Heal Without Harm

If you've had heel pain for months — or years — and nothing has worked, this episode might explain why.

Here's a stat that surprises almost everyone: only about 5% of people who walk into the clinic convinced they have plantar fasciitis actually have it. So if you've tried the stretches, the orthotics, the injections, and the anti-inflammatories and you're still in pain — it may be because you've been treating the wrong problem the whole time.

In this episode of Heal Without Harm, Dr. Clayton Dir PT, DPT sits down with Dr. Allison Bollinger, a physical therapist who specializes in heel pain and runners, to answer the exact questions real patients ask — including a text from a listener who'd been suffering for years.

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WHAT YOU'LL LEARN

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• Why most "plantar fasciitis" isn't actually plantar fasciitis

• The conditions that mimic heel pain — calf tendonitis, nerve entrapment, referred pain, and more

• Why orthotics and $600 custom inserts are usually just a Band-Aid

• Why steroid injections and anti-inflammatories often fail (or only work temporarily)

• Why "tightness is weakness in disguise" — and what to do about it

• The single calf isometric exercise that can take the edge off today

• Why your heel hurts most first thing in the morning

• How much discomfort during exercise is actually okay (the 0–3 rule)

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TRY THIS AT HOME

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Stand on the bottom step of a staircase, rise up onto your toes, and hold for a solid minute. Start on both feet, and progress to a single leg as it gets easier. As Dr. Bollinger explains, loading these tissues for a long period is "low-hanging fruit" for many of the conditions that mimic heel pain.

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FREQUENTLY ASKED QUESTIONS

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Do I really have plantar fasciitis?

Possibly not. Many cases of heel pain are actually caused by calf tendonitis, nerve entrapment, or referred pain from muscles in the calf — all of which can mimic plantar fasciitis but require different treatment.

Why don't orthotics fix my heel pain?

Orthotics change the pressure points on your foot and shift load to different tissues, which can offer temporary relief — but they don't strengthen or rebuild the tissue causing the problem, so the pain often returns.

Why is heel pain worse in the morning?

After a night of inactivity, the muscles and tendons of the foot and calf are tighter and have less blood flow. The first steps of the day load these stiff tissues, which is why pain is often worst first thing in the morning or after long periods of sitting.

Is stretching or strengthening better for heel pain?

Strengthening is usually the long-term solution. Tightness is often weakness in disguise — when you strengthen the calf and foot, the body allows greater range of motion, and tendons heal best with sustained load ("time under tension"), not repeated stretching alone.

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WORK WITH US

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Mention this podcast and your first visit at Natural Wellness Physiotherapy is HALF OFF — see Dr. Allison or any of our team. Link below. Not local? Reach out and Dr. Clayton can usually point you to a great PT within an hour of you.

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CONNECT WITH DR. CLAYTON DIR PT, DPT

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YouTube: https://www.youtube.com/@TheDocDir/videos

Instagram & TikTok: @thedocdir

Email: [email protected]

For educational purposes only. Not a substitute for personalized medical advice.

#PlantarFasciitis #HeelPain #PlantarFasciitisRelief #FootPain #PhysicalTherapy #HealWithoutHarm #TheDocDir #Orthotics #CalfStrength #RunningInjury #PTtips #HeelPainRelief #Tendonitis #MorningHeelPain #PhysicalTherapist

What happens when insurance denies over $400,000 in medical care? And who actually benefits when your claim gets rejected?

In this episode of Heal Without Harm, Dr. Clayton Dir PT, DPT sits down with Kellie Chastain — CHNC and CEO of Evolve Healthcare of Kansas — for an insider look at how the healthcare system really works from someone who has spent 30 years inside it.

Kellie has held nearly every leadership seat in healthcare: medical records clerk, Director of Revenue Cycle, Director of Operations, CFO, and now CEO. She knows exactly where the system breaks down — and more importantly, what a better model looks like.

This is the episode for you if you've ever felt frustrated, confused, or failed by traditional healthcare.

