Podcasts about PTS

"Access to care" sounds like something everyone should support.So why do we think it's become one of the most misleading phrases in pelvic health?In this episode, we argue that we've been solving the wrong problem.Because the goal isn't access to care.  The goal is access to quality care.We discuss: Why lowering the standard of care isn't the same as increasing access  The difference between access and quality  Why patients are still falling through the cracks despite having "access"  The six biggest opportunities to improve pelvic healthcare  Why raising standards—not lowering them—is how we truly help more people If our profession wants to serve more patients, the answer isn't diluting what makes pelvic health special.It's building more clinicians, better businesses, stronger education, and higher standards. About Nicole & Jesse CozeanPelvic health is hard. We want everyone in this field to have a joyful, impactful career. And for business owners to build something that truly works for them.

As your clinic grows, your greatest challenge shifts from treating patients to leading people. In this episode, Doc Danny explains why emotional intelligence is one of the most valuable leadership skills a clinic owner can develop, how understanding psychology improves staff retention, and why communication—not policies—is the foundation of a healthy, growing practice. In This Episode, You'll Learn Why people become both the greatest challenge and greatest reward of owning a clinic How emotional intelligence improves leadership and culture The difference between empathy and people pleasing Why communication solves more problems than additional policies How psychology influences motivation, performance, and retention Books every clinic owner should read to become a stronger leader Key Takeaway The success of your clinic is ultimately limited by your ability to understand, communicate with, and lead other people. Invest in leadership the same way you invest in your clinical education. Technology Spotlight Documentation continues to be one of the biggest frustrations for physical therapists. Claire is an AI scribe built specifically for PTs that dramatically reduces documentation time, allowing clinicians to focus on patient care instead of paperwork. Try Claire free for 7 days. Free Resource Ready to build a scalable cash practice? Join the free PT Biz Part-Time to Full-Time 5-Day Challenge. More PT Biz Training Subscribe to PT Biz Training on YouTube Connect Physical Therapy Biz PT Entrepreneur Podcast

On this episode of PT Breakfast Club, Jimmy McKay, Tony Maritato, and Dave Kittle unpack one of the profession's loudest conversations: burnout.But instead of stopping at “PTs are burned out,” they push into the more useful question: what are clinicians actually asking for when they say they want fewer patients?More time? A buffer between visits? Better systems? Less emotional carryover? A job that matches the version of the profession they thought they were entering?The crew also asks the dangerous dinner-party question: would you become a PT again? Tony and Dave both say yes, but with caveats. They'd understand market forces sooner, think differently about ownership, and build earlier.In the second half, the conversation pivots to social media, AI, and clinic growth. Tony shares how he's using Meta AI, ChatGPT, and Gemini to analyze what is actually working across his content. Dave explains how TikTok is already creating real patient conversations for Concierge Pain Relief. Jimmy ties it together with a lesson from his talk to PT students in Colorado:Attention leads to trust. Trust leads to action.And the big takeaway for clinics?Stop trying to create “social media.”Create media that is social.Big IdeasBurnout needs a clearer definition before PT can solve it.“Fewer patients” may actually mean more time, recovery, documentation space, or emotional reset.Better pay might help, but it does not automatically fix workplace dissatisfaction.PT students are still fired up about the profession, and that matters.Future clinicians need to understand market forces, not just anatomy and interventions.Social media is not just marketing fluff. It is attention, trust, and patient behavior.Clinics should stop overproducing and start documenting real moments.AI can help clinicians and clinic owners understand what their audience is telling them.The FITT-VP principle works for exercise, communication, business, and content.Best Line“Don't try to create social media. Try to create media that is social.”

Is internal evaluation the gold standard in pelvic health?  We believe the answer is yes.Lately, we've seen more clinicians claiming that internal pelvic floor evaluation isn't necessary—or isn't the gold standard of pelvic rehab. We don't think this is just another social media debate.We think it's one of the most important conversations our profession needs to have.We're going to be diving deep into this topic.  But for Part 1, we discuss: Why this issue matters so much for the future of pelvic health  What the pioneers of our profession fought to establish  The strongest arguments against internal evaluation—and where we think they fall short  Why "access to care" shouldn't mean lowering the standard of care  Why extraordinary claims require extraordinary evidence (Also, the caveat we shouldn't need....Every internal evaluation should be clinically appropriate and performed only with informed patient consent.  Of course.)Instead, this episode asks a bigger question:  What should the gold standard actually be for pelvic rehab?About Nicole & Jesse CozeanPelvic health is hard. We want everyone in this field to have a joyful, impactful career. And for business owners to build something that truly works for them.

Matt and Allie on site at our Montgomery center to interview student PT, Tanner Johnson. Tanner shares his background, PT school experience and previous clinical round stories, as well as his interest in being more involved in sports for his future career. Matt asks him to share his experience in Dry Needling, seeing Direct Access patients, and using Ai assisted documentation. Tanner also gives his advice to aspiring PTs and even to Tanner's past self now that he's almost completed his second clinical round.Did you know that you don't need a doctor's prescription to receive physical therapy?  You can schedule here . The laws of Direct Access allow you to receive physical therapy without a referral and still use your insurance benefits! Learn more on how Direct Access can help YOU! Our website: https://www.oxfordphysicaltherapy.com/

Every sports physical therapist remembers the first time they handed a young, anxious athlete an MRI report filled with terms like "partial-thickness tear," "labral fraying," or "degenerative changes." It is a defining moment in a clinician's career. Instantly, the psychological landscape of the rehab process shifts. The athlete, who might only have mild, intermittent symptoms, suddenly views their joint as a ticking time bomb. As a clinician, it is incredibly easy to let that piece of paper dictate your entire treatment plan, leading to over-protection and a fear-avoidant rehab environment.The reality of dealing with overhead athletes—especially baseball pitchers—is that structural abnormalities on an image are often just the cost of doing business. If you scan enough high-level shoulders, you are going to find fraying and partial tears in completely asymptomatic arms. The real skill lies in balancing those structural findings with the actual human being sitting on your treatment table. How do you maintain clinical objectivity when the scan says one thing but your manual muscle testing and special tests say another?On this episode of the podcast, we answer a great question from a listener struggling to navigate this exact scenario with a collegiate pitcher. We discuss how to educate a freaked-out athlete, when to respect the structural pathology, and how to ensure you are treating the functional deficits rather than just chasing a clean image. Check out this week's episode for our full breakdown and clinical pearls on mastering the physical exam.To see full show notes and more, head to: https://mikereinold.com/stop-treating-the-mri-and-start-treating-the-athlete/Learn our proven system for sports PTs who want to master ACL rehab, confidently progress patients, and guide athletes safely back to high-level sport.Click here to learn more Click Here to View My Online CoursesWant to learn more from me? I have a variety of online courses on my website!Disclaimer: This post contains affiliate links. If you make a purchase, I may receive a commission at no extra cost to you.Support the show_____Want to learn more?  Check out my blog, podcasts, and online coursesFollow me:  Instagram  |  Twitter  |  Facebook  |  Youtube

While the boys are gone, it's time to reminisce on your all-time favorite moments from the pod. SHOP OUR NEWEST MERCH COLLECTION: https://almostfriday.shop/collections/afpod FOLLOW OUR SOCIALS: https://www.flowcode.com/page/almostfridaypod SUPPORT OUR SPONSORS: CHECK OUT WILDMEN: https://www.youtube.com/ ⁨@WildmenPodcast⁩   Get 50% off plus FREE shipping on your first box with code AFPOD50OFF at https://www.factormeals.com/afpod50off Head to https://www.squarespace.com/FRIDAY to save 10% off your first purchase of a website or domain using code FRIDAY. HEAD TO https://HIMS.COM/FRIDAY FOR PERSONALIZED HAIR LOSS TREATMENT OPTIONS! 00:00 Intro 00:36 EP #69 - Guided Meditation 04:45 EP #43 - When Am I Gonna Make a Change? 10:12 EP #43 - Celeb Crushes 11:42 EP #43 - Bday Gifts for Binder 12:44 EP #43 - Molly @ Binder's Bday Party 15:18 EP #94 - You Know Nothing of the Blade” 16:37 EP #69 - Fan Art 19:36 EP #101 - "You Don't Know Ball" 21:17 EP #95 - There's a Lot Going On 23:37 EP #94 - Way of Kings 25:15EP #54 - Rizzing and Razzing 26:03 EP #60 - Jason Earle Died?! 28:16 EP #50 - "Shut Up and Ride Me" 28:51 EP #55 - "I Just Want to Ride Ya" 29:55 EP #71 - Throwing Up in Your Mouth 33:43 EP #75 - No Politics Here 35:36 EP #69 - New Segment Idea 36:27 EP #93 - He Thought He Was in the Bathroom 40:19 EP #137 - Send Da Video 46:56 EP #101 - Horrors in My Head 48:03 EP #121 - Fridge Analysis / Frog Painting 52:45 EP #139 - Zombies 54:16 EP #54 - Thanksgiving Advice 55:31 EP #69 - Emily & Will Are Scammers 59:48 EP #117 - Gus' New Video Game 1:06:38 EP #7 - Have You Seen My Penis? 1:09:42 EP #104 - Dangerous Book for Boys 1:11:11 EP #116 - BOP House 1:12:49 EP #101 - Binder Wants to Be Loved 1:14:43 EP #137 - Op Coded 1:18:37 EP #139 - Batman Scene 1:21:39  EP #137 - Butt Vibrator 1:22:04 EP #101 - Big Bully Moves 1:22:53 EP #160 - Chair Snap 1:24:24 EP #139 - Squid's Eye 1:26:37 EP #111 - Learn Chinese 1:28:25 EP #156 - 5 PTS to Israel 1:28:44 EP #155 - You Are Like Papa 1:29:40 - Turn to Liquid 1:30:39 - Worst Episodes Ever Learn more about your ad choices. Visit megaphone.fm/adchoices

Many cash-based practice owners use the word "profit" without realizing there are multiple ways to measure it. In this episode, Doc Danny breaks down the difference between Owner's Discretionary Income (ODI) and true net profit, explains which metric matters most for owner-operated clinics, and shares how understanding your numbers can help you build wealth both inside and outside your practice. In This Episode, You'll Learn The difference between Owner's Discretionary Income and true net profit Why most cash practice owners should focus on ODI How business valuation differs from personal income When true net profit becomes important for selling a clinic Why lifestyle inflation prevents long-term wealth How to build financial security outside your practice Key Takeaway Revenue is important, but Owner's Discretionary Income tells you what your business is truly providing for your family. Track the right metrics, invest wisely, and use your practice to build lasting wealth. Technology Spotlight Documentation continues to be one of the biggest frustrations for physical therapists. Claire is an AI scribe built specifically for PTs that dramatically reduces documentation time, allowing clinicians to focus on patient care instead of paperwork. Try Claire free for 7 days. Free Resource Ready to build a scalable cash-based practice? Join the free PT Biz Part-Time to Full-Time 5-Day Challenge. More PT Biz Training Subscribe to PT Biz Training on YouTube Connect Physical Therapy Biz PT Entrepreneur Podcast

"Everyone" seems to be saying the future is online.  Create a course.  Sell a membership.  Telehealth in your pajamas.  Stop trading your time for money.  Retire on a beach.As owners of both a thriving brick-and-mortar practice and a successful online business, we wanted to share a reality check.In this episode, we discuss:✅ Why most pelvic PTs are looking at online business for the wrong reasons✅ Why building an online business is often harder than building a local practice ✅ The biggest mistakes we see clinicians make before they ever get started ✅ Why content creation is a full-time job—not passive income ✅ How AI is changing the future of online education ✅ Why we still believe the greatest opportunity is delivering exceptional in-person careOne of our biggest takeaways:Don't chase what looks exciting online. Build the business you're actually passionate about.Business AcceleratorIf your goal is to build a thriving pelvic rehab business, we'd encourage you to double down on what you already know how to do: provide exceptional patient care.The Business Accelerator helps you build the marketing, systems, pricing, and confidence to grow a profitable brick-and-mortar practice—without chasing every new trend.Learn more about future cohorts:

If you've ever felt like nobody around you understands what it's like to lose your old identity to a diagnosis, this episode names that experience using language borrowed from an unlikely place: sport psychology. The same identity disruption athletes face after a career-ending injury shows up almost exactly the same way after a chronic illness diagnosis.In this episode, you'll hear from Kelsey Ruffing, MA, MS, LCPC, who draws a direct line between an athlete being ignored by a coach and a chronically ill patient being dismissed by a doctor, and explains why both create the same kind of lasting trust injury.Connect with Destiny:  Instagram / Facebook / Website______________________________

I am currently pretending not to know that 80% of what I do right now needs to stop. That's a hard thing to admit.In this episode, Matt Robinson shares that admission honestly, and uses it to unpack one of the most important ideas from a recent presentation to his own 1-1 clients: your business can't outgrow you.Every time you get close to breaking past where you've been before, your identity pulls you back. This is why people hit a certain number and fall back. Why they make changes and regress. Why some PTs are still doing exactly what they were doing years ago, working with the same clients, charging the same, stuck in the same place. It's not a strategy problem. It's an identity problem, and no marketing tactic or business hack can fix it.Matt walks through the concept of the borrowed dictionary, the number and the Tuesday test, and why resetting your expectations around problems is essential if you actually want to grow.In this episode:Why your business's growth is limited by your own identity, not your strategyThe question to ask yourself: "What am I currently pretending not to know?"Why using words like freedom and success without defining them keeps you stuckThe Tuesday test: what actually changes at your next revenue numberWhy growth doesn't mean fewer problems, just different onesThe honest question to ask yourself about the rest of this year: are you optimising for stability, or for becoming the person you've been avoiding becoming?If you're a personal trainer or fitness business owner who feels like you keep hitting the same ceiling no matter what you try, this episode will help you understand why, and what to do about it.Book a Business Breakthrough Call: https://mattrobinsoncoaching.com/speak-with-matt

Building a successful clinic isn't just about improving your marketing or hiring great people. It's also about developing a healthy relationship with money. In this episode, Doc Danny explores why many business owners struggle with feeling guilty about earning more than their employees, why that mindset can limit growth, and how understanding risk, responsibility, and value creation can completely change your perspective on business ownership. In This Episode, You'll Learn Why money mindset evolves as your clinic grows How risk separates business owners from employees Why profitable clinic owners shouldn't feel guilty about success The hidden sacrifices required to build a thriving practice How to create value for your team while building wealth responsibly A healthier way to think about compensation and leadership Key Takeaway Your income as a clinic owner isn't simply payment for treating patients. It's compensation for years of risk, sacrifice, leadership, and value creation that made the business possible in the first place. Technology Spotlight Documentation continues to be one of the biggest frustrations for physical therapists. Claire is an AI scribe built specifically for PTs that dramatically reduces documentation time, allowing clinicians to focus on patient care instead of paperwork. Try Claire free for 7 days. Free Resource Ready to build a successful cash-based practice? Join the free PT Biz 5-Day Challenge. More PT Biz Training Subscribe to PT Biz Training on YouTube Connect Physical Therapy Biz PT Entrepreneur Podcast

Endometriosis care is about so much more than surgery.In this episode, Nicole sits down with endometriosis excision surgeon Dr. Mallory Stuparich for a wide-ranging conversation on what it really takes to care for patients living with endometriosis.We discuss: The role of pelvic PT before and after surgery  Setting realistic expectations for recovery  Central sensitization and persistent pain  Imaging, inflammation, and recurrence  Why multidisciplinary care leads to better outcomes But one message stood above everything else:Our first job is to rebuild trust.Many patients with endometriosis have spent years feeling dismissed, misunderstood, or told their symptoms were normal. Before we can guide them toward healing, we have to help them feel seen, heard, and believed.Whether you're part of the surgical team or the rehabilitation team, that trust is where recovery begins. About Dr. Mallory StuparichDr. Mallory Stuparich is a fellowship-trained gynecologic surgeon specializing in advanced endometriosis excision surgery, adenomyosis, and complex pelvic pain. She is passionate about collaborative care and helping patients navigate every stage of their treatment journey with compassion, education, and evidence-based care.Downtraining MasterclassHelping patients with persistent pelvic pain requires more than great hands-on skills.Our Downtraining Masterclass provides practical frameworks for treating high-tension, pain-dominant patients with more confidence.

