a detailed video and biomechanics review of how you run not just a quick visual scan from the sidelines. Dr. Brooke analyzes your mechanics frame by frame, identifies the movement patterns that may be contributing to your injury or limiting your performance, and provides specific, actionable changes that become part of your care plan.
The first step is a free discovery call. You'll talk through what's been going on, ask any questions you have about the process, and find out whether we're the right fit. If it makes sense to move forward, we'll schedule your initial one-on-one evaluation with Dr. Brooke from there.
Still have questions?
We're happy to talk it through, no commitment required.
Ready to Stop Guessing and Start Getting Better?
Book a free discovery call with Dr. Brooke Shivers and find out if First Coast Running Medicine is the right fit for where you're at. One call. No pressure. Just real answers.