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WHAT YOU'LL LEARN

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— The real story behind a $400,000 insurance denial and what it reveals about the system

— Why insurance companies deny claims and how the revenue cycle actually works behind the scenes

— The difference between "sick care" and true proactive healthcare

— What direct, patient-first healthcare models like Evolve Healthcare do differently

— How to find a doctor who puts you first instead of your insurance company

— What questions to ask before trusting any healthcare provider with your care

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ABOUT THE GUEST

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Kellie Chastain, CHNC, is the CEO of Evolve Healthcare of Kansas, with a Bachelor's in Business Administration from Fort Hays State University and an MBA from Chadron State University. Evolve Healthcare was born out of frustration with the traditional sick-care system and built around proactive, patient-first care.

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FREQUENTLY ASKED QUESTIONS

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Why do insurance companies deny claims?

Claims are denied for many reasons — coding errors, lack of pre-authorization, "medical necessity" determinations, and policy technicalities. As Kellie explains, the financial structure of the system means denials can serve the insurer's bottom line, not the patient's health.

What is the difference between sick care and healthcare?

"Sick care" reacts to illness after it appears, often through medication and procedures. True proactive healthcare focuses on prevention, root causes, and keeping patients well before problems start.

What is direct or patient-first healthcare?

Patient-first models like direct primary care remove much of the insurance middleman, allowing providers to spend more time with patients and focus on outcomes rather than billing codes.

How do I find a doctor who puts patients first?

Look for providers who offer transparent pricing, longer appointment times, and a proactive approach to your health. Ask how they handle insurance and whether they prioritize prevention over reactive treatment.

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CONNECT WITH DR. CLAYTON DIR PT, DPT

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YouTube: https://www.youtube.com/@TheDocDir/videos

Instagram & TikTok: @thedocdir

Email: [email protected]

Main Page: TheDocDir.com

Please subscribe so you never miss an episode, leave a review to help the show grow, and share it with a friend who's frustrated with the medical system.

Heal Without Harm is hosted by Dr. Clayton Dir PT, DPT and is for educational purposes only. It is not a substitute for personalized medical advice.

#HealthcareSystem #InsuranceDenied #BrokenHealthcare #DirectPrimaryCare #PatientFirst #HealWithoutHarm #TheDocDir #SickCare #HealthInsurance #ProactiveHealth #EvolveHealthcare #MedicalSystem #HealthcareReform

If someone sent you this episode, it's because they care about you and want you to know that surgery is not your only option.

If you found it yourself — you're already asking the right questions.

Most shoulder pain is completely solvable without drugs, injections, or going under the knife. But the medical system rarely leads with that. In this episode, Dr. Clayton Dir PT, DPT breaks down what's actually causing your shoulder pain and what good physical therapy can do that no surgeon's table can.

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WHO THIS EPISODE IS FOR

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• You've been told surgery might be necessary

• You've tried rest, anti-inflammatories, or injections and the pain keeps coming back

• You want to understand what's happening before making any decisions

• You're an athlete or active person who just wants to move without pain

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WHAT YOU'LL LEARN

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— Why most shoulder pain does not require surgery

— What specific exercises target the weakness driving your pain

— The self soft tissue mobilization technique you can do at home

— How to have an informed conversation with your doctor before agreeing to any procedure

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🦴 GET THE SHOULDER PROTOCOL

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Ready to take action on your shoulder? Dr. Clayton Dir PT, DPT's shoulder protocol is built around the same patient-first principles discussed in this episode — a step-by-step program designed to fix the source of your pain, not just mask it.

👉 https://shop.beacons.ai/thedocdir/a088249c-267e-48e4-a966-9df865183448

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FREQUENTLY ASKED QUESTIONS

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Can shoulder pain be fixed without surgery?

In most cases, yes. Research shows physical therapy produces outcomes comparable to surgery for rotator cuff tears, impingement, and labral issues — without the risks or recovery time.