What if the biggest key to business success isn't strategy... but confidence?In this episode, we bring on Joy Noble, founder of Pelvic Pride, to talk about building a business with purpose, creating an incredible team culture, and having the courage to do things differently.A coach in our Rising Mentorship Program, Joy shares the journey from opening her practice just before the pandemic to growing into two locations, expanding her team, and creating one of the most recognizable brands in pelvic health.We discuss:✅ Why community is one of the greatest competitive advantages you can have ✅ The courage it took to rebrand to Pelvic Pride ✅ Building a practice around your values instead of trying to please everyone ✅ Growing from an anxious decision-maker into a confident leader ✅ The importance of mentorship, team culture, and saying "no" ✅ Joy's newest project supporting the mental health of pelvic therapistsOne of our favorite takeaways:Confidence isn't something you're born with. It's something you build by doing hard things.About Joy NobleJoy Noble is the founder of Pelvic Pride, a pelvic health practice dedicated to creating an inclusive, affirming environment where every patient feels seen, heard, and cared for. In addition to leading a rapidly growing multi-clinician practice, Joy is passionate about supporting the wellbeing of pelvic health providers through her newest initiative, The Reset Room.

The UK fitness industry just added 700,000 new gym members. But the real story isn't the growth. It's what's happening underneath it.In this episode, Matt Robinson breaks down the latest UK fitness industry data, first shared at his recent client-only event, and what it reveals about a market that's maturing fast. Gym visits are outstripping new memberships, which means fitness is no longer aspirational. It's habitual. And that changes how PTs and coaches need to operate.Matt walks through five specific shifts every personal trainer and fitness business owner needs to understand right now, from how you message your content to how you sell, price, and build community into your service.This isn't information you'll find anywhere else in the industry. It's the same data and insights Matt shares directly with his one-to-one coaching clients.In this episode:The latest UK gym membership, revenue, and visit data for 2026Why the market has moved from aspirational to habitual, and what that means for youShift one: why sharing basic information isn't enough anymoreShift two: why community is no longer optionalShift three: why quality and small operational details matter more than everShift four: why selling needs to feel like guidance, not persuasionShift five: why being specific beats having a nicheIf you're a personal trainer or gym-based fitness professional who wants to stay ahead of where the industry is heading, this episode will show you exactly where to focus.Book a Business Breakthrough Call: https://mattrobinsoncoaching.com/speak-with-matt

Recorded live at APTA CSM, this episode features JR Bonhomme, a recruiting leader at PRN Physical Therapy, a company operating across 275 locations in 17 states. JR pulls back the curtain on what it actually takes to attract and keep great PTs in today's landscape, whether you are a student searching for your first job or an owner building a team that lasts.Will and JR cover what students get wrong when researching employers, why most practice owners are losing great hires before they even respond, and what PRN does differently to stand out in a crowded market.What you will hear in this episode:Why students need to look past the base salary number and what they should be evaluating instead. How to research a company's culture using Glassdoor, Indeed, and even Google patient reviews. Why speed is the single most important variable in modern recruiting and what 24 hours really means. The daily sourcing habit JR uses before he opens a single email. How being present at university career fairs gives smaller clinics a real recruiting edge.What PRN's Transition to Practice program does for new grad retention. Why offering schedule flexibility keeps clinicians longer than raises alone. What the book Mutiny on the Bounty taught JR about leadership and team management.The story of an eighth grade music teacher who changed the direction of JR's life.This one is practical, honest, and full of specific moves you can use right now.Send us Fan MailVirtual Rockstars specialize in helping support or replace all non-clinical roles.Learn how a Virtual Rockstar can help scale your physical therapy practice.Subscribe here to our completely free Stress-Free PT Newsletter for your weekly dose of joy. 

What would it look like if your patients stopped fearing the floor?  In this episode, hosts Erin Gallardo, PT, DPT, NCS, and Claire McLean, PT, DPT, NCS, discuss with Naomi Casiro, physiotherapist and founder of Neuro Fit Academy, what happened when her falls training sessions at World Parkinson Congress drew over 100 attendees in a room designed for 40. They dig into why patients with Parkinson's are starting to demand falls training themselves, and how that overwhelming response reflects a massive gap in what clinicians are currently being taught. Naomi recently launched her FMF — Functional Movement and Falls Training — Foundations online course through Neuro Fit Academy — a six-hour program built for PTs, OTs, and any neuro rehab clinician who wants practical, immediately applicable falls training skills without needing to wait for an in-person course to come to their city. The course includes PDF clinical guides, problem-solving resources, and twice-yearly office hours with Naomi directly. If you've ever felt unsure about how to actually teach a patient to fall safely, this course was built for you. Learn more about the course here! www.neurofitacademy.org

Would we open a cash-based PT practice in 2026? Absolutely. In fact, we'd argue there's never been a better time. In this episode, we discuss why we're such strong believers in the cash-based model, from escaping the headaches of insurance to building a business that's both profitable and rewarding. We break down the low startup costs, high earning potential, and ability to create a better experience for both clinicians and patients. We'll also share what we'd do differently if we were starting from scratch today, the opportunities we see in the industry, and why so many PTs are realizing they don't have to settle for burnout, low reimbursement rates, and endless paperwork. If you've ever wondered whether cash-based PT is worth it, this episode is for you. Download the FREE cash based practice checklist: https://tinyurl.com/5xxtd2xpYou can follow us on Instagram @businessmusclepodcast, @elisecaira and @dr.ariel.dpt. Get your FREE Business Starter Checklist: https://www.businessmusclepodcast.com/freechecklistFIXXED: https://www.fixxedstudios.com/Sweat Fixx: https://www.sweatfixx.com/

Send us Fan MailIn Season 6, Episode 6, I speak with osteopathic physician Dr Carrie Madej about many things including the trouble with the tetanus vaccine. Carrie Madej - BIOOsteopathic & Internal Medicine Carrie Madej has a great love for humanity and the sacredness of life. She believes that the body, mind, and spirit are equally important in achieving wellness, and that the balanced body has the inherent ability to heal itself. She believes a physician should be a teacher of health to the patient, as well as identify the causes of dis-ease, in order to have an optimal body. Originally from Dearborn, Michigan, she received her medical degree from Kansas City University of Medical Biosciences in 2001. She currently dedicates her time educating others on vaccines, nanotechnology, and human rights via multiple platforms and speaking engagements.Her website is carriemadej.com.Support the show#thetroublewithvaccines #trauma #healing #music #sound healing #medical error #musicals #originalsongs #autism #soloshows #NationalCitizensInquiry #Creativity in Healing #Medicalfreedom #MindControl #Canadaontheedge #HealthCanada #CanadaLaw #TrueHope #truth #apocaloptimist #transformingtrauma #grief #grievingdeeply #homeopathy #loveheals #naturopathicmedicine  #druglessmedicine #energymedicine #expressiveartsheal #empoweredvoices #knowledgeispower #singtohealthyroids #erasetoxiclegacies #peaceispossible #VictimeRecoveryBooks: Transforming Trauma, a drugless and creative path to healing PTS and ACE is published by Hammersmith Books is available globally. Surviving a Viral Pandemic through the lens of a naturopathic medical doctor. On Amazon both paperback and eBookFlawed, a novel - an eccentric family saga - is on Amazon both paperback and eBook...audiobook now on AudibleMusic: Instrumental album: Sophie's Heart - Avi Noam Gross (streaming)websites: drheatherington.com; heatherherington.comemail: drheatherh@icloud.comnew phone number  672 399 1942Breathe in and out slowly and gently wherever you are. We will survive this dark time of the world. It starts with you: standing, jumping, singing in the light of love and even if just a little at first, joy. 

Building a sports physical therapy practice used to follow a predictable playbook. You opened your doors, printed some business cards, and spent your Friday afternoons dropping off food at local orthopedic clinics hoping to get on their referral list. For decades, doctor relationships were the lifeblood of private practice growth. But the modern healthcare consumer operates differently. Today, even when a physician hands a patient a specific script, that patient immediately pulls out their phone to check Google reviews, Instagram feeds, and website content before booking an appointment.This shift has created a massive fork in the road for early-career professionals and aspiring clinic owners. Is the classic physician marketing route dead, or is it still the most reliable way to build a sustainable caseload? On the flip side, does a massive social media footprint actually translate into paying clients, or is it just an expensive vanity metric that takes time away from clinical care? If you were launching a brand-new hybrid performance facility today with zero brand awareness, where should you actually spend your time and marketing dollars?In this week's episode of The Ask Mike Reinold Show, the crew dives headfirst into this exact dilemma. We break down the real-world math behind direct-to-consumer marketing versus physician networking, and share the exact strategy we would use if we had to start Champion from scratch today. Tune in to find out which avenue deserves your focus so you can build a thriving practice without wasting your time.To see full show notes and more, head to: https://mikereinold.com/physician-referrals-vs-online-presence-which-one-grows-your-sports-pt-clinic-faster/Learn our proven system for sports PTs who want to master ACL rehab, confidently progress patients, and guide athletes safely back to high-level sport.Click here to learn more Click Here to View My Online CoursesWant to learn more from me? I have a variety of online courses on my website!Disclaimer: This post contains affiliate links. If you make a purchase, I may receive a commission at no extra cost to you.Support the show_____Want to learn more?  Check out my blog, podcasts, and online coursesFollow me:  Instagram  |  Twitter  |  Facebook  |  Youtube

What does it really take to grow from a single treatment room into a thriving multi-location practice?In this episode, we sit down with Hannah Strom, founder of Awake Pelvic Health, to talk about the mindset, leadership, and intentional decisions that fueled her incredible growth.Hannah shares how she started in a tiny room at the back of a yoga studio and, just five years later, has built a practice with ten clinicians. But this conversation isn't just about growth—it's about becoming the leader your business needs.We discuss: ✅ Why every stage of growth feels uncomfortable ✅ Building a culture centered on mentorship and curiosity ✅ The transition from clinician to business owner ✅ Balancing high standards with giving your team room to grow ✅ Why workshops have been a cornerstone of her marketing strategy ✅ Creating a business that supports your life—not just your scheduleOne of our favorite takeaways:Your business only grows as much as you're willing to grow.About Hannah StromHannah Strom is the founder of Awake Pelvic Health, a pelvic health practice with three locations built around whole-body care, mentorship, and clinical excellence.Learn more at www.awakepelvichealth.comFollow Hannah on Instagram: @awakepelvichealthBusiness AcceleratorIf you're looking to grow your practice with more confidence, better systems, and support from a community of like-minded pelvic rehab business owners, we'd love to have you in a future Business Accelerator cohort.Learn more at:

If you've ever been told to push through the pain, or worried that going slower means giving up on getting better, this episode will change how you think about movement and healing.You'll hear from Jeannie Di Bon, movement therapist and hypermobility/EDS specialist. She shares why starting with breath and nervous system regulation, not exercise, is often the missing first step that actually makes people stronger.& if you know me (Destiny), you know that I'm very careful with the word nervous system regulation. I think Jeannie uses it accurately and not dismissively here.Connect with Destiny:  Instagram / Facebook / Website______________________________

Every year, Elevate brings together the biggest names in the UK fitness industry. This year, I attended and came back with three insights that every in-person PT and coach needs to hear.Some of what I saw might surprise you. Some of it will confirm what you already suspected. All of it points in the same direction.In this episode, I share three things he noticed at Elevate that give a clearer picture of where the fitness industry is heading, what that means for in-person coaches, and where to focus your attention right now.In this episode:Why the reformer Pilates boom tells us something important about what people actually want from fitness right nowThe surprising move away from technology in gym equipment and what it suggests about how your clients want to be coachedWhy AI leaders at Elevate were warning fitness providers to keep their staff and hire more people, not lessThe blind spots in AI fitness technology that make in-person coaching more valuable than everThe belief that holds PTs back regardless of where they're based — and why even coaches at high-end London gyms struggle with itIf you're an in-person PT wondering whether the industry is moving away from you, this episode will give you both clarity and confidence.Book a Business Breakthrough Call: https://mattrobinsoncoaching.com/speak-with-matt

