You have not run in over a year because of a foot and hip injury. Finally, it's all coming together-you have less hip pain and your foot pain has been gone for weeks. You are cleared for a return to run program and then after 2 minutes into it, you leak. Does this sound familiar to you or your patients? This is a rare glimpse into "real time" clinical reasoning. We highlight some unique treatment ideas as well as provide the patient with a strategy she can tap into when she does leak.