What exercises help shoulder pain?

The most effective exercises target rotator cuff strength, scapular stability, and thoracic mobility. A proper evaluation is the essential first step before beginning any program.

When is shoulder surgery actually necessary?

Surgery may be appropriate for complete full-thickness tears in younger high-demand patients or when a thorough course of physical therapy has genuinely failed. These cases are far less common than the surgical referral rate suggests.

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CONNECT WITH DR. CLAYTON DIR PT, DPT

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YouTube: https://www.youtube.com/@TheDocDir/videos

Instagram & TikTok: @thedocdir

Email: [email protected]

For educational purposes only. Not a substitute for personalized medical advice.

#ShoulderPain #RotatorCuff #ShoulderSurgery #AvoidSurgery #PhysicalTherapy #HealWithoutHarm #TheDocDir #ShoulderPainRelief #DryNeedling #ChronicPain #RotatorCuffTear #ShoulderImpingement #PhysicalTherapist #NaturalHealing #PT

If you've been to physical therapy before and you're still in pain — this episode is for you.

You showed up. You did the exercises. You came twice a week for six weeks. And when it was over, you were maybe a little better, maybe exactly the same, and possibly more frustrated than when you started. Somewhere along the way you started to wonder — is PT just not for me? Is my body just not going to get better?

Here's what nobody told you: the problem probably wasn't you. And it probably wasn't even your physical therapist. The problem was the system they were working inside of.

In this episode, Dr. Clayton Dir PT, DPT pulls back the curtain on what most PT clinics actually look like from the inside — and why that model, while helpful for some people, leaves an entire group of patients behind.

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WHO THIS EPISODE IS FOR

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• You've tried physical therapy and didn't get the results you expected

• You're living with back pain, heel pain, knee pain, or shoulder pain that just won't go away

• You've been told to "just do your exercises" without anyone explaining why

• You feel like your treatment plan could have belonged to anyone — because it probably could have

• You've never tried PT but you're not sure if it would even help

• You're someone who has high-level goals and you need more than a basic plan to get there

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WHAT YOU'LL LEARN IN THIS EPISODE

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— What a "PT mill" is and why the way most clinics are structured makes it almost impossible to give patients the care they actually need

— Who the PT mill model works for — and more importantly, who it doesn't

— Two real patient stories: one with chronic low back pain, one with stubborn heel pain — what their plans looked like, what was missed, and how Dr. Dir would treat them completely differently today

— The 5 specific differences between a PT mill approach and a patient-first approach that actually changes outcomes

— Why proper evaluation matters more than the treatment itself — and what happens when it's skipped

— What dry needling is, why it's included as part of the plan rather than an expensive add-on, and when it makes the biggest difference

— Why being told you need to come 2 times per week for 6 weeks is a scheduling model — not a medical recommendation

— What to look for in a physical therapist if you're ready to try again

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THE BOTTOM LINE

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Physical therapy didn't fail you. The system it was delivered inside failed you. When the right evaluation meets the right individualized plan meets full 1-on-1 attention for an entire hour — the outcomes are completely different. You deserve that version of care.

If you know someone who has given up on PT, or someone who is still living with pain and doesn't know where to turn — please share this episode with them. It might be the reason they try again.

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CONNECT WITH DR. CLAYTON DIR PT, DPT

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YouTube: https://www.youtube.com/@TheDocDir/videos

Instagram & TikTok: @thedocdir

Email: [email protected]

Heal Without Harm is hosted by Dr. Clayton Dir PT, DPT and is for educational purposes only. It is not a substitute for personalized medical advice. Always consult a licensed healthcare provider for diagnosis and treatment.

#PhysicalTherapy #PTmill #BackPain #HeelPain #ChronicPain #PhysicalTherapist #HealWithoutHarm #TheDocDir #DryNeedling #PainRelief #PTworks #ManualTherapy #1on1PT #NaturalWellness #PainManagement

There are toxic chemicals in your blood right now. They've been there since before you were born. They're in your cookware, your food packaging, your drinking water, and your furniture. They don't break down. They don't leave on their own. And until very recently, medicine had no answer for how to remove them.

