Tendon and overuse
Tendon and overuse
Care for the calf, Achilles, hip and knee complaints that build with mileage. We change the load, strengthen what is weak and adjust your running around it.
Is this for you
This care is for you if
It builds across weeks
It is not one bad step. It grew with the training.
It is worse at the start of a run
It eases once you are moving, then returns afterward.
You have stopped running to rest it
It returned when you started again, and you want a plan that holds.
You want to keep training
You would like to know what you can still do while it settles.
What a visit looks like
What happens when you come in
- 01
Step 1: We listen to your training
Your weeks, your shoes, your surfaces and what changed before it began.
- 02
Step 2: We test and load
We find which movements bring it on and test the strength and capacity of the tendon and the muscles around it.
- 03
Step 3: We build a loading plan
Exercises you do in the right amounts, with your running adjusted instead of stopped, wherever that is reasonable.
Good to know
Who treats you, how long it takes, how it is paid for
Who treats you
A licensed physical therapist: Trinidad Espino or Ezekiel Ivey. Their license lines are in the footer of every page.
Meet the teamWhat decides how many visits
How long it has been building, how it responds to load, what you are training for and how near your next race is. We say at each visit what comes next.
How it is paid for
We bill most PPO plans and Medicare, and the front desk checks your benefits before you come in. If you pay yourself, you get a written estimate first.
How fees work
When to see a doctor first
See a physician first, or call 911, if you have chest pain or trouble breathing, a sudden severe headache, numbness in the groin or loss of bladder or bowel control, a new weakness in a leg, or a fall or blow that could have broken a bone. If we find something at your visit that needs a physician, we tell you and help you get there. A sudden pop, a gap you can feel in a tendon or a calf that is hot, swollen and painful all need a physician first.
Questions
Common questions
Will it hurt?
We work within what you can tolerate. Some tests bring on the feeling you came in with, and you can stop any step.
How many visits will I need?
We cannot say before we have met you. What decides it: what we find in your assessment, what you are training for, how your body responds and how close your next race is. We tell you at each visit what comes next.
Do you offer dry needling?
Where state law allows it, a physical therapist who has completed dry needling training can offer it, and Arizona allows it with that training. Ask which of our therapists needles and which course they took. We explain the risks before any needle, and you can say no.
Book your running assessment
Tell us what you are training for. We will find a time that fits around your runs.