The Prehab Podcast

Why are so many physical therapists burning out—and what can be done to change the system? In this episode, Arash sits down with entrepreneur and clinician Vinh Pham, the founder of Myodetox, to talk about the flaws in the healthcare industry, the rise of cash-based rehab, and how he scaled from treating patients in his living room to building 22+ clinics across North America.

Vinh shares his journey of almost quitting physical therapy, how frustration with patient volume and quality of care sparked his entrepreneurial path, and what it takes to create a clinic model that prioritizes both patient outcomes and clinician growth. This conversation isn't just about PT—it's about rethinking the entire rehab and healthcare system.

🔑 In this episode, we cover:

1. Why the healthcare system is built on sick care instead of true health care

2. Vinh's burnout story and how he turned frustration into entrepreneurship

3. The challenges of scaling from 1 clinic to 22—and his vision for the future

4. Why insurance companies hurt quality rehab care (and how cash-based models solve it)

5. Lessons on clinician self-awareness, growth, and building sustainable careers

If you're a physical therapist, athletic trainer, or healthcare professional looking for career growth, better patient care, and new business models in rehab, this episode is a must-listen.

Chapters:

00:00 Frustration that sparked an idea

00:27 Meet Vinny Pham: From yoga mat to 22 clinics

03:00 Early hustle: condo gyms & first patients

05:40 Scaling Myo: from 1 to 22+ locations

08:15 Why the healthcare system is broken

11:30 Redefining patient care through education

14:50 Mixed Martial Rehab: breaking down silos

18:00 Insurance barriers vs. cash-based freedom

20:30 Clinician growth & feedback culture at Myo

25:00 Personal growth, therapy & self-awareness

29:00 Mentorship, advice & who to trust

32:20 Cutting through noise in health content

36:00 Authenticity, honesty & building trust

37:30 Content creation mindset & consistency

40:45 Energy audits & doing what fuels you

42:00 Lightning round: books, lessons & insights

47:00 Rebranding Myo & creative inspiration

50:00 Future of PT: learning from dentistry

52:00 What's next: health management & products

54:00 Designing the future of rehab tools

56:30 Final thoughts & takeaways

👉 Don't forget to subscribe for more podcasts on physical therapy, rehab, and performance. Share your thoughts in the comments—what do you think is the biggest issue in healthcare today?

#PhysicalTherapy #RehabPodcast #HealthcareInnovation #ClinicianBurnout #Entrepreneurship

Are you chasing credentials and career milestones, only to feel burned out once you "make it"? In this episode, we sit down with Emma, a physiotherapist turned coach, to uncover the surprising truth about success, fulfillment, and the hidden challenges clinicians face in the rehab and performance world.

Emma shares her story of climbing the PT ladder—fellowships, prestigious roles, and all—only to hit rock bottom at the peak of her career. From there, she redefined what it means to thrive as a clinician, blending coaching, personal development, and clinical practice. This conversation isn't just for physical therapists—it's for anyone in healthcare or performance fields who wants to build a sustainable and fulfilling career.

🔑 In this episode, we cover:

1. Why professional success doesn't always equal personal fulfillment

2. How coaching differs from therapy—and why clinicians need both

3. Practical ways to align your personal values with your clinical practice

4. The biggest challenges PTs and rehab professionals face today

5. Lessons from comparing U.S. vs. Canadian healthcare systems

If you're a physical therapist, athletic trainer, or healthcare provider looking to prevent burnout, improve performance, and find more meaning in your work, this episode is for you.

Connect with Emma: https://www.emmajack.com/

👉 Don't forget to subscribe for more conversations on physical therapy, rehab, and performance. Drop a comment below with your biggest takeaway!

