#PTonICE Podcast

The Institute of Clinical Excellence: Creating PT Version 2.0
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Mar 26, 2026 • 41min

Episode 1983: Leveraging Technology to Tame the Chaos

Dr. Alan Fredendall, COO with military discipline turned healthcare ops leader. He walks through calendar and time-blocking foundations. He covers email workflows, task platforms like Asana and Notion, clinic apps and consolidation, automations with ManyChat, and async tools like Loom. Practical tech tactics to organize teams and scale care.
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Mar 12, 2026 • 36min

Episode 1982: Building Better HEPs: How Hedge Health is Streamlining Patient Care

A deep look at a platform that lets clinicians record and deliver custom home exercise routines in-session with patient-friendly playback. Discussion covers creating patient-specific video libraries, simple UIs for older users, and tools for tracking adherence and messaging. Also covered: clinic-wide documentation, importing existing libraries, and surprising non-PT use cases.
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Mar 5, 2026 • 52min

Episode 1981: Supplements: Separating the Wheat from the Chaff

Alan Fredendall, a Michigan physical therapist who works with fitness athletes and focuses on evidence-based care. He dives into protein priorities and tracking methods. He explains creatine benefits and dosing. He covers caffeine timing and trade-offs. He outlines beta-alanine use and sensations.
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Feb 19, 2026 • 45min

Episode 1980 - Bike Fitting: Untapped market; low barrier to entry

Matt Koester, bike fit specialist and lead faculty at ICE Physio with a physical therapy and hands-on mechanics background. He shares trail stories and explains bike fitting basics: cleats, saddle, and handlebars. He covers precision tools like lasers, why trainers aid repeatable adjustments, follow-up tweaks, and the business side of offering fits and courses.
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Feb 5, 2026 • 49min

Episode 1979 - Own the room: the craft of presenting & teaching

Dr. Justin Dunaway, physical therapist and educator who leads Total Spine content, shares his journey from stage fright to loving the craft of presenting. He discusses memorable lectures, the mechanics of delivery, authenticity on stage, reframing nerves as excitement, and the value of rehearsal and small-room practice to refine teaching.
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Jan 28, 2026 • 49min

Episode 1978 - Accounting 101: Start keeping more of the money that you make

Jason Eger, CEO of Eger CPA and accounting expert for PT and OT practices, offers tax planning, payroll, and wealth management support. He discusses when to engage a CPA, preserving deductions, HSA priority, Roth and retirement sequencing, real estate vs market investing, S‑Corp timing, depreciation strategies, and the value of ongoing advisory and outsourced payroll/bookkeeping.
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Jan 21, 2026 • 33min

Episode 1979 - Reframing Rehab for Persistent Pain: Part 2

Dr. Justin Dunaway, a leading physical therapist and Total Spine division leader, shares his expertise on persistent pain management. He critiques the limitations of standard exercise protocols and highlights the need for customized interventions. Justin emphasizes the importance of balancing nervous system and tissue capacities to optimize rehabilitation. He discusses how clinician beliefs can influence patient outcomes and stresses the value of delivering early, reassuring narratives to combat fear and promote healing. Insights from his pain education course offer transformative strategies for patient care.
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Jan 14, 2026 • 51min

Episode 1978 - Reframing Rehab for Persistent Pain: Part 1

Dr. Justin Dunaway, a physical therapist specializing in persistent pain management, shares insights from his clinic experiences, particularly in Haiti, highlighting the disconnect between pain and physical damage. He discusses the significance of understanding individual pain experiences, using brain response studies to reshape perceptions of pain. Justin emphasizes the importance of subjective assessments, educational strategies, and graded movement to effectively treat persistent pain, aiming to rebuild patients' confidence and validate their experiences.
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Dec 18, 2025 • 39min

Episode 1977 - Pelvic Dry Needling: A key piece of a complete solution for many patients

In this engaging discussion, Ellison Melrose, a pelvic health physical therapist and expert dry needling instructor, dives into the transformative potential of pelvic dry needling. She highlights its effectiveness for conditions like pudendal neuralgia and shares insights on patient outcomes. Elli also discusses her course design philosophy, emphasizing hands-on techniques and the importance of student comfort. With her relatable storytelling and humor, she makes complex topics approachable while advocating for both male and female pelvic care.
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11 snips
Dec 4, 2025 • 44min

Episode 1976 - Thrust manipulation is for everyBODY

Dr. Britt Lademann, a skilled physical therapist and faculty member specializing in spinal thrust manipulation, sheds light on her unique teaching approach that enhances accessibility in a typically male-dominated field. She shares her personal journey, emphasizing the importance of female representation and mentorship in boosting confidence among practitioners. Britt also discusses how smaller clinicians can adapt techniques to benefit their patients, shifting focus from rigid biomechanics to comfort and neurophysiological outcomes, making manipulation more approachable for everyone.

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