Podcasts about PTS

Growing a cash-based physical therapy practice does not always feel better as revenue increases. In this episode, Doc Danny explains why the jump from a simple solo clinic to the first real growth stage can temporarily reduce owner income, increase complexity, and make a $30,000-per-month clinic feel worse than a $15,000-per-month clinic. In This Episode, You'll Learn Why a $15,000-per-month solo clinic can be extremely profitable What changes when you enter the first major growth cycle Why revenue can double while owner income temporarily falls How larger space, payroll, admin support, and infrastructure compress margins Why the first provider hire often creates more work before creating leverage Why roughly $50,000 per month can become an important economic turning point How additional providers create operating leverage inside the same infrastructure The difference between building a high-income lifestyle practice and a scalable business Why revenue that is not directly tied to the owner's treatment hours changes the value of the business How to prepare financially and mentally for the painful first growth cycle Key Takeaway The first major growth cycle of a cash PT clinic can feel worse before it feels better. If you choose to scale, understand that margins may temporarily compress as you build capacity. The goal is to move through that stage quickly enough for your team and infrastructure to begin creating leverage. 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 Want a clearer plan for building your cash practice? Join the free PT Biz Part-Time to Full-Time 5-Day Challenge. PT Biz Training YouTube Watch more training on building and scaling a cash-based physical therapy practice on the PT Biz Training YouTube Channel. Connect Physical Therapy Biz PT Entrepreneur Podcast

Should physical therapists be the only people who own physical therapy clinics?In this episode of PT Breakfast Club, Jimmy McKay and Tony Maritato dig into the business of healthcare, AI documentation, EMR adoption, and what happens when a clinic is built entirely around one clinician.Dave Kittle has the day off, but Jimmy previews part of his upcoming APTA Florida keynote, including a speed round of PTs doing things differently: cowboy PT, snow sports PT, dance PT, and other examples meant to make clinicians ask, “What's my twist?”Then Tony brings up a bigger business question: should PT clinics be owned only by PTs? The conversation challenges the anti-business sentiment that shows up in healthcare. PTs understand patient care, but business people understand business. A strong healthcare business needs both.Jimmy and Tony also talk about AI scribes, Luna Physical Therapy, Hinge Health, Sword, EMRs, power users, clinical education, and why the tool itself is not enough. Adoption depends on whether clinicians actually like the tool, trust it, and know how to use it inside real patient care.The episode closes with a solopreneur clinic question: can you sell your business if the business is really you?Jimmy and Tony break down the difference between buying a job and buying a business, why a customer list may have value but may not transfer, and how a solo clinician could build more valuable assets by teaching their method, creating systems, bringing in an apprentice, or turning their proprietary approach into a product.The takeaway: understand what business you are actually in before you try to scale it, sell it, or protect it.

Dr. Rachel Rubin is changing the landscape of women's health—and she's not waiting around for permission.In this fiery conversation, we talk about why sexual medicine has been ignored for so long, the massive education gap around menopause and hormones, and Rachel's work fighting to remove the FDA boxed warning from vaginal estrogen.We also get into why pelvic PTs and OTs need to own our role in recognizing hormonal and vulvar changes, why the future of women's healthcare requires a multidisciplinary “pit crew,” and Rachel's philosophy that no grown-ups are coming to save the day.Plus, we talk disruption, entrepreneurship, taking action, dealing with criticism…and why Rachel believes pelvic rehab providers are becoming leaders in this space.About Dr. Rachel RubinDr. Rachel Rubin is a board-certified urologist and sexual medicine specialist, nationally recognized for her work in women's sexual health, menopause, hormones, and Genitourinary Syndrome of Menopause (GSM).Learn more from Rachel at Dr. Rachel Rubin's website and follow her on Instagram @drrachelrubin.See Rachel at PelviCon!Rachel is making PelviCon history as our first physician speaker!She'll be delivering her keynote on Disrupting the FDA: A Fight for Vaginal Estrogen Safety AND a four-hour Pre-Con deep dive on Vulvar Exams for Pelvic Therapists.Join us for PelviCon Live Virtual + Recording and get lifetime access to Rachel's keynote and all of the incredible PelviCon content.Get PelviCon Live Virtual + Recording →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.

Five years ago Dr. Sofi first joined Pac Talk. A lot has changed since — for her business, her body, and for Piet too. This episode is a full catch-up covering three big things: how to actually prevent ACL injuries in young athletes, why she's dedicating part of her career to training the next generation of physical therapists, and what it really looks like to balance being a business owner, physical therapist, gym owner, athlete, and wife all at once.Dr. Sofi runs Raw Performance in San Dimas, where roughly 60% of her caseload is kids. She breaks down what she's actually seeing in her clinic — the majority of ACL tears she treats come from soccer and flag football, roughly 75% in female athletes, driven by a combination of overtraining without recovery, inadequate strength training, and in some cases nutrition trends swinging back toward "skinny is better." She also gets into the research connecting hormonal fluctuations during ovulation to increased ligament laxity and ACL risk — an important, underdiscussed piece of the picture for parents of young female athletes.They tackle the biggest myth head-on: that lifting weights stunts a child's growth. It doesn't. Dr. Sofi trains kids as young as four, and the evidence is clear that properly supervised strength training builds resilient tendons, ligaments, and joints — the exact opposite of what old-school thinking assumed.Beyond the clinical side, this episode gets personal. Dr. Sofi opens up about teaching at Azusa Pacific to help train the next generation of PTs, training for the Chicago Marathon while running her own practice, learning to set boundaries with clients, and why choosing to do something that scares you — whether that's a marathon or standing in front of a room of grad students — is exactly what keeps you growing.This one's for parents of young athletes, for anyone juggling multiple roles and wondering how to do it without burning out, and for anyone who believes community and education are just as important as reps in the gym. Connect with Dr. SofiInstagram

