FAQ
Frequently asked questions
How we work, what online rehab is and what the evidence says, and the technical side of it.
General
What is the approach or framework?
That's a hard question, because everyone is different. There will always be similarities, though, because the work centres on one function: running. The road back to running can look different from person to person.
Some things are the same for everyone.
First, it is very important to screen for red flags that might indicate more serious pathology that needs medical attention. This is done by asking specific questions and being aware of risk factors and symptoms of different diseases.
Next, we establish your running function in relation to the history of the injury, your symptoms, your training load and more. Is it even safe for you to start running already? Many questions need answers for everyone.
When you book your first assessment, you get a welcome email with a video that explains in more detail how we work and how best to prepare for the next steps.
What is the cancellation policy?
You can cancel at any time with 7 days' notice. If you contact us at least 7 days before your next scheduled payment, we will cancel your subscription, no questions asked. There is no minimum term.
If the membership turns out not to be right for you, tell us and we refund the month you are in. The initial consultation is paid in full and is not refunded.
Once your subscription ends, you enter a completely free two-week transition phase. You keep access to the platform and the chat, so you can ask any questions you might have while you take full charge of your running and pain management.
Online rehab
What are online rehab, telehealth and telerehabilitation?
Telehealth is a general term for delivering healthcare where patients and providers are separated by distance, using information and communication technologies (Fatehi et al., 2016; Fandim et al., 2023; Vieira et al., 2023). It is often used interchangeably with similar terms.
Telemedicine is considered a subset of telehealth, specifically referring to the provision of remote clinical services.
Telerehabilitation is a branch of telehealth. It applies rehabilitation, such as therapeutic exercise or physiotherapy, through telecommunication technologies to control or monitor rehabilitation remotely (Vieira et al., 2023). Telerehabilitation may involve education, exercise or pain control strategies.
References
- Fatehi F, Smith AC, Maeder A, Wade V, Gray LC. How to formulate research questions and design studies for telehealth assessment and evaluation. J Telemed Telecare. 2017 Oct;23(9):759-763. doi: 10.1177/1357633X16673274. Epub 2016 Oct 16. PMID: 29070001.
- Fandim JV, Hinman RS, Øverås CK, Sharma S, Belton J, Oliveira VC, Dear BF, Parker R, Ghai B, Bennell KL, Ferreira P, Hartvigsen J, Saragiotto BT. One step at a time. Shaping consensus on research priorities and terminology in telehealth in musculoskeletal pain: an international modified e-Delphi study. BMC Musculoskelet Disord. 2023 Oct 3;24(1):783. doi: 10.1186/s12891-023-06866-0. PMID: 37789304; PMCID: PMC10546725.
- Vieira LMSMA, de Andrade MA, Sato TO. Telerehabilitation for musculoskeletal pain - An overview of systematic reviews. Digit Health. 2023 Mar 20;9:20552076231164242. doi: 10.1177/20552076231164242. PMID: 36960028; PMCID: PMC10028667.
How are telerehabilitation services delivered?
Telehealth and telerehabilitation services are delivered through several technologies, often in combination:
1. Synchronous (real time). Real-time audio and video connections, typically video calls (we use Google Meet). This allows interactive consultations and visual assessment.
2. Asynchronous (store and forward). Medical information, images or data are stored and shared for later interpretation, such as secure messaging, email or mobile apps (we use this on our platform), as well as educational content like videos.
3. Mobile and electronic health platforms. Dedicated smartphone apps, web-based tools or wearable devices for education, therapeutic exercise, symptom monitoring and support (we use this as well).
Is telerehabilitation as effective as in-person care for pain and function?
Research generally suggests that telerehabilitation, especially for musculoskeletal conditions like most running injuries, is as effective as conventional face-to-face physiotherapy for improving function, quality of life and pain (Alahmri et al., 2025; Muñoz-Tomás et al., 2023; Hinman et al., 2024; Plavoukou et al., 2025; Şimşek & Ülger, 2025). There is good evidence that telerehabilitation in general is not inferior to conventional physiotherapy.
For chronic pain conditions, telerehabilitation programmes based on therapeutic exercise and tailored content have shown effectiveness (Valenza-Peña et al., 2024; Şimşek & Ülger, 2025).
Telerehabilitation guided by a health professional, for example through video consultations and ongoing support, is often associated with better adherence and outcomes than self-management programmes (Plavoukou et al., 2025; Zou et al., 2025).
You could even argue that we are better placed to treat running injuries, because we only see runners and we are runners ourselves: for runners, by runners.
We are all different, though, and online rehab might not be the right fit for everyone, even though we work to make it personal and avoid a one-size-fits-all approach.
References
- Alahmri F, Nuhmani S, Muaidi Q. Effectiveness of telerehabilitation on chronic low back Pain: Systematic review and Meta-Analysis. Int J Med Inform. 2025 Nov 6;206:106174. doi: 10.1016/j.ijmedinf.2025.106174. Epub ahead of print. PMID: 41202399.