#PhysicalTherapy #Rehab #Burnout #Coaching #Clinicians

Episode Chapters:

00:00 – 00:34 | Introduction

02:11 – 05:19 | Burnout & Redefining Success

06:15 – 08:07 | Personal Development = Professional Development

08:28 – 11:05 | Coaching at Different Career Stages

13:14 – 15:22 | Coaching vs. Therapy vs. Mentorship

18:18 – 20:18 | Asking for Help

21:06 – 21:46 | Sponsor Break – Jane EMR

24:03 – 25:56 | Human First, Therapist Second

29:05 – 30:35 | Values & Workplace Culture

32:03 – 33:33 | Enneagram & Self-Understanding

Muscle Lab's founder joins us to reveal how recovery, NAD therapy, and proactive care are reshaping the future of performance and healthcare.

In this episode, we sit down with Vatche Ourishian, co-founder of Muscle Lab, to talk about building a modern recovery business from the ground up. From NAD IV drips to in-house certifications, we dive deep into what today's clients actually want—and why so many are turning away from traditional models of physical therapy.

Whether you're a clinician, entrepreneur, or wellness enthusiast, this conversation is packed with real-world insights on scaling a business, staying ahead of the curve, and delivering lasting value in the health & performance space.

🔑 In this episode, we cover:

What NAD therapy really does for energy, aging, and cognition

Why Muscle Lab pivoted from training to recovery

How they built systems to scale across multiple locations

The biggest mistakes (and lessons) in launching during COVID

Why the healthcare system is broken—and what's replacing it

For more information about Vatche and Muscle Lab: https://musclelab.la

Looking for structured personalized programming to get out of pain and prevent injuries? Check out the Prehab App: https://theprehabguys.com/membership

LISTEN / SUBSCRIBE TO THE PODCAST

Channel: https://www.youtube.com/@ThePrehabPodcast

Apple Podcasts:https://podcasts.apple.com/us/podcast/the-prehab-podcast/id1456407031

Spotify: https://open.spotify.com/show/4ku81i10QkvyttTdlkSaKp

Chapters:

00:00 Introductions - Meet the Founders

1:00 NAD+ Therapy Benefits & What to Expect from Treatment

02:35 How Muscle Lab Recovery Center Got Started

03:25 From Personal Training to Recovery Business: Finding Your Niche

05:10 Starting a Business During COVID-19 & Overcoming Challenges

06:10 Scaling Your Recovery Business: Systems, Team Building & Delegation

7:30 Common Business Scaling Challenges & How to Overcome Them

10:20 Hiring Strategies: Using Internships as Talent Recruitment Pipelines

11:28 Weekly NAD+ Therapy Routine: Why I Do It Every Week

12:21 NAD+ Nasal Spray Benefits: How to Extend Treatment Results

13:15 Business Growth Strategies: Focus, Mentorship & Key Metrics

15:20 Customer Retention vs New Offers: Getting Clients to Come Back

18:10 From Free Services to Celebrity Clients: Early Business Hustle

20:47 Client Work vs Building a Bigger Mission: Finding Purpose

22:20 The $420 Billion Musculoskeletal Problem & Recovery Solutions

25:00 Career Change to Healthcare: Finding Your Path in Wellness

27:54 Proactive Wellness & Longevity Trends: The Future of Healthcare

31:08 Entrepreneurship Advice: Expect Failure & Stay Adaptable

🎧 Subscribe for more unfiltered conversations on performance, recovery, and the future of rehab. Drop a comment if you've tried NAD therapy or are curious about proactive care!

#PhysicalTherapy #SportsRecovery #NADTherapy #HealthcareInnovation #MuscleLab

Can physical therapy evolve without data? In this deep-dive conversation, clinical leaders from Prehab and Vald come together to explore how technology and objective data are reshaping rehab and performance — and why so many clinicians are still stuck in outdated methods.

From the first handheld dynamometer purchase to building global tools that elevate care, this episode uncovers the real-world frustrations, breakthroughs, and opportunities in modern physical therapy.

Whether you're a seasoned clinician or a PT student, you'll walk away with insights that challenge how we think about clinical decision-making, patient outcomes, and proving value in a changing healthcare landscape.

