Candid Conversations with Dr. Kelsey

Dr. Kelsey Changsing, PT, DPT

This podcast is for athletic adults who want to better understand rehab, training, and their own bodies so they can make more informed and independent decisions. It focuses on breaking down complex topics clearly and honestly, helping listeners build confidence, resilience, and the ability to stay active long-term without relying on generic advice or rigid protocols.

Episodes

  1. 6d ago

    [#8] When Rehab Feels Too Slow: What SEO Taught Me About Trusting the Process

    I share how an unexpected lesson from working on my business's SEO helped me better understand what many people experience during rehab.  Whether you're recovering from an injury or coming back from surgery, there comes a point where you've put in a lot of work but still aren't where you want to be yet. That "messy middle" can be one of the hardest parts of the process.  I'll share stories from a former client, a friend recovering from surgery, and my own experience to talk about why progress often feels slower than it actually is—and how to know whether you're on the right track.  Main topics covered: The similarities between rehab and long-term projects like SEOAn Achilles tendinopathy case where recovery felt too slow despite clear progressWhy the "messy middle" is often the most challenging phase of rehabA surgery recovery story and the importance of trusting the processHow to tell the difference between being stuck and simply needing more timeThe role of patience, perspective, and trusting the process during recovery Continue the conversation: Instagram: https://www.instagram.com/dr.coach.kelseydpt Monthly Newsletter: https://www.anteaterptp.com/newsletter Episode topic requests: email podcast@anteaterptp.com

    24 min

  2. May 19

    [#7] Is Your Insurance Actually Costing You More? The Sunk Cost Trap

    Most athletic adults assume using their insurance for physical therapy is the smart financial move. But what if staying with a physical therapist who isn't helping you is actually costing you more? In this episode, I share a personal experience with dental insurance that reveals a trap many people fall into without realizing it: the sunk cost fallacy. It may seem like a no-brainer to use insurance that you’re paying monthly premiums for. But many people never factor in time, copays, and delayed recovery into the overall cost equation. I break down how this pattern plays out in physical therapy, how business limitations can affect your care, and how to honestly evaluate whether the care you're getting is moving the needle. You'll learn what questions to ask, what signs to watch for, and why getting a second opinion can sometimes be in your best interest. Main topics covered: The dental story that sparked this conversationWhat the sunk cost fallacy is and how it shows up in healthcareThe real math behind "free" insurance visitsSigns your current physical therapist might not be the right fitHow to evaluate any PT — in-network or cash-pay — and what to look forContinue the conversation: Instagram: https://www.instagram.com/dr.coach.kelseydpt Monthly Newsletter: https://www.anteaterptp.com/newsletter Episode topic requests: email podcast@anteaterptp.com

    44 min

  3. May 5

    [#6] How to Choose the Right Shoe for Running and Training

    I go over what actually matters when choosing shoes for running or CrossFit and how to know when it's time to replace your shoes. Main topics covered: How much do shoes matter for reducing injuriesImportance of activity-specific shoesTaking comfort into considerationHow to know when you should replace your shoesContinue the conversation: Instagram: https://www.instagram.com/dr.coach.kelseydpt Monthly Newsletter: https://www.anteaterptp.com/newsletter Episode topic requests: email podcast@anteaterptp.com

    35 min

  4. Apr 29 ·  Bonus

    [Bonus] 2026 RAGE Sprint Triathlon Recap

    This is my race recap for the 2026 RAGE Sprint Triathlon where I got third in my age group (30-34). It was my first triathlon race postpartum, which was supposed to happen last October but ended up being postponed because of the government shutdown.  Main topics covered: Events leading up to the raceMy goals for the raceSwim leg breakdownBike leg breakdownRun leg breakdownWhat happened after the raceWhen my next race isContinue the conversation: Instagram: https://www.instagram.com/dr.coach.kelseydpt Monthly Newsletter: https://www.anteaterptp.com/newsletter Episode topic requests: email podcast@anteaterptp.com

    54 min

  5. Apr 21

    [#5] Do Expensive Recovery Treatments Work?

