The Performance Rehab Authority

Dr. Roger St. Onge

Welcome to the Performance Rehab Authority podcast, where we challenge the norms of traditional physical therapy and share our journey toward elevating the traditional PT practice. We're Dr. Rog and Dr. Caitlin, the founders of Move Athletics, and we're passionate about creating a performance-based approach to physical therapy. Each week we're bringing our years of experience in performance-based physical therapy to every episode.

  1. 1D AGO

    From Residency To Real Results: How PRA Changed My Evals

    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 clear, algorithmic system he can run every time. Stopped chasing symptoms and started finding root drivers faster, especially in cervical, lumbar, and chronic pain cases. Used simple, non-threatening analogies (like picking a scab) to make patients instantly understand why their habits were flaring symptoms. Built trust and authority so patients see him as their rehab doctor, not just “the person my MD sent me to”. Leveraged PRA’s testing framework to show people their ankle pain was actually coming from the back and get buy-in without arguing. Overcame price hesitation, invested in his skill set, and used it to grow both his outpatient role and his own private practice.

    20 min

  2. 3D AGO

    Why Performance PTs Need A Real Clinical Framework

    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 simple, repeatable system. Built a clear continuum for performance athletes from Day 1 eval to full return to sport. Moved from “what do you want to do?” to giving real, authoritative plan-of-care prescriptions. Fixed his package structure so patients stopped buying on budget and failing on results. Used coaching and community to collapse years of trial-and-error into one year of focused implementation. Doubled his revenue in 2025 while feeling more confident, less resentful, and more aligned with why he became a PT in the first place.

    22 min

  3. MAR 26

    New Grad PT To Confident Cash Clinic Owner

    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 job (and why it felt like guessing with a license) How poor clinical reasoning and explanation were draining him at home and straining his marriage The PRA testing and retesting approach that let him “do less but get more results” instead of feeding the EMR How showing patients objective changes turned them into active participants and drove people to request him by name Why clinical clarity (not another residency or board-style course) gave him the confidence to start a concierge PT + online coaching practice How he thinks about time, money, and regret when investing in his own skills His advice to any rehab clinician on the fence after Clinical Mastery Week

    24 min

  4. MAR 24

    Why Typical CEUs Failed Jenn After 18 Years

    You can run a busy clinic, hire a team, and still quietly lose the passion to treat. Jenn had 18 years in, a growing practice, and multiple clinicians… but course after course felt disjointed and her team all spoke different “clinical languages.” In this episode, you’ll learn: Why most online CEUs felt subpar and never tied anatomy, assessment, explanation, and treatment into one workflow. How losing excitement for treatment pushed Jenn to search for a deeper, more integrated clinical system. The impact of having every clinician use the same eval and language for better culture and patient trust. How thoroughly clearing the spine exposed hidden drivers (like lumbar components in “foot pain” cases). Simple analogies and whiteboard visuals she now uses so patients finally understand what’s going on. How dialing in the clinical process led to 80%+ plan-of-care conversions and continuity doubling to 12% of revenue. What finally made her invest despite time constraints and initial resistance from her own team.

    21 min

  5. MAR 19

    PT With All The Certs Still Guessing? Kelly’s Story

    You’ve got the OCS, COMT, dry needling, pelvic health, Pilates… and you’re still piecing it together on the fly. Kelly was in that exact spot: high-level clinician, solo practice owner, and still feeling like she was overcomplicating everything and might miss something big. In this episode, you’ll hear: How an experienced pelvic/ortho PT with “all the initials” still felt like she was guessing in the clinic. Why stacking more certs didn’t give her a true full-body framework. How PRA’s algorithmic approach simplified complex cases without putting her in a box. The simple “mobilize, move, retrain” loop she now uses instead of overthinking every tissue. How she used cervical testing to find the true source of a “lateral elbow” case in 30 minutes. The “vital signs” (reflexes, sensation, strength) that keep her from missing serious stuff. Why she went from skeptical (“what’s this dude know more than me?”) to “I don’t see how you could be at a loss buying into it”.

    26 min

  6. MAR 17

    Business Coaching Failed Him. PRA Fixed The Real Problem

    Seeing 6 patients a day and still feeling fried? It might not be “volume” – it might be your clinical ceiling. Dan ran a cash practice, did multiple business masterminds, and still felt stuck getting active, chronic patients past 75% better. In this episode, he breaks down how shifting his clinical framework – especially for the spine – changed everything. You’ll learn: Why burnout can come from clinical uncertainty, not just high volume How business coaching ignored the real constraint: his ability to hit true root cause The specific gaps PRA filled in his spine reasoning and patient communication How better evals and clearer explanations increased his cash conversion rate Why most “complex” ortho cases aren’t actually complex once you see the pattern The personal side: going from dreading sessions to waking up genuinely happier to treat

    28 min

  7. MAR 12

    13 Years Of Imposter Syndrome To Confident PT

    If you’ve ever gone home feeling like you’re pretending to be a PT, this is your episode. Aaron had 13+ years of imposter syndrome, bouncing between sports med, pediatrics, schools, and then starting New Day PT while that cloud followed him home. You’ll learn: How a decade of “I’m faking it” impacted his marriage, family, and work Why symptom-chasing and weak eval systems kept his imposter feelings alive How PRA’s myotome-based framework changed his evals and treatment clarity The difference between telling patients what you “think” vs showing them with testing How better clinical results naturally improved buy-in, retention, and packages in his practice What finally pushed him to invest in himself despite family and financial pressure

    26 min

  8. MAR 10

    From Whack‑and‑Crack to Root‑Cause Rehab (Chiro Story)

    If you’re a chiro or PT stuck in an insurance mill, doing the same 5‑minute routine and hoping people “get better,” this will sound familiar. Ashlee started as an athletic trainer, became a chiropractor, and found herself in a volume model where people weren’t truly improving—and she knew there had to be more. Here’s how she built a rehab‑focused practice and a reasoning system that actually finds the root cause. In this interview, you’ll see how: She went from “whack‑em crack‑em robot” in an insurance model to opening her own rehab‑driven chiro practice. Starting rehab with only basic AT scripts left her lost on anything outside post‑op protocols. Studying PRA while seeing ~130 patients a week gave her the framework in her head before she ever went full‑time on her own. She now uses discovery calls plus a structured eval to know the likely driver before a patient even walks in. Flow sheets and algorithms let her step out of the treatment room, double‑check her reasoning, and show patients she’s not guessing. One recent case (elbow pain that turned out to be neck‑driven) illustrates how old her would’ve chased the elbow for weeks, while new her fixed it with a few minutes of cervical work. Overcoming the fear of investing in herself changed her view of money from “can I afford this?” to “can I afford not to build this skill set?”.

    17 min
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About

Welcome to the Performance Rehab Authority podcast, where we challenge the norms of traditional physical therapy and share our journey toward elevating the traditional PT practice. We're Dr. Rog and Dr. Caitlin, the founders of Move Athletics, and we're passionate about creating a performance-based approach to physical therapy. Each week we're bringing our years of experience in performance-based physical therapy to every episode.

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