Walking After Stroke: What Your PT Knows That Your Doctor Doesn’t A doctor walked in, ran a reflex test, and told the patient they would never walk again. That same day, a physical therapist from Dr. Kory Langwell’s team arrived. The patient was in tears. And then they walked 70 feet. “I hope you go back and tell that doctor,” Kory said, “that they missed that.” Dr. Kory Langwell is a Doctor of Physical Therapy with over 15 years of experience. He runs a mobile home therapy practice across Southern California, and now coaches stroke survivors worldwide through his virtual program at Unlimited Potential Physical Therapy. In episode 410 of the Recovery After Stroke podcast, Kory broke down the realities of walking after stroke what’s actually possible, where the system fails survivors, and what a good physical therapist knows that most doctors don’t. The Moment the System Stops For most stroke survivors in the United States, recovery starts with intensity. In the hospital, you might receive three hours of therapy a day. Then you go home. Within weeks, that drops to thirty minutes, once or twice a week. “Insurance doesn’t know when your brain stops recovering,” Kory says. “Therapy ending doesn’t mean progress ends.” The problem is that for many survivors, the message lands the other way around. When the funding stops, the belief follows: that recovery is over, that this is where they plateau, that there’s nothing left to do. That belief, more than the stroke itself, can stall everything that comes next. The Plateau Is Not a Full Stop One of the most damaging phrases in stroke recovery is “you’ve plateaued.” It implies that the brain has reached its ceiling, that whatever function you have now is what you’ll have forever. Kory pushes back hard on this. “I’ve seen progress years, decades, 10 to 20 years after a stroke. Arms, hands, legs, walking ability. People just get fed up and stop looking for resources.” What a plateau usually means is that the current approach has stopped working, not that progress itself is impossible. The clinical response isn’t to discharge the patient. It’s to audit what they’re doing and change something. Different exercises, different load, different feedback. Reassess in six weeks. See what moves. Walking After Stroke: Why More Isn’t Always Better Walking after stroke is where survivors often get their first taste of both independence and confusion. The instinct, and it’s a good one, is to walk more. Further, longer, more often. But Kory draws an important distinction between the acute stage and everything that comes after. In the early weeks post-stroke, more isn’t always better. If someone can walk five steps, pushing them to twenty-five on back-to-back days may overtax the neurological system rather than rebuild it. Fatigue compounds quickly. Quality collapses. And when quality collapses, the brain reinforces the wrong patterns. “I’d rather have somebody walk 50 feet really well than 150 feet terribly,” Kory says. Visual feedback changes this completely. When survivors watch themselves walk in a mirror, or on a phone recording, they often see something very different from what they feel. Bill Gasiamis described exactly this: convinced his running gait was dangerous, he watched the footage and found it was far better than he’d thought. The problem wasn’t the movement. It was the feedback. Once a survivor moves into the chronic stage months or years post-stroke, the calculus shifts. Walking remains one of the best exercises available. Kory also recommends walking backwards in a safe environment like a hallway or near a kitchen sink: it challenges balance, engages the brain differently, and creates new neurological input. Why Falls Happen – And What Actually Prevents Them Falls after stroke aren’t random. They follow a pattern. The clinical term is proprioception: the brain’s sense of where the body’s joints and limbs are in space. After a stroke, this system is often disrupted. Survivors may not feel their foot on the ground, or may not register that a leg isn’t bearing weight the way it needs to. Add a divided attention task carrying a plate, thinking about turning off the television, reaching for something, and the risk multiplies immediately. Bill described this directly: he’d made a sandwich, sat down, finished eating, and went to stand up. His attention was on getting the plate to the sink without dropping it. His left leg wasn’t registered as being on the floor. He fell before he’d taken a step. The countermeasure is simple: stop, feel the floor, confirm the leg is active before moving, then carry the plate. Step by step, not simultaneously. Foot Drop, AFOs, and Electrical Stimulation Foot drop, where the muscles that lift the front of the foot are weakened or uncoordinated, is one of the most common walking challenges after stroke. Many survivors are placed in an AFO (ankle foot orthosis) to manage it. Kory’s view on AFOs is measured: they’re a tool, not a sentence. Whether to wear one, when, and whether to eventually stop using one depends entirely on the individual. “Take it off every once in a while if you’re in a safe environment,” Kory advises. “That gives new input to the brain a chance for things to improve.” Electrical stimulation is another tool worth exploring. Kory recommends starting with an affordable unit available on Amazon for around $40 to test whether the technique produces results before investing in higher-end systems. You can find Kory’s recommended unit at linktr.ee/unlimitedpotentialpt. The “Life Athlete” Mindset Kory calls his stroke survivor clients “life athletes.” Not because they run marathons or lift heavy, but because athlete thinking produces athlete results. Athletes track. They audit their approach. They celebrate small gains. They adjust when progress slows. And they don’t let one bad assessment from one clinician define what they believe is possible. “If somebody told you you’d never walk again, you can take that feedback and use it as motivation,” Kory says. “Or you can let it get you down. That’s up to you.” What to Do With a Limiting Prognosis When a doctor says “you’ll never walk again,” it’s rarely cruelty; it’s usually outdated thinking. General practitioners have limited training in neurological rehabilitation. Some are still working from research that concluded recovery stops at six months or a year. That conclusion was drawn from patients who stopped therapy and stopped trying, not from the brain’s actual ceiling. “I just want to leave the door open,” Kory says. The research on neuroplasticity is clear: the brain continues to adapt when given the right challenge, the right environment, and enough time. A prognosis isn’t a prophecy. It’s a snapshot of what one clinician observed on one day. Walking after stroke real, functional, independent walking is possible far longer and far later than most doctors suggest. And sometimes, it happens the same day they said it never would. If this episode has helped you, Bill’s book The Unexpected Way That A Stroke Became The Best Thing That Happened shares the tools and mindset that made the difference across his own recovery. If the Recovery After Stroke podcast has been valuable to you, you can support it financially at patreon.com/recoveryafterstroke. This blog is for informational purposes only and does not constitute medical advice. Please consult your doctor before making any changes to your health or recovery plan. She Was Told She’d Never Walk Again – Her PT Proved Them Wrong | Dr. Kory Langwell (Interview) Dr. Kory Langwell on the therapy gap, foot drop, and why the plateau after stroke is a label not a limit. Highlights: 00:00 Introduction – Walking After Stroke 07:24 Insurance and Therapy Limitations 11:22 Supporting Survivors and Caregivers 16:45 Community and Support in Recovery 26:57 The Impact of Electrical Stimulation in Rehabilitation 29:17 Walking: Quality Over Quantity in Recovery 30:25 Understanding the Stages of Recovery 36:39 Navigating the Challenges of Falling Post-Stroke 42:05 Setting Realistic Goals for Recovery 44:46 The Role of Medical Professionals in Rehabilitation Transcript: Introduction – Walking After Stroke Kory Langwell (00:00) So we had a client recently there. Doctor told them they were never gonna walk again. And literally, like they our therapist showed up, the patient was in tears, and then they walked 70 feet with our therapist. And it was all because it was a doctor that didn’t know them. They did like some reflex testing and said, you’re hyporeflexic, you’re never gonna walk again. And then literally that same day walked 70 feet. I was like, I hope you go back and tell them, BIll Gasiamis video 25, image (00:23) Before we get into today’s conversation, I want to extend a genuine thank you to everyone who supports this show. Whether you’ve joined as a YouTube member, contributed through Patreon, left a review, shared an episode, commented, or picked up a copy of my book, You Are the Reason This Podcast Keeps Going. Today’s guest is Dr. Corey Langwell. A doctor of physical therapy with over 15 years of clinical experience. Corey runs a mobile therapy practice across Southern California and now coaches stroke survivors worldwide through unlimited potential physical therapy, a virtual program built for people who can’t access the in-person care they need. In this conversation, we get into the gap that opens up the moment you leave hospital. While the word plateau might be the most dangerous word in stroke recovery, What physical therapists know about walking after stroke that most doctors do not, and what it actually takes to keep making progress, years or even decades post-stroke. If you’ve ever been told there’s a ceiling on your recovery, this episode is going to challenge that. Here’s my conversation with Dr. Corey. BIll Gasiamis (01:39) Kory Langwell, welcome to the podcast. Kory Langwell (01:42) Thanks for having me. BIll Gasiamis (01:43) Tell me a little bit about your background. Kory Langwell (01:47) Yeah, I’ve been a doctor of physical therapy for over 15 years and I’ve had my own mobile therapy practice for a little over five years. So helping people in their homes throughout Southern California with my staff of PTs, OTs, and speech therapists. And now we’re expanding to worldwide really with our virtual coaching program for people that have had strokes. So BIll Gasiamis (02:12) Worldwide. That’s awesome, right? So that’s where I found you on the TikTok app. And it’s a pretty decent channel to follow. Tell me just while we’re here and I remembered to ask, what is the TikTok handle? Kory Langwell (02:14) Yeah. Yeah. Yeah, yeah. It’s Dr. Kory Stroke Recovery PT and I can I can send you the link later on. But yeah, so I started two months ago and it’s been growing ever since. So BIll Gasiamis (02:38) Yeah, it’s really good because I think your information comes from the clinical background, something that I can’t do. I can put a lot of information out about my personal experience with stroke, what other people tell me about their experience, but your specific instructions around how to improve or how to do something differently or how to achieve an outcome with regards to whatever physical deficit people have after stroke. Is really helpful. So for people who are watching and listening, go to TikTok and probably the other social media channels, yeah, Kory? Kory Langwell (03:12) Yeah, yeah, I started a YouTube recently, unlimited potential physical therapy. And yeah, I’m also on Facebook, Unlimited Potential Rehab. So yeah. BIll Gasiamis (03:22) Yeah. You’re one of those people. I often get asked where can I find somebody that’s going to help me with my stroke recovery? I can’t get there or whatever. And I’m I’m often the middleman. People think that I know everything about everyone, especially from Australia to the United States, right? But what’s weird is I do know a lot of people and I can connect people. So it’s great that we connected and I found you. And I think it’s really important that. Kory Langwell (03:39) Yeah. Yeah. BIll Gasiamis (03:50) It’s your perspective and the way you think about recovery that’s different. And that’s why I reckon people A, should follow you and B, listen to this podcast episode. So don’t leave yet. F listen to the episode and then go and follow Kory on TikTok and all the socials. We’ll have all the links in the show notes. My first question is about the gap. Okay. So we’re often Kory Langwell (04:01) I appreciate that. BIll Gasiamis (04:17) Find ourselves as stroke survivors get sent home from hospital. Everyone does amazing things before we leave hospital. The care is amazing. They try and rehabilitate us as much as they can. They keep us alive. They send us home. But then the gap at home is we’re kind of left alone. Nobody to check in with us to make sure that things are kind of on track, that we’ve settled in. And it feels for a lot of people like recovery ends after therapy ends. But Can you give us a bit of a your your thoughts on that? Kory Langwell (04:54) Yeah, usually at least here in the States, people go from getting three hours of therapy a day in the hospital to literally dropping down to thirty minutes once or twice a week. So there is this huge gap where they just feel like they’re not getting enough and then that it really slows down their progress, or so they feel. and that’s where we’ve come in with our in-home care. But what I’ve seen is people just they need that accountability, whether it’s virtually or in person. And so that’s one thing that we really strive to do is just provide that that one-on-one support virtually. And also, you know, what I see with a lot of people is they think that, stroke recovery. Stops at you know, three months, six months, a year. We’ll probably talk about this more later on. But you just got to keep challenging yourself, doing new things. And I find a lot of times people get stuck on just finding random things on the internet, and then they just they don’t reach out or have the support that they need to move forward and make progress. So grant you just don’t want insurance to tell you when therapy ends or when progress ends. So that doesn’t mean your brain just immediately is yeah. Yeah, therapy’s done because insurance says it is and the brain just shuts off. I mean, I’ve seen progress years, decades, you know, 10 to 20 years after a stroke. I’ve seen progress with arms, hands, legs, general walking ability, you know, stuff like that. So it’s a lot of times they just people get fed up, they get frustrated, and then they stop doing or looking for resources. So BIll Gasiamis (06:26) Y the thing that you said is very interesting about insurance telling you when therapy ends. Now what they’re doing, what are they doing? Are they like I know what they’re doing fundamentally, right? They can’t forever pay somebody to have rehabilitation. And maybe they’re encouraged to pay them for as little as possible as well, because it costs money, right? So they they Kory Langwell (06:49) Yeah. Yeah. BIll Gasiamis (06:53) come up with some kind of a conclusion or whatever, and then they say to people, Well, y that’s about it. You’re not going to really improve any more than that. And we need you to we we’re going to stop funding it. So how does that conversation go from what you understand? And can anyone intervene in that moment and continue the therapy? Is there a way to kind of argue your case to get more therapy? Insurance and Therapy Limitations Kory Langwell (07:24) Yeah, it’s a tough one. So having worked in hospitals in acute rehab units, having worked in outpatient clinics, and then now as my own mobile practice in people’s homes, I’ve seen the whole spectrum of therapy and the issues that come along along each step of the way. in the hospital, you know, it used to be therapy they would get six to eight weeks in the hospital a lot of times here in the States. And now it it used it dropped down to like three weeks for a lot of acute rehabs, and now they’re pushing it down to like 10 to 14 days. which is not a lot of time. And, you know, we used to be able to get people to near independence with a lot of their their skills, you know, the activities or ADLs, activities of daily living. But what I see now is a lot of times hospitals when I left the hospital world in November of 2021, at that point, it was like, let’s just get people to like minimum assistance, meaning they need about 25% or less, and let’s we gotta ship them out of here because it’s like it’s like a churn. It cause hospitals, to be honest. They’re big business. They they are, you know, it’s unfortunate. and they have some of the most highly trained therapists, but the therapists are kind of hamstrung from upper management, middle management, you know, being told probably from people above them that they can only do so much. in the states we have private equity buying out a lot of hospitals and stuff like that. So there are things are changing in the length of stay that clients get. Once somebody goes to home health, they usually only get like two to three weeks, once or twice a week, because the goal of home health is usually get them to outpatient, get them to a clinic. and when they go to a clinic, most of the time somebody will reach like a maintenance level where like they’re not really making a ton of progress and the therapists know they’re not gonna be getting reimbursed as well for that. So that gets really challenging and they have to write really good goals to help. you know, progress things or continue with therapy. So if your therapist is telling you in the outpatient clinic, that’s the one area where you can oftentimes have the best chance of extending therapy. They might be able to, you know, wiggle their way around writing new goals, higher level goals that you can work towards and progressing. And then other times they want to stop therapy for one to two months, three months and then reassess, you know, down the road, which is where a lot of times people seek us out for private therapies on the side. So It’s unfortunate, but yeah, the insurance game does have a their hand in it a lot of times, telling people when they can discharge or not. So yeah. BIll Gasiamis (09:50) How hard is it for a therapist to know that the stroke survivor patient is not ready to go home, but you have to wind it up for them. Kory Langwell (09:59) Yeah. Whew, it’s really challenging. And usually, I mean, in out most outpatient clinics, you might get somebody two or three days a week if you’re lucky. Usually 30 minute sessions in in the clinic. Sometimes you have one-on-one places for an hour, which are great, or 45 minutes, but you’re it’s a volume game in the clinics because the reimbursements have shrunk in the outpatient world too. So they’re like, We need more volume here. And it’s unfortunate. It’s not on the therapist. It’s more on the, you know, just the the whole game that they have to do in order to survive, or else they would have to close up shop. But as far as like extending somebody, it it it can be a challenge. It’s it’s really you see it coming as a therapist, you know, and you’re in the outpatient insurance-based game. you’re like, ooh, you know, I I in about two to four weeks I can tell this is gonna be an issue with your insurance or whatnot. And most therapists, if you can get somebody to like 90% better. You know, that’s pretty darn good, especially after a stroke. there’s a lot of factors that go into that, a lot of variables. But yeah, so it’s it’s tough and getting somebody back to a hundred percent is can be challenging with the insurance game. BIll Gasiamis (11:07) Yeah, getting back to a hundred percent is Kory Langwell (11:12) It’s hard. It’s like the new one hundred percent or yeah, it’s another topic for yeah. BIll Gasiamis (11:13) my gosh. Yeah. The new hundred percent I pref yeah, that I love that. That’s a great statement actually, because a hundred percent, I mean Supporting Survivors and Caregivers BIll Gasiamis video 25, image (11:22) If this podcast has helped you in any way, here’s how you can help it reach more people. Share this episode with a survivor, a carer, or anyone who needs to hear that recovery doesn’t have an expiry date. Leave a review. It makes a massive difference. And if you’d like to support the show financially, you can do that through Patreon at patreon.com/recoveryafterstroke or by becoming a YouTube member. Now it’s back to the show. BIll Gasiamis (11:50) I I have that challenge with a lot of stroke survivors who are early on in their recovery. They reach out and they say, you know, how long is this going to take for me to get better? And like, dude, like it might never get better. in that what they want is they want to go back to where they were before the stroke. And there’s n nobody’s going back there. Nobody at all. Kory Langwell (11:59) We don’t know. Yeah. Yeah. BIll Gasiamis (12:11) Not a single person. And if there’s damage in the brain and the damage is permanent, which damage is in some instances, then you cannot reverse that damage. You have to accept that damage and then adjust and recover and overcome the challenges that you’ve been left with. And it’s such a difficult thing. But the new 100%, I love that, Kory, because I kind of am there. And if people ask me how do you feel, which nobody nobody understands to ask how do I feel after my stroke, my left side is completely numb. You know, I get spasticity. It doesn’t look visibly like other people experience spasticity. So I got away with that part of it. I don’t look like I’ve had a stroke, but I have the fatigue, I have the balance issues when I get tired, I have all these challenges that are always there and they’ve been there since two thousand and fourteen. Like it’s not going away. Kory Langwell (13:07) Yeah. There’s There are those silent problems too that like you said, like you’re doing so well in general that a lot of people just can’t see the fatigue or the how tight your arm feels or different things, which is oftentimes really challenging. But if you put it even, you know, towards like an orthopedic injury where somebody has like a shoulder surgery or a knee surgery, typically they also have like that new one hundred percent where it’s you know, it’s never gonna it’s hard to have it feel a hundred percent like it was before. There are certain instances where somebody might make this miraculous recovery. It does happen. Maybe they’ve had a TIA, a mini stroke, or you know, just made this miraculous recovery. Those those people do exist and it does happen. But what I find in the stroke community that happens a lot is there’s this everyone wants to compare themselves to other people, or they’re they’re wanting to get the answers from things, but there is no crystal ball on these recoveries, you know, for for neuro issues. It’s more like let’s see how it progresses in one month, three months, six months, a year, and then just continue to track because it is a lifelong issue that you have. have to manage and and continue to, you know, have things come up over over time. So yeah. BIll Gasiamis (14:14) Yeah, I agree with that. So this next question I thought about how I’m gonna ask it a lot. So I’m gonna ask it just the way my gut’s telling me to ask it, which is how much bullshit is that you’ve reached the plateau? Kory Langwell (14:31) yeah, that’s a that’s a fun one. I I love the I love the the BS part of that. yeah, it’s tough. I mean, you can see a lot of times what you’ll see is like there’s almost, you know, you think of plateau as like a flat line. And a lot of times what we do see is you’re there’s still room for progress. Like maybe somebody’s feeling like they’re 60% back to their normal self. Well, if we can get you to 65%, would you take that? Like most people would say. You know, it’s either sixty or sixty five percent. Like, yeah, let’s do that. But a lot of times what I see is Progress has just slowed down, they get upset, you know, the doctor’s like, whoop, this is as good as it’s gonna get. This is where you’re at. You’ve plateaued and you’ve entered a maintenance stage. And what I often see with that is it’s that’s the time to shift something up, mix something up, do something different. so what we like to do is take into account what kind of audit what somebody’s doing when their exercises, their daily routine and all that, and then shift things in some certain way and reassess in six weeks to see if we can progress that or make any other changes. So just like with any other training, like if somebody was a bodybuilder going for a competition or a professional athlete, we take that kind of same approach to our stroke recovery. We call athletes in general. Like they’re life athletes, you know. So we wanna help people feel as independent and as strong as they can. So yeah. BIll Gasiamis (15:50) That’s a great mindset shift, right? So if you consider yourself somebody who’s injured, somebody who’s never gonna be the same, all that kind of stuff, well, it might be accurate, but it may not be helpful in the way you approach your recovery. But an athlete, that’s very cool. Now I know some people say what an athlete runs on a track and field you know, facility. An athlete does this, an athlete does that. Well, Maybe, maybe they don’t, you know, maybe you can be your own version of an athlete that allows you to think about that constant and never ending pursuit of getting better and improving. And whether you’re getting better and improving your physical side or your mental attitude or your emotional side or your or your nutrition, you know. Community and Support in Recovery Athletes have all these things that they always constantly forever focus on and their gains come from, you know, that really last part, which is almost unattainable, but it’s about going for it. It’s about going for the last one percent. And then reflecting back, like you said, maybe twelve months later and going, Look how far I’ve come, rather than look what I can’t do or look what I haven’t achieved yet. It’s like, look what I have been able to achieve. That’s Kory Langwell (17:03) Yeah. Yeah. Yeah. And that’s where and that’s where tracking comes into it. Are there, you know, your what what are your BIll Gasiamis (17:15) Such a different mindset. Kory Langwell (17:21) you know, your KPIs, your key performance indicators that you’re looking into as far as, hey, I was only lifting one pound with my arm and now I’m do lifting three pounds. Like that’s huge improvement in a, you know, what however long it’s been. So those whatever you’re tracking, it helps to you know, it could be your diet. Am I making good choices eighty percent of the time? Am I so making sure in like all of your life assets assets and that or facets of life, that’s what we try to do as well. And like you said, mindset, movement, muscle, all that. all those things together. we we you know, tie all those things into our our program. And I think everyone needs to do that as far as, you know, their strengthen those the mental muscle, the physical muscle, you know, they’re just as important. And having that support, whether it’s with a coach or whether it’s with family, friends, outsiders, you know, other stroke survivors, it’s really important. So BIll Gasiamis (18:14) Yeah, community is the I think biggest thing for me. because then with the right community, the one that I’ve created for myself, at least I get to talk about the things that bug me about what happened to me with people who one hundred percent understand it. And then that way, even if we’re different in our attitude in the way we go about things, at least we understand. Kory Langwell (18:35) Yeah. BIll Gasiamis (18:45) And you’re totally being heard. Do know what mean? Like it takes one minute to listen to the story of a stroke survivor and to fully understand where they’re coming from because they’ve been through a a similar, a very similar experience to to myself. Kory Langwell (18:52) Yeah. Yeah, yeah, absolutely. for sure. It’s so true. I mean, as a therapist, I I never really I mean, I knew there was a mental toll to it, but having worked with people for, you know, they come on and they’re with us for several years, you really see the mental aspects, like the ups and downs that occur with that. And it’s so huge to you know, important to to focus on that as well. So and not lose sight of it. So those silent symptoms of the stroke, you know, like we were talking about as far as the the emotional aspect or other things of that. So yeah. BIll Gasiamis (19:26) Yeah. Yeah, one of the biggest complaints that I get from stroke survivors, not about their spouse, but about people about people who haven’t had a stroke, right? So often it’s the spouse that gets the raw end of the stick. But it’s that they just don’t understand me. And it’s so true, right? There’s no way that that person can understand you unless they’ve had a stroke, and we do not want that for them. That’s better that they don’t understand you and that you have to learn how to explain yourself in a way Kory Langwell (19:53) Yeah. Yeah. BIll Gasiamis (20:04) that gets the message across even if they don’t get it. Like it’s okay because they’re never gonna get it. We don’t want them to really ever get it. What we wanna do is accept that they can’t understand something that they have never experienced, which we don’t want them to experience. Kory Langwell (20:20) Yeah, that’s so true. I mean, the it a lot of times it comes from a good place. They’re like, just get up and move. Why are you so tired? or you know, things of that nature. And it y you’re right. They just they don’t understand it. It’s it’s tough. There really should be more caregiver support and education. I’ve tr I’ve strived to do that on my page or on my different resources that I’ve included on my bio. But yeah, it’s it’s in sh it’s a challenge for people to to see the whole picture and the recoveries process that’s going on with that. So yeah. BIll Gasiamis (20:51) Yeah. How common is foot drop? Kory Langwell (20:56) yeah. Strokes you you do see it a fair amount. it’s what I see a lot of times with that. You know, when in the hospital, a lot of times I don’t like to immediately put somebody in like an AFO. Everyone knows ankle foot orthosis and stuff like that. but it’s something that I like to see how the body reacts initially to to the the weaker ankle or whatnot, and how is somebody compensating? So you’ll see somebody, you know, try to march their leg up to clear their foot through the gate cycle, or they’ll kick their their leg out to the side so that they don’t drag their foot or their toe. so I like to see. See what’s going on for the first week or so before we start trying to, you know, put a bunch of equipment on somebody. But honestly, it it’s it’s