From The Ground Up with Dr. Becky Allen

In this final episode of season one of From the Ground Up, Dr. Becky Allen interviews physical therapist, certified athletic trainer, PhD, and sports PT specialist Steve “Steve D” Dischiavi (associate professor at the Medical University of South Carolina; former Florida Panthers NHL team PT/AT/rehab coordinator), whose research on motor control-based exercises for the pelvis, hip, and trunk shaped...

Dr. Becky Allen explains why marketing that relies on a traditional funnel leaves practice owners exhausted and constantly chasing new patients, and proposes replacing it with a flywheel that compounds through ongoing momentum. She credits Tori from Ugly Ventures for teaching the framework and outlines six flywheel stages: awareness (first discovery), engage (taking an action like subscribing or s...

In this episode of From the Ground Up, Dr. Becky Allen debriefs three main takeaways from a wellness-focused retreat with a long-running group of female founders at a resort in Arizona, noting the unusually honest, vulnerable conversations. She observes that many successful women weren’t stuck due to lack of vision, talent, or strategy, but because of limiting beliefs: “I don’t belong,” “I’m not e...

In this episode of From the Ground Up, Dr. Becky Allen addresses disagreement in online pelvic health discussions by clarifying key biomechanics terms and why they matter clinically. She explains that the pelvis is neither rigid nor wildly unstable, but moves in small, meaningful ways affecting pelvic floor function, pressure management, and force transfer. Dr. Becky distinguishes pelvis-on-femur...

In this episode of From the Ground Up, Dr. Becky Allen discusses how pelvic health professionals often mishandle disagreement online and argues the field must practice collaboration and nuance while holding strong clinical beliefs. She describes an Instagram post by a respected PT claiming iliums cannot rotate, prompting her to seek clarification via DM and then public comments, where the issue se...

In this episode of From the Ground Up, Dr. Becky Allen explains that joints—and the pelvic floor—need three essentials to function: adequate range of motion, control of that range (especially eccentric control while lengthening under load), and strength/power to recoil and move out of the loaded range (concentric propulsion). Applying this to pelvic health, Dr. Becky argues the pelvic floor is not...

In this episode of From the Ground Up, Dr. Becky Allen interviews Delaney Smith, founder of Minnemals barefoot shoes and a specialist in muscle activation techniques and gait analysis, about how overlooked foot dysfunction contributes to pain and pelvic health issues. Delaney describes realizing the widespread inability to dissociate toes (toe yoga) and how increased training in foot mechanics and...

In this episode, Dr. Becky Allen argues that posture should be assessed as a signal of a patient’s movement, balance, and breathing strategies rather than treated as the problem. She critiques common assumptions about anterior and posterior pelvic tilt (including “Lower Crossed Syndrome”) and explains that the nervous system drives posture, with the rib cage influencing pelvic orientation and pelv...

Dr. Becky addresses founders and visionaries about the importance of a clear, massive, objective vision, arguing that generic visions create generic businesses. Using NASA’s goal of putting humans on Mars, she explains that clarity rallies aligned people, filters out those who aren’t, and guides daily “yes/no” decisions, reducing exhaustion and preventing the founder from becoming the bottleneck....

Dr. Becky Allen breaks down her biggest course launch to date for the “No Kegels” course, arguing most creators underestimate the time and content volume required to sell. She describes a three-month runway: months one and two focus entirely on waitlist promotion and nurturing, then a one-week waitlist launch; month three shifts to a two-week lead magnet (a live workshop teaching clinicians how to...

Dr. Becky Allen argues that “belly breathing” is often mistakenly cued as diaphragmatic breathing and can reinforce pressure strategies that drive pelvic floor symptoms. While the diaphragm is used in all breathing, belly-dominant expansion directs pressure forward and down, reinforces external rotation and anterior orientation of the pelvis, compresses the posterior pelvis and rib cage, shortens...

In this episode, Dr. Becky Allen explains that leaking during running is rarely caused solely by a “weak pelvic floor,” and is more often a force and pressure management problem where the pelvic floor compensates for dysfunction elsewhere. It outlines 10 contributor categories: true pelvic floor root causes (e.g., birth injury/levator avulsion, prolapse, urethral sphincter issues, strictures, nerv...

In this episode of From the Ground Up, Dr. Becky Allen interviews Victoria Planells, who helps founder-led service businesses - especially clinics - turn LinkedIn into a predictable authority and referral engine without posting daily. They discuss why “clarity and consistency” beats volume, and how niching down increases conversion rates, strengthens brand awareness, protects marketing budget, ena...

Dr. Becky Allen answers a DM question about whether higher drop shoes can contribute to urinary leaking, arguing that they can by altering gait biomechanics from the ground up. Shoe drop is defined as the heel-to-toe height difference inside the shoe, with high heels as an extreme high drop and flat flip-flops as zero drop. A higher drop places the foot in relative plantarflexion, limiting dorsifl...

In this episode of From the Ground Up, Dr. Becky Allen shares lessons from a walk-and-talk call with her little brother as he prepares to leave a stable job and start his own business. She outlines four takeaways for new and seasoned entrepreneurs: (1) fear is not a red light—fear signals risk and potential, and success can be proportional to the fear and risk involved; (2) most people don’t even...

Dr. Becky Allen argues that traditional pelvic floor courses teach “pressure management” the wrong way by focusing on pelvic floor squeezing, Kegels, and pelvic elevation (e.g., bridges) to manage symptoms rather than addressing why pressure symptoms occur. Using a tube-of-toothpaste analogy, she explains that tightening the “lid” (pelvic floor contractions) doesn’t fix excessive downward pressure...

Dr. Becky challenges the common pelvic floor therapy model that sorts patients into “weak/lengthened” versus “tight/tense/shortened” buckets, arguing these are symptoms rather than meaningful diagnoses or root causes. She explains how this binary approach can keep patients stuck with partial improvements or lifelong symptom-management tools and notes that tightness and weakness can coexist. The ep...

In this episode of From the Ground Up, host Becky welcomes Dr. Allison Heffron, a rehab-based chiropractor and acupuncturist with over 12 years of experience, to discuss her unique approach to patient care. Dr. Heffron shares her journey through personal and professional challenges, including a significant turning point in 2022 when she shattered her ankle during a roller derby. This injury shifte...

In this episode of 'From The Ground Up with Dr. Becky Allen,' we delve into the core principles of pelvic floor function from an orthopedic and biomechanical perspective. The focus is on three main pillars: pelvic internal rotation, rib cage expansion and compression, and midfoot loading. Each pillar plays a crucial role in achieving automatic and responsive pelvic floor function. The discussion c...

Pelvic health leaders, how might defining success as discharge limit patient outcomes? This episode challenges pelvic health professionals to rethink the belief that fast discharge equals great care. Becky argues that symptom resolution and independence are not the same as resilience, capacity, or long-term wellness. By shifting the metric from “how fast” to “how far,” clinicians can deliver truly...

Pelvic health professionals, are you treating what you see or what truly matters to the patient? In this episode, Dr. Becky Allen challenges pelvic health leaders to reconsider how clinical decisions are made when treatment is based solely on what can be observed. Through a personal case study, she demonstrates how patient history, symptoms, and goals fundamentally change clinical reasoning. The c...

If you’re considering becoming a pelvic health leader, how do you begin leading and helping patients before you feel fully “qualified”? In this episode, Dr. Becky Allen and her guest Collette Pryer explore what it means to lead in pelvic health before feeling fully ready. Collette shares her journey from personal trainer to physiotherapy student, highlighting how curiosity, biomechanics, and purpo...

Pelvic health leaders, how can you use workshops to ethically lead patients into your core offer? In this episode, Dr. Becky Allen shares her framework for running workshops that deliver meaningful value while also converting attendees into paying clients. She also challenges clinicians to stop viewing selling as unethical and instead see invitation as leadership. Clinicians, be sure to learn abou...

As the owner of a pelvic health clinic, what does alignment actually cost you? In this episode, Dr. Becky Allen is joined by Dr. Corrie Maguire for a candid leadership conversation on what alignment truly costs in business. Together, they reflect on the difficult decisions, growing pains, and emotional challenges that shaped Genesis PT and Wellness in 2025. Dr. Corrie serves as the chief operating...

Pelvic health leaders, are you building a clinic that reflects your purpose, or just building what the industry tells you is “success”? In this episode, Becky shares a personal, behind-the-scenes look at what happens when your pelvic health business outgrows the purpose that once fueled it. She also walks you through some of her recent revelations related to redefining purpose, success, and aligne...