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 conversation
• What the sunk cost fallacy is and how it shows up in healthcare
• The real math behind "free" insurance visits
• Signs your current physical therapist might not be the right fit
• How to evaluate any PT — in-network or cash-pay — and what to look for

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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 injuries
• Importance of activity-specific shoes
• Taking comfort into consideration
• How to know when you should replace your shoes

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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 race
• My goals for the race
• Swim leg breakdown
• Bike leg breakdown
• Run leg breakdown
• What happened after the race
• When my next race is

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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 works
• What shockwave therapy is and how it works
• What PRP is and how it works
• What low-level light therapy (LLLT) is and how it works
• Are 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.2023.1193835
• Speed 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-2012-091961
• Sax, 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.2022.05.014
• Clijsen, 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-X

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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 goals
• Recap of Week 1
• Recap of Week 2
• Recap of Week 3

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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 definition
• Current understanding of tendinopathy
• What doesn’t work when treating tendinopathy
• Components of tendon rehab
• Tendon rehab timeline
• Role of injections and shockwave therapy in tendon rehab

References:

• 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.2008.051193
• Cook, 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.2018.0302
• Silbernagel, 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.2015.5885
• Garzón, 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.2024.103103
• Malmgaard-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/10.1177/0363546521991903
• Murphy, 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 

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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 strategy
• What went well
• Station-by-station recap
• Overall takeaways
• Areas for improvement

Continue the conversation:
Follow me on Instagram: https://www.instagram.com/dr.coach.kelseydpt

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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 bpm
• Myth 2: Exercise can cause miscarriage
• Myth 3: Don’t lift more than 20 pounds
• How I exercised during my pregnancy

This podcast is for general education only and is not medical advice. If you have specific concerns, speak with your OB provider. 

References

1. 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.
2. 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.2010.080259
3. Wowdzia, 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/s40279-023-01858-5
4. Barakat, 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/jcm12165393
5. Meah, 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-2020-102042
6. Prevett, 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/s00192-022-05393-1

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Follow me on Instagram: https://www.instagram.com/dr.coach.kelseydpt

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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 today
• Sports performance benefits with strength training
• Injury risk reduction with strength training
• Other factors affecting injury risk in youth athletes
• Why more youth sports teams don’t do strength training
• What strength training should look like for youth athletes

Short on time? Click here to read the companion blog article instead.

Position 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.2020-1011
• Bergeron 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:10.1177/1941738115598747
• Brenner, J.S. & Watson, A. COUNCIL ON SPORTS MEDICINE AND FITNESS; Overuse Injuries, Overtraining, and Burnout in Young Athletes. https://doi.org/10.1542/peds.2023-065129
• Faigenbaum, 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/10.1080/07853890.2024.2408457
• Ayala, 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:
Follow me on Instagram: https://www.instagram.com/dr.coach.kelseydpt

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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 journey
• What led me to physical therapy
• My frustration with traditional physical therapy
• The limitations of traditional physical therapy
• My decision to quit and go all-in on Anteater PTP

Continue the conversation:
Follow me on Instagram: https://www.instagram.com/dr.coach.kelseydpt

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Episode topic requests: email [email protected]