It seems every weekend from mid-May through fall ushers in a new road race for runners, whether it be a 5K, 10K, half marathon, or triathlon. As physical therapists, we see an influx of new patients with running injuries not only of the foot, ankle, knee and spine but also with new complaints of incontinence, pelvic pain and prolapse. It is always our goal to get the client back to running, especially since for many it’s their preferred way to stay fit and also acts as a social, stress reducing activity that they are passionate about. What we find out during the initial Physical Therapy evaluation is that the source of their running injury can be a distant site from where they feel the pain. We often find that a misaligned pelvis or tight hip is causing foot pain or calf strains. Since the pelvic and hip muscles are anatomically and functionally related to the core and pelvic floor, we often see runners with symptoms of incontinence who also have other complaints such as back, hip or foot pain. Therefore the core and pelvic floor is where we begin our focus.