The Send Doctor

PT · CaliforniaCoaching · Anywhere

Climb while you heal. Send it!

Injuries shouldn’t mean sitting on the couch. As a Doctor of Physical Therapy, longtime routesetter, and coach, I help climbers bridge the gap between rehab and performance. From acute injuries and chronic pain to stubborn plateaus, let’s identify the root cause, restore your capacity, and get you back to sending it!

The California PT license requires you to be in California at the visit. Coaching is available anywhere. .

Dr. Joshua Foster, DPT · CA license #305500 · Climbing since 2001

Climber managing an outdoor sandstone roof with spotters

The philosophy

“If a provider tells you to just stop climbing for six weeks without looking at how you actually move—you're in the wrong place.”

Climbing is highly technical, beautifully weird, and incredibly demanding on your body. You deserve a specialist who understands what it takes to move well, to be strong, and to be more resilient to the injuries that come with climbing. My telehealth service bridges the gap between rehab and high-performance training so you never have to fully step away from the sport you love.

Two paths

Two ways to work together

Start with the path that fits — then book the right session for your goals.

Climber loading upper body on an indoor featured wall
In California for the visit

Virtual Physical Therapy

Injury assessment and return-to-sport plans over video, built on DPT expertise, more than a decade of route setting, and more than a decade of coaching at an elite level, including youth athletes to national titles.

Explore PT →

Athletes training on a steep climbing gym wall
Available worldwide

Performance Coaching

A 60-minute 1-on-1 session. You leave knowing what to train this cycle, what to drop, and how to stay healthy while doing it. Built on DPT expertise, more than a decade of route setting, and more than a decade of coaching at an elite level, including youth athletes to national titles.

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The route

How it works

Pick the path, book the right session, then get on video.

  1. 01

    Choose a path

    Physical therapy if you’re injured — the California PT license requires you to be in California at the visit. Coaching if you want performance work from anywhere in the world.

  2. 02

    Book the matching session

    Unsure → free 15-min discovery. New PT patient → 60-min eval. Already in care → 45-min follow-up. Training direction → 1-on-1 coaching session.

  3. 03

    Show up on video

    You’ll get a Meet link with the calendar confirmation. Bring space to move, the shoes or tools you climb in, and a clear goal.

Not sure? .

Fit check

Who this is for

Two paths. Match the one that fits your body and your geography.

Physical therapy · California

PT is a fit if you

  • Have a climbing-related injury or tweak — upper body, lower body, spine, or movement-wide
  • Will be in California at the time of the appointment — the PT license requires it
  • Can start without a physician referral, unless care continues past 45 days or 12 visits
  • Want to keep climbing during rehab instead of a total shutdown
  • Want rehab built on DPT expertise, route setting, and elite coaching

Better elsewhere if you

  • Need in-person hands-on manual therapy this week
  • Will be outside California at the PT appointment
  • Need emergency care or have red-flag symptoms
Explore this path →

Coaching · Worldwide

Coaching is a fit if you

  • You’re healthy enough to train and want performance, not clinical rehab
  • You have a concrete goal — grade, trip, comp — or a stubborn plateau
  • You want one session to sort what to train this cycle, what to drop, and how to stay healthy
  • You’re anywhere in the world — coaching isn’t limited to California

Better elsewhere if you

  • You currently need injury diagnosis or medical rehab (that’s physical therapy, and you need to be in California at the appointment)
  • You want a hands-on spotter in the gym every session
  • You’re looking for a one-off “secret exercise” without changing training habits
Explore this path →

Keep exploring

Ready when you are

Book the matching session, or dig into credentials and common questions.

Book a session

A PT visit, a 1-on-1 coaching session, or a free discovery call if you’re unsure.

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Meet Josh

Routesetter, coach, and DPT — the story behind The Send Doctor.

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Read the FAQ

Licensing, which session to book, and what to prepare for video visits.

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