In this episode, we discuss

1. Why "trusting the process" isn't enough — and how to prove your value with data

2. The hidden cost of not measuring outcomes in rehab

3. What it takes to get clinic buy-in on tech (even if you're the only one using it)

4. How tools like force plates and handheld dynamometers are being used across the rehab continuum

5. Why the future of PT demands better systems, not just better clinicians

Subscribe for more episodes on performance rehab, clinical innovation, and technology that moves the field forward.

#physicaltherapy #rehabtech #clinicaltools #prehab #sportsperformance

Looking for more programming? Check out all of our content on the Prehab App: https://theprehabguys.com/membership

Timestamps

00:00:00 — Intro: Why Objective Data Is the Future of Physical Therapy

00:01:45 — Introduction & Early Career Reflections

00:07:55 — Research and Validation of Clinical Testing Tools

00:11:10 — Orthopedic Residency: Building Clinical Expertise

00:17:46 — Challenges in Adopting New Technology in PT

00:22:18 — Why Data + Objective Testing Improves Patient Outcomes

00:29:35 — How VALD Came Into the Picture: Technology Meets Rehab

00:34:45 — Subscription Plans & Ongoing Customer Support

00:38:45 — PT-driven Products/Team

00:44:51 — Data's Role in Enhancing Patient Engagement and Care

00:49:35 — The Future of Physical Therapy Is Data-Driven

00:57:10 — Building a Team That Drives Innovation

01:02:25 — Final Takeaways: Start Using Better Data Now

In this episode, we sit down with Dr. Todd Schroeder. USC professor, exercise physiologist, and co-founder of K2 Sciences, to explore what actually works when it comes to health and fitness technology. From wearables and VO2 max testing to EMG studies and AI-powered motion tracking, Dr. Schroeder breaks down the science behind the trends and shares what decades of clinical research really say.

We cover what health tech matters (and which don't), how to think critically about the data you're getting, and what role tech should play in your health journey. Plus, we get into the realities of muscle loss, why sleep is your most underrated training tool, and how innovation is reshaping physical therapy.

This episode will help you cut through the noise and think more critically about the role of technology in your health.

Timestamps:

00:00 Intro

02:01 Meet Dr. Todd Schroeder

06:35 Founding K2 Sciences: Bridging Research and Innovation

10:10 How Technology & Data Is Reshaping Our Rehab & Training

12:20 Wearables, Tracking Data and Smarter Coaching

15:32 The Importance of Baseline Data for Rehab Professionals

17:40 Overrated vs. Underrated Begins

18:03 Fitness Trackers & Smartwatches: Accurate or Overhyped?

18:44 VO2 Max Testing for Non-Athletes: Necessary or Not?

22:05 Zone 2 Training vs. HIIT: How to Train Smarter

25:00 Three Sets of 10: Still the Gold Standard?

29:10 Clinician's Eye vs. Motion Capture: What's Better?

33:33 EMG Studies: Valuable or Overrated?

36:25 Can Motion Tracking Technology Replace Physical Therapy?

44:30 How AI Can Gamify Exercise

46:25 Sleep Trackers: How Accurate Are They Really?

50:02 Should Everyone Use a Glucose Monitor?

54:00 Handheld Body Fat Tools: Are They Reliable?

56:56 Cardio vs Strength Training As You Age

58:23 Minimal Effective Dose: How Much Exercise Is Enough?

01:02:25 Testosterone, Recovery, and Injury Rehab Insights

01:06:00 Lessons from Endurance Training & Triathlons

01:10:13 Nutrition and Sleep vs. Working Out: What's More Important for Health?

01:13:53 AI in the Exercise Space: Influence on Coaching

01:14:43 Women's Health, Recovery, and the Menstrual Cycle Myths

01:19:35 Final Thoughts: How Tech, Recovery, and Exercise are Evolving

Contact Dr. Schroeder:

Email: [email protected] or [email protected]

K2Sciences.com

MK2Lab.com

@MK2LAB

In this episode of The Prehab Podcast, orthopedic surgeon Dr. Nima Mehran returns to discuss cutting-edge advancements in ACL repairs, meniscus transplants, cartilage regeneration, and robotic surgery. He breaks down:

✅ Why he left a large healthcare system to build a patient-centered private practice

✅ Meniscus transplants vs. traditional knee surgery – who actually needs it?

