Sean F, an ultra- marathoner, wanted to be able to complete a 100-mile race oered in the Georgia mountains in 2022. He knew the weather would be hot on the treacherous 23,000 feet of inclines and declines in the race. He also knew that he had to be in excellent physical and mental condition just to finish. In his preparation regimen, he needed to reduce pain, increase recovery time, but not overtrain, in the weeks leading up to the race to maximize his physical condition, so he sought out physical therapy to help achieve this goal.