From The Ground Up with Dr. Becky Allen

Anterior Pelvic Tilt Isn’t the Problem… Here’s What Actually Is

Thu, 23 Apr 2026 04:00:00 -0500

In this episode, Dr. Becky Allen argues that posture should be assessed as a signal of a patient’s movement, balance, and breathing strategies rather than treated as the problem. She critiques common assumptions about anterior and posterior pelvic tilt (including “Lower Crossed Syndrome”) and explains that the nervous system drives posture, with the rib cage influencing pelvic orientation and pelvic floor function. Two common patterns are described: “Big Booty Judy” (anterior tilt with flared, inhaled rib cage and short, descended pelvic floor) and “Pancake Butt Paul” (often an underlying anterior tilt with compensatory glute clenching, forward pelvic translation, pump-handle down rib position, and even more pelvic floor pressure). Treatment follows an order: establish nervous system safety, restore rib cage compression/expansion, address pelvis (including shifting center of mass back and internal rotation), then integrate rotation and load, with example drills like wall sit reach-and-breathe, quadruped push-and-breathe, side-lying rib compression, TRX squats with a block, and front-foot-elevated split squats. Dr. Becky reiterates “best posture is your next posture” and promotes an upcoming fall course via an email list.

(00:00) - Posture Is a Signal

(03:11) - Two Posture Types

(05:42) - Big Booty Judy Breakdown

(07:18) - Pancake Butt Paul Explained

(11:23) - What To Do With This

(14:05) - Order of Operations

(14:51) - Respect the Nervous System

(16:05) - Address the Rib Cage Compression/Expansion

(23:22) - Pelvis and Center of Mass

(27:12) - Integrate Rotation and Load

(28:45) - Key Takeaways and Wrap Up

Join my email list so you don't miss what I am building next! https://www.thepelvicpowerhouse.com/sign-me-up

Grab your free guides:

* From the Ground Up: The Foot + Pelvic Floor Connection: https://www.thepelvicpowerhouse.com/fromthegroundup

* From the Top Down: From the Ribcage to the Pelvic Floor: https://www.thepelvicpowerhouse.com/fromthetopdown

Clinicians, be sure to learn about Dr. Becky and Dr. Corrie’s Pelvic Powerhouse Clinical Mastermind: https://www.thepelvicpowerhouse.com/group-clinical-mastermind-2026-live

Follow Becky on Instagram: https://www.instagram.com/drbeckypelvicpt/

Follow Genesis PT and Wellness on Instagram: https://www.instagram.com/genesisptwellness

Subscribe to "From the Ground Up with Dr. Becky Allen”:

* Apple Podcasts: https://apple.co/47eQP84

* Spotify: https://open.spotify.com/show/4QMmH0LDL0CrCEvVpJaOzd

* YouTube: https://www.youtube.com/@FromTheGroundUp-u4n/

Pelvic health professionals, if you want to grow your practice, provide great patient care, and create the life and business you love, then visit The Pelvic Powerhouse: https://www.thepelvicpowerhouse.com/

"From the Ground Up with Dr. Becky Allen” is the podcast for pelvic health pros who are done playing small in the clinic or in business. Your host is Dr. Becky Allen, a physical therapist and the founder and visionary of Genesis PT & Wellness. As your coach, Becky will share with you what it really takes to lead a mission-driven, team-powered, game-changing pelvic health practice.

Why Your Team Isn’t Bought In (And What to Do About It)

Thu, 16 Apr 2026 04:00:00 -0500

Dr. Becky addresses founders and visionaries about the importance of a clear, massive, objective vision, arguing that generic visions create generic businesses. Using NASA’s goal of putting humans on Mars, she explains that clarity rallies aligned people, filters out those who aren’t, and guides daily “yes/no” decisions, reducing exhaustion and preventing the founder from becoming the bottleneck. She contrasts true vision with vague statements like “serve women” or “provide excellent pelvic healthcare,” which she calls direction rather than vision. She shares Genesis’s vision to “kill the Kegels” and change pelvic health, describing what “done” looks like (e.g., no Kegel handouts, no Emsella chair, pelvic health integrated in PT/OT education) and the need to document 10-year, 3-year, 1-year, and quarterly goals. She encourages founders to refine their vision, share the episode, and invites applicants for a pelvic floor PT/OT role at Genesis’s Fort Worth clinic.