pretty common. it just depends on the nature or severity of the stroke. Most muscle recovery starts proximally, meaning like at the hip and then works its way down, or in the shoulder and then works its way down to the hand. so the ankle and the hand are usually the last to recover. but yeah, so it’s obviously it’s very noticeable on somebody’s walk gate or whatnot if they have it, or you know, as you just see their AFO and you’re like, that guy’s got foot drop, most likely, or whatnot. So yeah, just trying to figure out where’s is there are there other weak links up the chain and the knee, the quad, you know, your your your glutes, your hip, what other areas could use some help to help you get that leg through and help you be more independent? So BIll Gasiamis (22:28) Mm. Kory Langwell (22:29) really treating the whole ankle or the whole walking pattern, not just the ankle or the foot. Cause we a lot of times we get laser focused into one area after a stroke like my hand or my foot, but we gotta look at the whole body. So yeah. BIll Gasiamis (22:41) So there is a conversation that happens again in the community about whether I should be wearing AFO or I shouldn’t. And you often hear people saying, I got rid of my AFO. it was causing me to walk badly or incorrectly and it was decreasing the muscle activity in the correct way. Kory Langwell (22:51) Yeah. Yeah. BIll Gasiamis (23:08) And then you hear the exact opposite. Well, you know, you should definitely have an AFO so you don’t trip over, you don’t do this, you don’t do that. Like, how do you determine that whole should I or should I not have an AFO? And do some people definitely need an AFO? And then also are there some people who can transition out of an AFO? Kory Langwell (23:20) Yeah. Yeah, it it really is with a lot of neurotype issues, it it really does depend. You’ll hear the answer, it depends a lot of times in the neuro world, neurological issue or you know, in the stroke world. But on a case by case basis, it’s really how does somebody look? How independent are they with and without it? How much strength do they have in their the muscles on your shin and on the outside of your leg that help lift your ankle up? is it something that maybe you just wear it when you’re outside? And then when you’re inside the house, you’re getting that input. with your shoes off. I I really liked the shoes off, you know, kind of full input on how your foot’s moving. You can really see it visually, get some feedback there on what’s going on. So it it and it can change over time. Maybe somebody ditches it after a while or maybe they w they know like, hey, I’m gonna be going on this longer walk. I’m gonna use my AFO so I don’t get as tired because it can be more taxing and energy draining to have to, you know, lift your leg up more, kick it out to the side or whatnot. So we’re really trying to figure out what’s the best quality over quantity for for most folks so that they’re not overdoing it, but they still are getting you know, the appropriate amount of feedback and and to help them live their life, be as independent as possible. So I’m not against or for it. It’s just wanna it depends on the person. So yeah. BIll Gasiamis (24:45) Sounds like it’s a tool to be probably continuously assessed and determine its usability and then also for some people determine whether or not it’s short term, long term thing. And then also keep looking at it. What I seem to also see is people get told something, they do it, and then they do it for a long, long time and nobody kind of ever intervenes a year later to say, where are we at with that? Kory Langwell (24:51) Yeah. Yeah. It you know, it it’s it’s good to take it off every once in a while if you’re especially if you’re in safe environment and just reassess things, you know, on your own or with a therapist or whatnot. That again gives new input and sensory, you know, feedback to your brain of like, what’s going on here? And that that’s a chance for that neuroplasticity to occur, which you know, is a is a is a big buzzword in the in the neuro world. But yeah, so we’re just trying to create those environments and those chances for, you know, things to improve and and reassess. assess things as as you’re going along. So yeah. BIll Gasiamis (25:49) Can you explain to me briefly if you can, like what happens with foot drop, why does it occur? and why don’t I hear about the opposite of foot drop, which is the foot changing and going in the other direction? The Impact of Electrical Stimulation in Rehabilitation Kory Langwell (26:06) Yeah. so your your muscles on your shin, you know, like those those are the ones that people get shin splints on from working out or whatnot, your anterior tibialis muscle, those are a prime mover of lifting your foot up. And oftentimes the feedback and the timing, the coordination down to those muscles is just weakened or impaired. So you’ll see a lot of issues with that. You also have muscles on the outside of your shin. They’re called everters. So they evert or turn the foot out. So the combination of those everters and then the dorsiflexors that lift the foot up, those muscles are the two prime movers of that motion. They’re oftentimes affected with different strokes. And then so a lot of times what we end up using is like things. like electrical stimulation. I have a really good video on my YouTube, about eight to ten minutes long on how to set that up. but you can You c I I see a lot of good impact with the with the E stem, whether somebody’s laying down or sitting, or then there’s other things like the bioness for the leg and the arm, but the one for the leg to help with the timing and coordination, all that, all those things that go into it. So it’s just not just weakness, it’s that timing, coordination, balance, all those things combined. So yeah. BIll Gasiamis (27:19) Got it, got it. So you’ve seen some positive, helpful, supportive kind of outcomes from those electrical stimulators at like Bioness and other other types. Kory Langwell (27:33) Yeah, yeah. I’ve even like I’ve I have one that I use with clients that I I bought on Amazon for like forty bucks because the the range is anywhere from thirty to forty bucks up to like hundreds of dollars. Or, you know, the Bioness is you I think they can get that covered with insurance, at least a partial bit of it, but those are a lot more expensive. like thousands of dollars from to my knowledge. But I what I’ve seen is I don’t see a huge difference between some of those cheaper versions and then the larger ones. some of the bigger ones, like the Bioness, you do get a little more feedback or like that since like it will come on at a certain point of your gait cycle. So it’s like, lifts the toes at a certain point. helps you go through whereas versus you know a standard ESTEM unit, you’re usually it’s on for like 10 seconds, it’s off for 10 to 30 seconds depending on the settings. So but as an exercise tool in the general, in general, if somebody’s having issues and they have good sensation to that area. So you don’t want to put it on somebody that like can’t feel their leg or whatever. But it can be very beneficial at like getting that sensory and then the motor or muscle input back to that area. So not saying it’s going to get to that 100%. But it’s gonna help you. it oftentimes does help people, even, you know, if it’s ten to fifty percent better, great. You know, that’s a huge difference with somebody getting around. So yeah. BIll Gasiamis (28:53) Okay. So worth people considering the possibility of getting a forty dollar version just to sort of try it out and see whether or not it might be supportive. And then if it is and they want to get something more expensive, then go f go from there. your homework after this conversation is going to be to send us the links to every single thing you mentioned. So we can put it in the show notes and everyone can have a look at it. Now, with walking, Kory Langwell (29:12) Yeah. Yeah, absolutely. Walking: Quality Over Quantity in Recovery BIll Gasiamis (29:23) I’m of the I’m I I’m I’m in the camp of do more in the from the perspective of if you’re only walking for a minute, try and get to two. If you’re walking for two, try and get to four and so on. And then if you can get to thirty minutes or an hour at some stage, doesn’t matter when, then that’s even better. but when we started that conversation about Kory Langwell (29:39) Yeah. BIll Gasiamis (29:53) you joining me on the podcast and we share ideas about what we’re gonna talk about. You came back with me with regards to something about walking that people miss that could mean that walking further, longer, and more could actually be causing a problem. Tell me about about walking and the things that we can run into that make well, not things worse necessarily, but Not from an exercise perspective, but from a rehabilitation’s pers perspective. Understanding the Stages of Recovery Kory Langwell (30:20) Yeah. Yeah, I think it there’s a little differentiator in there. It’s like where what stage are you at in the recovery? So if somebody’s in that really acute stage, it’s you know, pretty fresh on the stroke, maybe it’s like somebody less than a month post stroke. We don’t want to get to the point where they’re just like you know, nearly exhausting themselves every single walk, you know, so there’s a time and a place for that. So you know, if somebody can only walk like five steps, we don’t want to go try to, you know, you’re gonna walk 25. And like you can do that every now and then, but don’t do it on like back to back days. Don’t do it on like back to back therapy sessions or whatever. So there’s a there’s a combination of like early on we want to make sure things are good quality. And then as we get moving forward, we want to progress in a fashion that’s comfortable and not over Taxing the neurological system, because a lot of times, as you know, fatigue plays a huge role in that. And how is that affecting you? Are you like you went for a super long walk, but now you’re down for the count for two days or you know, at least a day. So you know, walking a hundred feet can feel like a marathon early on. So it’s just making sure that you’re getting the right feedback, that accountability, support, where you’re it’s quality. in not just overdoing it. So I find that a lot where people want to do a ton of reps or like they’re doing an exercise, like they’re trying to lift their arm up, but they’re doing this the whole time, you know, and I’m like, you’re just you’re not lifting your arm, they’re just like tiring out their trap muscle as opposed to like some of the the delt or bicep or different areas. So like you’re just gonna get really bulky but traps up here, but you’re not really necessarily helping yourself versus if you did good quality and like keep that shoulder down. I’m just using that as an example. But for walking, you know, same thing. Like are you using a mirror for feedback? To see, like, I’m actually, I’m every step, I’m kind of falling off to the side. Why is that? I’d rather like have somebody walk 50 feet really well than like 150 feet terribly, you know. So it’s and that that again goes into more of the acute stage. Now, if somebody’s sub-acute, more of a chronic, it’s been 10, 15 years, go for it. Like, if you want, if you feel good about it, you’re not overtact taxing yourself, getting overtired or anything, you know, do what you can. Walking is one of the best exercises for you. I also like I I’m a big fan of walking backwards. So in a safe area like by the kitchen sink or a hallway or something, it just challenges your mind and it’s a really good balance exercise for somebody post stroke or with any neurological issue because it just told you you see somebody try it the first time, they’re like, What do you want me to do? Walk backwards. And then there’s tons of ways you can adjust the the intensity on that as well. So yeah. BIll Gasiamis (33:01) So also I remember being in outpatient rehab and feeling like I actually wasn’t able to walk well. And then the therapist saying, Well, why don’t we just record it and have a look at how you’re walking? And it was also about running because I I wanted to run, but I didn’t want to run marathons. I just wanted to be able to run across the road if a car’s coming or something. And I said, Well, I’m a bit concerned about how that Kory Langwell (33:15) Yeah. BIll Gasiamis (33:30) goes ’cause I don’t want to injure myself running, et cetera. And well he said, Well, why don’t we do a run, I’ll record you and I’ll then we’ll break it down and I’ll show you what you’re doing or what you’re not doing. And it turns out that my running style was fine. What wasn’t fine was the feedback that I was getting because it was completely different to the previous thirty seven years of my life. And I and because it felt different and my brain registered it differently, it It was scary. Like it was like, well, this doesn’t I’m gonna probably injure myself is how I I thought it. But when I saw the video, it was completely different. And sure, there was some instructions still about how to do it correctly, what I might be able to improve, especially with my left leg, but the but the overall picture was more positive than I t made it out to be. And that’s the challenging part. Sometimes we think we’re less capable than we are. Kory Langwell (34:06) Yeah, yeah. Yeah, and that’s why the visual feedback is so important, whether you record it with your cell phone or you know, just getting the real time feedback on with a mirror or something like that. It’s you know, you see that used in therapy a lot because you may not notice that you’re doing something and just having somebody tell you that isn’t gonna help as much as if you’re somebody’s telling you plus they’re showing you what you’re doing. Yeah, that that can be a huge, you know, help of like, you know, that I can feel that now. It’s good biofeedback. I can, you know, move on from there. So yeah. BIll Gasiamis (35:01) Yeah. And so it sounds like there’s two parts to that conversation. Is sometimes we think we’re doing it better than we are, and sometimes we think we’re doing it worse than we are. So it’s really important to have somebody assess you or at least give you feedback and give you the opportunity to check your assumptions about yourself and then also to check via perhaps a recording to check, you know, how you are actually doing things. So you can see it from Kory Langwell (35:10) Yeah. BIll Gasiamis (35:31) their perspective and then you can adjust as you’re going forward. Kory Langwell (35:35) Yeah, absolutely. BIll Gasiamis (35:37) So what about falling? That’s a huge issue after stroke. I fell quite a few times after surgery. The first time I fell, Kory, was about I don’t know, less than twenty-four hours after I woke up after brain surgery. And the nurse said to me, Have you been to the bathroom to movie bowels? And I was like, No, I haven’t been anywhere. And she said, Well, great, get up, I’ll let I’ll help you. get there and now she was a lot smaller than me and a lot thinner framed and she said just put your arm around me and I’ll help you get to the bathroom. Okay, cool. I did that and when I stepped out onto my left leg, from the left side of the bed, as soon as I put weight on it, without her having any idea, I completely fell straight to the ground, in the ward, screaming Kory Langwell (36:32) no. Yeah. Yeah. BIll Gasiamis (36:36) I’ve got a fresh h scar and patch on my head from brain surgery literally twenty-four hours ago. so it became quite a concern after that because it was the first time I realized that my left side doesn’t work. And it was the first time I realized that th falling after a stroke with a cr a fresh craniotomy and all that kind of stuff is also very dangerous, right? So when I came home Navigating the Challenges of Falling Post-Stroke Kory Langwell (36:37) Yeah. BIll Gasiamis (37:04) I was pretty independent and I felt really good about the fact that I was able to walk on my own. but when I got up from the couch one time and many other times when I’ve fallen, when I got up from the couch on time, I forgot to connect my new leg to my my standing up, my getting up from the couch. I had just eaten a sandwich. It was in a plate. I was the one that went and made the sandwich, sat down and started eating it. And then as soon as I finished it, I went to get up to take the plate to the sink. And my left leg wasn’t aware that it was on the ground. And I fell immediately. And I dropped the plate, I broke the plate, I smashed my ribs on the arm of the couch. I thankfully didn’t injure myself terribly, but it was a close call. And I always after that, I always made a point and still do in the morning when I wake up to get out of bed. Kory Langwell (37:41) Yeah. Wow. Yeah. BIll Gasiamis (38:01) make sure my foot is on the ground before I stand up so that I don’t lose balance and fall. So that’s my that’s my story about falling, but also it’s very common in stroke survivors. I hear that a lot. Tell me about why falls happen after stroke. Kory Langwell (38:05) Yeah. Yeah. Yeah. You know, first off it Kinda hurts my therapist heart to hear that what you know, the nurse and you will fall in there. That’s where I’m like, he needed a PT evaluation to see how strong his legs are, where his, you know, sensation is and all that. Usually when we get somebody up, we want to make sure they’re safe at the edge of the bed. And then maybe we’re transferring just to like a a bedside commode in the the first time. And then you’re you you check that box then. We start moving towards walking once we make sure it’s safe. But sometimes the nurses get a little gung ho with things and get a little excited. we try to stay in our lane and, you know, just do the That PTS needed. but as far as like, you know, making sure somebody’s safe, it’s creating the right environment for them that, you know, like I mentioned, making sure they’re strong enough with their legs to, you know, and the most people will know as they started physical therapy what level they’re at, how much help they need, all those things. So, and then not over challenging somebody where we’re doing like very advanced balance exercises or doing very, you know, doing three tasks at once or like you carrying that dish, you know, and that’s a more your brain is like thinking, we’re good and I’m just gonna carry this dish and I’m gonna go turn off the TV while I’m getting up or whatever. And your brain’s like, nope, no you’re not, and you just fall over. So it’s like creating, you know, those too many environmental stimuli probably and then just where it kind of I don’t tricked your brain into to not focusing on where your your leg is at. We call that the proprioception or just realizing where your joints are, your limbs are in space. And sometimes that can be very affected after strokes. So we just wanna, you know, see how that looks, see how you’re moving, and and you know, go from there. So yeah. BIll Gasiamis (40:08) You probably describe that better than anybody, actually. Proprioception is my is a challenge that I have, but nobody ever connected that to what you just said, too many things happening at once. And it was exactly that. I had a plate, I just finished a meal, and my goal was to get the plate back to the sink safely without dropping it. And it was my my attention was Kory Langwell (40:33) Yeah. BIll Gasiamis (40:36) diverted away from making sure my leg was in the right position for me to stand up and was the muscles were activated, which I had been doing every day before that, right? I’d been making sure. But right now I had a plate in my hand and it was get up without dropping the plate. Kory Langwell (40:37) Yeah, Yeah. Yeah, yeah. Yep. Yeah. Pun pun intended, step by step, right? Just looking into like, okay, my feet are on the ground. I am able to push myself up to stand. Now we’re gonna take a step slowly, you know, go through that. So yeah, it’s it’s making sure everything looks appropriate and is, you know, safe for that specific client. So yeah. BIll Gasiamis (41:12) In my case I think now reflecting back on it, it would have been better if I’d gotten up and then reached over to pick up the plate and then moved to towards the the kitchen sink. And I think I was at home alone that day. And again, I screamed because before I knew it all was on the ground. Kory Langwell (41:27) Yeah. It happens. Yeah. Yeah. Setting Realistic Goals for Recovery BIll Gasiamis (41:35) It’s a very interesting thing to reflect back on it. under these sort of conditions where you and I are talking about things that seem they’re very glossed over. They’re not often spoken about in detail and people miss the the point. And sometimes people think I can’t do something properly, therefore I’m not gonna do it at all. But with regards to walking, what’s the best thing to do? about a walk that you haven’t been able to get back to the normal sort of style and and feel uncomfortable about doing. Some people will go, well, I’m opting out, I’m not gonna do that anymore because I can’t do it properly. It’s too difficult or it’s uncomfortable. Kory Langwell (42:21) Yeah. Yeah. I think it’s making goals that are you know, you hear about those specific, measurable, attainable, realistic time frame, the smart goals. So making sure that applies here. So It you gotta be able to walk before you can run, like with anything in life. So and that’s just you know, symbolic quote or whatnot, but you just wanna be able to do stuff that you can be working towards, but it’s also not so far out there that it’s like really hard. And then I see a lot of times people move those goalposts on themselves too much where they’re like, I got here. Now it’s like I wanna, you know, it’s you got to celebrate those small wins and then go from there as like far as you know, moving forward. So we had a client recently there. Doctor told them they were never gonna walk again. And literally, like they our therapist showed up, the patient was in tears, and then they walked 70 feet with our therapist. And it was all because it was a doctor that didn’t know them. They did like some reflex testing and said, you’re hyporeflexic, you’re never gonna walk again. And then literally that same day walked 70 feet. I was like, I hope you go back and tell them, you know, that that you missed that. So it’s BIll Gasiamis (43:15) Mm. Kory Langwell (43:36) really just making sure that you’re creating these sustainable goals that You know, and not letting people like that doctor that may not know you, a family member, you know, get in your ear and and cause these things that are detrimental to your your progress and take it in the right way. So yeah. BIll Gasiamis (43:55) You can’t actually answer this and I’m putting you on the spot, but I’m gonna ask it anyway. Like I assume that doctors, therapists, everybody is about rehabilitating, supporting, helping people and all that kind of stuff. I I not assume they definitely are, right? But what do you think is behind a questi a statement like you’re never going to X again? Like I hear that so, so much and I thought that by the time we get to twenty twenty six that that won’t be a thing that I hear about so often. Like, but I I don’t think it comes from being nasty or trying to give people setbacks or whatever. But do you have a sense of what that might be? Is it training? Is it a lack of training? Kory Langwell (44:30) Yeah. The Role of Medical Professionals in Rehabilitation I think yeah, you see a lot of like GPs, general practitioners, they don’t really have great training in like neurological rehab. So if it’s a PM and R doc, like a physical medicine and rehab doc, I find usually they’re a little more open-minded or or willing to s you know see the the progress or or whatnot over time. If you go into a doctor’s appointment, you show up in a wheelchair and it’s been, you know, six months, the doctor’s probably your general practitioner is probably gonna be like, well, this is what it is. It’s been six months. And I think some of that is from old research that came out that you can’t make progress after six months to a year, which was more because they just stopped therapy, they stopped doing things and you know, didn’t see progress because of that. So it’s, you know, yeah, if you don’t do anything and you just sit on your butt, all day you’re you’re not gonna see progress or you’re not gonna change. So but yeah as far as from a doctor’s standpoint it it can also be case by case with the doctors as far as their own experience and whatnot. And I don’t think necessarily they ever mean like harm or anything. Maybe they are trying to be realistic with clients as far as like this is what I’m seeing. I don’t think you know, the chances of this are slim, but they they it’s probably just a way of wording it better versus saying you’re never gonna do something again because there’s so many different things that are coming out, like research wise, treatment, you know, like things change drastically now. so it’s I I just like to to leave a at least leave the door open for people to see that improvement. So yeah. BIll Gasiamis (46:16) And walking doesn’t have to be the way you walked before. It could be a different version. It looked differently, feel differently, but it can still be walking. also I think it’s from ignorance, right? And again, ignorance, I don’t throw that out as a way to attack somebody, but it’s like literally that person hasn’t been in the space where Kory might work. They haven’t been in a space where they have seen people overcome some difficult challenges. Kory Langwell (46:23) Yeah. BIll Gasiamis (46:41) So they just make a assumption based on old thinking or something they heard in the past or old research that just stuck. And they’re just telling you, your job, your responsibility is to find new research to overcome that challenge because that research, it’s so bad if there was some and if they disseminated it to all the population in the medical community, and that has been continued to be passed on. I mean, that is so crazy that it persists and now. I just want to encourage people, do not believe anyone that tells you, A, you’ve hit hit a plateau, B, that you’re never going to do something again. And even though that might be true, just don’t believe it because there might be a technology around the corner that happens to solve that problem for you. You just don’t know about it yet. And always work towards the solution rather than focusing on the problem is kind of how I see it. And that’s generally what you guys tend to do. You guys tend to help people focus on. Kory Langwell (47:27) Yeah. Yeah. BIll Gasiamis (47:41) How do we overcome a problem? What’s the solution to this? Kory Langwell (47:46) Yeah, I think using it as motivation is is huge. So like you can take anything somebody tells you, you can take it one of two ways. And if you let it get you down, that’s up to you. Or if you’re like, Okay, I take that feedback, I appreciate it, but I’m not gonna accept it and use it as motivation to to strive to do better and move better. Like that that’s up to you. and who somebody is in their own, you know, life. So I always tell people it’s like, Well, what do you want to work on? You know, if some people are like, I don’t wanna do this anymore, I don’t wanna exercise, it’s like that’s up to you. So And other people they’re like, I want to push as hard as I can, I want to do what I can do. And so it’s really, you know, up to the what that somebody wants to do with their life and their progress, their recovery. BIll Gasiamis (48:28) Kory, it’s been an awesome conversation. Thanks so much for joining me on the podcast and saying yes when I reached out to have you on here and share your wisdom. Can you tell me where can people go and find th information about you? Kory Langwell (48:44) Yeah, so our our main website is unlimitedpotential.biz and you we have a health coaching page on there where people could message me on there if they want. I’ve had some people reach out. I’m pretty active in TikTok on on like DMs if people in my private messages of people reach out there as well. Dr. Kory, K-O-R-Y, stroke recovery PT. and then I’ll we’ll try to get you the handle there, the links on all that stuff. Those are probably the two best ways to reach me. I will say it’s really hard to give specific advice over a text or an email or whatnot. So I and there obviously I understand like there’s a lot of people that have financial issues or they they want the free advice or whatnot, but it’s just it’s really hard as a therapist to give a lot of that. I try my best and I can’t reach everyone doing that, but we really are able to to make a difference when we do work with people one on one. So yeah. BIll Gasiamis (49:36) Yeah. There might be programs that people can look into that you are offering either in house or somewhere else. That’s probably why I would encourage people to reach out to get an answer about your specific issue. Dr. Corey’s not going to do that. just like many people can’t answer a specific question about a problem that you may or may not have un unless they have information about your data or you know, they’re your physician or they have your scans and all that kind of stuff, that’s not gonna happen. But that’s okay. people can still follow you because your tips on TikTok are really cool. They’re on the mark and that’s where I love listening and learning from you. Kory Langwell (50:16) Thank you, I appreciate it. I’ll keep coming. BIll Gasiamis (50:19) Yeah, definitely keep them coming, man. it’s been a great thing, this social media thing because it brings information to people that otherwise wouldn’t be able to access it. Some people might be stuck with the doctor who said, You’re never gonna do this again. And that would be the most terrible place to be stuck and have nobody else to kind of throw a spanner in the works in that type of thinking and then suggest something more, more hopeful, more positive. Kory Langwell (50:34) Yeah. Yep. Yeah, absolutely. And it’s always good. I mean, I learn from stroke survivors all the time on what they’re going through. And it’s just, you know, it’s everyone working together around the world now. So I’m in I’m in California and we have, you know, like we’re talking you’re in Australia. I’ve talked to people all over the world now and it’s it’s just been great to to open those doors to a lot of people and you know, at least have conversations with them. So BIll Gasiamis (51:09) Doctor Kory, thank you so much for joining me on the podcast. Kory Langwell (51:11) Yeah. Thanks. Thanks for having me. BIll Gasiamis video 25, image (51:13) Well, that was Dr. Corey Langwell, Doctor of Physi

