Private practice physical therapy owners and pelvic health PTs will recognize this problem immediately: our healthcare system rewards treatment after injury, not prevention. In this episode, PT and clinic owner Melanie Giannis explains how she built a cash-based pelvic health practice focused on helping people before problems start.
Melanie shares her path from PTA to PT to business owner, why prevention is still such a difficult sell in physical therapy, and how pelvic health should really be viewed as advanced orthopedics. If you're a PT thinking about starting a clinic, moving into pelvic health, or building a prevention-based practice model, this episode breaks down the mindset and decisions behind it.
For busy clinic owners, the message is simple: prevention isn't just good care — it's an opportunity to build a practice that aligns with how you want to live and work.
00:00 The Career Pivot
02:20 From PTA To PT
04:30 Prevention In Physical Therapy
06:05 Hiring The First Employee
08:00 Solving Business Fear
09:30 Pelvic Health Education
