Foundation Physical Therapy and Endurance Coaching

Foundation Physical Therapy and Endurance Coaching Foundation PT and Endurance Coaching provides one-on-one injury rehabilitation, endurance sports spe Renee is also an ITCA certified triathlon coach.

Services Provided: The most widely used model of outpatient physical therapy care provided today is within a facility that accepts your insurance. In most cases, when utilizing your insurance for physical therapy, due to the ever-reducing reimbursement rates, physical therapists are left with no choice but to see multiple patients per hour and utilize physical therapy technicians to help facilitate your care. Often times, the physical therapist is unable to spend more than 15-20 minutes with each patient and the patient is not receiving the full benefit of what a physical therapist can prescribe. Returning to your previous health or preferred level of function is something that is personal and unique to you. I believe that insurance should not dictate your goals when seeking optimal health and you deserve to receive the full benefit of the education and treatment I am able to provide. The treatment I provide is one-on-one and is focused on manual therapy, patient education and specific, very detailed exercise instruction with the ultimate goal of returning each patient to their prior level of function or quality of life as soon as possible (which is often much quicker than with the utilization of the insurance based model). Each session is approximately 60-75 minutes in length and is encompassing of a thorough assessment of your function at each visit with hands-on/manual therapy, as needed, and a personal exercise program specific to your needs. You also have access to me via e-mail and phone/text, as necessary. Cost: Due to the extensive and detailed nature of each one-on-one session, the initial evaluation cost is $175 and each follow-up visit is $125. Foundation Physical Therapy does accept Health Savings Accounts and Flexible Spending Cards. You will also be provided with a detailed invoice of the services provided, which may be utilized to submit for reimbursement for the services you received under your “Out Of Network Benefit.”

Access to Physical Therapy: Arizona is considered a direct access state for physical therapy. This means that you are able to directly refer yourself for physical therapy without a physician’s referral. However, shall you prefer to seek the care of a physician prior to your appointment, or if after your initial exam I feel a physician appointment would be necessary, I can provide you with a referral. Please do not hesitate to contact me with additional questions or concerns. Renee Hodges, DPT, ITCA Triathlon Coach
(480) 650-7364
reneehodgespt@gmail.com

Foundation Physical Therapy and Endurance Coaching was founded by Renee Hodges. Renee received her Bachelors Degree in Biology from Augustana College in 2000 and her Doctor of Physical Therapy from AT Still University in 2003. Renee began her Physical Therapy career 17 years ago providing care in the orthopedic setting where she developed a love for treating sport related injuries. Over the last ten years, Renee has developed a niche practice of diagnosing and rehabilitating endurance sport related injuries. Renee’s assessment of endurance athletes is focused on an in-depth review of the patient’s athletic history, along with a detailed exam of the patient’s functional movements and endurance strength tolerance for all repetitive movement patterns required for their sport. She also performs a through video analysis of running mechanics for current assessment and future comparisons. Each athlete’s treatment plan reflects a strong emphasis on developing the correct neuromuscular pathways for producing proper movement and endurance strength for the athlete’s sport. Each treatment builds upon the next and is a progressive plan to gradually return the athlete to their activities under a slowly guided and carefully watched program. Renee is very passionate about her athletes as she is an active member of the same local endurance community with which her patient’s participate. She regularly competes in trail races, half marathons, marathons and triathlons of varying distances. She ran the Boston Marathon in 2011 and completed Ironman Arizona in 2011 and 2013 (placing 8th in her age group).

