Physical therapists (DPTs) are often seen as trusted experts in injury prevention and rehab. But not all DPTs make great running coaches. Just because someone has a doctorate in physical therapy doesn’t mean they understand how to train runners for performance. Some hold outdated beliefs, dismiss proven training methods, or let their egos get in the way of good coaching.
So how can you tell if a DPT is giving solid advice or steering you in the wrong direction? Here are some key red flags to watch for and how to evaluate the research they provide.
1. They Dismiss Strength Training
If a DPT tells you that running alone is enough to keep you strong or that lifting will make you “too bulky” or “too tight,” walk away. Strength training is one of the most well-researched tools for injury prevention and performance in runners. The best coaches and therapists know that stronger muscles mean better running economy, more resilience, and a longer career in the sport.
A good DPT should not only encourage strength training but also help you incorporate it into your schedule in a way that supports your running rather than taking away from it.
2. They Have an Ego About Running Form
Running form is a hot topic, and different methods—like Chi Running or Pose Method—have helped many athletes improve efficiency and reduce injuries. If a DPT dismisses all running form discussions with a blanket “Just run naturally” or worse, gets defensive when you ask about different techniques, that’s a red flag.
Good coaches and therapists stay open to different approaches. They may not personally teach Chi Running, for example, but they should be able to have a conversation about how it works and why some runners find it beneficial.
3. They Provide Research—But It’s Outdated or Misinterpreted
When a DPT shares research to back up their opinions, that’s usually a good sign. But not all studies are created equal, and not all research is interpreted correctly. Here’s how to evaluate whether their sources are actually useful:
- Check the publication date. Running science evolves quickly. A study from 20 years ago might no longer hold up.
- Look at the study design. Large, well-controlled studies and meta-analyses carry more weight than small, single-experiment findings.
- Make sure it applies to runners. Research on sedentary populations or team sport athletes may not translate well to endurance sports.
- Watch for cherry-picking. If a DPT only shares studies that support their stance while ignoring research that contradicts it, they may be more interested in proving their point than providing balanced information.
A great DPT will encourage critical thinking and be willing to discuss different perspectives rather than just pushing their own narrative.
4. They Overemphasize Their Credentials
Having a DPT title doesn’t automatically make someone a good running coach. Coaching requires experience, adaptability, and an understanding of real-world training—not just biomechanics in a clinical setting.
If a DPT constantly reminds you that they have a doctorate but can’t explain training concepts in a way that makes sense, that’s a problem. The best experts don’t rely on their credentials alone. They show their expertise through clear communication, practical advice, and a willingness to keep learning.
5. They Ignore Individual Needs
One of the biggest red flags is a one-size-fits-all approach. Every runner has unique strengths, weaknesses, and training backgrounds. A good coach or DPT will ask about your goals, listen to your concerns, and tailor advice to your situation.
If they brush off your input, refuse to adapt their recommendations, or make you feel like you’re wrong for questioning them, that’s not someone you want guiding your training.
A great DPT can be an incredible resource for runners, but a degree alone isn’t enough. The best coaches stay open to new ideas, encourage strength training, provide research responsibly, and put the athlete’s needs first.
If something feels off about a DPT’s advice, trust your instincts. Ask questions. Do your own research. And most importantly, work with people who are willing to meet you where you are and help you grow—not just those who want to prove they’re right.