✅ The future of robotic-assisted knee surgery & its impact on surgical precision

✅ How biologic treatments (PRP, stem cells, injections) fit into patient care

✅ Why ACL injuries keep happening – and how to prevent them

Whether you're a physical therapist, athletic trainer, chiropractor, or surgeon, this episode is packed with evidence-based insights you can use to improve patient outcomes and understand where orthopedic care is headed.

Timestamps: [need to be adjusted & finalized]

00:00 - Introduction: Meet Dr. Nima Mehran

00:40 - Why Dr. Nima left a large healthcare system for private practice

03:00 - The biggest problems in modern healthcare & patient care challenges

07:22 - The future of healthcare: What needs to change?

11:22 - Common knee injuries: ACL tears, meniscus injuries, arthritis

15:54 - Meniscus transplants vs. repairs: Who actually needs surgery?

19:38 - Cartilage transplants & regeneration: What works and what doesn't?

26:04 - The rise of robotic-assisted knee surgery: Game-changer or hype?

29:28 - PRP, stem cells, and biologics: Do they actually work for knee injuries?

35:31 - Why ACL injuries keep happening – and how to prevent them

40:58 - Prehab, rehab & surgical recovery: What every clinician should know

46:02 - Where to follow Dr. Nima & final takeaways

Today's Sponsor: This episode is brought to you by Jane, a clinic management software and EMR that has been a game-changer for us at Prehab PT. If you're looking for a smooth transition to better clinic management, book a 1-on-1 demo HERE.

https://jane.app/book_a_demo?utm_medium=prehab_guys&utm_source=ambassador&utm_campaign=book_a_demo&utm_content=static&utm_term=us_pt

Use the code PREHABGUYS at sign-up for a 1-month grace

Contact Dr. Nima Mehran: @drnimamehran https://www.mmorthopaedics.com

Listen to the previous episodes with Dr. Nima :

https://theprehabguys.com/podcast/acl-injuries-with-dr-nima-mehran/

https://theprehabguys.com/podcast/meniscus-injuries-with-dr-nima-mehran/

In this episode of The Prehab Podcast, Dr. Michael Lau sits down with Dr. Adelle Smener to share the journey of building PrehabPT, their Los Angeles-based physical therapy clinic. They break down the challenges clinicians face, the flaws in traditional PT, and how PrehabPT is redefining patient care and clinician autonomy.

The conversation dives into:

1. The realities of burnout and lack of support in the PT profession

2. Why better options for both patients and clinicians are needed

3. How autonomy and support improve treatment outcomes

4. The unique challenges of running a PT clinic as a married couple

Timestamps:

00:00 - Introduction

02:14 - The Origin of Prehab's In-Person Clinic

06:27 - Navigating Early Career Challenges in PT

10:48 - The Overlooked Cause of Burnout in Healthcare

13:34 - Searching for the Right Fit in PT

15:09 - How We Built a PT Model That Works for Clinicians & Patients

18:16 - Physical Therapy is Not One-Size-Fits-All

19:25 - You Didn't Fail PT—PT Might Have Failed You

20:28 - How We Personalize Care for Every Patient

25:57 - Working With Your Spouse: Challenges & Lessons

33:37 - The Role of PTs & Access to Care

36:29 - Where to Find Dr. Adelle Smener

In this episode of the Prehab Podcast, Dr. Craig Lindell sits down with Lauren Moritz, a biomechanics expert and professional bike fitter, to explore the world of bike fitting and its impact on cycling performance. Lauren shares her journey from competitive mountain biking to becoming a sought-after bike fitter, offering insights into how proper bike fitting can improve comfort, prevent injuries, and enhance efficiency for cyclists of all levels.

Learn the key components of a bike fit, the role of biomechanics in cycling, and why pre-fitting before purchasing a bike can save time and money. Whether you're a seasoned triathlete, an Ironman competitor, or a casual cyclist, this episode will help you ride smarter and stay injury-free.

