Swim-Specific Physical Therapy for Long-Term Performance

Start With an Evaluation

The SwimDoc

Performance Analysis and Injury Consulting for Competitive Swimmers

Building durable swimmers who perform under pressure.

Serious swimmers train hard. The real challenge is building a body that can support that level of training.

Most swimmer injuries and performance plateaus happen when the body can no longer support the demands of training.

The SwimDoc identifies the breakdown pattern and helps swimmers build the strength, control, and durability needed to perform at a high level.

Brian Cunningham

Who This Is For

Competitive swimmers

Parents seeking long-term solutions

Coaches who want durable athletes

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We brought our son, who was a high school senior, to see Brian seven weeks after he had an appendectomy. Brian quickly corrected and strengthened our
son’s technique. At the next meet, he swam his best time! We will be continuing our visits with Brian with our younger son proactively rather than reactively. He is so incredibly knowledgeable about swimming.

5
Swati Nielson
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I came to Brian because of back pain that had been bothering me for months. Not only did he get rid of my pain, but he taught me how the pain had started and
what I could be doing in and out of the water to better myself. I would recommend Brian to any athlete looking to get an edge on competitors and help with recovery.

5
Everet Andrew
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Just like Humpty Dumpty, Brian Cunningham has helped to put me back together again. Besides being a PT, he is also an accomplished swimmer. He immediately understood my needs with respect to technique and training. With Brian’s help, I was able to achieve one of my life’s goals, swim the Catalina Channel.

5
Marcia Cleveland
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Most dryland workouts for swimmers focus on the main muscles used in swimming. Brian’s workouts focus on these but also the small muscles that support them and how they are used. The result is a workout that has helped my swimming directly, not indirectly by simply making the big muscles stronger.

5
Chris Layton
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After a year of suffering with debilitating elbow pain, after seeing doctors, and after no improvement with traditional occupational therapy, Brian deconstructed my stroke, reconstructed my pull, and Viola! No more pain!

5
Sarah Crewe
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Since working with Brian I am longer in the water and taller on land. As a PT and swimmer, he has a great ability to explain exactly how to make your muscles to work for you and get at the ones holding you back.

5
Karen Lundgren
Clients

Clinics and Team Education

The SwimDoc regularly works with swim teams and training groups through on-deck clinics and movement screenings.

These sessions help swimmers and coaches better understand how body alignment, breathing mechanics, and movement patterns influence stroke efficiency and injury risk.

Clinics typically include:

  • movement screening for swimmers
  • explanation of common breakdown patterns
  • dryland strategies that support stroke mechanics
  • Q&A with swimmers, parents, and coaches

The goal is to help teams build swimmers who can handle the demands of training across an entire season.

The SwimDoc Performance System

The SwimDoc Performance System focuses on identifying breakdown patterns and building the durability Swimmers need to support high-level training.

Identify the breakdown pattern

Correct the movement problem

Build durability

Develop the physical capacity required to maintain technique under fatigue and competition pressure.

Why Swimmers Break Down

Swimming is a high-repetition sport. Competitive swimmers may take tens of thousands of strokes every week. For the body to tolerate this volume, alignment, mobility, strength, and timing must all work together. When one part of the system falls behind the demands of training, small compensations begin to appear. At first these changes are subtle. Under fatigue they become more obvious. Over time these compensations can lead to pain, recurring injuries, or performance plateaus.

Common reasons swimmers break down include:

Loss of body line under fatigue

When the swimmer cannot maintain alignment through the core and hips, the shoulders absorb more load. Breathing mechanics disrupting rotation

Poor breathing patterns often lead to over-rotation or dropped hips, increasing stress through the stroke.

Shoulder overload during the pull

When the body fails to support the stroke, the shoulder joint takes on more work than it was designed to handle.

Loss of timing between kick, rotation, and pull

When coordination breaks down, propulsion decreases and strain on individual structures increases.

Training load exceeding physical capacity

Swimmers may be strong enough to swim fast for short periods but lack the durability needed to sustain training volume.

The goal of the SwimDoc evaluation is to identify the specific breakdown pattern affecting the swimmer and develop a plan that restores efficient movement and builds long-term durability.

What Makes This Different

  • Swim-specific movement analysis
  • Focus on root cause rather than symptoms
  • Performance-driven care
  • Education that helps swimmers and parents understand the process

Proudly Serving These Organizations

USA Swimming
US Masters Swimming
Wildcat Aquatics
Northshore Masters Swim Club
New Trier Aquatics

Frequently Asked Questions

Who do you work with?

Competitive swimmers of all levels.

Is this traditional physical therapy?

No. This is performance-focused and swim-specific.

Do you work virtually?

Yes, I work both in person and virtually.

How many sessions are needed?

That depends on the evaluation findings.

Do you work with coaches?

Yes, collaboration is encouraged.

Is this covered by insurance?

This is typically private pay.