(00:00) - Introduction

(00:51) - Why Vision Matters

(05:36) - Vision Filters People

(08:50) - Generic Vision Trap

(10:41) - Costs of Vague Vision

(14:06) - Big Vision Requires a Team & Plan

(21:27) - Go For Mars

(23:51) - Share and Final Challenge

Join email list so you don't miss what I am building next! https://www.thepelvicpowerhouse.com/sign-me-up

Grab your free guides:

* From the Ground Up: The Foot + Pelvic Floor Connection: https://www.thepelvicpowerhouse.com/fromthegroundup

* From the Top Down: From the Ribcage to the Pelvic Floor: https://www.thepelvicpowerhouse.com/fromthetopdown

Clinicians, be sure to learn about Dr. Becky and Dr. Corrie’s Pelvic Powerhouse Clinical Mastermind: https://www.thepelvicpowerhouse.com/group-clinical-mastermind-2026-live

Follow Becky on Instagram: https://www.instagram.com/drbeckypelvicpt/

Follow Genesis PT and Wellness on Instagram: https://www.instagram.com/genesisptwellness

Subscribe to "From the Ground Up with Dr. Becky Allen”:

* Apple Podcasts: https://apple.co/47eQP84

* Spotify: https://open.spotify.com/show/4QMmH0LDL0CrCEvVpJaOzd

* YouTube: https://www.youtube.com/@FromTheGroundUp-u4n/

My Biggest Launch Ever… Here’s Exactly What I Did

Thu, 09 Apr 2026 04:00:00 -0500

Dr. Becky Allen breaks down her biggest course launch to date for the “No Kegels” course, arguing most creators underestimate the time and content volume required to sell. She describes a three-month runway: months one and two focus entirely on waitlist promotion and nurturing, then a one-week waitlist launch; month three shifts to a two-week lead magnet (a live workshop teaching clinicians how to identify root causes of pelvic floor dysfunction) followed by a five-day discounted offer to attendees, then a final public promo week before doors close. From Jan–Mar 2026 she posted 2–3 times daily on Instagram, mentioned the course on every podcast episode, and sent 59 launch-related emails. Dr. Becky credits success to more content, better organization (80% pre-scheduled via ClickUp with her VA), and first-time Meta ads (ROAS ~12, over $1,000 spent), while noting ads should follow proven messaging. She says this was her last launch of the course because she’s building something new and urges listeners to join her email list for the announcement.

(00:00) - Welcome and Overview

(03:01) - No Kegels Launch

(06:49) - Launch Process Outline

(16:00) - What Made It Work

(21:37) - Big Takeaways and Burnout

Join email list so you don't miss what I am building next! https://www.thepelvicpowerhouse.com/sign-me-up

Grab your free guides:

* From the Ground Up: The Foot + Pelvic Floor Connection: https://www.thepelvicpowerhouse.com/fromthegroundup

* From the Top Down: From the Ribcage to the Pelvic Floor: https://www.thepelvicpowerhouse.com/fromthetopdown

Clinicians, be sure to learn about Dr. Becky and Dr. Corrie’s Pelvic Powerhouse Clinical Mastermind: https://www.thepelvicpowerhouse.com/group-clinical-mastermind-2026-live

Follow Becky on Instagram: https://www.instagram.com/drbeckypelvicpt/

Follow Genesis PT and Wellness on Instagram: https://www.instagram.com/genesisptwellness

Subscribe to "From the Ground Up with Dr. Becky Allen”:

* Apple Podcasts: https://apple.co/47eQP84

* Spotify: https://open.spotify.com/show/4QMmH0LDL0CrCEvVpJaOzd

* YouTube: https://www.youtube.com/@FromTheGroundUp-u4n/

Belly Breathing Is Keeping Your Pelvic Floor Patients Stuck… Here’s Why

Thu, 02 Apr 2026 04:00:00 -0500

Dr. Becky Allen argues that “belly breathing” is often mistakenly cued as diaphragmatic breathing and can reinforce pressure strategies that drive pelvic floor symptoms. While the diaphragm is used in all breathing, belly-dominant expansion directs pressure forward and down, reinforces external rotation and anterior orientation of the pelvis, compresses the posterior pelvis and rib cage, shortens the posterior pelvic floor, and over-lengthens the anterior pelvic floor and abdominals, contributing to leaking, prolapse, heaviness, persistent pain, and SI joint pain. Using a 30-week pregnant patient with severe SI pain as an example, Dr. Becky emphasizes restoring rib cage mobility and 360° expansion—especially posterior and lateral—to distribute pressure more evenly, improve diaphragm mechanics, and optimize pelvic floor length-tension. Clinically, she recommends tactile cueing with hands on the lateral rib cage and coaching patients to “allow” breath into that pressure without forcing or sucking in.