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Leaving a job is one of the trickiest moments in your career.Whether you're the employee or the employer, emotions run high, plans change quickly, and patients are caught in the middle.In this episode, we discuss a question that came up in the Pelvic PT Huddle and use it to explore what it really means to leave a position professionally and gracefully.We cover:✅ Why giving notice is so emotionally complex for both sides✅ The difference between a poor business decision and an unethical one✅ Why it's not your job to create the transition plan✅ How to advocate for your patients without taking on responsibility that isn't yours✅ Why pelvic rehab is incredibly important... but it isn't life-or-death careOne of our biggest takeaways:You can care deeply about your patients without carrying the weight of the entire system on your shoulders.About Nicole & Jesse CozeanPelvic health is hard. We want everyone in this field to have a joyful, impactful career. And for business owners to build something that truly works for them.

You did everything right. You got the degree. You passed the boards. You put in the clinical hours. And then you opened a practice — or tried to — and realized nobody had taught you a single thing about running one.That wasn't an oversight. It was structural.PT and medical programs are designed to train clinicians. Pricing, financial literacy, referral systems, cash-based models, practice positioning — none of it makes the curriculum. And the gap that leaves isn't small. It's the difference between a practice that scales and one that survives, between a provider who owns her schedule and one whose clinic owner still controls it.In this episode, Kelly breaks down the exact business curriculum your DPT program skipped — and why that omission wasn't neutral. She covers the pricing conversation most pelvic PTs were never taught to have, how to build a referral system that doesn't keep you dependent on other providers, and the financial literacy basics that change how you see your practice's numbers.This isn't about going back to school. It's about closing the gap the system left — on your terms, at your pace, with a model that actually works for your life.By the end of this episode, you'll know exactly what was stolen from you — and where to start taking it back.KEY TAKEAWAYSThe business curriculum gap in PT education isn't an accident — it's structural, and it keeps providers dependent on systems that benefit from that dependencyPricing, referral systems, and financial literacy are the three skills most pelvic PTs are rebuilding from scratch after graduationClosing the gap doesn't require going back to school — it requires a model built around what your program left out