- Muñoz-Tomás MT, Burillo-Lafuente M, Vicente-Parra A, Sanz-Rubio MC, Suarez-Serrano C, Marcén-Román Y, Franco-Sierra MÁ. Telerehabilitation as a Therapeutic Exercise Tool versus Face-to-Face Physiotherapy: A Systematic Review. Int J Environ Res Public Health. 2023 Feb 28;20(5):4358. doi: 10.3390/ijerph20054358. PMID: 36901375; PMCID: PMC10002129.
- Şimşek A, Ülger Ö. Effectiveness of telerehabilitation exercises in low back pain: a systematic review. Ir J Med Sci. 2025 Oct;194(5):1903-1913. doi: 10.1007/s11845-025-04051-x. Epub 2025 Aug 13. PMID: 40802146.
- Plavoukou T, Iosifidis M, Papagiannis G, Stasinopoulos D, Georgoudis G. The Effectiveness of Telerehabilitation in Managing Pain, Strength, and Balance in Adult Patients With Knee Osteoarthritis: Systematic Review. JMIR Rehabil Assist Technol. 2025 Apr 8;12:e72466. doi: 10.2196/72466. PMID: 40198917; PMCID: PMC12015336.
- Hinman RS, Campbell PK, Kimp AJ, Russell T, Foster NE, Kasza J, Harris A, Bennell KL. Telerehabilitation consultations with a physiotherapist for chronic knee pain versus in-person consultations in Australia: the PEAK non-inferiority randomised controlled trial. Lancet. 2024 Mar 30;403(10433):1267-1278. doi: 10.1016/S0140-6736(23)02630-2. Epub 2024 Mar 7. PMID: 38461844.
- Valenza-Peña G, Calvache-Mateo A, Valenza MC, Granados-Santiago M, Raya-Benítez J, Cabrera-Martos I, Díaz-Mohedo E. Effects of Telerehabilitation on Pain and Disability in Patients with Chronic Neck Pain: A Systematic Review and Meta-Analysis. Healthcare (Basel). 2024 Apr 6;12(7):796. doi: 10.3390/healthcare12070796. PMID: 38610217; PMCID: PMC11012007.
- Zou H, Liu M, Lu Z, Wang J, Zhao P. The Relative Efficacy of Different Types of Telerehabilitation for Managing Chronic Musculoskeletal Pain: A Systematic Review With Network Meta-Analysis. J Orthop Sports Phys Ther. 2025 Nov;55(11):1-10. doi: 10.2519/jospt.2025.13366. PMID: 41123347.
What are the main advantages of telehealth and telerehabilitation?
Access and equality. It removes geographical barriers, reduces transport difficulties and improves access to specialists and continuous care, particularly for runners in remote or rural areas or with a chronic condition (Fandim et al., 2023; Valenza-Peña et al., 2024; Alahmri et al., 2025; El-Tallawy et al., 2024).
Cost and time. It can save patients money by reducing travel time and expenses (Alahmri et al., 2025; Hill-Oliva et al., 2023; McGraw et al., 2025; Kamal et al., 2023).
Engagement and satisfaction. Patients report high satisfaction (Muñoz-Tomás et al., 2023; McGraw et al., 2025; Hill-Oliva et al., 2023), and the model supports empowerment and self-management (El-Tallawy et al., 2024).
References
- Fandim JV, Hinman RS, Øverås CK, Sharma S, Belton J, Oliveira VC, Dear BF, Parker R, Ghai B, Bennell KL, Ferreira P, Hartvigsen J, Saragiotto BT. One step at a time. Shaping consensus on research priorities and terminology in telehealth in musculoskeletal pain: an international modified e-Delphi study. BMC Musculoskelet Disord. 2023 Oct 3;24(1):783. doi: 10.1186/s12891-023-06866-0. PMID: 37789304; PMCID: PMC10546725.
- Valenza-Peña G, Calvache-Mateo A, Valenza MC, Granados-Santiago M, Raya-Benítez J, Cabrera-Martos I, Díaz-Mohedo E. Effects of Telerehabilitation on Pain and Disability in Patients with Chronic Neck Pain: A Systematic Review and Meta-Analysis. Healthcare (Basel). 2024 Apr 6;12(7):796. doi: 10.3390/healthcare12070796. PMID: 38610217; PMCID: PMC11012007.
- Alahmri F, Nuhmani S, Muaidi Q. Effectiveness of telerehabilitation on chronic low back Pain: Systematic review and Meta-Analysis. Int J Med Inform. 2025 Nov 6;206:106174. doi: 10.1016/j.ijmedinf.2025.106174. Epub ahead of print. PMID: 41202399.