(00:00) - Belly Breathing Myth

(02:06) - Pregnancy SI Pain Case

(04:09) - Why Belly Breathing Hurts

(09:09) - Rib Cage 360 Breathing

(12:20) - Hands-On Cueing Tips

(16:18) - Key Takeaways

(17:50) - Wrap Up And Share

Clinicians, be sure to learn about Dr. Becky and Dr. Corrie’s Pelvic Powerhouse Clinical Mastermind: https://www.thepelvicpowerhouse.com/group-clinical-mastermind-2026-live

Grab your free guides:

* From the Ground Up: The Foot + Pelvic Floor Connection: https://www.thepelvicpowerhouse.com/fromthegroundup

* From the Top Down: From the Ribcage to the Pelvic Floor: https://www.thepelvicpowerhouse.com/fromthetopdown

Follow Becky on Instagram: https://www.instagram.com/drbeckypelvicpt/

Follow Genesis PT and Wellness on Instagram: https://www.instagram.com/genesisptwellness

Subscribe to "From the Ground Up with Dr. Becky Allen”:

* Apple Podcasts: https://apple.co/47eQP84

* Spotify: https://open.spotify.com/show/4QMmH0LDL0CrCEvVpJaOzd

* YouTube: https://www.youtube.com/@FromTheGroundUp-u4n/

Why Runners Leak (And Why It’s Usually NOT the Pelvic Floor)

Thu, 26 Mar 2026 04:00:00 -0500

In this episode, Dr. Becky Allen explains that leaking during running is rarely caused solely by a “weak pelvic floor,” and is more often a force and pressure management problem where the pelvic floor compensates for dysfunction elsewhere. It outlines 10 contributor categories: true pelvic floor root causes (e.g., birth injury/levator avulsion, prolapse, urethral sphincter issues, strictures, nerve damage); abdominal canister pressure management (diaphragm/abdominal/pelvic floor coordination and harmful bracing); rib cage mobility and thoracic motion; breathing patterns (shallow/apical breathing and short exhales); hip and pelvis mechanics affecting force absorption and pelvic floor length-tension; foot/ankle mechanics and footwear (cushioning, rigidity, narrow toe box, high drop); running form (overstriding, vertical oscillation, heel strike, cadence, rotation); training load errors and fatigue; nervous system stress and guarding; and bowel, bladder, and lifestyle factors such as urgency, irritants, constipation, sleep, hormones, and hypermobility. The key takeaway is to assess the whole system from foot to rib cage and keep asking “why” to find the root driver.

(00:00) - Why Runners Leak

(01:56) - Pelvic Floor Root Causes

(04:52) - Abdominal Pressure Control

(06:58) - Rib Cage Mobility

(09:14) - Breathing for Pressure

(10:41) - Hip Pelvis Mechanics

(13:07) - Foot Ankle Footwear

(17:26) - Running Form Fixes

(19:35) - Training Load Mistakes

(21:13) - Nervous System Effects

(21:59) - Bowel Bladder Lifestyle

(23:35) - Key Takeaways Wrap Up

Join my No Kegels Course before we start on 3/23! https://www.thepelvicpowerhouse.com/treating-the-pelvic-floor-without-kegels

Grab your free guides:

* From the Ground Up: The Foot + Pelvic Floor Connection: https://www.thepelvicpowerhouse.com/fromthegroundup

* From the Top Down: From the Ribcage to the Pelvic Floor: https://www.thepelvicpowerhouse.com/fromthetopdown

Clinicians, be sure to learn about Dr. Becky and Dr. Corrie’s Pelvic Powerhouse Clinical Mastermind: https://www.thepelvicpowerhouse.com/group-clinical-mastermind-2026-live

Follow Becky on Instagram: https://www.instagram.com/drbeckypelvicpt/

Follow Genesis PT and Wellness on Instagram: https://www.instagram.com/genesisptwellness

Subscribe to "From the Ground Up with Dr. Becky Allen”:

* Apple Podcasts: https://apple.co/47eQP84

* Spotify: https://open.spotify.com/show/4QMmH0LDL0CrCEvVpJaOzd

* YouTube: https://www.youtube.com/@FromTheGroundUp-u4n/

Why Pelvic Floor Clinic Owners Stay Invisible… and How to Fix It

Thu, 19 Mar 2026 04:00:00 -0500

In this episode of From the Ground Up, Dr. Becky Allen interviews Victoria Planells, who helps founder-led service businesses - especially clinics - turn LinkedIn into a predictable authority and referral engine without posting daily. They discuss why “clarity and consistency” beats volume, and how niching down increases conversion rates, strengthens brand awareness, protects marketing budget, enables deeper partnerships, and can justify higher rates for private-pay clinics, while still allowing clinics to serve broader patients through “land and expand.” Victoria explains LinkedIn’s role in building thought leadership and enterprise value through relationships with physicians, hospital programs, event organizers, and other referral partners, using targeted search and Sales Navigator lead lists plus consistent outreach. She outlines first steps: optimize the LinkedIn profile (headline, cover, about/experience), define content pillars, post 2–3 times weekly, and build strategic connections; she also offers a free LinkedIn authority audit.

