You've put in months of training for the St. Jude Rock 'n' Roll Nashville Marathon. Your mileage peaked, you're entering taper, and you should be feeling fresh. Instead, you're suddenly experiencing pain that wasn't there during peak training. Your knee aches. Your hip feels tight. Something in your body hurts, and you're panicking that you won't be able to race. If this describes you, you're experiencing one of running's most frustrating paradoxes: pain that appears durin

At Nashville Physical Therapy & Performance, we work with female runners facing this exact dilemma every spring. The good news? In most cases, you can continue training for your goal race while simultaneously addressing pelvic floor dysfunction. But it requires a strategic approach, not just pushing through symptoms.

At Nashville Physical Therapy & Performance, we see this constantly during spring marathon training season as runners increase mileage. But here's what most runners struggle with: plantar fasciitis and heel bruises can feel similar initially, yet they require completely different treatment approaches.

Many female runners experience pelvic pressure or heaviness during long runs, especially as mileage increases during spring marathon training. But most don't talk about it, unsure whether it's normal or a sign of something more serious.

At Nashville Physical Therapy & Performance, we evaluate runners with knee pain every single week during spring marathon training season. And the pattern is remarkably consistent: weak or poorly functioning hips create abnormal knee mechanics, which leads to pain. Treating the knee alone rarely works because you're not addressing the cause.

At Nashville Physical Therapy & Performance, we see this confusion constantly, especially during spring marathon training when runners are increasing mileage. Getting the diagnosis right matters because treating tight calves and treating Achilles tendonitis require completely different strategies.

If this sounds familiar, you're not alone. Hip pain during lifting is one of the most common complaints we see at Nashville Physical Therapy & Performance as people ramp up spring training. And while the pain might feel like it's coming from your hip joint, the real problem is usually a few inches away: weak or poorly functioning glutes.

At Nashville Physical Therapy & Performance, we see two types of active adults every spring: those who've maintained consistent strength training through winter and transition smoothly into outdoor sports, and those who've let strength work slide and end up injured within weeks of ramping up activity.

At Nashville Physical Therapy & Performance, we specialize in pelvic floor physical therapy for active adults, including runners. Every spring, we see athletes who've been silently dealing with pelvic floor dysfunction for months or years, thinking there's nothing that can be done about it. That's simply not true.

This is muscle energy technique (MET), a powerful manual therapy approach that uses your own muscle contractions to improve joint mobility, reduce pain, and restore normal movement patterns. At Nashville Physical Therapy & Performance, Laura Blue, PT is extensively trained in muscle energy techniques and regularly incorporates them into treatment at our South Nashville and West Nashville (Nations) locations.

If your shoulder hurts when you lift, you're not alone. Shoulder pain is one of the most common complaints we see in active adults ramping up spring training. The good news? Most shoulder pain responds well to simple modifications and targeted exercises if you catch it early.

Let's talk about why "just in case" peeing is problematic, what it does to your bladder over time, and how to retrain healthier habits.

Sit bone pain (pain in your ischial tuberosity, the bony prominence you sit on) is more common than you might think, and it can have several different causes. At Nashville Physical Therapy & Performance, we regularly evaluate and treat sit bone pain, and we find that the cause is often not what people expect.

You bend down to pick up something off the floor and feel it: that familiar tightness in your lower back. Or maybe your back feels stiff first thing in the morning, especially after a winter of less activity. You stretch it, roll it, maybe even get a massage. It feels better temporarily, but the stiffness keeps coming back. If this sounds familiar, you might be treating the wrong area. At Nashville Physical Therapy & Performance, we see this pattern constantly: people spen

Your neck hurts. Maybe it's that nagging ache at the base of your skull. Maybe it's stiffness when you turn to check your blind spot. Or maybe it's tension that creeps up by mid-afternoon and turns into a headache by evening. If this sounds familiar and you've been blaming your pillow, your posture, or the way you sleep, you're not alone. Most people assume neck pain comes from the neck itself. But here's what we see every day at Nashville Physical Therapy & Performance: t

If you've noticed your body feeling tighter, achier, or just... crankier as we head into March, you're not imagining it. Every spring, we see a wave of patients at Nashville Physical Therapy & Performance describing the same thing: "I don't know why, but everything just feels stiff." The good news? This seasonal stiffness is normal, predictable, and—with the right approach—fixable in about a week. Let's talk about why this happens and what you can do about it.

If you've noticed your body feeling tighter, achier, or just... crankier as we head into March, you're not imagining it. Every spring, we see a wave of patients at Nashville Physical Therapy & Performance describing the same thing: "I don't know why, but everything just feels stiff." The good news? This seasonal stiffness is normal, predictable, and—with the right approach—fixable in about a week. Let's talk about why this happens and what you can do about it.

You need physical therapy, but the thought of driving across town, sitting in a waiting room, and fitting appointments into your already packed schedule feels overwhelming. Or maybe you've done traditional PT before and found the experience impersonal, rushed, or ineffective. There's another option: concierge physical therapy.

When we think about self-care in February, we usually think about rest, indulgence, or taking a break. But one of the most meaningful ways to take care of your body—especially if you’re active, busy, or dealing with recurring pain—is choosing healthcare that actually prioritizes you . That’s where cash-based physical therapy comes in. At Nashville Physical Therapy & Performance , we often meet people who say, “I didn’t realize care could feel like this.” And what they’re rea

When we talk about “loving your body,” most conversations focus on strength, cardio, or flexibility. But there’s one critical system that often gets overlooked—until something goes wrong. Your pelvic floor . Pelvic health is not just about pregnancy, postpartum recovery, or aging. It’s about how your body supports you every single day , whether you’re lifting weights, running, managing stress, or simply trying to feel confident and comfortable in your own body. At Nashville P