Knee pain
Wall balls and sandbag lunges under fatigue drive quad overload and patellar tendinopathy. Valgus collapse on tired legs turns a manageable load into a repetitive stress problem fast.

Eight stations. One kilometer between each one.
A race that exposes every weak link before the finish line does. When something breaks down, you need a provider who knows what you train for, and who knows how to get you back to it.
HYROX is not a casual fitness hobby. When something breaks down, your knee on the sled push, your shoulder on the ski erg, or your Achilles three stations in, you need a provider who understands what you are training for.
At Monarch, we treat HYROX athletes the way they deserve: a full hour of one-on-one care, a real assessment of how you move and train, and a plan built around your race calendar, not a generic protocol.
Wall balls and sandbag lunges under fatigue drive quad overload and patellar tendinopathy. Valgus collapse on tired legs turns a manageable load into a repetitive stress problem fast.
The ski erg is a repeated overhead pull under load. With high training volume, it creates impingement, rotator cuff irritation, and anterior shoulder stress that does not resolve on its own.
Read the blog post about Shoulder painSled push and pull mechanics put a large demand on the hip flexors, the glutes, and the lumbar spine. With poor hip mobility or a weak posterior chain, the low back compensates, and it lets you know.
You run between every station, so your lower leg never fully recovers mid-race. Athletes with existing tightness or training load errors often hit a wall with Achilles pain or plantar fascia irritation deep in a prep block.
Read the blog post about Achilles & plantar fasciaHigh weekly mileage in HYROX prep is one of the most common triggers for IT band syndrome, mainly when running volume goes up faster than the body can adapt.
Read the blog post about IT band syndromeEvery HYROX athlete who comes through our door goes through the same four phases.
A full movement screen, a loading pattern analysis, and a deep look at your training history: race prep blocks, weekly volume, and the movements behind your symptoms.
Get the pain out, restore tissue capacity, and rebuild the movement quality that broke down.
Progressive loading with HYROX patterns: sled mechanics, overhead pulling, single-leg strength, and running load. This phase looks like training, not just rehab.
Return to full training with a clear plan: race prep, a prehab strategy, and the confidence that your body can handle what you ask of it.

A full movement screen before an injury happens is the most effective thing a HYROX athlete can do to protect a race calendar. It finds the weak links: the hip mobility limit that costs you power on the sled, the single-leg stability deficit that loads your IT band on every run, and the shoulder pattern that becomes a problem by station four.
The goal is simple: get ahead before you fall behind.

Kiley Robb, PT, DPT, CSCS is a Doctor of Physical Therapy and a Certified Strength and Conditioning Specialist. Her background is sports rehab, return-to-sport training, and work with endurance and functional fitness athletes. She trained at Champion PT & Performance in Boston and with the Seattle Seahawks.
That she competes is not a footnote. Your provider has stood on the start line, managed a prep block, and learned firsthand what this sport does to the body. When you describe race day cramping, or how your shoulder feels after a heavy ski erg session, she knows exactly what you mean.
Meet Dr. Kiley →Dr. Robb is the best. Through all of my challenges and endeavors she has worked to make sure I can stay healthy and compete at the highest level. Wouldn't trust anyone else with the process.
I've had a wide variety of injuries and ailments from being active my entire life, and Dr. Kiley has been able to cater my experience to target recovery and maintenance on anything I bring her way!
Book a free 15-minute phone call to talk through your injury, your goals, and your questions.
Book a free consultNo. North Carolina allows direct access to physical therapy. You can book your first visit today.
A full 60 minutes, one-on-one. We go through your injury and training history, then a full movement, mobility, and strength exam. You leave with a plan and exercises to start right away.
Dr. Kiley goes over pricing on your free 15-minute call. You can pay with HSA or FSA.
Monarch is an out-of-network, direct-pay practice, so every session is a full hour built around your goals, not around an insurance rule. You can also send your receipt to your insurance for possible reimbursement.
Clinic 9301 Forsyth Park Dr, Ste C, Charlotte, NC 28273
Ready to get back to training?
Book a free 15-minute call, and let's talk about a plan that gets you out of pain and to a PR.