If you are logging miles along the Riviera or training for your next race, you already know that running takes a toll on your body. Hip tightness, nagging knee pain, unexplained low back discomfort, or even leaking during long runs are common complaints that many runners try to push through. These issues rarely resolve on their own, and choosing the right physical therapy partner makes all the difference. At Pelvic Therapy SF, we combine orthopedic and pelvic health expertise to help runners move and perform without limitation.
Running is a repetitive, high-impact activity that places significant demand on your joints, muscles, and connective tissue. Over time, this can lead to overuse injuries and biomechanical breakdowns that generic exercise advice simply cannot fix.
Common issues we see in runners include:
Hip pain, hip impingement, and labral tears
Knee pain from tracking or loading issues
Low back pain and sciatica
Pelvic pain or stress incontinence during runs
Diastasis recti affecting core support
What many runners do not realize is that pelvic floor dysfunction is often at the root of hip, low back, and core instability. This is where a clinic with dedicated pelvic health training becomes essential.
Each time your foot strikes the ground, your pelvic floor absorbs and redistributes force. If those muscles are weak, overactive, or poorly coordinated, the effects ripple upward and downward through your entire kinetic chain.
Leaking urine during runs or after long distances
A feeling of heaviness or pressure in the pelvis
Pain during or after running
Persistent low back or hip pain that has not responded to typical stretching
Our Pelvic Health Physical Therapy addresses these concerns directly. We use breathwork and diaphragmatic training to restore proper pressure management and coordination between your core and pelvic floor — foundational work that supports every stride you take.
Beyond pelvic health, running injuries often require targeted orthopedic care. Our approach blends manual therapy with progressive strengthening to address the underlying cause, not just the symptom.
Treatments we use with runners include:
Joint mobilization and manual therapy for hip and knee restrictions
Myofascial release and soft tissue mobilization to reduce tightness
Trigger point therapy and IASTM/Graston techniques for stubborn tissue restrictions
Taping to support joints during return to activity
Therapeutic exercise and balance and proprioception training to rebuild stability
These tools work together to help resolve hip impingement, labral irritation, knee pain, and sciatica while preparing your body for the specific demands of distance running.
Generic strengthening programs often miss the mark because they do not account for your individual movement patterns. A thorough Running Gait Analysis and Running Form Assessment allow us to identify compensations, asymmetries, and inefficiencies that may be driving your pain or limiting your performance.
We pair gait analysis with a Functional Movement Assessment and Movement Screen to evaluate how your entire body contributes to your running mechanics — not just your legs. From there, we build a plan that may include plyometrics and Return-to-Sport Testing to ensure you are truly ready to return to full mileage, whether you are recovering from injury, post-surgery, or focused on injury prevention.
Many clinics treat orthopedic injuries or pelvic health concerns separately. Pelvic Therapy SF integrates both under one plan of care, which matters because runner complaints rarely exist in isolation.
When you work with our team, you receive:
A combined orthopedic and pelvic health perspective on your running-related pain
Objective testing through gait analysis, movement screens, and return-to-sport testing
A progressive plan that respects your training goals and timeline
Education so you understand why your pain started and how to prevent it from returning
Whether your goal is prehab before a big race, return to running after an injury, or simply running without pelvic symptoms holding you back, Pelvic Therapy SF is built to support runners across South Florida at every stage.
You do not have to accept pelvic leaking, hip pain, or nagging injuries as part of running. Pelvic Therapy SF offers the specialized, integrated care that Coral Gables runners need to move confidently and perform at their best. Schedule your visit today and let our team build a personalized plan to get you back on the road stronger than before.