It's hard to overstate how important it is for OTs and PTs to understand the new value-based care models.But, let's be honest—they are an overwhelming and confusing alphabet soup (TEAM, LEAD, GUIDE, ACO REACH), and that's just the acronyms.For OTs and PTs, understanding these models will be the difference between being embedded in the healthcare team of the future—where we deliver highly valued care—and falling into obscurity while our patients receive sub-par care.Luckily, we have a master at demystifying the complex, Dana Strauss, back on the podcast. You'll learn:-How to analyze new models-How to understand your potential role in them-How to move your career and your organization forwardI know therapists are so busy on the ground, but we can't afford to miss this one.See full course details here:https://otpotential.com/continuing-education/course/therapy-and-value-based-care-modelsSee all OT CEU courses here:https://otpotential.com/ceu-podcast-coursesCheck our our live webinar schedule here:https://otpotential.com/live-ot-ceu-webinarsSupport the show by using the OTPOTENTIAL Medbridge Code:https://otpotential.com/blog/promo-code-for-medbridgeTry 2 free OT Potential courses here:https://otpotential.com/free-ot-ceusSupport the show

Neck pain and headache often travel together. But as Gwen Jull and Zhiqi Liang explain in this episode, that does not automatically mean the cervical spine is driving the headache.In this AAOMPT and IFOMPT collaborative episode, hosts Amy McDevitt and Michael Boney explore the evolving science around cervicogenic headache, migraine-associated neck pain, sensitization, and clinical examination.Gwen Jull discusses the development and validation of physical criteria for cervicogenic headache, emphasizing the need for a cluster of comparable musculoskeletal signs involving joint, movement, and muscle impairments.Zhiqi Liang expands the conversation into migraine, reminding clinicians that neck pain can be part of a migraine presentation rather than proof of a cervical source. She challenges clinicians to rethink the meaning of symptom reproduction during upper cervical examination and to consider sensitivity, irritability, and migraine cycles when examining and treating these patients.Together, the guests make a compelling case for more careful clinical reasoning: listen to the patient's story, examine without over-provoking symptoms, look for comparable signs, and match treatment to the impairments that are actually present.Big takeaway: The neck may matter — but clinicians need to prove it through the whole clinical picture.Timestamped Chapters00:00 — Welcome to Hands On, Hands Off 00:31 — Introducing the AAOMPT and IFOMPT collaboration 01:19 — Meet Gwen Jull and Zhiqi Liang 03:19 — Why headache and neck pain matter to manual physical therapists 03:40 — Major shifts in clinical thinking around cervicogenic headache 04:09 — Validated physical criteria for cervicogenic headache 05:37 — Joint, movement, and muscle signs 07:33 — The physiotherapist's role in differential diagnosis 08:02 — How headache can refer pain into the neck 08:51 — Are cervicogenic headache and migraine distinct or a spectrum? 09:26 — Migraine as a primary neurological condition 11:33 — Sorting out mixed headache presentations 12:05 — Patient history clues: migraine vs cervicogenic headache 13:27 — Comparable signs and why intensity matters 14:51 — How much does pain location matter? 16:20 — Why no single feature is enough 17:17 — Neck pain in migraine may not be a neck problem 17:53 — Rethinking symptom reproduction during examination 19:22 — How to decide whether the neck is a driver 20:01 — Avoiding confirmation bias 21:27 — Why non-provocative examination matters 23:08 — Scapular dysfunction and other regional contributors 24:37 — Broadening beyond the diagnostic cluster 26:05 — Sensory-motor control, dizziness, and balance 28:41 — Local cervical findings and global systems 29:31 — Listening for migraine evolution over time 30:46 — Central sensitization and comparable physical findings 31:28 — PIVM vs PAVM assessment considerations 32:08 — Avoiding symptom provocation in migraine 33:04 — Migraine cycles and changing sensitivity 34:36 — Trial treatment and rigorous re-evaluation 35:41 — Individualized care beyond guidelines 36:19 — Who may benefit from a cervical-focused approach? 37:07 — Education, exercise, sleep, stress, and lifestyle strategies 39:02 — Let the physical exam guide treatment 39:46 — PTs as rehabilitation experts, not just pain reducers 41:38 — One assumption clinicians should rethink tomorrow 42:12 — Don't forget the jaw 42:27 — Neck pain may reflect sensitivity, not source 43:16 — Final reflections and closing

This episode explores financial management strategies tailored for physical therapy practice owners, highlighting how behavioral finance principles can lead to more sustainable and profitable practices. Dr. Stephanie Weyrauch speaks with Craig Dacy and shares actionable insights on building cash reserves, setting equitable owner compensation, and fostering a long-term profitability mindset—key considerations especially relevant in a landscape of changing reimbursement policies.  In this episode: ·       How practice owners can implement the Profit First system to improve cash flow and profitability ·       Strategies for paying PT owners and team members competitively while maintaining business health ·       The importance of behavioral finance and habit formation in managing healthcare business finances ·       Building cash cushions to buffer the impact of delayed insurance reimbursements ·       Transitioning from solo to multi-location practice: financial and strategic shifts ·       Insights on hiring and retaining staff in a competitive employment market, including creative compensation models ·       Special considerations for insurance-based PT practices and handling delayed payments ·       The role of long-term thinking in promoting lifelong patient engagement with physical therapy ·       Craig's journey to authoring a book tailored to physical therapists on financial management Timestamps: 00:00 - Introduction and host introduction to Craig Dacy 00:14 - Craig's background and link with Ramsey Solutions 01:05 - Transition from teaching to financial coaching, motivated by personal debt freedom 02:04 - Connecting personal finances with managing a healthcare practice 02:26 - The link between physical therapy and finance, and the need for early financial education 03:22 - Why focus on physical therapists and their unique financial challenges 03:57 - Short-term engagement models and their impact on PT practice finances 04:37 - Promoting lifelong physical therapy and long-term patient relationships 05:05 - Expanding services and revenue streams beyond injury-based care 06:01 - Overcoming scarcity mindset in insurance-reliant practices 06:35 - Owner compensation strategies and making practices more sustainable 07:18 - Implementing profit-based accounting to manage personal and business finances 08:36 - The role of budgeting and behavioral finance in practice management 09:57 - The Envelope system adapted for business accounts 10:23 - Building a practice on a lean budget and avoiding debt 11:04 - Managing delayed insurance payments and cash flow buffers 12:02 - Percentage-based budgeting and cash cushion strategies 12:47 - Tailoring Profit First principles for healthcare settings 13:31 - Different financial strategies for growing practices 14:01 - Prioritizing payroll and managing equipment expenses 14:38 - Challenges of hiring in a competitive market and offering competitive salaries 15:06 - How to determine sustainable compensation—percentages and alternative pay models 15:56 - Profit sharing and creating ownership culture for employee retention 16:50 - Boosting practice profitability through mindset shifts 17:31 - The importance of profit in business health and longevity 18:30 - Transitioning from solo to multi-location practices and financial planning 19:19 - Growth phases and financial shifts at different revenue levels 20:48 - Proactive planning to fund expansion and staffing 21:20 - Behavioral changes needed for practice profitability and culture 22:07 - How profitability benefits the team, patients, and business sustainability 23:04 - Making profit a priority by shifting financial behaviors 24:18 - Small habits for long-lasting financial health—starting with just 1% into profit 25:00 - Speaking at Web PT's Ascend conference, and the growth mindset around money 26:20 - Craig's journey to writing a book for PTs on financial systems 27:53 - Inspiration behind the book and the process of writing 29:22 - Advice to younger self: embrace authenticity and risk-taking 30:18 - Connecting with Craig and upcoming resources for practice owners 31:23 - Final tips: opening a profit account and celebrating profitability 32:05 - Closing remarks and encouragement to adopt financial habits Resources & Links: ·       Profit First by Mike Michalowicz ·       pf4pt.com — Book landing page and pre-order info ·       Dacy Coaching — Practice financial consulting Connect with Craig: ·       Website ·       Schedule a coaching session ·       Craig on Instagram ·       Craig on LinkedIn ·       Craig on YouTube More About Craig Dacy: Craig Dacy, owner of DACY Financial Coaching, has helped hundreds of small businesses, with a focus on Physical Therapists, find confidence and clarity in their finances. After spending over a decade as an educator, Craig combines his knack for small business and love for teaching to help make the overly complicated concept of business finances incredibly simple to understand.  Craig lives in Austin, TX with his wife and 2 kids. When he's not spending time with his family, he can be found reliving "the good old days" as the lead singer and bass player for his 90s cover band, Zoodust. Jane Sponsorship Information: Book a one-on-one demo here Mention the code LITZY1MO for a free month   Follow Dr. Karen Litzy on Social Media: Karen's Instagram Karen's LinkedIn   Subscribe to Healthy, Wealthy & Smart: YouTube Website Apple Podcast Spotify SoundCloud Stitcher iHeart Radio

