Good Outcomes: What They Don’t Teach You in PT School

Are you a physical therapist frustrated with your current client outcomes? Are too many patients just not getting better? The founder of Renew Integrative Physical Therapy's residency program, Dr. Dave Harvitz,DPT, CSC1, challenges conventional care, explores root-cause, functional approaches, and highlights what it takes to create outcomes that last. The first episode of each month is a real conversations with clinicians helping patients heal while avoiding PT burnout. In an every-other-week rotation, you'll hear the Clinicians Corner & Patient Perspectives segments. In Clinicians Corner, Dr. Dave shares the behind the scenes of a successful cash-based clinic. In Patient Perspectives, Dr Dave & a real patient share their hurting to healing journey. Whether you're a new PT grad, a seasoned clinician or looking to specialize in the self-pay & cash-based space, you'll feel inspired by Dr. Dave's experience using an integrative approach to address root causes in physical therapy. You'll find clarity and conviction for yourself and a path forward for patient results that last. Want more info on a residency with Renew Integrative Physical Therapy? Click here for more information: https://renewintegrativept.com/join-our-team/

Good Outcomes: What They Don’t Teach You in PT School is a business podcast hosted by Unknown Host, with 9 episodes on record and a Required Pod Score of 80. PitchCentric scores this show on Booking Probability, Listen Score, and live audience signals refreshed every 24 hours.

Unknown Host hosts Good Outcomes: What They Don’t Teach You in PT School, a business show with 9 episodes published.

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  Episode #8

  Ep. 8 | CLINICIAN’S CORNER: Explained Simply, THIS is Fascial Counterstain!

  Sep 1, 202627 minS1

  "There was a time my wife was struggling with things I couldn't help her with and it was Fascial Counterstrain that got her out of it." - Dr. Dave Fascial counterstrain isn't voodoo, it's neuroscience. In this episode of Clinician's Corner, Dr. Dave breaks down the neurological model behind fascial counterstrain: how trapped inflammatory proteins (cytokines) get stuck in your tissue after an injury, how the body's own protective response ends up causing chronic pain, tightness, and dysfunction, and how a gentle, indirect technique can flip the switch and turn it off, often instantly. Whether you're a patient wondering if this treatment is right for you, or a clinician curious whether it's worth learning, Dr. Dave walks through the full picture: the science, the technique, who it works for, and where its limits are. In this episode you’ll hear: The neurological model behind fascial counterstrain and why the mechanical model alone falls short How cytokines get trapped in your tissue and create lasting inflammation The cascade of effects: pain signals, blood flow shutdown, muscle guarding, and fascial tightening How the cranial scan and convergence help locate trapped inflammation before a patient even mentions it Touch inhibition and the neuroscience of light touch Why releases can bring instant, permanent relief and when the pain can return Who this treatment actually works for (and the honest caveats including when you still need a knee replacement) What counterstrain is not: myofascial release, massage, or joint manipulation Dr. Dave's personal story of watching this technique change his own family Chapter Markers: 00:27 – What Is Fascial Counterstrain? 01:50 – How Cytokines Cause Chronic Pain 03:05 – Where Trapped Inflammation Hides 04:35 – The Inflammation Cascade Explained 05:45 – The Hidden Cause Of Tightness 06:55 – Finding It: The Cranial Scan 07:40 – Convergence: Why Your Head Hurts Too 08:45 – Predicting Symptoms Before You Speak 09:35 – Touch Inhibition Turns Off Pain 13:15 – Direct Vs Indirect Treatment 14:45 – Inside The Lymphatic Pump 17:45 – Instant Relief, No Tissue Damage 18:45 – Does The Pain Come Back? 20:30 – Dr. Dave's Personal Turning Point 21:55 – Who This Treatment Works For 23:55 – What Counterstrain Is Not 25:05 – The "Idiopathic" Diagnosis Problem 25:55 – A Personal Note On Healing 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

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  Episode #7

  Ep. 7 | "The Body TRAPS the Score" Full Interview with Counterstrain Founder Brian Tuckey, PT