(00:00) - Introduction

(01:35) - Clarity Beats Posting More

(04:22) - Why Niching Wins Patients

(12:21) - Land And Expand Strategy

(17:37) - Authority Through Opinions

(19:51) - LinkedIn For Thought Leadership

(26:19) - Referrals And Channel Roles

(33:13) - Simple LinkedIn System

(39:09) - Content Pillars and Cadence

(42:41) - Selling and Investor Networking

(44:33) - Wrap Up and Next Steps

Thanks to Victoria for coming on the show! Book your free LinkedIn audit with her here: https://calendly.com/victoria-ugli-ventures/30-minute-call-with-victoria-hajjar

Make sure to follow her on Instagram here: https://www.instagram.com/ugliventures/

And, connect with her on LinkedIn here: https://www.linkedin.com/in/victoria-planells/

Learn more about Victoria’s LinkedIn growth firm that helps founders turn visibility into qualified leads and sales conversations here: https://www.ugliventures.com/

Join my No Kegels Course before we start on 3/23! https://www.thepelvicpowerhouse.com/treating-the-pelvic-floor-without-kegels

Grab your free guides:

* From the Ground Up: The Foot + Pelvic Floor Connection: https://www.thepelvicpowerhouse.com/fromthegroundup

* From the Top Down: From the Ribcage to the Pelvic Floor: https://www.thepelvicpowerhouse.com/fromthetopdown

Clinicians, be sure to learn about Dr. Becky and Dr. Corrie’s Pelvic Powerhouse Clinical Mastermind: https://www.thepelvicpowerhouse.com/group-clinical-mastermind-2026-live

Follow Becky on Instagram: https://www.instagram.com/drbeckypelvicpt/

Follow Genesis PT and Wellness on Instagram: https://www.instagram.com/genesisptwellness

Subscribe to "From the Ground Up with Dr. Becky Allen”:

* Apple Podcasts: https://apple.co/47eQP84

* Spotify: https://open.spotify.com/show/4QMmH0LDL0CrCEvVpJaOzd

* YouTube: https://www.youtube.com/@FromTheGroundUp-u4n/

Can a High-Drop Running Shoe Be Causing Your Patient’s Leaking?

Thu, 12 Mar 2026 04:00:00 -0500

Dr. Becky Allen answers a DM question about whether higher drop shoes can contribute to urinary leaking, arguing that they can by altering gait biomechanics from the ground up. Shoe drop is defined as the heel-to-toe height difference inside the shoe, with high heels as an extreme high drop and flat flip-flops as zero drop. A higher drop places the foot in relative plantarflexion, limiting dorsiflexion and midfoot pronation, which reduces the normal internal-rotation cascade up the kinetic chain (subtalar motion, tibial and femoral internal rotation) and leaves the pelvis more externally rotated. With less pelvic internal rotation, the pelvic outlet stays smaller and the pelvic floor cannot lengthen and re-ascend automatically to manage pressure, potentially worsening leaking during walking or running. Clinically, Dr. Becky urges assessing footwear, midfoot mobility, dorsiflexion, and rotation mechanics, and suggests working runners from ~10 mm drop toward low/zero drop (e.g., 4 mm and under).

(00:00) - Introduction

(00:45) - Why Shoe Drop Affects Leaking

(02:10) - What Shoe Drop Means

(03:41) - Ground Up Kinetic Chain

(04:37) - Internal Rotation Cascade

(07:06) - How High Drop Blocks Motion

(08:50) - Clinical Assessment Checklist

(09:24) - Lower Drop Shoe Options

(11:01) - Don’t Ignore The Foot

(12:35) - Wrap Up And Share

Join my No Kegels Course before we start on 3/23! https://www.thepelvicpowerhouse.com/treating-the-pelvic-floor-without-kegels

Grab your free guides:

* From the Ground Up: The Foot + Pelvic Floor Connection: https://www.thepelvicpowerhouse.com/fromthegroundup

* From the Top Down: From the Ribcage to the Pelvic Floor: https://www.thepelvicpowerhouse.com/fromthetopdown

Clinicians, be sure to learn about Dr. Becky and Dr. Corrie’s Pelvic Powerhouse Clinical Mastermind: https://www.thepelvicpowerhouse.com/group-clinical-mastermind-2026-live

Follow Becky on Instagram: https://www.instagram.com/drbeckypelvicpt/

Follow Genesis PT and Wellness on Instagram: https://www.instagram.com/genesisptwellness

Subscribe to "From the Ground Up with Dr. Becky Allen”:

