The Paul Gough Show

The Paul Gough

If you're a physical therapy clinic owner looking for tips, tools and strategies for growing your business, this is the podcast for you. Your host is Paul Gough - a former Professional Soccer Physical Therapist turned successful business owner and best selling Author from the UK. As well as running his own 4 location clinic, Paul works with clinic owners from all across the USA, Canada, Britain, Australia and beyond. Paul talks about everything from marketing, sales and hiring staff to leadership, finance and the mindset needed to become a world class clinic owner. Subscribe right NOW!

  1. 17H AGO

    EP664 Future of Business: AI, Personality & Growth Strategies

    In this special episode of the show, I’m bringing you straight into the room with me for one of the most important conversations we’ve had all year. I just spent two full days here in my Orlando office with business owners who flew in from all over the world to map out their strategic plan for 2026, and what you’re about to hear is real, unfiltered footage taken directly from that event. Inside this episode, I break down where the physical therapy industry is truly heading by 2030, why digital first and content driven clinics will win, and how buying behavior is already shifting under your feet. I talk about staff shortages, the future of admin work, and what it means to build a personality based business that is rooted in community, experience, and your unique magic. You’ll hear me challenge some deeply held beliefs about hiring, culture, pricing, and growth. You’ll hear the truth about why Google budgets are failing, why your team must be willing to “sell the wizard,” and why getting to 750 visits a month profitably is the only model that will survive the next decade. I even dig into the cultural differences between the US and UK and how they impact the ambition and mindset of clinic owners everywhere. Wherever you’re listening from, turn the volume up and enjoy this behind the scenes experience. My goal, as always, is to help you grow a more successful and profitable physical therapy business. Let’s get into it. 👉 Subscribe to the podcast now – and never miss an episode that could change the course of your business.  🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/ 👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: www.paulgough.com/free 💬 Got thoughts or takeaways?  Share them with us! Tag Paul or drop a comment – we actually read them 😉 📲 Follow Paul here: 🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/ 📘 Facebook: facebook.com/PaulGoughPhysioRooms 📸 Instagram: @ThePaulGough 🎥 YouTube: Paul Gough Media 🐦 Twitter/X: @ThePaulGough 🌐 Website: www.paulgough.com ------------------------ #paulgough #thepaulgoughshow #physio #physicaltherapist #physiotherapy #pt #physicaltherapy #privatepractice #businessgrowth #marketing #marketingtips #digitalmarketing #growth #success #mindset #business #sales

    12 min
  2. EP663 PT Reddit Files: Case File 2

    2D AGO

    EP663 PT Reddit Files: Case File 2

    PT Reddit Files dives into the shadowy underworld of Reddit, where anonymous PTs and clinic owners vent, rant, and project their frustrations about business without ever confronting the real problem: a refusal to learn the rules of business ownership. In Case File Two, we dissect a Reddit thread titled “Surviving the Slow Months.” What starts as a familiar complaint about insurance cuts, payroll stress, and “unfair” realities of private practice quickly reveals something deeper: resentment toward business itself and an attachment to how things should be instead of how they actually are. In this episode, Paul breaks down why slow months don’t kill clinics, poor planning does. Why being a great clinician caps you at $20K a month if you never develop business skills. And why blaming Medicare, staff, or patients is a guaranteed way to stay stuck. We contrast the “should world” mindset with the “is world” reality and explain why the clinics that thrive accept the rules of the game and build smarter models around them. If you’ve ever felt frustrated, burned out, or tempted to believe the profession is broken, this episode will challenge how you think about business, ownership, and what’s actually possible when you stop fighting reality and start designing around it. 👉 Subscribe to the podcast now and never miss an episode that forces you to think differently about your clinic. 🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/ 👉📘 Grab your FREE copy of any one of Paul’s six best-selling marketing books here:www.paulgough.com/free 💬 Got thoughts or takeaways?Share them with us.Tag Paul or leave a review – we actually read them 😉 📲 Follow Paul here: 🎙️ Podcast – https://www.paulgough.com/podcast/📘 Facebook – facebook.com/PaulGoughPhysioRooms📸 Instagram – @ThePaulGough🎥 YouTube – Paul Gough Media🐦 Twitter/X – @ThePaulGough🌐 Website – www.paulgough.com #paulgough #ptredditfiles #physicaltherapy #physiotherapy #ptbusiness #clinicowner #privatepractice #businessownership #cashpay #marketing #profit #mindset #entrepreneurship #healthcarebusiness