  Aug 18, 20261h 43mS1

  In this interview episode of Good Outcomes, Dr. Dave sits down with Brian Tuckey PT, the creator of Fascial Counterstrain and one of the last physical therapists personally trained by Dr. Lawrence Jones, the osteopathic physician who developed strain counterstrain in the 1950s. Brian traces the full origin story, from his early disillusionment with "no pain, no gain" manual therapy, to the moment Dr. Jones stumbled onto counterstrain almost by accident with a single patient, to the decades of pattern recognition and clinical trial-and-error that grew that discovery into more than 1,200 techniques used by practitioners worldwide today. The conversation covers the science behind trapped inflammation and why it drives dysfunction well beyond the musculoskeletal system, how a "wrong theory" about the brainstem accidentally led to the discovery of the cranial scan, and what it actually takes to master a technique this complex. Dr. Dave and Brian also discuss the role faith has played throughout this journey, and where the future of counterstrain training is headed. In this episode: How Dr. Jones accidentally discovered counterstrain with one patient Brian's own turning point discovering the technique The science behind trapped inflammation and muscle guarding How a "wrong theory" led to the breakthrough cranial scan Why "pain is a liar" and what that means for chronic pain patients What it really takes to become an elite counterstrainer Where Fascial Counterstrain training is headed next About Brian Tuckey, PT: Brian Tuckey, PT began training under Dr. Lawrence Jones at the Jones Institute in 1992 and was one of only four physical therapists certified to teach strain counterstrain. Since then, he has developed approximately 1,200 fascial counterstrain techniques and teaches practitioners internationally, including in the U.S., France, Italy, Germany, and Australia. Resources Mentioned in Episode: Main website to look up practitioner near you - www.countertrain.com Class Registration link: The Jones Institute PT Brian Tuckey’s Website with Research Cited: Fascial Counterstrain Research and Information- Tuckey & Associates 2021 Article mentioned - Impaired Lymphatic Drainage and Interstitial Inflammatory Stasis in Chronic Musculoskeletal and Idiopathic Pain Syndromes: Exploring a Novel Mechanism 2025 Article mentioned - Fascial Counterstrain: A methodological advancement in indirect osteopathic manipulation PTSD Article mentioned - Rapid Reduction in Posttraumatic Stress Disorder Symptom Severity after Three Fascial Counterstrain Manual Treatments: A Proof-of-Concept Study Social Media platforms for Brian Tuckey, PT: The Jones Institute (@jicounterstrain) The Jones Institute | Carlsbad CA Chapter Markers: 00:31 – Meet Brian Tuckey, PT, Origin of Counterstrain 01:44 – Disillusioned by "No Pain, No Gain" 02:54 – Dr. Dave's Own Counterstrain Awakening 06:17 – Who Discovers Fascial Counterstrain (and Why) 08:38 – Why "Okay" Isn't Good Enough 11:19 – What Fascial Counterstrain Actually Is 12:49 – The Published Research Behind Trapped Inflammation 12:57 – What "Flushing Out" Inflammation Means 20:41 – Pain Is a Liar 22:04 – Phantom Limb Pain Explains Everything 24:11 – How Dr. Jones Discovered the Technique 28:27 – Birth of the Cranial Scan 31:34 – Managed Care Forces a Breakthrough 35:26 – The Mastoid Process Discovery 38:19 – (Residency Program Ad Break) 40:04 – Proving Fascia Is Contractile 44:40 – Diagnosing an Entire System in 30 Seconds 48:26 – Defining a True Good Outcome 51:05 – Faith, God, and Clinical Epiphanies 56:07 – Curing Trigeminal Neuralgia 1:01:18 – Why Specialization Fails Patients 1:05:33 – The Testimony That Means the Most 1:07:10 – Reversing PTSD in a Pilot Study 1:09:27 – The Body Traps the Score 1:18:39 – When Patients Say "You're My Last Hope" 1:21:45 – What Makes an Elite Counterstrainer 1:26:43 – Why the Curriculum Keeps Evolving 1:31:51 – Scaling Counterstrain Training Worldwide 1:33:29 – The Fear of Becoming a Novice Again 1:35:37 – Where to Find a Practitioner 1:39:54 – A Generational Vision for Healing 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