    I go over four common treatments used for pain-relief and recovery and whether they are worth the cost of paying out-of-pocket for. Main topics covered: What dry needling is and how it worksWhat shockwave therapy is and how it worksWhat PRP is and how it worksWhat low-level light therapy (LLLT) is and how it worksAre these treatments worth it?References: Fernández-de-Las-Peñas, C., & Nijs, J. (2019). Trigger point dry needling for the treatment of myofascial pain syndrome: current perspectives within a pain neuroscience paradigm. Journal of pain research, 12, 1899–1911. https://doi.org/10.2147/JPR.S154728 Charles, R., Fang, L., Zhu, R., & Wang, J. (2023). The effectiveness of shockwave therapy on patellar tendinopathy, Achilles tendinopathy, and plantar fasciitis: a systematic review and meta-analysis. Frontiers in immunology, 14, 1193835. https://doi.org/10.3389/fimmu.2023.1193835Speed C. (2014). A systematic review of shockwave therapies in soft tissue conditions: focusing on the evidence. British journal of sports medicine, 48(21), 1538–1542. https://doi.org/10.1136/bjsports-2012-091961Sax, O. C., Chen, Z., Mont, M. A., & Delanois, R. E. (2022). The Efficacy of Platelet-Rich Plasma for the Treatment of Knee Osteoarthritis Symptoms and Structural Changes: A Systematic Review and Meta-Analysis. The Journal of arthroplasty, 37(11), 2282–2290.e2. https://doi.org/10.1016/j.arth.2022.05.014Clijsen, R., Brunner, A., Barbero, M., Clarys, P., & Taeymans, J. (2017). Effects of low-level laser therapy on pain in patients with musculoskeletal disorders: a systematic review and meta-analysis. European journal of physical and rehabilitation medicine, 53(4), 603–610. https://doi.org/10.23736/S1973-9087.17.04432-XContinue the conversation: Instagram: https://www.instagram.com/dr.coach.kelseydpt Monthly Newsletter: https://www.anteaterptp.com/newsletter Episode topic requests: email podcast@anteaterptp.com

    38 min

  6. Apr 11 ·  Bonus

    [Bonus] 2026 CrossFit Open Recap

    I go over my 2026 CrossFit Open experience as someone who’s been doing CrossFit for 14 years. Main topics covered: Where CrossFit fits into my current fitness goalsRecap of Week 1Recap of Week 2Recap of Week 3Continue the conversation: Instagram: https://www.instagram.com/dr.coach.kelseydpt Monthly Newsletter: https://www.anteaterptp.com/newsletter Episode topic requests: email podcast@anteaterptp.com

    32 min

  7. Apr 7

    [#4] Why Your Tendon Pain Keeps Coming Back (And How to Fix It)

    I focus on Dr. Jill Cook’s papers introducing the tendon pathology continuum from 2009 and her paper from 2016 revisiting this model with new evidence. Based on her papers, I’ll break down what tendinopathy is and how to actually improve it based on this updated model. Main topics covered: Previous tendinitis definitionCurrent understanding of tendinopathyWhat doesn’t work when treating tendinopathyComponents of tendon rehabTendon rehab timelineRole of injections and shockwave therapy in tendon rehabReferences: Cook, J. L., & Purdam, C. R. (2009). Is tendon pathology a continuum? A pathology model to explain the clinical presentation of load-induced tendinopathy. British journal of sports medicine, 43(6), 409–416. https://doi.org/10.1136/bjsm.2008.051193Cook, J. L., Rio, E., Purdam, C. R., & Docking, S. I. (2016). Revisiting the continuum model of tendon pathology: what is its merit in clinical practice and research?. British journal of sports medicine, 50(19), 1187–1191. https://doi.org/10.1136/bjsports-2015-095422 Martin, R. L., Chimenti, R., Cuddeford, T., Houck, J., Matheson, J. W., McDonough, C. M., Paulseth, S., Wukich, D. K., & Carcia, C. R. (2018). Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2018. The Journal of orthopaedic and sports physical therapy, 48(5), A1–A38. https://doi.org/10.2519/jospt.2018.0302Silbernagel, K. G., & Crossley, K. M. (2015). A Proposed Return-to-Sport Program for Patients With Midportion Achilles Tendinopathy: Rationale and Implementation. The Journal of orthopaedic and sports physical therapy, 45(11), 876–886. https://doi.org/10.2519/jospt.2015.5885Garzón, M., Balasch-Bernat, M., Cook, C., Ezzatvar, Y., Álvarez-Lliso, Ó., Dueñas, L., & Lluch, E. (2024). How long does tendinopathy last if left untreated? Natural history of the main tendinopathies affecting the upper and lower limb: A systematic review and meta-analysis of randomized controlled trials. Musculoskeletal science & practice, 72, 103103. https://doi.org/10.1016/j.msksp.2024.103103Malmgaard-Clausen, N. M., Jørgensen, O. H., Høffner, R., Andersen, P. E. B., Svensson, R. B., Hansen, P., Nybing, J. D., Magnusson, S. P., & Kjær, M. (2021). No Additive Clinical or Physiological Effects of Short-term Anti-inflammatory Treatment to Physical Rehabilitation in the Early Phase of Human Achilles Tendinopathy: A Randomized Controlled Trial. The American journal of sports medicine, 49(7), 1711–1720. https://doi.org/10.1177/0363546521991903Murphy, M., Travers, M., Gibson, W., Chivers, P., Debenham, J., Docking, S., & Rio, E. (2018). Rate of Improvement of Pain and Function in Mid-Portion Achilles Tendinopathy with Loading Protocols: A Systematic Review and Longitudinal Meta-Analysis. Sports medicine (Auckland, N.Z.), 48(8), 1875–1891. https://doi.org/10.1007/s40279-018-0932-2 Continue the conversation: Instagram: https://www.instagram.com/dr.coach.kelseydpt Monthly Newsletter: https://www.anteaterptp.com/newsletter Episode topic requests: email podcast@anteaterptp.com