* Apple Podcasts: https://apple.co/47eQP84

* Spotify: https://open.spotify.com/show/4QMmH0LDL0CrCEvVpJaOzd

* YouTube: https://www.youtube.com/@FromTheGroundUp-u4n/

The Entrepreneur Identity Shift: Risk, Fear, and Staying in the Arena

Thu, 05 Mar 2026 04:00:00 -0500

In this episode of From the Ground Up, Dr. Becky Allen shares lessons from a walk-and-talk call with her little brother as he prepares to leave a stable job and start his own business. She outlines four takeaways for new and seasoned entrepreneurs: (1) fear is not a red light—fear signals risk and potential, and success can be proportional to the fear and risk involved; (2) most people don’t even start—quitting a job, investing savings, and betting on yourself already puts you ahead of most people; (3) you can’t fail if you stay in the game—failure is quitting because you believe it’s your only option, while staying in the arena means learning, pivoting, and trying again, referencing ideas from Simon Sinek’s The Infinite Game and Alex Hormozi’s focus on “staying in the game”; and (4) vision is necessary but clarity sells—her brother’s long-term vision is commercial land clearing, but she advises starting with one clear offer and message, focusing on an ideal customer and the outcome they want, using the “flashlight vs. laser” analogy. She closes by encouraging listeners to take the leap, share the episode with others, and reach out on Instagram for support.

(00:04) - Welcome and Setup

(01:49) - Four Takeaways Preview

(02:45) - Fear Is Not a Red Light

(05:29) - Most People Never Start

(09:09) - Stay in the Game

(16:24) - Vision Versus Clarity

(24:39) - Recap and Closing Remarks

Join the waitlist for the next cohort of Becky’s course: How to Treat the Pelvic Floor Without Kegels: https://www.thepelvicpowerhouse.com/treatingthepelvicfloor. In this course, you’ll learn how to identify the root cause of pelvic floor dysfunction and confidently treat your patients without relying on Kegels. Becky runs this course only twice a year, so be sure to join the waitlist!

Grab your free guides:

* From the Ground Up: The Foot + Pelvic Floor Connection: https://www.thepelvicpowerhouse.com/fromthegroundup

* From the Top Down: From the Ribcage to the Pelvic Floor: https://www.thepelvicpowerhouse.com/fromthetopdown

Clinicians, be sure to learn about Dr. Becky and Dr. Corrie’s Pelvic Powerhouse Clinical Mastermind: https://www.thepelvicpowerhouse.com/group-clinical-mastermind-2026-live

Follow Becky on Instagram: https://www.instagram.com/drbeckypelvicpt/

Follow Genesis PT and Wellness on Instagram: https://www.instagram.com/genesisptwellness

Subscribe to "From the Ground Up with Dr. Becky Allen”:

* Apple Podcasts: https://apple.co/47eQP84

* Spotify: https://open.spotify.com/show/4QMmH0LDL0CrCEvVpJaOzd

* YouTube: https://www.youtube.com/@FromTheGroundUp-u4n/

Stop Managing Pressure. Start Fixing It. A Better Way to Treat Pelvic Floor Dysfunction

Thu, 26 Feb 2026 04:00:00 -0500

Dr. Becky Allen argues that traditional pelvic floor courses teach “pressure management” the wrong way by focusing on pelvic floor squeezing, Kegels, and pelvic elevation (e.g., bridges) to manage symptoms rather than addressing why pressure symptoms occur. Using a tube-of-toothpaste analogy, she explains that tightening the “lid” (pelvic floor contractions) doesn’t fix excessive downward pressure and may fail if the force is high enough. She presents a framework based on the formula Pressure = Force/Area, emphasizing that to reduce pressure clinicians should decrease force and/or increase the area the force acts upon. She outlines three ways to decrease force: reduce the load (only when appropriate for healing timelines or injury), displace/distribute force by creating more space above the pelvis via rib cage and thorax expansion, and improve force transfer and absorption through the ground-up kinetic chain (midfoot pronation/supination control, ankle dorsiflexion, tibial/femoral internal rotation, and controlled internal rotation throughout). For increasing area, she describes that many patients have a shortened pelvic floor (often posteriorly) and need pelvic floor lengthening—especially under load—which requires pelvic and kinetic-chain internal rotation. She encourages shifting from symptom management to pressure manipulation for lasting resolution and promotes her course waitlist opening February 23rd, which teaches this full framework with modules (foot, ankle, pelvis biomechanics, rib cage/thorax), 70+ exercise videos, and manual therapy techniques.