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  Episode #6

  Ep 6 | PATIENT PERSPECTIVE: "Unbelievable!" - A Decade of Back Pain Solved

  Aug 4, 202643 minS1

  "Unbelievable. Every time I come in, that's the word that comes into my mind, unbelievable." For over a decade, Tim Krug, owner of Dude Wash and a Pensacola local business owner, dealt with chronic back and neck pain that chiropractors couldn't explain and regular exercise based physical therapy couldn't fix. In this episode of Patient Perspectives, Tim sits down with Dr. Dave to walk through his entire healing journey: from a basement gymnastics injury at 16, to years of "pop and pray" chiropractic adjustments, to finally discovering what was actually wrong with his body through Counterstrain therapy. Tim opens up about pain so severe it kept him up at night, chiropractic explanations that never made sense ("your back is out of place", but what does that even mean?), and the moment his neck moved freely again after years of being locked up. He also shares how getting out of pain didn't just change his physical health, it changed his sleep, his business, his family life, and gave him the confidence to start CrossFit in his late 20s. Dr. Dave breaks down the science behind why traditional thrust adjustments provide only temporary relief, what joint lubrication actually means, and why his diagnostic model using Fascial Counterstrain cut his average plan of care from 8 visits down to 5. In this episode you’ll hear: Tim's original back injury at 16 and years of misdiagnosis Why "your back is out of place" isn't a real explanation The difference between thrust adjustments and mobilization How joint lubrication works (and why pain gets worse at night) Tim's cranial bone flare-up and the diagnostic process behind it Why Dr. Dave believes in multiple treatment models, not just one The value of paying out-of-pocket vs. traditional insurance-based PT Advice for anyone dealing with chronic pain, wherever they live Timestamps: 00:00 Bending My Neck Instantly 00:45 Meet Local Business Owner Tim 01:53 The Backbreaking Truth About Pressure Washing 02:38 The Backflip That Broke Everything 03:33 Sixteen Years Old, First Chiropractor 05:29 Chasing Relief, Chiropractor After Chiropractor 06:31 The Foot Pressure Machine Theory 07:43 Why Physical Therapy Never Stuck 09:18 A Story He Never Told 10:32 Debunking Spinal Alignment Myths 12:56 The Real Diagnosis Revealed 14:54 Finally, Prolonged Pain Relief 16:54 What's Next After Healing? 20:16 Stop Blaming Your Mattress 23:54 From Faith To Feeling Results 26:40 How Touching His Head Fixed His Back 28:10 Is Paying Out Of Pocket Worth It? 30:00 Cutting Visits By Forty Percent 31:43 How Cranial Bones Caused Back Pain 33:47 Giving God The Credit 35:06 Advice For Chronic Pain Sufferers 36:43 How To Find A Counter Strain Practitioner 38:02 What Is Allopathic Medicine? 41:27 The Google Review That Went Viral 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

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  Episode #5

  Ep 5 | CLINICIAN’S CORNER: How I Got FIRED - Best career move ever!

  Jul 21, 202618 minS1

  "Getting fired was the best thing I ever did for my career." That's how Dr. Dave opens up about the moment his home health job pulled his salary out from under him, right before a pandemic that no one saw coming. In this episode of Good Outcomes' Clinician's Corner, Dr. Dave shares the real story behind starting Renew. You will find: How a 2019 Medicare policy shift (PDGM) quietly cut PT pay industry-wide Why his company slashed his salary by 40% with only a few months' warning The moment a friend's dislocated hip led him to try cash-pay physical therapy on the side Getting walked into his boss's office and fired one week before COVID shut down the country How a leap of faith and God’s timing turned a layoff into a thriving chronic pain practice This episode is a candid, funny, and honest look at losing a job in the midst of chaos, especially when it feels like all the odds are stacked against a good and successful outcome. 00:00 – Why I Got Fired 00:16 – Medicare Slashes Home Health Pay 02:22 – Record Profits, Then My Pay Cut 02:41 – Only Three Months Notice Given 03:20 – Zero PT Jobs In Pensacola 03:56 – Truth About Physical Therapist Salaries 05:35 – Too Scared To Start My Own Practice 06:07 – Friend Suggests Going Cash-Pay 07:28 – Asking Clients For Reviews 08:05 – Fired One Week Later 09:43 – Confessions Of A Squeaky Wheel 10:24 – Why I Clash With Bad Leaders 11:00 – Fired Right Before COVID Hit 11:50 – Best Career Move I Ever Made 12:29 – Telling My Wife I'm Jobless 13:20 – God Told Me To Quit 13:43 – Kicked Off The Edge To Swim 14:18 – My Wife's Surprising Reaction 15:05 – Fully Booked Within A Month 15:38 – Why I Chose Chronic Pain 16:35 – Looking Back At God's Plan 17:35 – 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