- El-Tallawy SN, Pergolizzi JV, Vasiliu-Feltes I, Ahmed RS, LeQuang JK, Alzahrani T, Varrassi G, Awaleh FI, Alsubaie AT, Nagiub MS. Innovative Applications of Telemedicine and Other Digital Health Solutions in Pain Management: A Literature Review. Pain Ther. 2024 Aug;13(4):791-812. doi: 10.1007/s40122-024-00620-7. Epub 2024 Jun 13. PMID: 38869690; PMCID: PMC11255158.
- Fandim JV, Almeida de Oliveira L, Yamato TP, Kamper SJ, Costa LO, Maher CG, Saragiotto BT. Telerehabilitation for neck pain. Cochrane Database Syst Rev. 2025 Aug 12;8(8):CD014428. doi: 10.1002/14651858.CD014428.pub2. PMID: 40792483; PMCID: PMC12341027.
- Hill-Oliva M, Ampen-Darko KK, Shekane P, Walsh S, DeMaria S, Gal J, Patel A. The Use of Telemedicine in Outpatient Pain Management: A Scoping Review. Pain Physician. 2023 Nov;26(7):535-548. PMID: 37976479.
- McGraw M, Morin A, Tremblay Vaillancourt V, Poitras ME, Couturier Y, Gaboury I, Poirier MD. Chronic Disease Patients' Engagement in Interprofessional Telehealth Collaboration in Primary Care: A Scoping Review. J Prim Care Community Health. 2025 Jan-Dec;16:21501319251333858. doi: 10.1177/21501319251333858. Epub 2025 Jun 6. PMID: 40478540; PMCID: PMC12144354.
- Ahmed Kamal M, Ismail Z, Shehata IM, Djirar S, Talbot NC, Ahmadzadeh S, Shekoohi S, Cornett EM, Fox CJ, Kaye AD. Telemedicine, E-Health, and Multi-Agent Systems for Chronic Pain Management. Clin Pract. 2023 Mar 21;13(2):470-482. doi: 10.3390/clinpract13020042. PMID: 36961067; PMCID: PMC10037594.
What are the biggest limitations and challenges?
Despite the benefits, some challenges remain. Some of them are reduced or removed by the way we work.
No hands-on examination. Telerehabilitation lacks the hands-on part of a physical examination, palpation and neurological assessment. That's a deal-breaker for some people, but physiotherapists rely far more on your history than on what they feel with their hands when making a diagnosis. Hands-on findings can even complicate things, because simple issues often get overdiagnosed.
Technical barriers. You need a device with a camera, and a poor internet connection can disrupt the conversation. Most people today have a laptop or phone and a good connection.
The relationship. Digital skills can be a challenge, especially for older adults, and some clinicians and patients worry about lower quality of care or building rapport without physical contact. We make a point of building a thorough therapeutic relationship, based on everything relevant, so you get the right care.
Regulation and privacy. Telehealth needs careful attention to data protection, security, privacy and medico-legal issues, which vary between countries. We take data protection seriously and only use GDPR-compliant software. If you ever feel uneasy, we can delete your app data in a matter of minutes. Your clinical record is the exception, because Danish law requires us to keep it for 5 years.
Technical
What equipment do I need for online rehab?
Connection. A reliable internet connection matters for both of us. If you're unsure about yours, get in touch before you book.
Device. A computer, smartphone or tablet with a camera and speakers for video consultations. A laptop or a recent tablet with headphones usually works best.
Software. We provide a web-based platform for your plan, documents, reports and data. Your clinical records are kept in GDPR-compliant software made for clinical record keeping.
Wearables. We use data from sports watches, sensors and heart rate monitors to follow your training remotely, so the rehab and performance work is based on real data.
Before your first consultation, you get a short video that explains the whys and hows of everything that's good to know.
What are the main technical barriers?
Technical issues are among the most reported challenges, and they can lead to frustration and dropouts.
Connection. Limited infrastructure and unreliable internet are the biggest barrier.
Problems during a call. Technical difficulties during an appointment can interrupt the conversation.
Getting used to the platform. A new web-based platform can feel unfamiliar at first, but most people find their way around it quickly.
If you're unsure how to go about any of it, reach out.
How is my data kept secure and private?
Data security and privacy are a top priority, and we only use GDPR-compliant software.
Compliance. Pacer is based in the EU and follows the GDPR.
Storage. The platforms store your data securely and prevent unauthorized access.
Deletion. When you stop, your account and app data are deleted after the two-week period where you can still write to us on the platform. Your clinical record is kept for 5 years, as Danish law requires. If you want the app data deleted sooner, email us and we'll do it within minutes of reading your mail.
Start at step one
Tell us what's going on
Four questions, two minutes. We read every one personally, and you'll hear from us the same day. If online rehab isn't right for your injury, we'll tell you and point you somewhere better.
Who you'll work with
Teis S. K., Bachelor in Physiotherapy, MSc in Musculoskeletal Physiotherapy
Physiotherapist and researcher in musculoskeletal health. You work with the same person from the first message to the last follow-up.
Prefer email? tsk@pacerrehab.com
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