You have money mindset issues.We do too.  Every business owner does.The question isn't whether you have them...It's how much they're quietly holding your business back.In this episode, we unpack how money mindset shows up in pricing, hiring, investing, patient care, and even the recommendations you make in the treatment room.We discuss: Why money mindset affects far more than your finances  The subtle ways it shows up in your business every day  How it impacts pricing, confidence, and patient care  Why awareness alone isn't enough  The ABCs of changing your money mindset: Awareness, Behavior, and Coaching & Community One of the biggest takeaways:Your money mindset doesn't just affect your income. It affects your decisions.And better decisions build better businesses. Business Accelerator Program

Matt and Allie are reunited on the Pod! Back for this month's clinical corner, Matt introduces the article and poses his question to the student PTs listening. Matt dives into the two similar cases of adults in their 50s who are post-op from rotator cuff repair and are experiencing shoulder stiffness after routine physical therapy. Hear how integrating flossing into their treatments helped them progress in therapy and relieve their stiffness.Read the article here: https://www.jospt.org/doi/10.2519/josptcases.2026.0209Did you know that you don't need a doctor's prescription to receive physical therapy?  You can schedule here . The laws of Direct Access allow you to receive physical therapy without a referral and still use your insurance benefits! Learn more on how Direct Access can help YOU! Our website: https://www.oxfordphysicaltherapy.com/

Physical therapists keep saying they provide value — but then many clinics hand patients a confusing menu of visits, rates, packages, discounts, weekday pricing, weekend pricing, and “per visit” math.That confusion may be costing you patients.In this episode of PT Breakfast Club, Tony Meritato, Dave Kittle, and Jimmy McKay break down a real cash pay physical therapy pricing problem and ask a bigger question:Are physical therapists selling the wrong thing?Patients are not really buying “visits.”They are buying relief, confidence, access, trust, and a clear plan to get back to the life they want.This conversation covers cash based physical therapy, private practice pricing, price anchoring, simplifying your offer, patient decision-making, and why “confuse me, lose me” might be one of the most important marketing lessons for any physical therapy business.We also talk about AI coaching, business coaching, babysitter economics, roof replacement psychology, pharma advertising, digital physical therapy platforms, and why PTs need to stop talking themselves out of money.In this episode:00:00 PT Breakfast Club opens00:30 Tony's accidental weight-loss strategy03:00 Using AI for running, fitness, and accountability07:30 AI vs human coaching12:45 Dave's cash pay PT pricing card14:30 Why too many numbers confuse patients17:40 If price is the biggest thing, you compete on price18:40 Price anchoring and why it works21:15 Should PTs sell visits, appointments, or outcomes?24:30 The simple buying journey: call, evaluation, plan of care29:30 What cash pay physical therapists are charging36:15 Babysitter pricing as a value lesson44:30 Buying back time and unlocking value47:00 What PT can learn from pharma and insurance ads49:30 Selling hope instead of visits58:00 Sword, Kaia, and where PT investment is going01:00:15 Parting shotsHosts:Tony MaritatoDave KittleJimmy McKay

Wait...you don't have a gym?  It's a question we get all the time.Especially because when we redesigned our clinic from the ground up, we could have built anything we wanted.A dedicated gym space.  Fancy equipment.  Treadmills.  Squat racks. All the toys.Instead?We made our treatment rooms bigger.In this episode, we discuss how to think strategically about clinic space, equipment, and designing a practice around your actual patients—not what your last employer had, what you see on social media, or what everyone else seems to be doing.We cover: ✅ Why your treatment philosophy (Ethos) should drive your decisions ✅ How to think critically about expensive equipment purchases ✅ Why you don't need everything right away ✅ Creative alternatives to dedicated gym spaces ✅ Matching your environment to your patient population ✅ When investing in equipment absolutely makes senseOne of the biggest takeaways:Every square foot in your practice should serve a purpose.Build the clinic that supports your patients and your style of care—not someone else's.Business Accelerator Program

If you've spent any time on social media or in many gyms lately, you've probably heard the buzz about BPC-157. Often called the "healing peptide," it's being touted as a miracle cure for everything from chronic tendinopathy to acute muscle tears. Patients are showing up in our clinics asking where they can get it, and some "wellness clinics" are already handing out injections like candy.But as sports physical therapists, we have to look past the "bio-hacker" headlines and look at the hard data. Is there actually any human evidence that this works? And more importantly, is it even legal for your athletes to use?A brand-new systematic review just hit the journals, and it's the most comprehensive look we've seen yet at the mechanism, the MSK outcomes, and the massive safety "gray areas" surrounding this compound. The results are fascinating, but they come with some major red flags that every clinician needs to hear before their next patient interaction.In this week's episode, I'm diving deep into the science of BPC-157. We're breaking down the pathways it uses to (potentially) speed up tissue repair, the truth about the current human research, and the legal warnings you must give your athletes to protect their careers.To see full show notes and more, head to: https://mikereinold.com/the-truth-about-bpc-157-peptide-in-sports-medicine-what-you-need-to-know/Learn our proven system for sports PTs who want to master ACL rehab, confidently progress patients, and guide athletes safely back to high-level sport.Click here to learn more Click Here to View My Online CoursesWant to learn more from me? I have a variety of online courses on my website!Disclaimer: This post contains affiliate links. If you make a purchase, I may receive a commission at no extra cost to you.Support the show_____Want to learn more?  Check out my blog, podcasts, and online coursesFollow me:  Instagram  |  Twitter  |  Facebook  |  Youtube

After working with more than 900 pelvic rehab business owners, we've noticed something:The people who have long-term success aren't necessarily the most talented, charismatic, or the best clinicians.They're the most consistent.In this episode, we break down the five biggest principles we've seen separate thriving business owners from everyone else.We discuss:✅ Why you're a different business every six months✅ Why consistency beats talent every time✅ The surprising power of community and support✅ How to embrace the seasons of business and life✅ Why financial confidence matters more than financial successOne of the biggest takeaways:Business growth is personal growth.The businesses that last aren't built by people who avoid challenges.They're built by people who learn, adapt, stay connected, and keep showing up.If you're playing the long game, this episode is for you. Registration for Accelerator Cohort #7 is now open.This episode is essentially a summary of what we've learned from coaching more than 900 pelvic rehab business owners over the last decade.Inside the Accelerator, we help you build the three pillars of a successful business:

Send us Fan MailThis episode came from my desire to talk about antisemiticism, especially why and what and why again. Mona has been teaching me Hebrew and is just back from Israel so I figured she'd be a good person to turn to in these tragic times. And I was correct. This is one of my favorite episodes. It's honest and deep and enlightening.Mona's bio: Mona Balogh retired from work as an Emergency Physician in 2014. Once retired, Mona has been busy studying alternative medicine pathways. This has led her to  recognize other therapeutic modalities that complement the Western Medicine model, including Traditional Chinese and Naturopathic medicine, energy medicine, herbal, and homeopathic treatments. In addition, Mona has been an avid Bible student, and has been leading Bible Studies, and teaching Biblical Hebrew since 2011. Throughout her life, Mona has been grappling with the problem of good vs evil, which makes the study of antisemitism and trauma so relevant today.She and her husband Endre have three grown daughters, and four grandchildren. They live in Chatsworth, California.Support the show#trauma #healing #music #sound healing #medical error #musicals #originalsongs #autism #soloshows #NationalCitizensInquiry #Creativity in Healing #Medicalfreedom #MindControl #Canadaontheedge #HealthCanada #CanadaLaw #TrueHope #truth #apocaloptimist #transformingtrauma #grief #grievingdeeply #homeopathy #loveheals #naturopathicmedicine  #druglessmedicine #energymedicine #expressiveartsheal #empoweredvoices #knowledgeispower #singtohealthyroids #erasetoxiclegacies #peaceispossible #VictimeRecoveryBooks: Transforming Trauma, a drugless and creative path to healing PTS and ACE is published by Hammersmith Books is available globally. Surviving a Viral Pandemic through the lens of a naturopathic medical doctor. On Amazon both paperback and eBookFlawed, a novel - an eccentric family saga - is on Amazon both paperback and eBook...audiobook now on AudibleMusic: Instrumental album: Sophie's Heart - Avi Noam Gross (streaming)websites: drheatherington.com; heatherherington.comemail: drheatherh@icloud.comnew phone number  672 399 1942Breathe in and out slowly and gently wherever you are. We will survive this dark time of the world. It starts with you: standing, jumping, singing in the light of love and even if just a little at first, joy. 

Send us Fan MailNot all rotator cuff tears are the same, and understanding why can completely change how you set expectations and build a plan with your patients. In this episode, we break down tendon anatomy and physiology, the different ways rotator cuff tears develop (degenerative vs. traumatic), the difference between partial- and full-thickness tears, and the factors that influence healing and prognosis for both conservative and surgical patients.In this episode you'll learn:What a tendon actually is and why its structure (and blood supply) matters for healingThe difference between degenerative and traumatic rotator cuff tearsRisk factors that make someone more likely to develop a tearArticular-side vs. bursal-side partial thickness tears — and why bursal tears tend to hurt moreWhat "massive" and "irreparable" tears mean, and how outcomes differPredictors of good outcomes with conservative care (hint: baseline ROM and strength matter)A quick look at steroid injections vs. PRP for rotator cuff tearsTest yourself:What is a tendon's main job, and what structures help it do that job?What are the main categories of rotator cuff tears?What are the two types of partial thickness tears, and how do they differ?What factors affect healing after a rotator cuff tear — for both conservative and surgical patients?

Do you run late with your patients?  Most clinicians do. And almost all of them think it's either helping or 'not that big a deal'.It's not.In this episode, we break down why running late is one of the most damaging habits in clinical practice—for you, your patients, and your business.We discuss: Why running late doesn't earn gratitude or loyalty  How it quietly poisons patient expectations  The biggest reasons clinicians fall behind schedule  Why insecurity often shows up as "doing too much"  How poor session planning creates chaos  The importance of ending sessions confidently and professionally  Simple logistical fixes that can immediately improve your schedule One of the biggest takeaways:Running late isn't a victimless problem.It affects your energy, your stress levels, the patient experience, your clinic and ultimately your ability to provide great care.If you're constantly behind, this episode will help you identify why—and what to do about it.Business Accelerator ProgramRegistration for Accelerator Cohort #7 is open now.One of the biggest things we help business owners do is create a business that doesn't depend on chaos, stress, and constantly feeling behind.If you're ready for better systems, better boundaries, and a business that actually supports your life:

This week's show stands with protest, memory, and the stubborn force of survival as Emmett Davenport and Lady Attercop guide you through songs of grief, resistance, and liberation. It's full of truth-telling, raised voices, and the reminder that sometimes history changes because someone refuses to stay in their assigned place. WARNING! This show is for adults. We drink cocktails, have potty mouths and, at least, one of us was raised by wolves. The Clockwork Cabaret is a production of Agony Aunt Studios. Featuring that darling DJ Duo, Lady Attercop and Emmett Davenport. Our theme music is made especially for us by Kyle O'Door. This episode aired on Mad Wasp Radio, 06.14.26. New episodes air on Mad Wasp Radio on Sundays @ 12pm GMT! Listen at www.madwaspradio.com or via TuneIn radio app! Playlist: Billie Holiday and Her Orchestra – God Bless the Child Janelle Monáe – Smile Todrick Hall – Ordinary Day (feat. Nick Rashad Burroughs) Cassandra Wilson – Strange Fruit Nina Simone – Mississippi Goddam Roberta Flack – Compared to What Gil Scott-Heron – The Revolution Will Not Be Televised Marvin Gaye – Inner City Blues (Make Me Wanna Holler) Stevie Wonder – Living For the City Benjamin Clementine – The People and I Laura Mvula – Brighter Dawn  The Specials – B.L.M. Speech – Redemption Song Erykah Badu – On & On En Vogue – Free Your Mind The Isley Brothers – Fight the Power, Pts. 1 & 2 Sharon Jones & The Dap-Kings – Without a Heart Raphael Saadiq – Keep Marchin' Jurassic 5 – The Influence The Roots – Right On (feat. Joanna Newsom & STS) Brass Against – Killing In the Name (feat. Sophia Urista)

–Physiotherapy (PT) is not natural a standard to participate in.In fact, PT is oftentimes overlooked that it's more “acceptable” to abide by the medical physician's suggestions.But, physicians do physician stuff.And, PTs do PT stuff--It's time to change the old school of thought on this one!.Let's focus on AND not OR when it comes to improving your health, wellness, fitness & recovery profiles..#FunctionWithPurpose#FPTEducation-----The Function with Purpose Podcast.All things health - wellness - fitness - & education through the physical therapy perspective.Fortress PT is here to serve the Charlotte-Metro area by highlighting the importance of how & why physical therapy should be a part of your health & wellness lifestyle.PURSUIT | PRECISION | PURPOSE..DISCLAIMER:  THIS PODCAST SERVES FOR EDUCATIONAL PURPOSES ONLY.  IT IS NOT A SUBSTITUTE FOR ADVICE FROM YOUR PERSONAL PHYSICAL THERAPIST OR OTHER HEALTH CARE PROFESSIONAL(S)...Amy@fortressphysicaltherapy.com980-272-8044https://linktr.ee/FortressPT.#FunctionWithPurpose #DrAmyPT #FPTosteopractor #FPTAthlete #FPTEducation #FPTTraining #TeamFPT #Charlotteagenda #CharlotteNC #CharlotteMetroArea #QueenCity #704 #980 #Physicaltherapy #Physio #Physiotherapy #GetPT1st #Physical #Therapy #Health #Wellness #Fitness #CLT#charlottephysicaltherapy #charlottephysicaltherapist