10/16/2025

[SCREENING FOR REDs + ED + EXERCISE ADDICTION]⁣

Your goals rest on a pyramid: Health → Sustainable Consistency → Achievement.⁣

Too often, that foundation of health is quietly weakened by under-fueling, overtraining, or exercise addiction - sometimes masked by perfectionism or disguised as simply doing what’s “necessary” to achieve success.⁣

Your mental and physical health aren’t just what make finish lines possible. They’re what make a full, joyful life possible. My goal is to help you feel strong, balanced, and whole, so that your athletic pursuits enhance your life rather than take from it.⁣

Watching for signs of REDs (Relative Energy Deficiency in Sport), disordered eating, or exercise addiction isn’t about restriction - it’s about preservation and well being. It’s about ensuring you have the energy, clarity, and emotional well-being to thrive in sport and in life.⁣

Validated screening tools:⁣
* ART – Athletes’ Relationship to Training⁣
* FAST – Female Athlete Screening Tool⁣
* EDE-Q – Eating Disorder Examination⁣
* LEAM-Q – Low Energy Availability in Males⁣
* LEAF-Q – Low Energy Availability in Females⁣

[ALLOSTATIC LOAD]⁣⁣When an athlete reaches out about coaching, especially for a long endurance event like an Ironman, ul...
09/19/2025

[ALLOSTATIC LOAD]⁣

When an athlete reaches out about coaching, especially for a long endurance event like an Ironman, ultramarathon, or multiday challenge, I like to start with three questions:⁣

1️⃣ Is your family on board?⁣
2️⃣ What’s your total life load: daily and weekly stress on both mind and body?⁣
3️⃣ What are your personal expectations for this event?⁣

Too often, we add more stress without realizing the impact. The body doesn’t distinguish between “good” and “bad” stress - it all accumulates. For me, it led to burnout (twice). For others, it may show up as injury, illness, or be compounded by underfueling.⁣

Sometimes, the gap between our expectations and our actual capacity creates even more stress. This total accumulation is called allostatic load, and learning to manage it is key to thriving in both sport and life.⁣

I was honored to share insights with Cindy Kuzma in Runner’s World about the stressors athletes face and strategies to navigate them. ⁣

A full-circle moment for my 19-year-old self who once read every issue cover to cover. Thank you, !⁣

Link to article in bio. ⁣

[40 FACTORS THAT CONTRIBUTE TO PERFORMANCE BEYOND WEIGHT]This slide always such great conversations. Because of media, s...
09/03/2025

[40 FACTORS THAT CONTRIBUTE TO PERFORMANCE BEYOND WEIGHT]

This slide always such great conversations. Because of media, sport, and cultural beliefs, weight often gets pushed to the forefront as a way to control outcomes. But in reality, it’s just one of MANY factors that play a role in performance.

And here’s the hard truth, when weight becomes the main focus, the risk for disordered eating and eating disorders goes way up.

So when you look at these slides, how would you grade your commitment to the four quadrants of performance? Where do you notice gaps in focus, and where might you be locked in a little too tightly?

Full credit to , for introducing me to this framework in her REDs Masterclass, and to Ron Thompson, PhD, FAED, CEDs, who originally developed it.

[Boise 70.3]Have you ever made a mistake on your athletic journey? Looking back, the number of mistakes I made before hi...
07/28/2025

[Boise 70.3]

Have you ever made a mistake on your athletic journey? Looking back, the number of mistakes I made before hitting my athletic rock bottom four years ago is both humbling and painful to recall.

But I can now confidently say that I needed to fail hard to find my way here. This is joy and this was fun!

Congrats to and .human for absolutely crushing their first 70.3, and to for chasing down a massive goal while balancing an already full life.

Boise 70.3 delivered. What a beautiful course and unforgettable day!

[ CURIOSITY AND SELF CONNECTION ] When we listen with the intention of truly understanding ourselves, we begin to build ...
05/01/2025

[ CURIOSITY AND SELF CONNECTION ]

When we listen with the intention of truly understanding ourselves, we begin to build self-trust - and that’s the foundation where all meaningful transformation begins.

[DXA Scan]It’s a celebratory day when a repeated DXA comes back trending towards normal or a female athlete in her 5th+ ...
03/10/2025

[DXA Scan]

It’s a celebratory day when a repeated DXA comes back trending towards normal or a female athlete in her 5th+ decade has normal bone density!

Bone Density Scores: 
Normal Bone Density: -1 to +2
Osteopenia: -1 to -2.5
Osteoporosis: -2.5 to -4

Z-score: compares the bone mineral density with that of people of the same age and s*x as the patient

LEA = lower energy availability 
DE = Disordered Eating
ED = Eating Disorder

Reference: 
Wells, et al. 2020

[Recognizing ED/DE: Why does it matter?]⁣⁣Why does it matter that we, as coaches and physical therapists, have the educa...
02/24/2025

[Recognizing ED/DE: Why does it matter?]⁣

Why does it matter that we, as coaches and physical therapists, have the education and knowledge to recognize the signs and symptoms of an eating disorder. ⁣
🚩Eating disorders have the highest mortality rate of all mental health disorders ⁣
🚩Up to ~19% of males athletes experience an Eating Disorder (ED)⁣
🚩Up to ~45% of female athletes experience an Eating Disorder (ED)⁣
🚩ED negatively affects health and performance by causing electrolyte disturbances, dehydration, low energy availability/REDs, increased risk of illness and injury, and reduced training capacity, endurance, and strength.⁣

Who do we refer to?⁣
✅Medical provider experienced in with working with athletes with ED/DE.⁣
✅Psychologist/counselor that specialises in working with athletes with ED/DE⁣
✅Registered Dietitian that specializes in working with athletes with ED/DE⁣

If you are looking for Arizona-based medical providers + countrywide psychologists, counselors, and dietitians please reach out.

[🏊‍♀️🚴‍♀️🏃‍♀️BLOG POST🏊🏻🚴🏃‍♂️] Two athletes with bone stress injuries, but with very different bone health histories. Cu...
01/08/2025

[🏊‍♀️🚴‍♀️🏃‍♀️BLOG POST🏊🏻🚴🏃‍♂️]

Two athletes with bone stress injuries, but with very different bone health histories. Curious about a hypothetical training progression for each athlete after they have successfully completed rehab? Please click the link in the bio for the blog post. Thank you for reading!

[Happy New Year + 10 Year Anniversary]⁣⁣Happy New Year!⁣⁣It’s a little surreal to say but Foundation Physical Therapy + ...
01/01/2025

[Happy New Year + 10 Year Anniversary]⁣

Happy New Year!⁣

It’s a little surreal to say but Foundation Physical Therapy + Endurance Coaching is now 10 years old.  ⁣

Owning and operating Foundation since January 1, 2015 has been the hardest, yet most rewarding challenge of my life. Ten years have come and gone faster than I ever imagined. ⁣

What I do is not a job, it’s what I’m meant to do. I LOVE learning, growing, and evolving in ways that allow me to help YOU solve the challenging endurance injury or sport puzzles in your life. ⁣

The next ten years are a mystery, but I know the path ahead feels very exciting and I won’t stop learning to find the best way to help you!⁣

A few heartfelt thank you’s to:⁣
🙏🏻 EVERY patient & athlete that has trusted me with their care! ⁣
🙏🏻 Eric and Ashley Christensen (for offering space for the ‘original’ home of Foundation PT).⁣
🙏🏻 Karen and Lance (for offering space for the current home of Foundation PT)⁣
🙏🏻 , , , and many other mentors I’ve never met for your guidance and support over the years. Your genius is changing not only how runners are rehabbed, but our sport culture too.⁣
🙏🏻 and for offering coaching through Foundation over the years. ⁣
🙏🏻 for your relentless support over the last 10+ years.⁣
🙏🏻 To the plethora of people that have offered support, encouragement, guidance, and push back (many I haven’t met)!⁣
🙏🏻❤️ My husband, Brad, for pushing me to jump in head first with this venture. You are my Foundation! The last 10 years would not have been possible without you!⁣

Happy New Year everyone! May you maintain or find the healthiest path towards your endurance goals this year. ⁣

[FINDING THE HEALTHY PATH]⁣⁣This share is for any athlete that is struggling to find the healthy path forward. .dpt you ...
12/16/2024

[FINDING THE HEALTHY PATH]⁣

This share is for any athlete that is struggling to find the healthy path forward. .dpt you are incredible! ❤️⁣

Attached is example of a two year marathon training cycle for an athlete with a history of multiple stress fractures, osteoporosis, knee osteoarthritis, hip labral tear, and an eating disorder. This athlete has been stress fracture free, but not without setbacks, in those two years. She bought into the long term process and has been diligent in her interactions with her registered dietician and psychologist. It’s a Team effort and it’s magical to see her consistently discovering the depths of her strength! ⁣

Sharing this for the athletes that are experiencing a chronic injury cycle. There is a way forward, but it will look a lot different than what other running friends are doing (and will probably look much different from this athlete case).⁣

There is more to this process than just a change in training structure. The hardest work comes with embracing where you are and the willingness to put your health first!⁣

[Info shared with permission from athlete]

[𝚆𝙴𝙻𝙲𝙾𝙼𝙴!]Thank you for choosing to follow this page! I am Renee Hodges, a road and trail runner for 28 years, a triathl...
06/03/2024

[𝚆𝙴𝙻𝙲𝙾𝙼𝙴!]
Thank you for choosing to follow this page! I am Renee Hodges, a road and trail runner for 28 years, a triathlete for 15 years, a Doctor of Physical Therapy specializing in the rehabilitation of runners and triathletes for 21 years, and an endurance coach for 11 years.⁣

Throughout my journey as an endurance athlete, I have faced various challenges such as Relative Energy Deficiency in sport, hypothalamic amenorrhea, disordered eating, overtraining, burnout, injury, and intense self-doubt along with a lack of self-trust. These obstacles were a result of high personal stress, perfectionism, and a lack of clarity regarding my goals. Aka, what was I trying to run from, prove, compensate for, obtain or mask? Through dedicated self-work, I have overcome these hurdles and now approach my athletic pursuits with unwavering optimism, viewing setbacks as opportunities for growth.⁣

My experiences and expertise fuel my passion to help patients and athletes prevent or overcome similar challenges and lead them towards sustainable paths in their athletic journeys. I have worked with hundreds patients and athletes of all ages (teens to 7th decade of life), male and female, to achieve these goals.⁣

My goal is to continuously learn and share credible knowledge to help athletes proactively monitor their health and adapt to changes at every stage of life, empowering them to pursue lifelong athleticism confidently through sustainable and informed choices.

[RELATIVE ENERGY DEFICIENCY in SPORT (REDs): CAT 2 Assessment Tool]⁣⁣Forgive me, there is A LOT of info here. The Intern...
11/06/2023

[RELATIVE ENERGY DEFICIENCY in SPORT (REDs): CAT 2 Assessment Tool]⁣

Forgive me, there is A LOT of info here. The International Olympic Committee recently released an updated clinical assessment tool related to REDs and I want you, your athletes, and anyone you know that’s an athlete to be successful over the long term. ⁣

In my early-mid 30s, I experienced Relative Energy Deficiency in Sport (REDs), and it’s had a negative impact on my long-term athleticism. And, I have worked with many patients and athletes who have faced the medical struggles associated with REDS, and it is not an easy road to recovery.⁣

The new assessment tool makes the screening and appropriate care process related to REDS more clear and will hopefully contribute to more cases of prevention! However, there’s a lot more to glean through the details of the research. Thankfully the research is open access! ⁣

If you feel you may be experiencing the symptoms of REDs, please seek care! ⁣

REFERENCES:⁣
1. Mountjoy M, Ackerman KE, Bailey DM, et al. Br J Sports Med 2023;57:1073–1097.⁣
2. Stellingwerff T, Mountjoy M, McCluskey WTP, et al. Br J Sports Med 2023;57:1109–1118.

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1006 E. Warner Road , #106
Tempe, AZ
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