Highlights include:

The value of bike fitting and how it improves performance.

Lauren's racing journey and lessons learned from pro cycling.

Common bike fitting mistakes and how to avoid them.

Practical tips for cyclists to stay injury-free and comfortable.

Timestamps:

00:00 - Intro

01:50 - Meet Lauren Moritz

02:41 - Lauren's Racing Journey

08:39 - What Got Lauren Into Bike Fitting

14:09 - Why Bike Fitting is So Important

18:10 - Lauren's Unique Approach to Bike Fitting

23:11 - Lessons from Racing and Preventative Training

27:15 - Is AI Bike Fitting Legit?

30:34 - Lauren's Future Plans

34:00 - How to Connect with Lauren

35:07 - Advice If You're Getting into Biking

Subscribe for more expert insights on taking a proactive approach to health and performance!

In this episode of The Prehab Podcast, Dr. Mike sits down with Dr. Josh D'Angelo, co-founder of Movement X, to explore how physical therapy is evolving. From addressing burnout to driving patient-centered care, Josh shares insights into innovative solutions that empower both providers and patients.

The conversation dives into:

1. How burnout is impacting healthcare professionals—and what can be done to break the cycle.

2. Why flexibility and autonomy are essential in patient care today.

3. How entrepreneurial thinking is reshaping the physical therapy industry.

Whether you're a healthcare provider, entrepreneur, or passionate about health and wellness, this episode offers valuable takeaways to help you thrive in today's healthcare landscape.

Timestamps:

00:00 - Introduction

03:48 - Meet Dr. Josh D'Angelo

08:46 - Burnout in Healthcare & New Patient Care Models

12:46 - The Impact of Burnout on Providers and Patients

15:07 - Medicine 3.0: Prevention and Holistic Health

20:30 - Helping People Move Their Best at Movement X

27:48 - Entrepreneurship and Healthcare Providers

33:35 - Transparency in Healthcare Businesses

36:55 - Becoming Comfortable With Failure

41:40 - The Importance of Building Trust as a Healthcare Provider

46:33 - Why It's the Best Time to Be a Physical Therapist

Today's Sponsor: This episode is brought to you by Jane, a clinic management software and EMR that has been a game-changer for us at Prehab PT. If you're looking for a smooth transition to better clinic management, book a 1-on-1 demo at https://jane.app/book_a_demo?utm_medium=prehab_guys&utm_source=ambassador&utm_campaign=book_a_demo&utm_content=static&utm_term=us_pt. Use the code PREHABGUYS at sign-up for a 1-month grace period on your new Jane account!

In this episode, Craig sits down with Hunter Crine, a seasoned strength coach, mentor, and founder of Kettlebell Coach University. With over a decade of experience working with everyone from Division 1 athletes to general fitness clients, Hunter brings a unique perspective on how fitness, mentorship, and a growth mindset can transform not just your body, but your life and business as well.

Hunter shares his journey from discovering fitness at 14 to building a global coaching business that empowers trainers and clients alike. Together, Craig and Hunter explore the power of kettlebells, the impact of mentorship, and the mindset shifts needed to overcome challenges and achieve your goals.

Take advantage of Prehab's Black Friday deal! Get $50 off a full year of the Prehab app and gift a free year to someone you care about. Learn more HERE.

Timestamps:

00:00 Introduction

01:29 Meet Hunter Crine

05:48 The Power of Mentorship

07:53 Stay Learning and Be Patient

12:28 Prehab Black Friday Sale

13:06 Why Kettlebells Are the Ultimate Tool

19:20 Group Training vs. One-on-One Coaching

22:13 Building Kettlebell Coach University

24:08 Embracing Failure to Achieve Success

30:27 Marathon Training: Lessons for Business and Life

34:03 What's Next for Kettlebell Coach University

36:34 Patience, Repetition & Discipline

39:17 Conclusion

Connect with Hunter Crine:

Instagram: https://www.instagram.com/hunter_crine/?hl=en

Kettlebell Coach University: https://www.kettlebellcoachuniversity.com/