What do cash-based PT, YouTube algorithms, and manual therapy have in common? For Dr. David Middaugh — everything.

In this episode of the PT Pintcast 6-Pack, we sit down with Dr. David Middaugh, a manual physical therapist turned YouTube sensation, who’s helping thousands of people worldwide avoid surgery, injections, and medications through accessible video education and hands-on expertise.

David runs El Paso Manual Physical Therapy, a thriving cash-based PT practice, and has grown his YouTube channel to over 600,000 subscribers — all while raising four kids (and homeschooling them!). He opens up about building his business from the ground up, the messy middle of digging out of debt, and why YouTube is the meritocracy PTs didn’t know they needed.

If you’ve ever thought about leaving insurance behind, scaling your practice, or launching a YouTube channel to expand your impact — this is your episode.