That changes with this episode.

Dr. Clayton Dir PT, DPT sits down with Dr. P. James Seberger, M.D., Ph.D. — physician, researcher, and one of the few clinicians actively working on how to get forever chemicals, known as PFAS (per- and polyfluoroalkyl substances), out of the human body. Dr. Seberger recently delivered a presentation on this topic to first responders and at-risk populations, and today he's bringing that same information to you.

This is the episode your doctor hasn't had yet.

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📊 VIEW DR. SEBERGER'S FULL PRESENTATION

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Dr. Seberger has made his complete research presentation available for anyone to view. This is the same deck he presented to first responders and at-risk communities — packed with clinical data, study references, and the science behind PFAS removal.

👉 https://docs.google.com/presentation/d/1FxPDPp-sWYeb3bFG-_Z6lNJsV_Qjf8YS/edit?usp=sharing&ouid=102123467462544177356&rtpof=true&sd=true

Share this link with anyone you know who needs to see it — especially firefighters, first responders, and military personnel.

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FREQUENTLY ASKED QUESTIONS

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What are PFAS or forever chemicals?

PFAS (per- and polyfluoroalkyl substances) are a group of man-made chemicals used in consumer and industrial products since the 1940s. They are characterized by extremely strong carbon-fluorine bonds that resist breakdown, meaning they persist indefinitely in the environment and accumulate in the human body over time.

What blood level of PFAS is considered harmful?

According to the National Academies of Sciences (2022), adverse health effects are not expected below 2 ng/mL, potential effects exist between 2 and 20 ng/mL, and there is increased risk of adverse effects above 20 ng/mL.

Can you remove PFAS from the human body?

Yes. A 2024 randomized crossover clinical trial published in Environment International demonstrated that oral cholestyramine (4g three times daily) reduced serum PFOS by 60% over 12 weeks with no serious adverse events. A firefighter study showed the treatment reduced PFAS half-life from 7.3 years to just 1.2 years.

What is cholestyramine and how does it remove PFAS?

Cholestyramine is an FDA-approved anion-exchange resin traditionally used to lower cholesterol. It binds to bile acids in the intestine — and because PFAS undergo enterohepatic recirculation (cycling through the liver and gut), cholestyramine intercepts and removes them through the stool before they re-enter the bloodstream.

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CONNECT WITH DR. SEBERGER

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Email: [email protected]

Phone: 316-706-2496

📊 Full Presentation: https://docs.google.com/presentation/d/1FxPDPp-sWYeb3bFG-_Z6lNJsV_Qjf8YS/edit?usp=sharing&ouid=102123467462544177356&rtpof=true&sd=true

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CONNECT WITH DR. CLAYTON DIR PT, DPT

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YouTube: https://www.youtube.com/@TheDocDir/videos

Instagram & TikTok: @thedocdir

Email: [email protected]

Website: TheDocDir.com

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ABOUT HEAL WITHOUT HARM

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This podcast is for educational purposes only and is not a substitute for personalized medical advice. Always consult a licensed healthcare provider for diagnosis and treatment.

#PFAS #ForeverChemicals #Cholestyramine #FirefighterHealth #ChemicalDetox #HealWithoutHarm #TheDocDir #PFASremoval #Firefighters #EnvironmentalHealth #ToxicChemicals #ChronicDisease #NaturalHealth #PhysicalTherapist #FirstResponderHealth

You've seen it on TikTok — someone getting scraped with a metal tool, turning bright red, walking away covered in bruises. But what is actually happening? And does it really break up scar tissue like everyone says?

In this episode of Heal Without Harm, Dr. Clayton Dir, physical therapist, breaks down exactly what Instrument Assisted Soft Tissue Manipulation (IASTM) is, what the science says it actually does, and why the most common thing people believe about it is wrong.

