What if ROI in physical therapy didn’t mean Return on Investment…
but Return on Impact?

Logan from Blue Rose Physical Therapy joins Jimmy McKay for a sharp, unfiltered conversation on running injuries, trust, leadership, and what high-value, low-cost care actually looks like in 2026.

If you treat runners — or you are one — this episode hits.

We talk:

Why PTs are uniquely positioned to save the healthcare system money
The coaching philosophy behind Blue Rose Running
The real reason runners believe “running hurt me”
What PT school barely teaches about psychology and behavior change
The #1 focus for new grads in their first few years
How to earn trust before you prescribe a single exercise
Ikigai and career fulfillment in physical therapy

⏱️ Chapters

00:00 – ROI: Return on Impact
16:26 – What High Value, Low Cost Care Really Means
17:21 – Can PTs Save the Healthcare System?
18:13 – Clinical Skills That Actually Matter
19:19 – Advice for New PTs in 2026
20:26 – Ikigai & Career Fulfillment
22:01 – Communicating with Runners
23:35 – Trust First. Treatment Second.
24:35 – Psychology & Behavior Change in PT
25:20 – Fear Avoidance & Patient Conditioning
26:00 – RUN IT or RETHINK IT
26:14 – Stretching Before Running
26:52 – The 300 Mile Shoe Rule
27:19 – Pain = Stop Running?
28:17 – Gait Analysis for Every Runner?
29:03 – Final Thoughts: Return on Impact
29:45 – How to Find Logan & Blue Rose

Plus: RUN IT or RETHINK IT
We rapid-fire hot takes on:

Stretching before running

The 300-mile shoe rule

“Pain means stop running”

Gait analysis for every runner

Logan’s final challenge:
Build impact that outlives your paycheck.

👇 Drop your hottest running take in the comments.