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Modern Movement Clinic
11100 W 8th Ave
Lakewood, CO 80215
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7562 S University Blvd
Centennial, CO 80122
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Mon/Wed: 10am–6pm
Tue/Thu: 7am–3pm
(later by appointment)
Lakewood Fri: 9am–12pm
Centennial Fri: 10am–2pm

(by appointment only)

Care for Multi-Sport Athletes

Endurance Athletes

Swim, bike, run — three sports, one body, and it rarely gets a say in how the training load gets divided. We help sort that out.

Cyclist gets a bike fit adjustment from a clinician on a stationary bike

Built for the Demands of Multi-Sport Training

Endurance racing asks more of your body than almost any single sport. Triathlon in particular combines three very different movement patterns — swimming, cycling, and running — each with its own repetitive stress points and recovery demands.

Most healthcare providers are trained to look at one joint or one complaint at a time. That approach falls short for endurance athletes, because problems in one discipline are often connected to how you move in another. Shoulder fatigue from swimming can change how you carry yourself on the bike. Hip and low back tightness from long rides can show up as knee pain when you run.

At Modern Movement Clinic, we look at how your training across all three disciplines adds up — not just the sport where the pain shows up. Our approach is grounded in the same movement science used in sports physical therapy, so we can identify where the real stress is coming from and build a plan that keeps you training toward your next race, not sitting out until it’s over.

You don’t have to choose between racing and recovering. Most of the time, the right plan lets you do both.

Who This Is For

If you’re training for a triathlon, marathon, gran fondo, or any endurance event that stacks multiple disciplines or high weekly volume, this page is built around how you train — not a single-sport template.

  • Triathletes balancing swim, bike, and run training
  • Distance runners logging high weekly mileage
  • Cyclists dealing with recurring hip, knee, or low back discomfort
  • Swimmers managing shoulder fatigue or overuse
  • Athletes training for a first Ironman, marathon, or ultra
  • Multi-sport athletes juggling overlapping training stress across disciplines
  • Endurance athletes returning from injury who don’t want to lose fitness
  • Athletes who’ve been told to just “rest” without a real plan

Common Challenges

Endurance training creates a specific set of problems that single-sport programs aren’t built to catch. The same overuse patterns tend to resurface race season after race season if the underlying cause isn’t addressed.

  • Recurring pain that only shows up after long training days
  • Discomfort that shifts between disciplines — hip pain on the bike, then knee pain on the run
  • Shoulder fatigue or tightness from swim volume
  • IT band or knee irritation from combined cycling and running load
  • Low back and hip tightness from time in the aero position
  • Performance plateaus despite consistent training
  • Difficulty balancing training load with recovery during race season
  • Fear of losing race fitness if you take time off to address pain
Clinician measuring bike fit on a stationary bike with a plumb line and alignment gauge

Common Questions

Can I keep training while treating an injury?

In most cases, yes. Our goal is to help you keep training in some capacity while we address the underlying issue, rather than telling you to stop completely. The specific plan depends on what’s going on and how it’s affecting your movement, but a full stop is rarely the first recommendation.

Do you treat cyclists and swimmers, or mainly runners?

We treat all three disciplines. Cycling and swimming create their own overuse patterns — hip and low back tightness from time in the aero position, shoulder fatigue from swim volume — and we evaluate those the same way we evaluate running mechanics.

How is this different from seeing a regular chiropractor?

Our approach is grounded in the same movement science used in sports physical therapy. That means a full movement assessment across your training, not just spinal adjustments. We look at how your swim, bike, and run mechanics interact before building a plan.

I'm training for my first Ironman or marathon — should I come in even if nothing hurts yet?

Many endurance athletes use an evaluation to catch small movement inefficiencies before they become injuries, especially heading into a big training block. It’s not required, but it can be useful if you want a baseline before volume increases.

What does a typical evaluation look like for an endurance athlete?

We start with a conversation about your training across all three disciplines, then a movement assessment to see how your body is handling that load. Depending on your primary complaint, this may include gait analysis or video-based movement assessment. From there, we build a plan around your race calendar.

Can you help with recurring issues that show up every race season?

Yes. Recurring, season-after-season issues are often a sign that an underlying movement pattern hasn’t been addressed, not just bad luck. We focus on identifying that root cause rather than just treating symptoms as they come up.

Clinician recording a cyclist on an exercise bike for movement analysis in a performance assessment room

Train Through It, Not Around It

A triathlon body needs a triathlon plan — not three single-sport ones stapled together.