Sports Physical Therapy for Runners and Active Athletes in Roanoke, VA

You didn't come this far to sit on the sidelines.
Whether you're training for your first half marathon or your tenth ultra, injury has a way of threatening everything you've worked for. At Redefine PT & Performance, we help runners, cyclists, and active adults in Roanoke get back to training — and come back stronger than before.

Free ConsultBook Appointment

This isn't your average PT clinic.


Most physical therapy gives you 15 minutes with a clinician and the rest with a tech. You leave with a generic exercise sheet and a follow-up appointment you're not sure you need.

Redefine is different.

Every session is one-on-one with Jimmy Picard — Doctor of Physical Therapy, UESCA-certified ultrarunning coach, and competitive endurance athlete. No aides. No handoffs. No guesswork.

Because when training is part of your identity, you deserve care from someone who actually gets it.


Based in Roanoke, VA — Working with Athletes Everywhere

Whether you’re just down the road or across the country, I can help. Let’s create a plan that gets you back to doing what you love—without the setbacks.

aerial photo of a running track

Your Path to Recovery and Peak Performance

1. Book a Free Consult – We’ll learn about your goals and pain points
2. Get a Clear Plan – Personalized rehab and performance coaching
3. Return Stronger – Train with confidence and stay injury-free

Free ConsultBook Appointment

About the cash-pay model

No insurance. No referrals. No surprise bills.

You pay a straightforward fee and work directly with Jimmy every visit. Many patients with PPO plans get partially or fully reimbursed — and you can use your HSA or FSA.

The result: better care, more time, and a plan that actually fits your life.

What can I help you with?

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What people are saying

five yellow stars in a row

Jimmy has been instrumental in getting me back to consistent training. His knowledge and experience as an athlete and practitoner are what I have been looking for for years. I would highly recommend Jimmy to anyone who wants to break the injury cycle and get back to health.

Tom Jeffrey
2:20 Marathoner
five yellow stars in a row

Jimmy, as a true mountain athlete himself, understood both the anxiety I was feeling and why a full recovery meant everything. Jimmy’s sincere enthusiasm, heartfelt care, and years of PT experience were all brought to bear on me and my recovery. That made all the difference.

Peter Metcalf
CEO/Founder of Black Diamond Equipment
five yellow stars in a row

Jimmy was a huge help getting me back to work after knee surgery. As a mountain guide, it was important for me to find an excellent PT. With Jimmy’s help, I recovered fast and surpassed my expectations as well as my surgeon’s expectations. I would recommend without hesitation.

Alan Rousseau
Professional Mountain Guide
five yellow stars in a row

After helping me with a few injuries, Jimmy worked with me to increase my training volume. I was able to hit running milestones that I thought were impossible. Having a physical therapist and coach that understands endurance training and injury prevention is an invaluable skill set!

Matthew W.

Recent Blogs

Understanding and Managing Achilles Tendon Pain in Runners

Understanding and Managing Achilles Tendon Pain in RunnersAchilles tendon pain, also known as Achilles tendinopathy, is a common issue among athletes, particularly runners. This blog post will help you understand the main risk factors, how to diagnose it, and the best ways to manage and treat it.

Stop Focusing on Your Injury

As a kid, I loved playing with my dad’s Maglite flashlight. We always had one around the house. At night, I’d sneak off with it, illuminating the darkness. It had two features I was obsessed with. First, you could twist the headpiece to narrow the beam, intensifying the flashlight’s output....

Understanding and Managing Iliotibial Band Pain in Runners

Understanding and Managing Iliotibial Band Pain in RunnersIliotibial band (ITB) pain, also known as ITB syndrome, is a common issue among athletes, particularly runners. This blog post provides an overview of the key risk factors, examination strategies, and rehabilitation techniques for managing ITB pain.

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