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  Episode #4

  Ep 4 | Hidden in Plain Sight: Following the Clues of Mold & Lyme with Integrative NP Jessica Ham

  Jul 7, 202653 minS1

  How do 20 seemingly unrelated symptoms sometimes trace back to one root cause? Dr. Dave sits down with Jessica Ham, FNP, of Regenesis Performance in Pensacola for a Clinician's Corner deep dive on two of the most commonly missed chronic illness triggers: mold toxicity and Lyme disease. Jessica walks through why these conditions share so many overlapping symptoms, how she tests and confirms each one and what treatment actually looks like. Jessica Ham is a Family Nurse Practitioner who completed a fellowship in anti-aging and regenerative medicine in 2017. She practices at Regenesis Performance, an integrative medicine practice in Pensacola, FL. You’ll hear: The core difference between allopathic ("what") and integrative ("why") medicine The genetic (HLA) susceptibility behind why some people get sick from mold and others don't Innate vs. adaptive immune system and why chronic inflammation gets missed Mold testing: VCS test (vcstest.com), Herxme dust test, urine mycotoxin panels, Shoemaker biomarkers Home inspection red flags for hidden mold (AC units, plumbing leaks, water stains) How binders work (and common options: charcoal, bentonite clay, cholestyramine, food-based binders) The Herxheimer reaction and how to manage detox symptoms Why Lyme disease is so hard to test for and treat (spirochete/cyst/biofilm forms, co-infections) A dramatic case study of a patient who got off opioids and benzodiazepines within six months of removing a hidden mold exposure. The Horowitz MSIDS questionnaire for tracking Lyme treatment progress The cell danger response and nervous system/limbic retraining (DNRS, Gupta Program, Primal Trust, EMDR) What "dormancy" means for chronic infections and realistic recovery expectations Advice for clinicians curious about integrative medicine and for patients seeking a diagnosis Want more info on a residency with Renew Integrative Physical Therapy? Click here for more information: https://renewintegrativept.com/join-our-team/ G U E S T: https://www.regenesisperformance.com/home https://www.facebook.com/RegenesisPerformance https://www.instagram.com/regenesisperformance/ 1:48 Her Path Into Integrative Medicine 4:25 Building The Symptom Timeline 5:15 Why Specialists Miss The Big Picture 6:25 The Mold Symptom Checklist 7:36 Mold's Perfect Storm 8:32 The Genetic Mold Susceptibility 9:40 Innate Vs. Adaptive Immunity 10:50 Testing For Mold Exposure 14:02 Diet And Toxin Clearance 15:22 Where You're Exposed Matters Most 15:42 Do Mold Types Matter 16:46 Turning Off Exposure First 16:53 Testing Your Home For Mold 20:24 Dr. Dave's Own Mold Story 21:33 How Binders Pull Out Mycotoxins 22:55 What Counts As A Binder 25:06 How Fast Do Patients Improve 25:37 Case Study: Ten Years Disabled 27:35 Off Opioids In Six Months 29:31 The Herxheimer Reaction Explained 30:36 Introducing Lyme Disease 31:09 Why Lyme Evades Treatment 31:49 How Lyme Is Actually Transmitted 32:59 The Co-Infection Problem 34:37 Migratory Pain: Lyme's Hallmark 35:28 More Lyme Symptoms To Watch 36:11 The Horowitz MSIDS Questionnaire 38:20 Antimicrobials And Biofilms 38:54 Why Some Patients Never Fully Recover 39:45 The Cell Danger Response 40:49 Retraining The Nervous System 41:18 What Is EMDR 42:14 Faith In The Healing Process 42:44 How Often She Sees Lyme Patients 44:14 What A Good Outcome Looks Like 46:47 Building Trust With Patients 48:20 Can You Ever Fully Clear Infection 49:35 Advice For Curious Clinicians 50:49 Advice For Patients Seeking Answers 51:05 Finding A Qualified Practitioner 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

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