    37 min
  3. EP662🔥Paul on Fire: Picture Day

    4D AGO

    EP662🔥Paul on Fire: Picture Day

    In this episode, I go off on one of the most ridiculous things I’ve ever heard in my life: school photo retake day. What started as an innocent conversation with Natalie turned into a full scale rant about how parents are unknowingly programming insecurity, perfectionism, and lifelong anxiety into their kids… all because a picture “wasn’t good enough.” I walk you through the horror scene of six and seven year olds being marched out of class for the “ugly kids retake line,” the message it sends, and why it’s no wonder those same kids grow into stressed, approval-seeking adults who never feel enough. I even share a few stories of my own son Tobias and the perfectly imperfect school photos that capture exactly who he is, chaos and all. This is my rant about identity, confidence, and rejecting the obsession with looking perfect whether you’re five, fifteen, or forty five. A picture is meant to capture who you are in that moment and if someone doesn’t like it, the answer is simple… f**k em. Turn this one up loud. This might be the most important message I’ve shared yet. 👉 Subscribe to the “The Paul Gough Show" podcast now – and never miss an episode that could change the course of your business.  🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/ 👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: www.paulgough.com/free 💬 Got thoughts or takeaways?  Share them with us! Tag Paul or drop a comment – we actually read them 😉 📲 Follow Paul here: 🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/ 📘 Facebook: facebook.com/PaulGoughPhysioRooms 📸 Instagram: @ThePaulGough 🎥 YouTube: Paul Gough Media 🐦 Twitter/X: @ThePaulGough 🌐 Website: www.paulgough.com ------------------------ #paulgough #thepaulgoughshow #physio #physicaltherapist #physiotherapy #pt #physicaltherapy #privatepractice #businessgrowth #marketing #marketingtips #digitalmarketing #growth #success #mindset #business #sales

    10 min
  4. 6D AGO

    EPP661 Paul Meets: Ricky Morgan | Professor to Entrepreneur

    In this episode of Paul Meets, I sit down with one of the most impressive new clinic owners in the Planet Paul community, Ricky Morgan (https://morgainphysicaltherapy.com). Ricky started his practice just over a year ago and has already built a fully booked, three hundred thousand dollar cash clinic. He flew in from North Dakota to Orlando and we spent the day together going deep into his story, his mindset, and his plans to grow to one point five million and complete freedom from patient care in the next few years. We talk about what it was really like for him to walk away from a safe university job, the influence of his dad and father in law as business role models, the health and life events that reshaped his view of time, and the role his wife plays in giving him the tough love he sometimes needs to take action. We also get into hiring, leadership, the changing state of the PT profession, and the difference between staying stuck in the system and building a business that gives you true autonomy. If you are at the start of your journey or stuck somewhere on the path to freedom, I think you will see a lot of yourself in Ricky’s story. 👉 Subscribe to the "The Paul Gough Show" podcast now – and never miss an episode that could change the course of your business. 🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: www.paulgough.com/free📲 Follow Paul here:🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/📘 Facebook: facebook.com/PaulGoughPhysioRooms📸 Instagram: @ThePaulGough🎥 YouTube: Paul Gough Media🐦 Twitter/X: @ThePaulGough🌐 Website: www.paulgough.com------------------------#paulgough #thepaulgoughshow #physio #physicaltherapist #physiotherapy #pt #physicaltherapy #privatepractice #businessgrowth #marketing #marketingtips #digitalmarketing #growth #success #mindset #business #sales

    51 min
  5. DEC 18

    EP660 AI's Impact: The Future of Patient Expectations in 2030

    In this episode, I’m bringing you something very special. I’ve just spent two full days here in my Orlando office with a group of business owners who flew in from all over the world for our Strategic Annual Planning event. The conversations were big, the insights were powerful, and the next five years of private practice are going to look nothing like the last five. You’re about to hear real footage from inside that room. I walk you through what’s changing in our industry, why 2030 is closer than you think, and what today’s AI fueled patient is already expecting from your clinic. We get into the gap between what patients want and what most clinics deliver, how to think about the future of marketing when Google is no longer the primary search engine, and why old school customer service is about to become your most valuable differentiator. Wherever you’re listening from, turn this up nice and loud. Let me help you build a profitable, modern clinic that stands out in a world that’s moving faster than ever. 👉 Subscribe to the podcast now – and never miss an episode that could change the course of your business.  🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/ 👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: www.paulgough.com/free 💬 Got thoughts or takeaways?  Share them with us! Tag Paul or drop a comment – we actually read them 😉 📲 Follow Paul here: 🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/ 📘 Facebook: facebook.com/PaulGoughPhysioRooms 📸 Instagram: @ThePaulGough 🎥 YouTube: Paul Gough Media 🐦 Twitter/X: @ThePaulGough 🌐 Website: www.paulgough.com ------------------------ #paulgough #thepaulgoughshow #physio #physicaltherapist #physiotherapy #pt #physicaltherapy #privatepractice #businessgrowth #marketing #marketingtips #digitalmarketing #growth #success #mindset #business #sales