    23 min

  8. Mar 25 ·  Bonus

    [Bonus] Hyrox Las Vegas 2026 Race Recap

    This bonus episode is my race recap for the Hyrox Las Vegas 2026 race in the Women’s Open Doubles division. Main topics covered: Overall goals and strategyWhat went wellStation-by-station recapOverall takeawaysAreas for improvementContinue the conversation: Instagram: https://www.instagram.com/dr.coach.kelseydpt Monthly Newsletter: https://www.anteaterptp.com/newsletter Episode topic requests: email podcast@anteaterptp.com

    30 min

  9. Mar 24

    [#3] Is Working Out While Pregnant Safe?

    In today’s episode, I answer the question “Is working out while pregnant safe?” by unpacking the three most common myths active women hear about working out while pregnant, where those ideas came from, and what the research and current medical guidelines actually say. Main topics covered: Myth 1: Don’t let your heart rate go above 150 bpmMyth 2: Exercise can cause miscarriageMyth 3: Don’t lift more than 20 poundsHow I exercised during my pregnancyThis podcast is for general education only and is not medical advice. If you have specific concerns, speak with your OB provider.  References Physical activity and exercise during pregnancy and the postpartum period. ACOG Committee Opinion No. 804. American College of Obstetricians and Gynecologists. Obstet Gynecol 2020;135:e178–88.Salvesen, K. Å., Hem, E., & Sundgot-Borgen, J. (2012). Fetal wellbeing may be compromised during strenuous exercise among pregnant elite athletes. British journal of sports medicine, 46(4), 279–283. https://doi.org/10.1136/bjsm.2010.080259Wowdzia, J. B., Hazell, T. J., Berg, E. R. V., Labrecque, L., Brassard, P., & Davenport, M. H. (2023). Maternal and Fetal Cardiovascular Responses to Acute High-Intensity Interval and Moderate-Intensity Continuous Training Exercise During Pregnancy: A Randomized Crossover Trial. Sports medicine (Auckland, N.Z.), 53(9), 1819–1833. https://doi.org/10.1007/s40279-023-01858-5Barakat, R., Zhang, D., Silva-José, C., Sánchez-Polán, M., Franco, E., & Mottola, M. F. (2023). The Influence of Physical Activity during Pregnancy on Miscarriage-Systematic Review and Meta-Analysis. Journal of clinical medicine, 12(16), 5393. https://doi.org/10.3390/jcm12165393Meah, V. L., Davies, G. A., & Davenport, M. H. (2020). Why can't I exercise during pregnancy? Time to revisit medical 'absolute' and 'relative' contraindications: systematic review of evidence of harm and a call to action. British journal of sports medicine, 54(23), 1395–1404. https://doi.org/10.1136/bjsports-2020-102042Prevett, C., Kimber, M. L., Forner, L., de Vivo, M., & Davenport, M. H. (2023). Impact of heavy resistance training on pregnancy and postpartum health outcomes. International urogynecology journal, 34(2), 405–411. https://doi.org/10.1007/s00192-022-05393-1Continue the conversation: Instagram: https://www.instagram.com/dr.coach.kelseydpt Monthly Newsletter: https://www.anteaterptp.com/newsletter Episode topic requests: email podcast@anteaterptp.com

    31 min

  10. Mar 24

    [#2] Do Youth Athletes Need Strength Training?