When you leave a job to start your own practice, you're making a pretty massive trade:You're trading consistency for upside.Gone is the predictable paycheck, the regular schedule, the structure someone else created for you, and the relative certainty of knowing what you're going to make.In exchange? You get upside.And in this first episode of our Making Your Business Work for You series, we're talking about the most obvious kind: money.Because we all know the fantasy math."If I charge $200 and see 40 patients a week…"And suddenly you're mentally spending the fortune you're obviously going to make as a practice owner.Except…that's not how this works.There are plenty of practice owners making less than they could working for someone else. We'll share some real numbers, break down what different caseloads actually mean for your take-home income, and talk about the financial ceiling of the solo model versus the very different challenges (and opportunities) of growing beyond yourself.We also break down the only four ways to make more money in your practice:Get more leadsConvert more of those leads into patientsKeep your patients longerRaise your pricesBut making more isn't the whole story.You can have a thriving practice and still panic over every cancellation, obsess over every eval who doesn't book, and wonder whether the whole thing is about to come crashing down after one slow week.So we're also talking about financial confidence—knowing your numbers, understanding the normal ups and downs of business, and being confident you're on pace to hit your goals.Because ultimately, running a small business is a get-rich-slow scheme.You stack the wins. You make an extra $25,000 this year. You invest it. You get smarter about taxes. You improve the business. You let those gains compound over years and decades.Your practice might be the single greatest wealth-generating machine you ever create.Just don't expect it to happen overnight.PelviCon Live Virtual + RecordingCan't be with us in person for PelviCon? Join us LIVE from anywhere—and get lifetime access to the recordings so you can come back to the incredible content whenever you want.Get all the details at www.pelvicon.com/virtualAccelerator ProgramWant your practice to actually deliver the financial upside you started it for? The Accelerator is our six-month coaching program for pelvic health practice owners who want to get consistently full, improve their business, and build a practice that actually works for them.Learn more at www.pelvicptrising.com/acceleratorAbout 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.

The 2027 Physician Fee Schedule signals a continued restructuring of clinician payment-redistributing funds towards primary care and behavioral health while providing signals for what's coming next.OTs and PTs can no longer sit on the sidelines. As straightforward, low-complexity care increasingly moves toward digital pathways and as patients increasingly access care through digital front doors, we must advocate that CMS properly values the high-value cognitive work and in-person, complex clinical reasoning and officially integrates therapy as the missing third pillar of the primary care team. This year's proposed rule is a critical opportunity to provide CMS solutions that can be met by OTs and PTs and advocate for key coding updates: reimbursing existing evaluation codes by complexity level and creating new non-time-based management codes to capture longitudinal care provided by occupational and physical therapists.At OT Potential, we're equipping YOU to raise your voice. In this live webinar and course, we'll spend an hour unpacking the proposed rule, detailing our policy asks, and sharing a simple, plug-and-play comment template so you can submit your own letter to CMS. We'll be led by the incredible Dana Strauss, a doctor of physical therapy and healthcare public policy expert.See full course details here:https://otpotential.com/continuing-education/course/medicare-advocacy-for-2027 See all OT CEU courses here:https://otpotential.com/continuing-educationCheck our our live webinar schedule here:https://otpotential.com/continuing-education/live-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

What if the future of physical therapy is not just more visits, more units, and more productivity pressure?In this episode of PT Breakfast Club, Tony Maritato, Dave Kittle, and Jimmy McKay start with a productivity benchmark chart comparing outpatient private practice, corporate clinics, cash-based care, hospital outpatient, sports med, and high-volume clinics.That opens up a bigger discussion about what productivity really means in PT. Is 25 visits a day automatically bad? Is one-on-one cash pay automatically better? Or does it all depend on the patient, the payer, the legal model, and the business you are actually building?From there, the conversation turns to whether cash-pay physical therapy can scale. Dave points to Onward and similar performance-based models. Tony pushes back by asking whether that solves a population-level problem or simply serves a smaller group of people who already want the service.Then the crew explores a bigger business idea: can PTs productize their expertise?Jiffy Knee created a branded surgical approach. McKenzie became a global system. Total Motion Release built a recognizable method. So why don't more physical therapists turn their clinical expertise into branded, licensable programs that other clinics can buy, use, and market?The final stretch gets spicy: Tony's “best personal trainer vs worst physical therapist” post sparks a debate about education, professional identity, licenses, and whether PTs overestimate the protective power of the degree.The takeaway: knowledge is not proprietary. Value comes from the result, the system, the delivery, and whether people actually want what you are offering.

You might not immediately recognize the name Paul Hodges. But we can almost guarantee you've been taught his work.And if you're attending PelviCon (either in-person or with our Live Virtual option) you'll get the chance to learn from him directly!If you've learned that...

When does a cash-based pelvic health practice actually need a fancy CRM?For most of us? Never.And yes—we've made this mistake ourselves.