(00:00) - Why Traditional Pelvic Floor “Pressure Management” Misses the Mark

(02:38) - The Toothpaste Tube Analogy: Stop Just “Screwing the Lid On Tighter”

(04:43) - The Real Framework: Pressure = Force ÷ Area (Treat the System, Not the Pelvic Floor)

(07:37) - How to Lower Pressure by Reducing Force: 3 Practical Levers

(13:45) - Force Lever #1: Decrease the Load (Only When Appropriate)

(15:23) - Force Lever #2: Create Ribcage/Thorax Expansion to Displace Pressure

(17:30) - Force Lever #3: Ground-Up Kinetic Chain—Absorb & Transfer Load Better

(19:45) - Increase the “Area”: Lengthen the Pelvic Floor Under Load (Pelvic IR)

(21:37) - Wrap-Up: Stop Managing Symptoms, Change the Equation + Share/Waitlist

Grab your free guides:

* From the Ground Up: The Foot + Pelvic Floor Connection: https://www.thepelvicpowerhouse.com/fromthegroundup

* From the Top Down: From the Ribcage to the Pelvic Floor: https://www.thepelvicpowerhouse.com/fromthetopdown

Clinicians, be sure to learn about Dr. Becky and Dr. Corrie’s Pelvic Powerhouse Clinical Mastermind: https://www.thepelvicpowerhouse.com/group-clinical-mastermind-2026-live

Follow Becky on Instagram: https://www.instagram.com/drbeckypelvicpt/

Follow Genesis PT and Wellness on Instagram: https://www.instagram.com/genesisptwellness

Subscribe to "From the Ground Up with Dr. Becky Allen”:

* Apple Podcasts: https://apple.co/47eQP84

* Spotify: https://open.spotify.com/show/4QMmH0LDL0CrCEvVpJaOzd

* YouTube: https://www.youtube.com/@FromTheGroundUp-u4n/

Pelvic Floor Tension vs Weakness: Why This Model Is Failing Your Patients

Thu, 19 Feb 2026 04:00:00 -0500

Dr. Becky challenges the common pelvic floor therapy model that sorts patients into “weak/lengthened” versus “tight/tense/shortened” buckets, arguing these are symptoms rather than meaningful diagnoses or root causes. She explains how this binary approach can keep patients stuck with partial improvements or lifelong symptom-management tools and notes that tightness and weakness can coexist. The episode critiques relying on Kegels—both in traditional strengthening plans and in the “kill the Kegels” movement—stating Kegels don’t train automatic, functional pelvic floor behavior during real-life tasks. Using examples like stress incontinence and dyspareunia, the host emphasizes asking why the pelvic floor is compensating and recommends “getting out of the pelvis” to assess broader drivers such as pressure management from the rib cage/abdomen, pelvis biomechanics, foot/ankle function and the kinetic chain, nervous system/limbic influences, gut issues, and habits, posture, loads, and training. Dr. Becky introduces the ROOT acronym: remember to find the Root cause; Observe the patient’s story, symptoms, goals, and functional movement; Optimize the identified system limitation to restore automatic pelvic floor function; and Transform by building capacity and resilience through functional movement and loading. She encourages clinicians to pick a patient and identify the system driver behind pelvic floor tension or weakness, and promotes the No Kegels course opening to the waitlist on February 23rd.

(00:00) - Why “Tight vs Weak” Pelvic Floors Keeps Patients Stuck

(02:35) - The Two-Bucket Model: Symptoms, Diagnoses, and Common Treatments

(07:27) - The “Kill the Kegels” Debate—And Why Kegels Miss the Point

(11:00) - Clinical Examples: Stress Incontinence & Pelvic Pain Beyond the Buckets

(16:15) - The Pelvic Floor as the “Victim”: Zooming Out to the Whole System

(21:07) - The ROOT Framework (R-O-O-T): Root cause, Observe, Optimize, Transform

(25:23) - How to Apply ROOT Tomorrow: Goal Task, Assess, Identify Drivers, Rebuild Capacity

(28:41) - Wrap-Up + Share This Episode & No Kegels Course Waitlist

Grab your free guides:

* From the Ground Up: The Foot + Pelvic Floor Connection: https://www.thepelvicpowerhouse.com/fromthegroundup

* From the Top Down: From the Ribcage to the Pelvic Floor: https://www.thepelvicpowerhouse.com/fromthetopdown

Clinicians, be sure to learn about Dr. Becky and Dr. Corrie’s Pelvic Powerhouse Clinical Mastermind: https://www.thepelvicpowerhouse.com/group-clinical-mastermind-2026-live

Follow Becky on Instagram: https://www.instagram.com/drbeckypelvicpt/

Follow Genesis PT and Wellness on Instagram: https://www.instagram.com/genesisptwellness

Subscribe to "From the Ground Up with Dr. Becky Allen”:

* Apple Podcasts: https://apple.co/47eQP84

* Spotify: https://open.spotify.com/show/4QMmH0LDL0CrCEvVpJaOzd

* YouTube: https://www.youtube.com/@FromTheGroundUp-u4n/

Stop Treating Pelvic Floor Symptoms... Treat the System

Thu, 12 Feb 2026 05:00:00 -0500

In this episode of From the Ground Up, host Becky welcomes Dr. Allison Heffron, a rehab-based chiropractor and acupuncturist with over 12 years of experience, to discuss her unique approach to patient care. Dr. Heffron shares her journey through personal and professional challenges, including a significant turning point in 2022 when she shattered her ankle during a roller derby. This injury shifted her perspective, making her both a clinician and a patient. The conversation dives deep into the importance of treating the body as a system rather than focusing on isolated symptoms, which has shaped Dr. Heffron’s approach to integrating biomechanics, performance, and mindset in rehabilitation. They discuss the importance of communication, empathy, and the mental hurdles faced by both patients and clinicians in their journeys towards recovery. Dr. Heffron also shares how her recent breakthroughs have inspired new directions in her practice, including the development of an online program aimed at helping people regain their strength and athleticism. This episode is a must-listen for anyone interested in the intersection of movement, performance, and holistic patient care.

