Sports Medicine


We specialize in treating and working with the 

Female Athlete.   


As an athlete, it may be comforting to know that you will be seen by a physical therapist that was a former collegiate athlete and can relate to your abilities and demand to get back into training or competition. Although we treat all athletes, we specialize in the female athlete, specifically those that are involved in running, running sports and dancers - including ice skaters, gymnasts and ball room dancers.

Balanced Physical Therapy is dedicated to injury prevention, management and restoration tailored to the particular needs of your sport.  We help athletes understand their bodies and game technique so they can get the most out of their athletic skills and performance. We evaluate joint and body alignment, test muscle strength and flexibility, and overall range of motion for your sport.  As part of your therapy, you'll also learn the best body position for your sport to aid in prevention and management of injuries.


Did You Know

About 65% of runners will become injured each year1

          -43% of injuries will be due to a recurrent injury, most commonly at the shin or knee2

          -Runners strike the ground approximately 800-1500 times/ mile, with each foot strike transmitting              forces up to 1.5 x a runners body weight3-5

          -One of the strongest risk factors to developing an injury is the history of a previous injury 6-12



Runners tend to have a high risk for injury due to the repetitive stresses placed on the body during training and competition.

Balanced Physical Therapy offers a comprehensive approach to the prevention and management of running related injuries.

- Whether you are a recovering from an injury, or proactively trying to prevent an injury, we can help!

- At Balanced Physical Therapy, we understand the biomechanics of running and the unique stresses  that various training regimens place on the body.  From the 100m dash to an ultra-marathon, we will provide you with the individualized care needed to get you back and/or keep you on track to achieve your performance goals. We enjoy working with runners of ALL ages, abilities, and experience levels.

- We treat with a comprehensive and individualized approach to your care. Each session is one-on-one for an entire hour with your same physical therapist. We will work with you to figure out why you became injured, as well as educate you on how to decrease the stress to your injured area and prevent future injury from occurring.

OUR Running Assessment:

-Running History: Discussion of past injuries and running history, as well as athletic goals

-2D Video Gait Analysis: Slow-motion video analysis to look at biomechanical strengths and weaknesses contributing to efficiency (foot strike, stride length, arm position, compensations, etc.)

-Mechanical Assessment: Evaluation of muscle flexibility and strength  

-Individualized Exercises and Recommendations: Instruction for implementing corrective strategies into warm up, strength training, and running routines.


What to Expect During your Gait Analysis:

You will be filmed running on a treadmill from different views to identify strengths and weaknesses of your running technique. The video enables your physical therapist to slow your stride down enough to identify biomechanical contributors to injury.  We will review the video with you and teach you techniques to modify your running gait to minimize pain and future risk of injury.


Common Running Injuries Treated

Patellofemoral Pain Syndrome (PFPS)

IT Band Friction Syndrome (ITBS)


Achilles, peroneal, posterior tibialis, etc.

Plantar Fasciitis

Medial Tibial Stress Syndrome (Shin splints)

Muscle Strains

Hamstring, calf, hip flexor, quadriceps, etc.



Recommendations for Runners:

-Consult a medical expert, such as a physical therapist, at the first onset of pain.

-Keep a consistent daily training log/ journal to document training distance and intensity, as well as how your body responded.

-Free online resources:,,  

 -Perform a 5 to 10 minute running specific dynamic warm up prior to activity.

-Incorporate foam rolling into your pre/post run routine.

-Perform static stretches following activity.

-Include running specific supplemental mobility and stability exercises in your weekly routine

-Research shows that general strengthening does not carryover to improve faulty running mechanics, unless the exercises are functionally related to running.13

-Talk to your PT to develop a running specific program based on your individual needs

- Pilates for Runners classes at Balanced Physical Therapy


1.  Lysholm J, Wiklander K. Injuries in runners. Am J Sports Med. 1987; 15: 168-171

2. Rauh MJ, Margherita AJ, Koepsell TD, et al. High school cross country running injuries: a longitudinal study. Clin J Sport Med.  2000;10:110-116.

3. Cavanaugh PR, Lafortune MA. Ground reaction forces in distance running. J Biomech 1980;13:397"406.

4. Hreljac A. Impact and overuse injuries in runners. Med Sci Sports Exerc.  2004;36:845"849.

5. Subtonick SI. The biomechanics of running implications for the prevention of foot injuries. SportsMed.1985;2:144"153.

6. McKean KA, Manson NA, Stanish WD. Musculoskeletal injury in the masters runner. Clin J Sport Med. 2006;16:149-154.

7. Macera CA, Pate RR, Powell KE, et al. Predicting lower-extremity injuries among habitual runners. Arch Intern Med.  1989;149:2565-2568.

8. Walter SD, Hart LE, McIntosh JM, et al. The Ontario cohort study of running-related injuries. Arch Int Med. 1989;149:2561-2564.

9. Marti B, Vader JP, Minder CE, et al. On the epidemiology of running injuries: the 1984 Grand- Prix study. Am J Sports Med. 1988;16:284-294.

10. Kelsey JL, Bachrach LK, Proctor-Gray E, et al. Risk factors for stress fracture among young female cross-country runners. Med Sci Sports Exerc.  2007; 39:1457-1463.

11. Reinking MF, Austin T, Hayes AM. Exercise-related leg pain in collegiate cross-country athletes: extrinsic and intrinsic risk factors. J Orthop Sports Phys Ther. 2007;37:670-678.

12. Rauh MJ, Koepsell TD, Rivara FP, et al. Epidemiology of musculoskeletal injuries among high school cross-country runners. Am J Epi.  2006;163:151-159.

13. Willy RW, Davis IS. The effect of a hip strengthening program on mechanics during running and during a single leg squat. J Orthop Sports Phys Ther. 2011; 41 (9): 625-632.


Click here  to read more about sports medicine and sport-specific injury and prevention articles.

Here what others have to say:

"Before I came to Balanced Physical Therapy (BPT) I had a serious problem with my back.  I had gone to other therapists and a chiropractor for over a year, but nothing seemed to help.  I always had a different therapist every time I went in and their programs were not beneficial. At BPT, Nicole devoted all of her time to me when I was there. She knew everything about me and my injury. She even attended some of my softball games to watch me in action.  We played catch outside and hit balls off the tee to improve my form.  She knew what she was doing and she healed my injury.  It was always a joy going into their studio."

Madalyne Handy, Competitive Softball Athlete

"Going into physical therapy I wasn't sure of what was going to happen. All I wanted to do was play basketball again after having an ACL surgery. As the weeks went by I noticed little things about my knee, it suddenly became stronger; to where I could start jogging, then jogging increased to running, then running increased to sprinting. And then here I am today. I couldn't have done it without Heather. She was always there every single step of the way. She made me feel like I could conquer this setback with my knee. I'm not saying that physical therapy is easy, because it wasn't. But you have to take the good with bad and get through things. She helped me to do that. Heather always pushed me to do my best, even if I wanted to quit. Looking back at physical therapy I realized that you're the only one who can really make things happen in your life, the people around you are only there to support and give you the tools to succeed, and you have to take those tools and put them to good use."

Taylor Mckeown, High School Basketball Player