This episode of PT Breakfast Club starts with Jimmy McKay reporting from Prompt HQ after a trip to Portland for APTA's Payment Summit and House of Delegates.Jimmy explains how he got in trouble for live tweeting the House of Delegates, why he likes the word “payment” more than “reimbursement,” and what it felt like watching the profession debate policy language in real time.Dave Kittle pushes hard on the bigger question: has payment advocacy actually moved the needle for physical therapy? If insurance companies and Medicare are not meaningfully increasing payment, should more PTs stop waiting and build direct-to-consumer cash-pay offers?Tony Maritato adds the counterpoint: maybe some advocacy success is measured by slowing the decline, not producing giant wins.Then the show turns into a business strategy clinic thanks to Grandpa the Mailbox Guy.For $320, he solves the whole mailbox problem. No hourly rate. No overexplaining. No “here are the 17 steps.” Just a clear result at a clear price.The crew applies that lesson to PT, including grab bar installation, home safety consults, cash-pay evaluations, AI content ideas, therapist recruiting, viral video formats, and what practices should do when a clinician calls out sick.The takeaway: keep it stunningly simple. The customer does not want your process. They want the problem solved.

How can we help save the lives of our pregnant and post-partum patients?  What about doing more than just resolving their reported symptoms?We can't wait for you to hear this conversation with Katherine Sylvester - she has spent her entire career challenging the status quo and pushing for better results for her patients.  After experiencing postpartum preeclampsia herself, Katherine began asking how wearable data could help women recognize problems earlier, advocate for themselves and make better decisions during pregnancy and postpartum. That eventually grew into Operation M.I.S.T. and her work helping women use their own data to better understand their bodies. And that's just one part of this conversation!We talk about:

Learn how to JournalSpeak⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.yourbreakawake.com/journalspeak When Rachel Gofman was in college, she had terrible back pain - just like me! After going down the Western Medical rabbit hole to no avail, she discovered Dr. Sarno and her back pain subsided completely. But years later, when Rachel was in her Doctorate program for Physical Therapy, acute and widespread pelvic pain struck. Similar to me as well, this time she forgot all about Dr. Sarno and went full steam into traditional medicine in the hope of helping herself. When the best specialists told her there was, "nothing else they could do for her," thankfully she considered Sarno again, and this time found my work. Rachel had to confront her scientific training around the human body, and realized that there is a huge hole in so much that is taught to PTs and all medical professionals. Embracing MindBody medicine, Rachel was able to TOTALLY recover from debilitating pelvic pain, and now is a MindBody PT! Enjoy this thoughtful conversation about all things TMS and the ways in which an open mind can save your life. XO n. 1:1 COACHING WITH TRAINED COACHES SUPERVISED DIRECTLY BY NICOLE⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠PLEASE RATE AND REVIEW THE PODCAST HERE TO HELP OTHERS FIND IT!⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Producer: Lisa Eisenpresser ~~~~~ SUPPORT:

What if the first clinician you hire isn't as good as you?It's one of the biggest fears we hear from successful solopreneurs—and it's exactly what Nicole struggled with when we started growing PelvicSanity.Because hiring your first clinician isn't just adding another person to the schedule.It's changing your entire role.Suddenly, you have to trust someone else with your patients, your reputation, your culture and something you've worked incredibly hard to build.And yes...Nicole struggled with this enough that she eventually went to therapy to work through some of the control issues that came with becoming a leader.

What does it take to move acute care physical therapy research from the journal page to the bedside? In this episode, Dr. Leo Arguelles and Dr. Daniel Young sit down with Dr. Barbara “Barb” Smith, associate professor of physical therapy at the University of Florida, clinician-scientist with more than 25 years of ICU experience, and recipient of the 2026 APTA Acute Care Lecture Award. Barb reflects on how acute care research has evolved from a time when PTs often contributed to studies without leading them to a future in which clinicians, educators and scientists shape the questions that matter most. She explains why research in complex hospital environments remains difficult, from varied patient populations and unit cultures to small single-site studies and the long delay between publication and clinical adoption. The conversation also explores why research should function as a team sport. Barb shares the value of multi-site collaboration, early partnerships with frontline clinicians and hospital leaders, and sustained mentorship for emerging researchers. Drawing on her work in respiratory strength training, she shows how clinically relevant questions can grow into evidence that changes practice. Listeners will leave with a clearer view of how collaboration, communication and curiosity can strengthen acute care research—and ultimately improve patient care. Show Notes Today's Guests: Barbara Smith PT, PhD bksmith@ufl.edu X: ilikebigbreaths Guest Quotes: 16:24 “ But we still have some challenges, I think in the area of acute care research. Number one it’s hard to do , right?… And all of that noise can muddle up what might be a very, helpful or clear efficacy signal or rehabilitation signal. “Ah, this works.” But if we have all this other noise, we might not see that treatment effect. And so those are some threats sometimes to designing and developing and implementing research in this setting.” 18:54 “ Scientists, we’re not always the best conversationalists. And so disseminating our message, we use a lot of jargon, we use complicated terms…  so there’s a dissemination issue, there’s a consumption issue where where maybe people are getting their information from different resources, and are those resources vetted scientifically?” 27:11 “So this is my pie in the sky dream…I love the fact that this academy is supportive of science and moving our evidence base forward, and have been so supportive of providing some grant funding through the foundation. I would love to pull all that money together and give it in one big project to a bunch of groups of people. And then we do this together.” Rapid Responses:   When you’re out biking, Barb, how often do alligators come into the conversation?  If you’re from Florida, never. If you’re not from Florida, every time.  You know you’re an acute care or an ICU provider when…  When your weekend and holiday schedule is more complicated than your fantasy football spreadsheet. Links:

Youth sports have become more specialized, more competitive, and more expensive, creating both new risks for young athletes and new opportunities for physical therapists. In this episode, Doc Danny explains how PTs can become trusted advocates inside local sports communities while helping families navigate overuse injuries, specialization, recovery, and long-term athletic development. In This Episode, You'll Learn Why youth sports specialization has increased overuse injury risk How sports sampling can improve long-term athletic development Why parents feel pressure to specialize their kids earlier How scholarships, NIL, and private sports programs are changing the landscape Why physical therapists are uniquely positioned to educate families and coaches How triage hours can build trust inside local sports organizations Why youth sports partnerships can become a powerful referral channel How helping first can create long-term brand growth for your clinic Key Takeaway Physical therapists do not need to fight the youth sports industry from the outside. By becoming trusted resources inside local clubs and teams, PTs can help athletes stay healthier, educate parents, support coaches, and build a strong community-based referral network. Technology Spotlight Reduce documentation time and create more room for community involvement with Claire AI, an AI scribe built specifically for physical therapists. Try it free for 7 days. Free Resource Ready to build your own cash practice? Join the free PT Biz Part-Time to Full-Time 5-Day Challenge. PT Biz Training YouTube Watch more business training for cash-based physical therapists on the PT Biz Training YouTube Channel. Connect Physical Therapy Biz PT Entrepreneur Podcast

How do you challenge long-held beliefs in pelvic health?  You ask better questions.This week, we're joined by Gráinne Donnelly—pelvic health physiotherapist, researcher, educator, editor-in-chief of the Journal of Pelvic, Obstetric and Gynaecological Physiotherapy, and one of this year's featured PelviCon 2026 speakers. Gráinne has built a career around asking questions that matter, from postpartum return to sport and diastasis recti to compression garments and pelvic floor function. In this conversation, she shares what she's learning through her PhD research, why clinical curiosity should drive research, and how our profession continues to evolve.In this episode, we discuss:

Are you giving your complex concussion clients your absolute best care, or are you secretly running out of ideas when they hit a plateau? It's an uncomfortable truth: while every healthcare provider goes into practice genuinely wanting to help, caring deeply for your patients simply isn't enough when you reach the limits of your clinical knowledge. Far too often, when progress stalls, clinicians default to telling clients "it's just part of the concussion" or writing off lingering symptoms as purely psychosocial—leaving patients confused, frustrated, and stuck in treatment for months or years without actual recovery. When you settle for "good enough" care or miss hidden clinical blind spots, you risk breaking your patient's trust and holding them back from true healing. But hitting your clinical ceiling doesn't mean you can't push past it—by getting curious about your limitations, auditing your practice, and learning how to look deeper into complex, overlooked systems, you can step up to become the clinician your clients truly need. BY THE TIME YOU FINISH LISTENING, YOU'LL DISCOVER: Why compassion alone isn't enough to solve complex concussion cases—and how to identify when you've hit your clinical ceiling. The danger of writing off patient plateaus as "psychosocial" or "just concussion symptoms" instead of looking for deeper root causes. The major clinical blind spot most providers miss: how TBI impacts the central auditory processing system and impacts cognitive health. How to bridge the fragmentation gap across multidisciplinary care so PTs, OTs, Chiros, and Osteos can speak the same clinical language. Scroll down, hit play, and learn how to uncover your clinical blind spots and elevate your standard of concussion care today! Ready to raise your standard of care and stop hitting clinical ceilings? Join the waitlist for the revamped Concussion Nerds Fellowship 2.0! Doors open this fall for our brand-new cohort, limited to just 25 clinicians. Joining isn't a commitment—it simply gives you first priority to claim your seat before they're gone.

In this episode, host Dr. Nick Rainey is joined by Dr. Bremen Abuhl and Dr. Dallas Ehrmantraut to discuss their 2025 Physical Therapy Journal article, “First Contact Physical Therapy Compared to Usual Primary Care for Musculoskeletal Disorders: A Systematic Review and Meta-Analysis of RCTs.”The conversation explores whether physical therapists should serve as the first point of contact for patients with musculoskeletal disorders and how first contact PT compares with usual primary care.Dr. Abuhl and Dr. Ehrmantraut discuss their findings, including reduced imaging utilization, reduced prescription medication utilization, and similar clinical outcomes for pain, disability, and health-related quality of life. They also unpack the terminology around direct access, first contact PT, and primary care PT, and explain why direct triage models may offer a more efficient pathway for patients.The episode also addresses real-world implementation barriers, including reimbursement models, state scope-of-practice variation, imaging privileges, medication prescribing, stakeholder buy-in, and the need for PTs to step confidently into first contact roles.Key TakeawaysFirst contact PT is not the same as direct access. Direct access means patients can choose PT without referral. First contact PT means the PT is the first provider evaluating the patient for that episode of care.The study found lower healthcare utilization. First contact PT was associated with 45% less imaging and 71% less prescription medication utilization compared with usual primary care.Clinical outcomes were similar. Pain, disability, and health-related quality of life outcomes were statistically similar between first contact PT and usual primary care.Less imaging is not automatically the goal. The more important question is appropriate utilization: avoiding both overuse and underuse.Implementation is a system problem. Scope of practice, reimbursement, stakeholder buy-in, state law, and health system workflows all influence whether first contact PT can work.Direct triage may be the stronger model. Compared with warm handoffs, direct triage allows patients with appropriate MSK presentations to start with PT as the first provider.PTs need to be ready for real-world first contact care. That includes identifying red flags, determining urgency, ordering or recommending imaging when appropriate, and referring to the right provider when needed. Chapters: 00:00 — Welcome and guest introductions 01:17 — Dr. Bremen Abuhl's path into first contact PT research 03:13 — Dr. Dallas Ehrmantraut's clinical spark for the topic 06:16 — Overview of the PTJ systematic review and meta-analysis 09:52 — Direct access vs first contact PT vs primary care PT 13:15 — Global evidence and limited U.S.-based RCTs 16:24 — Imaging findings and appropriate utilization 20:37 — Medication utilization findings 23:27 — Clinical outcomes: pain, disability, and quality of life 25:20 — Study limitations and downstream utilization 27:13 — Why longer-term outcomes matter 31:15 — Risk of bias and crossover between groups 33:36 — U.S. system barriers to first contact PT 36:37 — Reimbursement, payer models, and stakeholder concerns 40:45 — Direct triage vs warm handoff models 44:15 — Scope of practice and state-level barriers 46:08 — Real-world safety, red flags, and PT decision-making 48:01 — Call to action for physical therapists 50:06 — Closing thoughts