He also shares a real patient case where scraping helped resolve a stubborn back pain that couldn't be treated with dry needling — with 80% improvement in just one week.

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WHAT YOU'LL LEARN IN THIS EPISODE

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— What IASTM, Graston, ASTYM, Hawk Grips, and Rock Blades actually are

— The ancient origins of scraping therapy — from Vietnamese coining to Gua Sha

— Why IASTM does NOT break up scar tissue (and what it actually does)

— How it stimulates mechanoreceptors to improve range of motion and reduce pain

— Why the bruising (petechiae) only appears where you're actually having pain

— Who benefits most — athletes, desk workers, post-op patients, and more

— How it works alongside dry needling, cupping, and a full rehab plan

— A real patient case: 80% pain relief in one session, completely resolved by visit three

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FREQUENTLY ASKED QUESTIONS

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Does scraping therapy break up scar tissue?

No — despite what is commonly claimed on social media, IASTM does not mechanically break up scar tissue. What it actually does is stimulate mechanoreceptors in the soft tissue, increase blood flow to the area, reduce pain sensitivity, and improve tissue mobility and range of motion.

What is IASTM?

Instrument Assisted Soft Tissue Manipulation (IASTM) is a manual therapy technique that uses stainless steel or plastic tools to apply controlled pressure over the skin and soft tissue. Common branded versions include Graston, ASTYM, Hawk Grips, and Rock Blades.

What is the bruising from scraping therapy?

The small red speckled marks that appear after scraping are called petechiae — tiny broken capillaries caused by the pressure of the tool. They tend to appear only in areas of actual tissue dysfunction, which makes them useful for identifying where treatment is most needed.

Is scraping therapy painful?

IASTM can cause mild discomfort during treatment, similar to a deep tissue massage. Most patients report feeling significant relief and warmth in the area afterward. The level of discomfort depends on the area being treated and the individual's sensitivity.

Who is IASTM best for?

IASTM works well for athletes with overuse injuries and tendinopathies, desk workers with neck and back stiffness, post-operative patients as part of a full rehabilitation program, and anyone experiencing localized pain or restricted movement.

How long does an IASTM session take?

A typical IASTM treatment takes 4 to 8 minutes depending on the size of the area being treated and the patient's tolerance.

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CONNECT WITH DR. CLAYTON DIR

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YouTube: https://www.youtube.com/@TheDocDir/videos

Instagram & TikTok: @thedocdir

Email: [email protected]

Website: TheDocDir.com

Heal Without Harm is hosted by Dr. Clayton Dir, physical therapist, and is for educational purposes only. It is not a substitute for personalized medical advice. Always consult a licensed healthcare provider for diagnosis and treatment.

#IASTM #ScrapingTherapy #GrastonTechnique #PhysicalTherapy #SoftTissueMobilization #HealWithoutHarm #TheDocDir #DryNeedling #GuaSha #BackPain #TendonPain #SportsPT #ManualTherapy #PhysicalTherapist #MobilityTraining

From the outside, Trey Dulaney's life looks like a highlight reel. Pro Hyrox athlete. Paris competitor. A 2:45 marathon. A 235-mile finish. The kind of résumé that makes people assume he's always had it together.

He hasn't.

In this episode, Dr. Clayton Dir sits down with Trey — former US Navy Diver, sober athlete, and mental health advocate — for one of the most honest conversations this show has ever had. Trey opens up about what life looked like after leaving the military, what rock bottom actually felt like, and why the traditional medical system didn't have the answers he needed.

What changed everything wasn't a prescription. It was a pair of running shoes — and eventually, a community called The Phoenix, a sober active community that uses fitness to support recovery and connection for people affected by substance use disorders.

This is a story about what real healing looks like when the waiting room lets you down.

