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The Performance Rehab Authority

The Performance Rehab Authority

By: Dr. Roger St. Onge
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Welcome to the Performance Rehab Authority podcast, where we challenge the norms of traditional physical therapy and share our journey toward elevating the traditional PT practice. We're Dr. Rog and Dr. Caitlin, the founders of Move Athletics, and we're passionate about creating a performance-based approach to physical therapy. Each week we're bringing our years of experience in performance-based physical therapy to every episode.Dr. Roger St. Onge Hygiene & Healthy Living
Episodes
  • From “I’m Not Your Person” To Confident With Ortho
    Mar 3 2026

    Feeling like the “wrong” clinician every time an ortho patient hits your schedule? You’re not alone.

    In this interview, Kylie shares how she went from anxious, overthinking ortho evals to running a clear system that gets faster outcomes for complex patients.You’ll learn:

    What it feels like to be thrown into ortho without a real framework.

    The dead‑end of piecing together random courses vs a full algorithm.

    How she started using PRA’s system the very next day in clinic.

    The impact on her confidence and stress level treating painful spines.

    How explaining the “light at the end of the tunnel” changes patient buy‑in.

    Her honest take on the financial discomfort of joining PRA (and if it was worth it).

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    16 mins
  • The Elbow & Hip Cases That Exposed My Eval Gaps
    Feb 26 2026

    If you’ve ever sat in an eval silently thinking “I have no idea what’s going on,” you’ll see yourself in this conversation. Matt went from engineer to PT, then from relying on SFMA and dry needling to feeling like a failure on complex cases… to running a growing out-of-network clinic built on clarity, outcomes, and referrals.

    In this episode, you’ll see how he:

    • Hit the ceiling of SFMA + local tissue protocols when chronic, weird-pattern pain didn’t respond

    • Lost patients and confidence on stubborn elbow and hip cases he now recognizes as spine-driven

    • Used PRA to learn systematic cervical and lumbar clearing so “elbow” and “hip impingement” finally made sense

    • Stopped feeling guilty charging premium rates because he could explain and prove his reasoning

    • Turned painful failures into fuel instead of staying stuck in shame early in his career

    • Opened a performance-forward clinic inside a CrossFit gym and had a record month by letting his skillset be his best marketing

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    27 mins
  • From Trial‑and‑Error PT to Day‑1 Clarity With PRA
    Feb 24 2026

    If you’ve ever thought “I can help function, but I’m not sure I can help pain,” you’re in the same boat Jensen was in.

    She left school feeling like she knew how to pass tests and not hurt anyone… then froze when a real human walked in.

    This interview walks through how she stopped “wait and see” PT and built a reasoning system she can trust.

    In this interview, you’ll see how:

    The jump from acute athletic training to chronic outpatient cases left a big gap in her reasoning

    Trial‑and‑error, “we’ll see how it goes” treatment and pattern recognition weren’t enough for complex, long‑standing pain

    PRA’s framework gave her a way to find the true driver instead of just doing more “good exercises”

    One simple lifestyle change plus targeted work fixed a patient’s nagging pain in days instead of months

    Her mindset flipped from “it’s not my fault school didn’t teach me this” to “it is my responsibility to close this gap”

    Clinical Mastery Week let her test the waters, but coaching, accountability, and depth were what actually changed how she practices

    PT clinical reasoning system, physical therapist testimonial PRA, pattern recognition vs clinical reasoning PT, trial and error treatment physical therapy, outpatient sports PT confidence, can PTs fix pain vs function, Performance Rehab Authority interview, root cause physical therapy evaluation, how to stop guessing in PT evals, continuing education that changes practice PT, clinical mastery week PRA, sports PT Columbus Ohio, athletic trainer to PT transition, chronic ankle pain root cause PT, mapping aggravating activities PT

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    22 mins
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