In this episode, Dr. Karen Litzy and Dr. Tom Walters explore the current state of the physical therapy profession, weighing the challenges with the bright opportunities ahead. If you're a PT student, new graduate, or seasoned professional, this discussion offers valuable insights on navigating growth, risk-taking, and innovation.  Key Topics Covered:  The contrasting narratives about PT career prospects—debunking myths and highlighting opportunities Factors influencing PT career decisions, including debt, job satisfaction, and entrepreneurial ventures Strategies for students and new grads to create diverse career pathways beyond traditional settings How social media has transformed PT education, branding, and income streams over the past decade The importance of trust, clarity, and confidence in communication for professional success and patient care The influence of industry challenges such as insurance constraints and healthcare system limitations Practical advice for building a cash-based practice while managing burnout The potential for social media and content creation to elevate the entire PT field The role of patient education, telehealth, and hybrid models in future PT delivery  Timestamps:  00:00 - Introduction: Is the PT profession broken or full of opportunity? 02:21 - Dr. Walters' take on whether PT is a broken system or ripe for growth 04:35 - How social media has changed career possibilities for PTs 05:42 - Advice to students and new grads about seeking opportunities and taking risks 06:47 - Personal stories of career leaps and the importance of thinking beyond traditional roles 08:48 - Building trust and clarity through communication for confidence and success 10:45 - Overcoming fears related to further education and career shifts 11:29 - Reflecting on the time investment of education and professional growth 13:00 - How teaching and social media experience have contributed to Dr. Walters' success 15:23 - The importance of consistency and long-term effort in building a following 16:52 - The evolution of social media content from early days to now 18:38 - Opportunities outside insurance-based clinics and how to leverage clinical experience 20:28 - Guiding students in career planning and the value of entrepreneurial thinking 22:28 - Strategies for transitioning from employment to ownership through small steps 24:13 - Can PT influencers replicate a successful model? Is it achievable for most? 26:26 - Social media's impact on professional visibility and community growth 27:55 - How content creation can elevate the PT profession as a whole 29:35 - The balance between hands-on care and digital/remote PT services 31:09 - The importance of rapport and human connection in healing 32:18 - Possibility of hybrid models combining in-person and remote PT 34:01 - The potential of technology to supplement, but not replace, hands-on care 36:35 - Addressing platform technical issues during the episode 38:36 - Final thoughts on building the future of PT and embracing new opportunities 39:31 - Advice for prospective DPT students on exploring career paths early 41:35 - The importance of financial literacy and budgeting education in PT programs 43:28 - Personal stories about student debt and managing educational costs 44:11 - Trust, clarity, and confidence as pillars for PT success and patient relationships 47:09 - How authenticity and communication foster trust within and outside the PT profession 50:22 - Review of what should be emphasized in PT curricula to prepare future practitioners 52:39 - The impact of viral content and strategic content creation on career trajectory 54:59 - Is the healthcare system broken or an opportunity? Dr. Walters' nuanced view 56:41 - Navigating personality types and finding the right work environment 56:55 - Practical tips for maintaining health, wealth, and intelligence in a PT career Final Takeaways:  The PT industry is both challenged and full of opportunity—proactive, strategic, and authentic efforts can help shape its future. Embracing digital tools, building trust, and diversifying skills are keys to long-term success. Continuous learning, honest communication, and openness to entrepreneurship are essential for growth in today's evolving landscape.  Thank you to Dr. Tom Walters for sharing his experience and insights. For more resources, courses, and his book, visit Rehab Science. Remember, your career trajectory depends on intentional choices, resilience, and innovative thinking—so take that leap! More About Dr. Walters Dr. Tom Walters is a board-certified orthopedic physical therapist who specializes in the treatment of pain and movement disorders. He is the founder of Rehab Science and has spent almost two decades teaching people about human movement, pain science, and how to effectively recover from injury. In addition to running his own clinical practice, Tom served as a full-time undergraduate kinesiology professor for eight years, teaching human biomechanics, therapeutic exercise, and pain science. He received his Doctor of Physical Therapy degree from Chapman University and completed a residency in orthopedic manual physical therapy and a fellowship in lower quarter functional biomechanics. Through his books, social media platforms, and the Rehab Science membership, Tom has helped millions of people better understand their bodies and take control of their recovery. Find more of Tom's content on Instagram and YouTube @rehabscience Resources from this Episode: Tom's Website: Rehab Science Tom on Instagram Tom on YouTube The Rehab Science Book Series The Rehab Science Membership   Jane Sponsorship Information: Book a one-on-one demo here Front Desk @ Jane Mention the code LITZY1MO for a free month   Follow Dr. Karen Litzy on Social Media: Karen's Twitter Karen's Instagram Karen's LinkedIn Subscribe to Healthy, Wealthy & Smart: YouTube Website Apple Podcast Spotify Stitcher iHeart Radio

Would you become a physical therapist again?That question sits underneath this episode of PT Breakfast Club with Jimmy McKay, Tony Maritato, and Dave Kittle.The conversation starts with physical therapy burnout. Tony reacts to a survey suggesting nearly half of PTs report burnout, and the crew debates what burnout actually means. Is it exhaustion? Cynicism? Reduced effectiveness? Or has the word become a catch-all for low pay, paperwork, bad bosses, student loans, long hours, and the general sensation that work has become a haunted spreadsheet?Jimmy shares a LinkedIn poll asking what clinicians really mean when they say they want fewer patients. Do they want more time with each patient? A buffer between visits? Both? Or do they simply want less work?Dave talks about hiring clinicians for a concierge/cash-pay model and why he wants people who may want a better model, but are not publicly torching their current employer or profession online.Then the conversation turns to the big career question: would Tony and Dave become PTs again? Would they recommend physical therapy to their kids? The answer is complicated. PT can still be a great career, but only if clinicians understand the game they are actually entering.The back half of the episode shifts into social media and clinic growth. Tony explains how he is using Meta AI, ChatGPT, and Gemini to analyze his Facebook content, where he generated massive reach and meaningful revenue from simple posts. Jimmy connects it to his talk with Colorado PT students: don't create “social media.” Create media that is social.The takeaway:Attention leads to trust. Trust leads to action.In This EpisodePrior authorization as an escape room from hellWhat burnout actually meansWhy being tired is not always burnoutCan burned-out clinicians still deliver great care?What PTs really want when they ask for fewer patientsWhy some clinicians want better while others just want lessHiring for concierge and cash-pay PTWould Tony and Dave become PTs again?Whether PT is still a good careerWhat students should know about market forcesAI-assisted social media analysisWhy simple posts can outperform polished contentHow comments become communityWhy clinics should stop overthinking content creationAttention → trust → actionPull Quotes“Prior Authorization Escape Room: nobody has escaped yet.”“Burnout has become the catch-all for ‘work sucks.'”“Patients stop becoming Mrs. Smith and start becoming the ten o'clock.”“When you say you want fewer patients, what are you actually asking for?”“You don't want the person looking for your job opportunity to fix their life.”“Know the game before choosing the career.”“Don't create social media. Create media that is social.”“People love to talk about themselves.”“Attention leads to trust. Trust leads to action.”“Don't spend a dollar on anything until you do 100 repetitions.”“If you're staying the same, you're left behind.”

If you've ever felt like you've "tried downtraining" and your patient still isn't getting better... this episode is for you.We're also wrapping up our recent series on internal exams, the gold standard, and access to quality care before shifting back into one of our favorite clinical topics: downtraining.The biggest mistake we see?Thinking of downtraining as a single intervention.In this episode, we introduce the updated framework from our completely re-recorded Downtraining Masterclass, including the three different "levers" of downtraining and how they help you identify why someone's pelvic floor is overactive—not just that it is.In this episode we discuss:✅ A quick recap of our recent series on internal exams & the gold standard✅ Why "I've tried downtraining" usually isn't true✅ The 3 Downtraining Levers: Pelvic Floor Direct  Pelvic Floor Indirect  Nervous System ✅ How to choose the right intervention for the right patient✅ When to stay the course... and when it's time to pivotIf you treat patients with pelvic pain, overactivity, urinary urgency, constipation, or other pelvic floor dysfunction, this framework will immediately change how you think about treatment.

In this episode, Seth sits down with Jess Ellis, fellowship-trained physical therapist, former NBA health and performance leader, founder of Rehab Code, and consultant for professional athletes.Jess shares his career path from early burnout in high-volume physical therapy to mentorship with Tim Fearon, fellowship training, EXOS, the Portland Trail Blazers, the New York Knicks, and his current work in mentorship, consulting, and concierge care.The conversation explores the realities of working in professional sports, including the pressure of return-to-play decisions, reduced clinical autonomy, team politics, athlete relationships, and the lifestyle tradeoffs that come with elite sport. Jess also discusses his PhD work on athlete buy-in with wearable technology and force plate testing, raising important questions about trust, data, ethics, and shared decision-making.This episode also gets into the deeper professional questions many PTs face: Are you actually getting better? Are you pursuing mastery or professional FOMO? Are you being clinically honest with yourself and your patients? And are you relying on theory, or producing meaningful change?A sharp, candid conversation for clinicians interested in OMPT, sports rehab, mentorship, career development, and pragmatic clinical reasoning.Chapters: 00:00 — Welcome and Jess Ellis intro01:34 — Burnout, mentorship, and fellowship training03:00 — EXOS, NBA roles, and Rehab Code06:23 — Career growth and owning your opportunities09:11 — OMPT in pro sports11:01 — Imaging, structure, and pathomechanics12:55 — Why fellowship changed Jess's reasoning14:54 — The reality of working in pro sports17:01 — Return-to-play pressure18:08 — Leadership, politics, and athlete trust20:10 — Lifers, burnout, and leaving sport23:43 — Athlete data, wearables, and Jess's PhD27:50 — Clinical bias and shared decision-making30:00 — Pain science communication problems31:43 — Mentorship and PT career paths34:15 — Professional FOMO vs mastery35:54 — Clinical honesty and getting better37:47 — Pragmatism, listening, and results40:11 — Where to find Jess Ellis

Send us Fan MailProlapse might be the single most fear-loaded word in postpartum health. Not because of what it is. Because of how little anybody tells you about it.This week we're rewinding to one of our season one conversations, with Dr. Cheryl Iglesia, MD, urogynecologist here in Washington DC and one of the very first mentors I had in pelvic health. My first pelvic health job was at National Rehab Hospital back in 2001, and a couple days a week I was over in her office with absolutely no idea that I was standing next to a LEGEND in the field. (I figured that out later. Much later.)Here's what I want you to hear in this one. She says out loud that part of being a good surgeon is knowing when NOT to operate. Then she spends the rest of the hour showing you what that actually looks like.

What motivates your pursuit of success? In this episode, Doc Danny reflects on the lessons he learned through his 20s, 30s, and 40s, explaining how his mindset evolved from seeking external validation to proving people wrong, and ultimately to leading with clarity and purpose. Learn why becoming a "lighthouse" instead of a "tugboat" creates a healthier business, stronger leadership, and a more fulfilling life. In This Episode, You'll Learn How your motivation changes throughout different stages of entrepreneurship Why external validation and proving people wrong eventually lose their effectiveness The difference between a tugboat leader and a lighthouse leader How clarity attracts patients, employees, and opportunities What successful patients taught Danny about leadership and fulfillment Why purpose creates more sustainable success than anger or insecurity Key Takeaway The most successful entrepreneurs don't spend their lives forcing opportunities to happen. They develop clarity, lead with purpose, and naturally attract the people who want to build something meaningful alongside them. 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

PelviCon '26 speaker Amy Stein has been one of the pioneers of modern pelvic health.She founded Beyond Basics Physical Therapy, one of the largest cash-based pelvic health practices in the country, authored the groundbreaking books Heal Pelvic Pain and Beating Endo, and has spent more than two decades helping shape the future of pelvic rehabilitation. In this conversation, we talk about how far our profession has come—from a time when there were only a handful of pelvic health courses available to today, where thousands of clinicians are entering the field every year.We also dive into:✅ How Amy built Beyond Basics into one of the country's premier pelvic health practices✅ Why collaboration—not competition—is the future of pelvic health✅ What's changing in our understanding of endometriosis✅ Why every patient deserves a multidisciplinary team✅ The importance of mentorship and lifelong learningAmy will also be joining us at PelviCon 2026 to present two incredible sessions:

Life Update + Financial Independence as a Travel TherapistJoin us for an update on our lives, including buying a new house, expecting our second child this fall, and working part time locally as PTs. We also discuss how our financial independence journey led us to this point via travel therapy, and how others can pursue financial independence/semi-retirement via travel therapy.

What happens to your neuro patients after they leave your care, and who's in their corner when the discharge falls apart? In this episode, host Erin Gallardo, PT, DPT, NCS, sits down with Kimberlie Williams-Feth, BSW, founder of Healthcare Survival Kit and a former hospital social work discharge planner who became an independent patient advocate after living the system's failures firsthand. When her husband's routine spinal fusion led to unexpected paralysis, Kimberlie navigated unsafe discharges, a "ghost network" of providers who didn't actually offer neuro care, and the months it took to find neuro PT and OT all while working full time and holding her family together. She shares the green/yellow/red scripting framework she teaches families, why a rushed discharge can leave patients financially liable the moment they say "no," and the three deceptively simple questions every clinician should ask: what did life look like before, what can you do now, and what are your goals. For neuro PTs, OTs, assistants, and students, this is a candid look at the holes in the system clinicians can't fill alone and the advocates who exist to fill them. Find an advocate by state or diagnosis at GNAnow.org (Greater National Advocates). www.healthcaresurvivalkit.com https://www.linkedin.com/in/kimberlie-williams-feth/ https://www.tiktok.com/@healthcaresurvival https://www.facebook.com/healthcaresurvivalkit/ https://www.instagram.com/healthcaresurvivalkit/ Greater National Advocates: https://gnanow.org

Today on PT Breakfast Club, we're talking physical therapy business, cash PT positioning, fall recovery, and the uncomfortable question: are trainers reaching patients better than physical therapists?Jimmy McKay, Tony Meritato, and Dave Kittle dig into whether PTs are defending the wrong thing: the license, the title, the visit, the referral, the insurance model, or the certification.The conversation starts with concierge/activity-based PT, including the idea of a physical therapist joining an older adult on the golf course to help them safely return to something they love. Then Tony brings up an Instagram trainer teaching older adults fall recovery and big movement strategies. Is that physical therapy? Occupational therapy? Personal training? Practicing without a license? Or just useful?From there, the crew gets into cash-based physical therapy, premium patient experience, why “1-on-1 care” is not enough as a value proposition, and how concierge PT can position itself around fewer handoffs, less confusion, and more continuity.Plus: Tony explains why he sells an experience instead of physical therapy, Dave shares early results from his direct mail/postcard campaign, and Jimmy closes with the bigger lesson: understand what game you're playing.In this episode:• Concierge golf PT and activity-based care• Trainer-led fall recovery and the PT license debate• Cash PT vs insurance-based PT positioning• Patient experience, handoffs, and continuity• Why small clinics can create magic• Direct mail, postcards, and analog marketing• Understanding the game you're actually playingChapters:00:00 PT Breakfast Club intro00:56 Concierge golf PT and activity-based care03:52 How to price premium PT experiences10:52 Trainer-led fall recovery: PT, OT, or just useful?14:29 Is the PT license really the moat?17:45 Are trainers doing it better?18:04 Uber, Airbnb, and PT disruption21:30 Why cash PT needs better positioning24:44 You're buying fewer handoffs30:08 “I don't sell physical therapy. I sell an experience.”31:40 Why small clinics can create magic33:52 Hiring the right PT for premium care42:55 Dave's postcard campaign results49:01 Is analog marketing coming back?53:37 Understand what game you're playingFollow:Tony Meritato: Total Therapy SolutionDave Kittle: Concierge Pain Relief / The Dave Kittle ShowJimmy McKay: PT PintcastThis livestream is for conversation and entertainment only, not medical, legal, billing, or business advice.#PhysicalTherapy #PTBusiness #CashPT

Let's cut through the noise....If someone you loved needed pelvic floor therapy tomorrow, where would you send them?

Will sits down with Paul Cords, physical therapist, adjunct professor, and PRN clinical excellence rep, live at APTA CSM. The conversation centers on primary care physical therapy: the idea that PTs aren't just a referral stop after a doctor's visit. In states like Arizona, they can be the first call for a musculoskeletal emergency, ahead of the ER.Paul and Will get into what's actually possible under current PT licensure (imaging referrals, differential diagnosis, same-day triage), why regulations differ so much state to state, and why PTs still don't own this authority in practice. They talk about the "seat at the table" problem: PTs are often left out of the referral and care-team conversations that happen naturally between physicians, and that has to change through both confidence and relationships, not just legislation.In this episode, they cover:What primary care PT actually means, and why it's more than "skip the family doctor"How PTs in states like Arizona can already send patients for same-day imagingWhy musculoskeletal cases might be triaged better by a PT than an ERThe "seat at the table" problem, and why it's personal before it's professionalA patient story: going from 100mg of daily Oxy to opioid-free in one monthWhy academia is starting to teach case ownership, not just documentationWhat it looks like when a PT is paid for wellness visits, not just injury visitsWhere Paul sees the profession heading, and what has to change to get therePaul Cords is a physical therapist, adjunct professor at NAU, and clinical excellence rep with PRN. He also does nonprofit and leadership development work in Tanzania through Zoe Hope International.Thanks to PRN for supporting this episode.Lead with love. Never give up.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. 

Opening a cash-based practice can be incredibly rewarding—but it's also full of lessons learned the hard way. In this episode, we share the three biggest mistakes we made when launching FIXXED, including undercharging, trying to do everything ourselves, and waiting until we felt “ready.” We break down how these decisions affected growth, profitability, and burnout, while offering actionable advice for PTs looking to start or scale their own businesses. If you're thinking about opening a practice, this episode could save you thousands of dollars and countless hours of frustration.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/

Here's everything we wish we knew when we were face-to-face PTs looking to go online (but didn't, so found out the hard way, just for you guys). This week's topics:1. The numbers that decide everything 5:022. Make sure you're in the right rooms 11:233. Solve problems you actually have 28:304. "Knowledge" is slowing you down 37:49Become a Standout PT:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Access⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Join our community: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Access⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠As always, if you have any questions or suggestions, feel free to drop a comment or get in touch!

"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.”

Send us Fan MailYou've spent months mastering oncology content — but on exam day, just knowing the material isn't enough. The ABPTS Oncology Specialty Exam is a six-hour endurance event, and without a pacing strategy, smart break habits, and a system for beating distractors, even the most prepared PTs lose easy points. This episode gives you the exact test-day tactics to turn your knowledge into a passing score.The content lives in your brain. Now let's make sure it survives the exam room.⚡ In this episode, you'll learn:The Endurance Mindset — why exam day is a marathon, not a knowledge quiHow to break a 6-hour exam into four 90-minute "mini-battles" you can actually winThe 100-Second Rule — your pacing strategy for every single questionWhy flagging and moving on is the difference-maker for banking easy pointsThe "Cover Your Answers" technique — beat distractors before they beat youHow to formulate your answer BEFORE you ever see the choicesThe Break Protocol — why skipping your breaks is self-sabotage, and what to actually do during themFueling for six hours — what to eat the night before, morning of, and duringHydration strategy — sip, don't chugThe full exam-day timeline, from arrival to final click

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.

In this episode, Dr. Rashan McMillan shares his unique journey into tactical PT, blending rehab, performance, and military training. Discover how he built a specialized role working with elite military units, the skills he developed, and insights for PTs looking to diversify their careers.

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______________________________

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.

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