"I used to sit in my house and not leave, nights and nights in a row, because I was afraid of what was gonna happen."

For over a decade, patient Jen Superdock lived with a cascade of conditions that doctors struggled to connect: chronic pelvic pain, gastroparesis, GERD, Barrett's esophagus, and sudden, unexplained loss of bladder control. She tried physical therapy, pelvic floor therapy, medications, and eventually a surgically implanted bladder stimulator with underwhelming results.

In this episode of Patient Perspectives, Jen sits down with Dr. Dave to share her story and how fascial counterstrain helped her reclaim her life.

In this episode:

• Jen's 13-year history with GERD, gastroparesis, and Barrett's esophagus
• The onset of sudden bladder pain and incontinence and the silence that often surrounds it
• Her experience with a sacral nerve/bladder stimulator implant
• What brought her to fascial counterstrain after traditional treatment plateaued
• The surprising connection between eye muscle tension and pelvic floor dysfunction
• Canceling a scheduled hemorrhoid surgery after treatment
• Her advice to anyone who feels like they've run out of options

1:31 Jen's background: Pensacola, military upbringing, life with Jax
2:29 The beginning: GERD, gastroparesis, Barrett's esophagus
4:33 Traditional PT, medications, and the bladder stimulator decision
5:01 The implant trial and painful recovery
5:35 Life before illness: roller derby, softball, the gym
5:49 Post-implant life: still having episodes, waiting for results
6:19 A second surgery: battery malfunction and replacement
6:40 What brought her to Renew: lower back pain after surgery
10:00 First session: pelvis adjustment, soft tissue, a reason to return
10:31 The second session — counter strain changes everything
11:10 Eye muscles and the pelvic floor: the neuroscience behind it
12:57 Layer by layer: peeling back trapped inflammation
13:17 Reclaiming her life — emotional moment
18:32 From 16 supplements to fewer than five
18:38 Treating the whole picture, not just the symptom
19:10 When PT and functional medicine work together
20:42 Finding providers willing to collaborate
20:50 The problem with medical specialization and siloed care
21:52 Final words: don't give up, be your own advocate

Want more info on a residency with Renew Integrative Physical Therapy? Click here for more information: https://renewintegrativept.com/join-our-team/

Follow Renew on social:

https://www.facebook.com/ReNewPensacolaPT

https://www.instagram.com/renewintegrativept/

https://www.youtube.com/@Renew-Integrative

Follow Dr. Dave on social:

https://www.facebook.com/david.harvitz.9

https://www.instagram.com/dr.davedpt/

https://www.youtube.com/@drdaveharvitz

“I don’t want your money if I’m not fixing you.”

In this Clinician's Corner episode, Dr. Dave breaks down the three core reasons why so many patients remain in pain despite treatment.

You’ll hear:

• Why the phrase "you can't help everyone" is a clinical cop-out
• How insurance reimbursement structures push clinicians toward volume over outcomes
• Why pain is the last thing to happen in a pain sequence — not the first
• What a "root cause" actually means in the chronic pain world (hint: there's usually more than one)
• The three systems most PTs never treat: the fascial, visceral, and autonomic nervous systems
• Why manual therapy must come before exercise — and what happens when it doesn't
• How Dr. Dave's practice built an incentive structure that actually aligns with patient outcomes
• What real mentorship looks like — and why most "residency programs" are marketing ploys

0:00 Why Chronic Pain Rates Are Abysmal

1:12 "You Can't Help Everyone" Is a Cop-Out

2:45 The System Is Built for Speed, Not Outcomes

4:30 What Physicians Actually Have in Their Toolbox

6:10 High Volume Kills Good Clinical Thinking

8:00 Manual Therapy Has to Come Before Exercise

10:15 Pain Is the Last Thing That Happens, Not the First

12:40 What a Root Cause Actually Is

15:20 The Circuit Breaker Analogy

17:45 Why PT Diagnostic Testing Is Flawed

20:00 Residency Ad — Renew Integrative PT

21:10 The Three Systems Most PTs Never Treat

24:30 Fascial Counterstrain Explained

27:15 The Autonomic Nervous System & PT

29:50 Why the Incentive Structure Kills Clinical Mastery

33:20 What Real Mentorship Looks Like

36:40 Big Box Clinics & the Mentorship Marketing Ploy

39:55 Paying PTs More When Patients Get Better

43:10 How to Actually Motivate Your Patients

45:30 The Money-Back Guarantee

47:00 Sell Disney World, Not the Flight

Want more info on a residency with Renew Integrative Physical Therapy? Click here for more information: https://renewintegrativept.com/join-our-team/

Follow Renew on social:

https://www.facebook.com/ReNewPensacolaPT

https://www.instagram.com/renewintegrativept/

https://www.youtube.com/@Renew-Integrative

Follow Dr. Dave on social:

https://www.facebook.com/david.harvitz.9

https://www.instagram.com/dr.davedpt/

https://www.youtube.com/@drdaveharvitz

What keeps mainstream physical therapy from ACTUALLY healing patients?

