If you’ve been in the running world long enough, you’ve probably seen it happen. A coach offers gait analysis or form adjustments, and a physical therapist swoops in with criticism: “Coaches shouldn’t mess with biomechanics.” It’s a frustrating and ironic take, considering that correcting biomechanics is a huge part of a physical therapist’s job. So why the double standard?
The Reality of Gait Analysis
Gait analysis isn’t some mystical, off-limits practice reserved only for PTs. It’s a fundamental part of understanding how a runner moves. As coaches, we watch for inefficiencies, asymmetries, and movement patterns that could lead to injury or wasted energy. We don’t diagnose injuries, but we do help athletes make small adjustments to run more efficiently and comfortably.
Most runners aren’t coming to a coach because they need rehab. They’re coming because they want to improve performance, prevent issues before they start, or get a second set of eyes on their form. They want guidance from someone who understands running on a deep level—not just from a clinical standpoint, but from lived experience, training principles, and movement efficiency.
The Irony of PT Gatekeeping
Physical therapists literally correct biomechanics for a living. They assess movement patterns, address muscular imbalances, and retrain patients to move in ways that reduce pain and improve function. If helping people move better is part of their job, why is it a problem when a trained coach does the same?
The reality is that many running coaches invest serious time into understanding biomechanics. Some come from backgrounds in kinesiology, exercise science, or specialized certifications. Some are Chi Running instructors, strength coaches, or movement specialists. We aren’t just guessing when we suggest form changes—we’re using evidence-based principles and experience working with athletes.
The Ideal Scenario? Collaboration, Not Competition
Instead of shaming coaches for offering gait analysis, PTs and coaches should work together. A good coach knows when an athlete needs medical intervention and will refer out when necessary. Likewise, a great PT understands that once an athlete is healthy, they still need expert coaching to improve performance and keep moving efficiently.
If you’re a runner looking for guidance on your form, don’t let fear-mongering keep you from getting the support you need. If you’re dealing with an injury, a PT is a great resource. But if you want to improve your efficiency, prevent issues, and refine your running mechanics, a knowledgeable coach can offer exactly what you need.
If you’re ready to take a deeper look at your running form, I’d love to help. Whether it’s gait analysis, strength training, or structured programming, I’m here to help you move better and feel stronger in your sport. Let’s work together to find what works best for you.