(00:00) - Introduction and Guest Overview

(02:15) - Allison's Journey into Rehab-Based Care

(04:48) - The Impact of Personal Injury on Professional Perspective

(07:49) - Navigating Patient Communication and Mindset

(15:03) - The Importance of Soft Skills in Clinical Practice

(26:21) - Allison's Breakthrough and New Program

(29:42) - The Spoon Bending Ceremony

(32:11) - Breakdown to Breakthrough

(36:57) - Planning the Beta Launch

(38:25) - Mindset and Business Growth

(47:19) - Final Thoughts and Takeaways

Thanks to Dr. Allison for coming on the show! Make sure to follow her on Instagram: https://www.instagram.com/dr.allisonheffron

Want to learn directly from Dr. Allison? Join the waitlist for her Limitless Athleticism program here: https://limitlessathleticism.bfsrehab.com/interest-list-registration

Learn more about her online program for knee pain here: https://bfsrehab.com/resilient-knee-on-demand

If you’re in New Jersey, be sure to visit Dr. Allison at BFS Health & Performance

Grab your free guides:

* From the Ground Up: The Foot + Pelvic Floor Connection: https://www.thepelvicpowerhouse.com/fromthegroundup

* From the Top Down: From the Ribcage to the Pelvic Floor: https://www.thepelvicpowerhouse.com/fromthetopdown

Clinicians, be sure to learn about Dr. Becky and Dr. Corrie’s Pelvic Powerhouse Clinical Mastermind: https://www.thepelvicpowerhouse.com/group-clinical-mastermind-2026-live

Follow Becky on Instagram: https://www.instagram.com/drbeckypelvicpt/

Follow Genesis PT and Wellness on Instagram: https://www.instagram.com/genesisptwellness

Subscribe to "From the Ground Up with Dr. Becky Allen”:

* Apple Podcasts: https://apple.co/47eQP84

* Spotify: https://open.spotify.com/show/4QMmH0LDL0CrCEvVpJaOzd

* YouTube: https://www.youtube.com/@FromTheGroundUp-u4n/

The Three Pillars of Pelvic Floor Biomechanics

Thu, 05 Feb 2026 05:00:00 -0500

In this episode of 'From The Ground Up with Dr. Becky Allen,' we delve into the core principles of pelvic floor function from an orthopedic and biomechanical perspective. The focus is on three main pillars: pelvic internal rotation, rib cage expansion and compression, and midfoot loading. Each pillar plays a crucial role in achieving automatic and responsive pelvic floor function. The discussion covers how these elements are interconnected and impact overall pelvic health, providing insights into clinical practice. Becky also emphasizes the importance of a comprehensive approach to pelvic floor therapy and encourages listeners to sign up for the full course for an in-depth understanding.

(00:00) - Introduction to Pelvic Floor Function

(01:05) - The Three Main Functional Pillars

(02:00) - Pillar 1: Pelvis Internal Rotation

(10:08) - Pillar 2: Ribcage Compression and Expansion

(18:24) - Pillar 3: Midfoot Loading and Pronation

(22:37) - Conclusion and Course Information

Grab your free guides:

* From the Ground Up: The Foot + Pelvic Floor Connection: https://www.thepelvicpowerhouse.com/fromthegroundup

* From the Top Down: From the Ribcage to the Pelvic Floor: https://www.thepelvicpowerhouse.com/fromthetopdown

Clinicians, be sure to learn about Dr. Becky and Dr. Corrie’s Pelvic Powerhouse Clinical Mastermind: https://www.thepelvicpowerhouse.com/group-clinical-mastermind-2026-live

Follow Becky on Instagram: https://www.instagram.com/drbeckypelvicpt/

Follow Genesis PT and Wellness on Instagram: https://www.instagram.com/genesisptwellness

Subscribe to "From the Ground Up with Dr. Becky Allen”:

* Apple Podcasts: https://apple.co/47eQP84

* Spotify: https://open.spotify.com/show/4QMmH0LDL0CrCEvVpJaOzd

* YouTube: https://www.youtube.com/@FromTheGroundUp-u4n/

Moving Beyond 80% Function for Life-Changing Pelvic Health Results

Thu, 29 Jan 2026 03:00:00 -0500

Pelvic health leaders, how might defining success as discharge limit patient outcomes?