What you'll hear in this episode:

— What life in the US Navy as a certified diver actually looked like

— The gap between military service and civilian life that no one prepares you for

— What rock bottom looked like for Trey — in his own words

— How traditional medicine fell short during his lowest point

— When running entered the picture and how it became his recovery

— The role The Phoenix sober community played in his transformation

— How he went from early sobriety to competing on the Hyrox world stage in Paris

— What he would say to someone who is at their rock bottom right now

Whether you're in recovery, supporting someone who is, or simply looking for proof that healing is possible outside the traditional system — this episode is worth your full attention.

Connect with Trey Dulaney:

Instagram: @treyjdulaney

TikTok: @runningwithrecovery

Learn more about The Phoenix sober active community:

thephoenix.org

Connect with Dr. Clayton Dir:

Instagram & TikTok: @thedocdir

Email: [email protected]

Heal Without Harm is hosted by Dr. Clayton Dir, physical therapist, and is for educational and inspirational purposes only. It is not a substitute for personalized medical or mental health advice. If you or someone you know is struggling with addiction or mental health, please reach out to a qualified professional or contact SAMHSA's National Helpline at 1-800-662-4357 (free, confidential, 24/7).

If you’re a runner dealing with:

• Shin splints
• IT band syndrome
• Runner’s knee
• Plantar fasciitis

Then there’s a good chance your problem isn’t your mileage — it’s your strength. In this episode, Dr. Clayton Dir PT, DPT breaks down why the majority of running injuries are actually a capacity problem in disguise, and why stretching more isn’t going to fix it. He walks through how every mile you run forces your body to absorb multiple times your body weight with every step — and what happens when your glutes, hips, and single-leg stabilizers aren’t strong enough to handle it.

He also covers the performance side: why strength training improves running economy by up to 8%, what the posterior chain is and why runners neglect it, and the four specific exercises every runner should be doing. You don’t need to live in the gym. You just need the right movements, done with enough intensity to actually matter.

If you or someone you love has been diagnosed with osteoporosis or osteopenia — especially after menopause — this episode could change everything.

Most women are told that bone loss is inevitable and that medication is the only solution. Dr. Clayton Dir, physical therapist, breaks down the research that says otherwise. In this episode, he walks through the LIFTMOR Protocol — a 2018 clinical study showing that post-menopausal women who did just one hour of supervised resistance training per week for 8 months achieved a 4% increase in lumbar spine bone density and 2% increase in femoral neck bone density, with zero serious injuries.

He also shares the story of a real patient who started weightlifting for the first time at age 58 — and whose bone density improvements left her surgeon speechless.

What you'll learn in this episode:

— What the LIFTMOR Protocol is and who it was designed for

— The exact exercises used: deadlift, back squat, overhead press, and jump chin-ups

— Why "playing it safe" may actually be accelerating your bone loss

— How to ask your doctor or physical therapist to get started

— The difference between osteoporosis medication and natural bone-building methods

— What financial assistance programs exist for medical bills (and how to ask)

Whether you're post-menopausal, approaching menopause, or know someone who is — this episode is worth sharing.

Connect with Dr. Clayton Dir:

Instagram & TikTok: @thedocdir

Email: [email protected]

Disclaimer: This podcast is for educational purposes only and is not a substitute for personalized medical advice. Always consult your physician or physical therapist before beginning a new exercise program.

Got a medical bill sitting on your counter that you don’t know how to handle? You’re not alone — and you don’t have to just pay whatever number they send you.

In this episode, Dr. Clayton Dir walks through the exact steps he took after his daughter’s two hospital visits left his family with nearly $4,000 in out-of-pocket costs.

By making one phone call and using two specific negotiation tactics, he knocked that number down by 43% in less than 20 minutes. He covers:

• How to request an itemized bill
• Why you should wait for your explanation of benefits before paying anything
• Some of the exact language to use when you call the billing department

Whether your bill is $500 or $50,000, this episode gives you a repeatable framework you can use every single time a medical bill hits your mailbox.

Send me an email!

[email protected]

TheDocDir.com