You're not imagining it. The system is broken. In this episode, Dr. Dave sits down with David Bailiff, DPT, a 30-year veteran of the profession and co-founder of the Uncaged Clinician, to talk honestly about why so many PTs are burned out, why patient outcomes are suffering, and what a different path actually looks like.

David was one of the earliest mobile concierge physical therapists in the country, going all-in on a cash-based practice back in 2013 before most PTs had even heard the term. His story is a real account of discontentment, a door that opened unexpectedly, and the courage it took to walk through it.

You'll hear:

• Why reimbursement rates have been declining while education costs have skyrocketed
• How the insurance model is structurally designed to prioritize function over pain
• Why manual therapy is the lowest-reimbursed service in the insurance model
• The "uncaged" philosophy: using the full scope of what you've been trained to do to actually change lives
• What the common denominators are among PTs who build a thriving cash-based caseload in 3–4 months vs. those who struggle for years
• Why going directly to the consumer is often more effective than chasing physician referrals

Guest:

https://uncagedclinician.com/

https://www.facebook.com/groups/uncagedcliniciangroup

https://www.instagram.com/uncagedclinician

https://www.youtube.com/@TheMobilePTLeague

00:00 – Is the Healthcare System Actually Broken?

02:15 – The PT Who Went Cash-Based Before It Was Cool

06:45 – What Happens When You Stop Asking Permission

11:30 – The Real Reason Reimbursements Keep Dropping

17:00 – Squeezed From Every Direction: The Cost of Running a Clinic

22:10 – What "Uncaged" Actually Means

28:45 – Insurance Gets You in the Gate. That's It.

34:20 – Why Your Hands Are the Lowest-Paid Tool You Have

39:50 – The Step-Up Exercise That Had Nothing to Do With the Patient

45:15 – What If We Treated People Before They Broke?

51:30 – Who Really Founded Modern Medicine (And Why)

57:00 – The PT Who Was Full in 3 Months vs. the One Still Waiting

1:02:45 – The Day Dr. Dave Got Fired and Everything Changed

1:08:00 – What It Actually Takes to Go All In

Want more info on a residency with Renew Integrative Physical Therapy? Click here for more information: https://renewintegrativept.com/join-our-team/

Follow Renew on social:

https://www.facebook.com/ReNewPensacolaPT

https://www.instagram.com/renewintegrativept/

https://www.youtube.com/@Renew-Integrative

Follow Dr. Dave on social:

https://www.facebook.com/david.harvitz.9

https://www.instagram.com/dr.davedpt/

https://www.youtube.com/@drdaveharvitz

If you're a healthcare provider or a patient that is frustrated with the status quo in our healthcare system, you aren't alone. The main reason for this frustration on both sides is the lack of good outcomes.

Host Dr. Dave Harvitz has been a doctor of physical therapy for 15 years, specializing in the chronic pain cases.

In the first episode of the month, Dr. Dave talks with leading clinicians and researchers to tackle the hard questions.

Then every other week, he reveals the behind-the-scenes of what it takes to create a practice with good outcomes.

Finally, you'll hear from real patients about their health journeys and how they found themselves a good outcome.

We live in a world where everyone claims to treat the root cause, yet the outcomes beg to differ. At Good Outcomes, you can expect honest conversations, practical insights, and no fluff.

Whether you're a provider seeking clarity or a patient searching for answers, this podcast is your guide to navigating the healthcare system with wisdom and hope. Welcome to Good Outcomes, because healing is possible!

Want more info on a residency with Renew Integrative Physical Therapy? Click here for more information: https://renewintegrativept.com/join-our-team/

Follow Renew on social:

https://www.facebook.com/ReNewPensacolaPT

https://www.instagram.com/renewintegrativept/

https://www.youtube.com/@Renew-Integrative

Follow Dr. Dave on social:

https://www.facebook.com/david.harvitz.9

https://www.instagram.com/dr.davedpt/

https://www.youtube.com/@drdaveharvitz