    In this episode, I go over the benefits of strength training for youth athletes specifically, why it’s still not universally implemented in all youth sports programs, and give a rough idea of what a strength training program for youth athletes should focus on. Main topics covered: The problem with youth sports todaySports performance benefits with strength trainingInjury risk reduction with strength trainingOther factors affecting injury risk in youth athletesWhy more youth sports teams don’t do strength trainingWhat strength training should look like for youth athletesPosition Statements and Research Articles: Faigenbaum, A. D., et al (2009). Youth resistance training: updated position statement paper from the national strength and conditioning association. https://doi.org/10.1519/JSC.0b013e31819df407 Stricker, P.R., et al. Resistance Training for Children and Adolescents. https://doi.org/10.1542/peds.2020-1011Bergeron MF, et al. International Olympic Committee consensus statement on youth athletic development https://doi.org/10.1136/bjsports-2015-094962 Myer GD, et al. Sport Specialization, Part I: Does Early Sports Specialization Increase Negative Outcomes and Reduce the Opportunity for Success in Young Athletes? Does Early Sports Specialization Increase Negative Outcomes and Reduce the Opportunity for Success in Young Athletes? doi:10.1177/1941738115598747Brenner, J.S. & Watson, A. COUNCIL ON SPORTS MEDICINE AND FITNESS; Overuse Injuries, Overtraining, and Burnout in Young Athletes. https://doi.org/10.1542/peds.2023-065129Faigenbaum, A. D., & Myer, G. D. (2010). Resistance training among young athletes: safety, efficacy and injury prevention effects.  https://doi.org/10.1136/bjsm.2009.068098 Lesinski, M., et al. (2016). Effects and dose-response relationships of resistance training on physical performance in youth athletes: a systematic review and meta-analysis. https://doi.org/10.1136/bjsports-2015-095497 Robles-Palazón, F. J., et al. (2024). A systematic review and network meta-analysis on the effectiveness of exercise-based interventions for reducing the injury incidence in youth team-sport players. Part 1: an analysis by classical training components. https://doi.org/10.1080/07853890.2024.2408457Ayala, F., et al. (2024). A systematic review and network meta-analysis on the effectiveness of exercise-based interventions for reducing the injury incidence in youth team-sport players. Part 2: an analysis by movement patterns. https://doi.org/10.1080/07853890.2024.2337724 Continue the conversation: Instagram: https://www.instagram.com/dr.coach.kelseydpt Monthly Newsletter: https://www.anteaterptp.com/newsletter Episode topic requests: email podcast@anteaterptp.com

    16 min

  11. Mar 24

    [#1] The Lore Behind Anteater Physical Therapy and Performance

    In this episode, I’m going to talk a bit about my background, what led me into physical therapy in the first place, and why I ultimately decided to start Anteater Physical Therapy and Performance. Main topics covered: My fitness journeyWhat led me to physical therapyMy frustration with traditional physical therapyThe limitations of traditional physical therapyMy decision to quit and go all-in on Anteater PTPContinue the conversation: Instagram: https://www.instagram.com/dr.coach.kelseydpt Monthly Newsletter: https://www.anteaterptp.com/newsletter Episode topic requests: email podcast@anteaterptp.com

    40 min

  12. Mar 7

    Trailer

    Welcome to Candid Conversations with Dr. Kelsey, a podcast focused on no-BS conversations about rehab, training, and staying active long-term. I’m Dr. Kelsey Changsing, a Doctor of Physical Therapy and owner of Anteater Physical Therapy and Performance, where I help athletic adults stay active long term. Main topics covered in this episode: Why I started this podcastMy vision for this podcastMy backgroundWho this podcast is forNew episodes release every other Tuesday, starting March 24, 2026. Links: Instagram: https://www.instagram.com/dr.coach.kelseydpt Monthly Newsletter: https://www.anteaterptp.com/newsletter Episode topic requests: email info@anteaterptp.com  Continue the conversation: Instagram: https://www.instagram.com/dr.coach.kelseydpt Monthly Newsletter: https://www.anteaterptp.com/newsletter Episode topic requests: email podcast@anteaterptp.com

    4 min

Trailer

About

This podcast is for athletic adults who want to better understand rehab, training, and their own bodies so they can make more informed and independent decisions. It focuses on breaking down complex topics clearly and honestly, helping listeners build confidence, resilience, and the ability to stay active long-term without relying on generic advice or rigid protocols.

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