If you're already making $2-5K a month in your practice but still starting every month at zero, this episode is for you. You built the practice, you have patients, you're doing the work — so why isn't it growing the way it should be?This isn't about working harder or posting more. It's about the three systems that create the difference between surviving session-to-session and building a practice that actually pays you consistently. After six and a half years of building my own practice and coaching hundreds of other PTs, I'm breaking down exactly what keeps practices stuck at this stage and what needs to change to crack through to consistent growth.In this episode, I cover why effort without strategy just creates the feeling of progress without results, the difference between visibility and clarity in your marketing, why inconsistent inputs kill momentum, and the three specific systems that transform feast-or-famine into predictable revenue. This isn't theory — this is what actually works when you're ready to stop white-knuckling every slow week.Key Topics Covered:Why the "doing everything right" feeling is actually a warning sign, the messaging gaps that confuse potential clients, how inconsistent marketing creates inconsistent revenue, the three systems every growing practice needs, and why community gets you started but systems get you to consistent.Links mentioned in this episode:What To Charge For Cash Based Physical Therapy Services | How To Determine Your RateFree Pricing Calculator--- Morgan Meese, the founder of a successful out-of-network physical therapy practice, has transformed her expertise into a role as a dedicated business and marketing coach. Specializing in cash pay physical therapy, Morgan owns a digital business where she collaborates with fellow clinicians, guiding them in launching and expanding their own cash-based solo practices. Her coaching extends to helping new business owners navigate the complexities of owning a physical therapy practice, incorporating elements like mobile physical therapy and telehealth. Morgan's unique approach incorporates niche marketing strategies, addressing the specific needs of clinicians and entrepreneurs. As a woman in business with ADHD herself, she also offers insights on time management for business owners, emphasizing the importance of digital marketing to attract more clients. Join Morgan on her journey of empowering women entrepreneurs, physical therapists and healthcare providers, combating burnout, and building a thriving business so you never have to go back to the clinic again.Find me on IG: ⁠DPT to CEO⁠ and ⁠Dr. Morgan Meese⁠---To learn more, visit ⁠our website⁠.Free eBook ⁠“So You Want To Start a Solo Practice” ⁠DPT to CEO: ⁠Youtube⁠⁠Apply ⁠for the DPT to CEO 1:1 Coaching Program with Morgan.Just getting started? ⁠The Therapy Business Basics Mini Course⁠ is the place to start!⁠Buy me coffee⁠

In this episode of PT Breakfast Club, Jimmy McKay, Tony Maritato, and Dave Kittle look outside healthcare to ask a practical clinic question: what are other industries doing to create demand, loyalty, and repeat behavior that physical therapy keeps ignoring?The conversation starts with Amazon Prime Day and the idea that the event matters more than the discount. From there, the group talks about how PT clinics could use reactivation campaigns, memberships, bundled services, and community-based models to keep patients engaged beyond a single episode of care.Key insights from the episode:• Prime Day is not just about discounts. It is about creating an event people plan around.• PT clinics can use the same thinking for return-to-run weeks, reactivation campaigns, product education, or seasonal service bundles.• Membership models work because they create belonging, not just access.• Clinic community can become a real differentiator when hospitals and larger systems compete on network control.• Patients may come for PT, but they stay for trust, social connection, and a familiar place where they feel known.• The profession may need to think differently about hiring, including second-career professionals who bring life experience and patient connection.• Healthcare often fails to bundle services in a way that makes the next step obvious for patients.Why this matters for PTs and clinic owners:If your clinic only thinks in terms of visits, referrals, and discharge plans, you may miss the bigger business opportunity. Patients need care, but they also respond to timing, community, convenience, and clear offers. The clinics that understand that may be better positioned to retain patients and build long-term value.GUEST LINKSTony MaritatoYouTube: Total Therapy SolutionDave KittleWebsite: https://conciergepainrelief.comYouTube: The Dave Kittle ShowJimmy McKayYouTube: PT PintcastSPONSORSSaRA Healthhttps://sarahealth.comEMPOWER EMRhttps://empoweremr.comU.S. Physical Therapyhttps://usph.comSUBSCRIBE & FOLLOWApple Podcastshttps://podcasts.apple.com/us/podcast/pt-pintcast-physical-therapy/id1000443325Spotifyhttps://open.spotify.com/show/3LmMUT64yrUc2iGo9EmafcYouTubehttps://www.youtube.com/@PTPintcastLinkedInhttps://www.linkedin.com/in/jimmy-mckay-pt-dpt-a4207659/Instagramhttps://www.instagram.com/ptpintcastX / Twitterhttps://x.com/PTPintcastWebsitehttps://www.ptpintcast.com/

Getting leads is only the first step.  The next part is turning those leads into paying patients.  And this is where many of us struggle. In this episode, we break down the conversion system that takes someone from "I'm interested" to actually showing up for an evaluation.We cover: Why scripts are only a small part of conversion  The biggest follow-up mistakes practice owners make  Why texting isn't enough  The power of getting people on the phone  How systems reduce mental load and improve consistency  Why most people aren't losing patients to competitors—they're losing them to inaction If your schedule isn't full, your conversion system may be leaking more patients than you realize.Business Accelerator ProgramRegistration for Accelerator Cohort #7 is opening soon! Inside our 6-month coaching program, we give you: ✅ The exact phone scripts we used at PelvicSanity ✅ The conversion systems that have helped thousands of patients get scheduled ✅ Marketing, business systems, and clinical excellence training ✅ Coaching, accountability, and support from our teamIf you're ready to make your business look different by the end of 2026, we'd love to help.

This episode of PT Breakfast Club is a practical conversation about value, access, content, and revenue in physical therapy. Jimmy McKay, Tony Maritato, and Dave Kittle start with a wild sports pricing example, then bring the conversation back to the clinic: why do PTs struggle to charge for expertise when other industries clearly understand premium access?The group digs into insurance reimbursement, cash-pay models, YouTube memberships, creator burnout, and why patient education content may become a serious business asset for PTs and clinic owners.Key Insights• People pay for access, status, trust, and simplicity. PTs need to understand which of those they are actually offering.• Billing codes can train clinicians to think in units instead of outcomes, expertise, and value.• Premium PT care and broad access are not opposites. A clinician can charge more for high-touch care while also creating lower-cost education through content, memberships, and video libraries.• YouTube memberships may be a practical way for PTs to build education-based revenue without building a custom app.• The biggest content barrier for many PTs is not editing, gear, or planning. It is confidence, consistency, and fear of being judged.• A shared rehab creator network or launchpad could help PTs, OTs, and SLPs build audiences faster than working alone.• Corporate content often fails when it feels like an ad too early. Trust has to come before the close.Why This Matters For PTs And Clinic OwnersClinic owners are under pressure from reimbursement, staffing, burnout, and rising patient expectations. This episode pushes the profession to think beyond the visit-based model and ask: what else can expert clinicians build with their knowledge?For individual PTs, the message is simple: your expertise can create value outside the treatment room, but only if you are willing to publish, test, learn, and keep going.Hosts / GuestsJimmy McKayPT PintcastTony MaritatoTotal Therapy Solution - Physical Therapyhttps://www.youtube.com/c/TotalTherapySolutionDave KittleThe Dave Kittle Showhttps://www.youtube.com/@thedavekittleshowSponsorsSaRA Healthhttps://sarahealth.comEMPOWER EMRhttps://empoweremr.comU.S. Physical Therapyhttps://usph.comSubscribe & FollowApple Podcastshttps://podcasts.apple.com/us/podcast/pt-pintcast-physical-therapy/id1000443325Spotifyhttps://open.spotify.com/show/3LmMUT64yrUc2iGo9EmafcYouTubehttps://www.youtube.com/@PTPintcastLinkedInhttps://www.linkedin.com/in/jimmy-mckay-pt-dpt-a4207659/Instagramhttps://www.instagram.com/ptpintcastX / Twitterhttps://x.com/PTPintcastWebsitehttps://www.ptpintcast.com/

What if the answer for your most complex patient...was actually simpler than you think?In this episode, we share a favorite clinical principle and one that we train on at PelvicSanity...The more complex the patient, the simpler the intervention.Because when someone has seen multiple providers, tried countless treatments, and feels completely overwhelmed by their symptoms...The last thing they usually need is a more complicated plan.We discuss:✅ Why newer clinicians shouldn't be shielded from complex patients✅ The foundational interventions most clinicians overlook✅ How to choose treatment priorities with your patient ✅ Metaphors that help patients understand why you're starting simple ✅ Why patience is required—for both clinician and patient ✅ Why no patient is too complex to helpIf you've ever felt intimidated by a long history, a thick intake packet, or a patient who's "tried everything"...This episode is for you. Downtraining MasterclassMany complex patients don't need more exercises.They need a nervous system that can actually accept change.If you'd like a deeper dive into downtraining and nervous system-focused treatment, check out the Downtraining Masterclass.

We've all been there—you're working with a high-level athlete after a Bankart repair or Laterjet, they're at the 6-month mark, their ROM looks great, and they're itching to get back on the field. The surgeon gives the green light, but you can't help but wonder: Are they actually ready?In the world of ACL rehab, we have strict batteries of tests, symmetry indexes, and psychological readiness scales. But when it comes to the shoulder, the literature has been surprisingly quiet on what "ready" actually looks like. A new scoping review just dropped in IJSPT that digs into the return-to-sport rates for over 2,000 competitive athletes, and the results are a massive wake-up call for sports physical therapists.The study looked at the difference between soft tissue repairs and bony augmentations, but more importantly, it looked at how we are making the decision to clear these athletes. Is it based on strength? Function? Or just a date on the calendar?On this week's episode of the podcast, I'm diving deep into this research to discuss the current success rates of shoulder stabilizations and, more importantly, the 10 criteria surgeons are using to clear athletes. Some of what they found might surprise you—and it might change the way you progress your next shoulder patient. Check out this week's episode to learn more!To see full show notes and more, head to: https://mikereinold.com/outcomes-and-return-to-sport-testing-after-bankart-and-laterjet-shoulder-stabilization-surgery/Learn our proven system for sports PTs who want to master ACL rehab, confidently progress patients, and guide athletes safely back to high-level sport.Click here to learn more Click Here to View My Online CoursesWant to learn more from me? I have a variety of online courses on my website!Disclaimer: This post contains affiliate links. If you make a purchase, I may receive a commission at no extra cost to you.Support the show_____Want to learn more?  Check out my blog, podcasts, and online coursesFollow me:  Instagram  |  Twitter  |  Facebook  |  Youtube

This episode is a practical clinic-owner conversation about marketing that actually has a job to do.Jimmy McKay, Dave Kittle, and Tony Maritato talk through content creation, direct mail, therapist branding, anonymous posts, AI comments, and why PT clinic owners need to understand the game they are playing before spending money or time.Key insights from the discussion:• Content should attract something specific: patients, referral partners, or staff.• Local positioning matters more than generic posting.• Direct mail can work when clinic owners commit to testing over months, not days.• A new therapist can become a visible local authority if the clinic builds content around them.• Seasonality affects some PT clinics heavily, especially in markets with snowbirds or summer travel.• Anonymous posting and AI comments may create noise, but they rarely build trust.• Showing real clinic interactions can help other PTs learn and give patients a clearer sense of the experience.Why this matters for busy PTs and clinic owners:Most clinics do not have a content problem. They have a positioning problem. This episode shows how to connect marketing activity to real business goals: booked evaluations, stronger staff visibility, better local awareness, and more trust before the first patient visit.GUEST LINKSDave Kittle  https://conciergepainrelief.com  YouTube: The Dave Kittle ShowTony Maritato  YouTube: Total Therapy SolutionJimmy McKay  YouTube: PT PintcastSPONSORSSaRA Health  https://sarahealth.comEMPOWER EMR  https://empoweremr.comU.S. Physical Therapy  https://usph.comSUBSCRIBE & FOLLOWApple Podcasts  https://podcasts.apple.com/us/podcast/pt-pintcast-physical-therapy/id1000443325Spotify  https://open.spotify.com/show/3LmMUT64yrUc2iGo9EmafcYouTube  https://www.youtube.com/@PTPintcastLinkedIn  https://www.linkedin.com/in/jimmy-mckay-pt-dpt-a4207659/Instagram  https://www.instagram.com/ptpintcastX / Twitter  https://x.com/PTPintcastWebsite  https://www.ptpintcast.com/

Why isn't your schedule full?The first place to look is whether we are getting enough leads.We break down the 10 biggest marketing and sales mistakes pelvic rehab business owners make—and how to fix them.From not tracking your numbers to relying too heavily on social media, these mistakes quietly sabotage growth and leave owners feeling frustrated, overwhelmed, and stuck.You'll learn: ✅ Why most owners don't actually know how many leads they need ✅ The hidden cost of inconsistent marketing ✅ Why relying on one marketing strategy is dangerous ✅ How poor follow-up kills referrals and leads ✅ Why social media isn't the answer most people think it is ✅ The biggest conversion mistakes happening on the phone ✅ How to identify whether your problem is marketing, sales, systems, or clinical excellenceIf you want a different result in your business by the end of the year, you'll need to take different action.This episode shows you where to start. Business Accelerator ProgramRegistration for Cohort #7 is now open!The Business Accelerator is our signature 6-month coaching program designed specifically for pelvic rehab business owners.Inside the program we help you master the three pillars of practice growth:

Should we be anti-Kegel?  Has the pendulum swung too far?We brought on the one and only Michelle Lyons to continue the conversation.  It deserved a Part 3, and there's no one else we'd rather deep dive into the topic with than Michelle.  We cover:Why Kegels and pelvic floor muscle training are NOT the same thing  The history of Dr. Kegel (and why we may have misunderstood him)  Why pelvic floor rehab is far more sophisticated than "squeeze and lift"  The role of strength, timing, coordination, endurance, and movement  Why social media has made this debate more confusing  How to become a more evidence-informed clinician If you've followed Parts 1 and 2 of the Great Kegel Debate, this episode brings everything together with one of the sharpest minds in pelvic health.Michelle LyonsMichelle Lyons is an internationally recognized pelvic health physiotherapist, educator, author, and speaker. She has taught clinicians around the world on pelvic health, hormones, oncology, GI dysfunction, and women's health rehabilitation.Learn more: