The Pants Off Podcast

This episode is for rehab clinicians 2–10 years into practice who feel demoralized in high‑volume ortho or SNF settings, wondering if they’re actually any good or if they should leave the profession. Danielle shares how she went from rushed, disorganized, and five years into thinking about quitting PT to having a repeatable reasoning system that lets her confidently find the real problem and expla...

This episode is for experienced outpatient orthopedic PTs who have done the work; mentorship, fellowship, continuing education; and still feel like they're missing something with a subset of their caseload. Maggie is seven years in, credentialed, and reflective enough to know she still had a gap she couldn't name. That gap was evaluation organization and root-cause identification, not know...

This episode is for outpatient rehab clinicians and clinic owners (5–15+ years in) who quietly know they’re getting 80–90% of patients better but still can’t reliably crack the hard 10–20% or explain complex cases cleanly. Jeremiah, a 10‑year PT and multi‑discipline clinic owner, shows how PRA gave him a simple, repeatable framework to find root-cause on Day 1, prove it to patients in minutes, and...

This episode is for mid-career outpatient rehab clinicians (PTs & chiros ~5–10 years in) who have a big toolbox of tests and techniques but no clear system, and who now carry the pressure of leading a clinic. Cory, a 7-year PT and new center manager in his hometown, talks about being burned out by “try this, then that” care, especially on neck vs shoulder and “mysterious” knee/ankle/IT band ca...

This episode is for newer outpatient rehab clinicians (PTs & chiros in their first 0–5 years) who still feel lost with “simple” cases like low backs and shoulders, and who were promised mentorship that never really materialized. Caroline, a 2.5-year PT, breaks down how she went from overthinking every eval, running full lower-quarter screens, and treating on autopilot to having a simple, anato...

This episode is for outpatient rehab clinicians (PTs & chiros, ~3–15 years in, many running or starting their own clinic) who feel set in their ways, can’t clearly explain their “why,” and keep losing patients after 1–2 visits. Jenny, an 11-year PT and owner of Routes to Recovery in Houston, shares how PRA gave her a deeper evaluation framework and patient education system so she could confide...

This episode is for cash-based outpatient PTs with 5–15 years of experience who opened their own practice, started feeling clinically lost on complex cases, and quietly started referring out the patients they should be keeping. Brianna describes the exact slide: early confidence, then creeping self-doubt as cases stopped following the textbook, then the shame spiral of feeling stupid despite years...

This episode is for experienced outpatient rehab clinicians (PTs & chiros, 5–25+ years in) who left or are thinking of leaving high-volume insurance clinics for lower-volume, higher-expectation work and still feel themselves “guessing,” especially with spine-driven pain. Nicole, a 26-year PT who moved into a mobile private-pay practice, shares how she went from chasing weekend courses and magi...

This episode is for outpatient rehab clinicians (PTs and chiros, 3–10 years in) who get patients 80–90% better but can’t crack that last 10% and feel like they’re “spraying and praying.” Brandon, an 8-year PT who was about to apply for a prestigious fellowship, shares how PRA’s framework finally let him consistently find root causes (especially spine involvement), explain it clearly to patients, a...

This episode is for outpatient rehab clinicians (especially PTs and chiros who came from acute or other settings) who still feel like they’re “winging it” in ortho evals years into their career. Jenn, an 11-year PT, talks about feeling lost, anxious, and worried she “didn’t know anything” every time she walked into work because her objective exam sequencing was a mess. She shares how PRA’s clinica...

This episode is for US outpatient rehab clinicians (PTs and rehab chiros, ~2–10+ years in) who feel burned out, dread complex evals (especially low backs), and secretly worry they’re still guessing even when patients improve. Deidre talks about going from “some people get better and I don’t know why” and not wanting to go to work, to having a clear system where she looks forward to low-back evals...

This clip is for rehab clinicians who are building or growing an out-of-network, gym-based practice while still working part-time elsewhere. Forrest breaks down how he’s using PRA’s squat/deadlift/front rack algorithms to run workshops in CrossFit, F45, and local gyms to drive evals without paid ads. He also talks about leveraging tight community groups (like F3) and being intentional about when a...

This episode is for outpatient PTs and rehab chiros who left insurance, opened their own clinic, and are now realizing that “being good in-network” isn’t enough when people pay top dollar and expect real answers. Jared shares how he went from drowning in enthusiasm but guessing on complex cases to using a clear evaluation system that lets him confidently call neck-driven elbows, get “first time I’...

This episode is for pelvic floor and ortho rehab clinicians who are 1–5 years out, stuck in insurance care, and quietly wondering if they’re actually good enough to justify private-pay rates. Linsey shares how she went from “pretty good but still guessing,” collecting dry needling and other certs, to having a clear system that links spine, hip, and pelvic floor so complex cases finally make sense....

This episode is for outpatient PTs and rehab chiros who were promised “mentorship” at their first jobs, feel like they’re winging complex evals, and take that stress home wondering if they’re actually good at this. Zack goes deep into bouncing from in‑network mills to a high-responsibility cash setting, still feeling like an imposter when the “unsolvable” cases walked in, and how that bled into hi...

This episode is for experienced outpatient PTs and rehab clinicians who already get “pretty good” results but still feel like they’re missing something on stubborn spine, elbow, shoulder, and plantar pain cases. Chris, an out-of-network clinic owner with 10+ years in ortho and a heavy con-ed background, realized he was over-calling SI joints, over-using nerve glides, and missing hidden cervical/lu...

This episode is for rehab clinicians, especially PTAs and staff clinicians in busy outpatient ortho clinics who feel burned out running follow-ups off unclear evals and “treat the symptoms” plans. Justin, a PTA and clinical director, shares how he went from frustrated, doubting his career, and thinking about leaving the field to having a clear assessment and education framework that even his PTs n...

If you’re still “doing all the right exercises” but patients stall, flare, or only get 80–90% better, this is for you. Brett went from guessing, stressing over tough cases, and stalled business growth to using a clear testing system that boosted his confidence, referrals, and close rate. In this episode, you’ll see: What it feels like to open a practice right out of school without real clinical me...

If you’re in residency, OCS prep, or a performance clinic and still feel like the guidelines don’t match real patients, this is your episode. Rachel did everything “right” academically and still felt like she was missing a real clinical system, especially for spine and shoulder. In this conversation, you’ll see how she: Went from Ohio State, residency, and OCS-focused training to feeling underwhel...

If you’re in an insurance clinic, seeing more patients in less time, and quietly wondering if you’re actually hitting root cause, this is for you. Denise has been a therapist since 1996 and hit the point where “do more with less” was killing her joy and her confidence. In this episode, you’ll learn how she: Shifted from scattered, symptom-based evals to a clear, upstream reasoning process. Uses qu...

You’ve done the residency, the fellowship, the certs… and you’re still guessing. Jared was a special operations Army PT and clinic owner who felt exactly like that. In this episode, you’ll see how he: Went from “rack and stack” events with 15–20 screens and almost zero conversions. Turned the PRA screen into 8 out of 9 event attendees signing up. 3x’d his monthly revenue (4k → 11–12k) without chan...

If you see spine evals on your schedule and think, “Great… not another one,” this is your episode. Corey was 3–4 years out, doing travel contracts, inheriting complex cases that weren’t improving, and feeling like an imposter every time chronic pain patients cried on his table. In this interview, you’ll learn how he: Went from hating cervical and lumbar cases to being the go-to “spine guy” in mult...

If you’ve done a residency, crushed the boards, and still feel like you’re chasing pain in the clinic, this one is for you. Jonathan is a DPT and OCS-level clinician who realized he didn’t have a true algorithm, was constantly changing interventions, and couldn’t reliably get to the root cause on Day 1. In this episode, you’ll see how he: Went from “three hypotheses and a scattered eval” to a clea...

If you’re an experienced PT or chiro who’s done every CEU and still feels stuck, this is your episode. Ken has been a clinician for ~20 years, was told he’d always be income‑capped, and nearly tapped out of PT before rebuilding his practice around a real clinical framework. In this conversation you’ll see how he: Stopped chasing “the one missing technique” and finally organized his tools inside a...

You were promised mentorship, got “just trust me” instead, and now you’re grinding through 30 visits a day wondering if this is all PT will ever be. Kyle was there: second-career PT, small outpatient clinic, a boss with 20 years in the game… and zero real framework to explain why patients hurt or how to fix it. In this episode, you’ll learn: What “mentorship” actually looked like in Kyle’s first j...