    12 min
  6. EP659🔥Paul on Fire: The G.E. Spot

    DEC 15

    EP659🔥Paul on Fire: The G.E. Spot

    In this episode I go off on one of the biggest lies clinic owners tell themselves: I can do it better. Maybe you can. But at what cost? Two weeks of your life for a 15 percent improvement that no one but you will ever notice? I dive into the trap of perfectionism, why it keeps so many of you stuck, and how embracing the G Spot (the good enoughspot) is the only way to create momentum. I’ll show you how AI like Connie can hand you back nine days of your life, why the pursuit of perfect is a prison, and how business owners who win are the ones who get things out the door fast. If you’ve ever rewritten the same email six times, fixed spelling mistakes no patient cares about, or convinced yourself that perfection was the path to progress… this rant will shake you awake. Turn it up. Let it punch you in the gut. And start finding the G Spot in your business before another month disappears. 👉 Subscribe to the "The Paul Gough Show" podcast now – and never miss an episode that could change the course of your business.  🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/ 👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: www.paulgough.com/free 💬 Got thoughts or takeaways?  Share them with us! Tag Paul or drop a comment – we actually read them 😉 📲 Follow Paul here: 🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/ 📘 Facebook: facebook.com/PaulGoughPhysioRooms 📸 Instagram: @ThePaulGough 🎥 YouTube: Paul Gough Media 🐦 Twitter/X: @ThePaulGough 🌐 Website: www.paulgough.com ------------------------ #paulgough #thepaulgoughshow #physio #physicaltherapist #physiotherapy #pt #physicaltherapy #privatepractice #businessgrowth #marketing #marketingtips #digitalmarketing #growth #success #mindset #business #sales

    7 min
  7. DEC 12

    EP658 Paul Meets: Ellen Tomsic | From Failing Insurance Clinic To Cash-Pay Wellness Machine

    In this episode of Paul Meets, I sit down with the incredible Ellen Tomsic from Durango, Colorado — a clinician of 35 years who went from nearly losing her insurance-based clinic… to building one of the strongest cash pay, wellness-driven practices in the country. Ellen’s journey is one of the biggest transformations I’ve ever seen. She went 16 years without tracking a single KPI or cash flow number, was drowning under collapsing insurance reimbursements, and couldn’t keep a second therapist full because everyone only wanted to see her. Then Covid hit. And that’s when everything changed. You’ll hear how Ellen: • Discovered cash flow forecasting for the first time and completely rebuilt her business model • Dropped insurance contracts strategically until she reached a 50 percent cash pay model • Started hosting workshops that went from “no one will show up” to overflowing rooms • Added wellness, concierge memberships, Pilates, massage, stretch therapy, and regenerative medicine • Transitioned out of the 9 to 5 treatment grind and built a team that patients trust • Built a true lifestyle business that lets her ski, travel internationally, raft, and enjoy the life she designed This is one of the most important conversations you’ll hear if you’re trying to escape the trap of low reimbursement, burnout, and being the only person patients will see. If you’re a clinic owner who knows there has to be a better way, this episode will show you exactly what’s possible when you choose to adapt instead of suffer.

    26 min
  8. DEC 11

    EP657 Transform Your Physical Therapy Business for 2026 & Beyond!

    In this episode, I’m bringing you something special. I just spent two full days in my Orlando office with clinic owners who flew in from all over the world for our Strategic Annual Planning event, and what you’re about to hear is raw, real footage from inside that room. The energy, the breakthroughs, the uncomfortable questions, the big decisions — it is all here. I walk you through how I challenge business owners to think not just about next year, but about who they must become and what their clinic will need to look like in 2030. You’ll hear me talk about momentum, mistakes, creativity, environment, freedom, and why most clinic owners get stuck in “no mans land” around five staff. I get into the importance of stepping out of your daily environment to stimulate new thinking, why ambitious people need space, and how real growth only happens when you stop building a business for money and start building it for freedom. If you’re ready to think differently about your life, your clinic, and your future — turn the volume up and enjoy this behind the scenes session. Let me help you start planning and preparing to build a more profitable, systemized, and future ready physical therapy business. 👉 Subscribe to the podcast now – and never miss an episode that could change the course of your business.  🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/ 👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: www.paulgough.com/free 💬 Got thoughts or takeaways?  Share them with us! Tag Paul or drop a comment – we actually read them 😉 📲 Follow Paul here: 🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/ 📘 Facebook: facebook.com/PaulGoughPhysioRooms 📸 Instagram: @ThePaulGough 🎥 YouTube: Paul Gough Media 🐦 Twitter/X: @ThePaulGough 🌐 Website: www.paulgough.com ------------------------ #paulgough #thepaulgoughshow #physio #physicaltherapist #physiotherapy #pt #physicaltherapy #privatepractice #businessgrowth #marketing #marketingtips #digitalmarketing #growth #success #mindset #business #sales

    11 min
4.7
out of 5
89 Ratings

About

If you're a physical therapy clinic owner looking for tips, tools and strategies for growing your business, this is the podcast for you. Your host is Paul Gough - a former Professional Soccer Physical Therapist turned successful business owner and best selling Author from the UK. As well as running his own 4 location clinic, Paul works with clinic owners from all across the USA, Canada, Britain, Australia and beyond. Paul talks about everything from marketing, sales and hiring staff to leadership, finance and the mindset needed to become a world class clinic owner. Subscribe right NOW!

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