This episode challenges pelvic health professionals to rethink the belief that fast discharge equals great care. Becky argues that symptom resolution and independence are not the same as resilience, capacity, or long-term wellness. By shifting the metric from “how fast” to “how far,” clinicians can deliver truly life-changing pelvic health care.

What you’ll learn in this episode:

(01:51) How insurance-driven models shaped the 80 percent “prior level of function” mindset

(04:16) Why symptom resolution alone does not equal life-changing pelvic health care.

(07:34) How aging and hormonal changes require a long-term, resilient approach to treatment.

(10:37) Why holding patients longer can actually reflect higher clinical skill.

(13:40) How uncovering root causes can expand patient goals far beyond initial symptoms.

(18:00) Why clinicians must help patients envision what is truly possible.

(20:12) How redefining clinical excellence shifts outcomes from short-term fixes to lasting impact.

Clinicians, be sure to learn about Dr. Becky and Dr. Corrie’s Pelvic Powerhouse Clinical Mastermind: https://www.thepelvicpowerhouse.com/group-clinical-mastermind-2026-live

Grab your free guides:

* From the Ground Up: The Foot + Pelvic Floor Connection: https://www.thepelvicpowerhouse.com/fromthegroundup

* From the Top Down: From the Ribcage to the Pelvic Floor: https://www.thepelvicpowerhouse.com/fromthetopdown

Follow Becky on Instagram: https://www.instagram.com/drbeckypelvicpt/

Follow Genesis PT and Wellness on Instagram: https://www.instagram.com/genesisptwellness

Subscribe to "From the Ground Up with Dr. Becky Allen”:

* Apple Podcasts: https://apple.co/47eQP84

* Spotify: https://open.spotify.com/show/4QMmH0LDL0CrCEvVpJaOzd

* YouTube: https://www.youtube.com/@FromTheGroundUp-u4n/

This episode was produced by Story On Media: https://www.storyon.co/

Pelvic Health Clinicians: Stop Treating Only What You See

Thu, 22 Jan 2026 03:00:00 -0500

Pelvic health professionals, are you treating what you see or what truly matters to the patient?

In this episode, Dr. Becky Allen challenges pelvic health leaders to reconsider how clinical decisions are made when treatment is based solely on what can be observed. Through a personal case study, she demonstrates how patient history, symptoms, and goals fundamentally change clinical reasoning. The conversation reinforces that true effectiveness comes from understanding before intervening.

What you’ll learn in this episode:

(01:47) How visual assessment alone leads to incomplete clinical conclusions.

(04:51) Why patient history is essential before choosing any intervention.

(12:59) How past trauma can permanently influence movement strategies.

(15:42) Why patient goals must guide assessment and treatment planning.

(18:32) How to differentiate ground-up versus top-down contributors.

(21:40) How to identify the true lowest-hanging fruit in treatment.

(24:43) Why biomechanics mean little without patient context.

Clinicians, be sure to learn about Dr. Becky and Dr. Corrie’s Pelvic Powerhouse Clinical Mastermind: https://www.thepelvicpowerhouse.com/group-clinical-mastermind-2026-live

Grab your free guides:

* From the Ground Up: The Foot + Pelvic Floor Connection: https://www.thepelvicpowerhouse.com/fromthegroundup

* From the Top Down: From the Ribcage to the Pelvic Floor: https://www.thepelvicpowerhouse.com/fromthetopdown

Follow Becky on Instagram: https://www.instagram.com/drbeckypelvicpt/

Follow Genesis PT and Wellness on Instagram: https://www.instagram.com/genesisptwellness

Subscribe to "From the Ground Up with Dr. Becky Allen”:

* Apple Podcasts: https://apple.co/47eQP84

* Spotify: https://open.spotify.com/show/4QMmH0LDL0CrCEvVpJaOzd

* YouTube: https://www.youtube.com/@FromTheGroundUp-u4n/

This episode was produced by Story On Media: https://www.storyon.co/

Leading Pelvic Health Before You Feel Ready with Collette Pryer

Thu, 15 Jan 2026 03:00:00 -0500

If you’re considering becoming a pelvic health leader, how do you begin leading and helping patients before you feel fully “qualified”?

In this episode, Dr. Becky Allen and her guest Collette Pryer explore what it means to lead in pelvic health before feeling fully ready. Collette shares her journey from personal trainer to physiotherapy student, highlighting how curiosity, biomechanics, and purpose reshaped the way she helps women move and live with confidence.

Collette Pryer is a pelvic health coach and educator based in England, specializing in pre- and postnatal training, biomechanics, and whole-body movement strategies for women. As the founder of Strong AF Mums, she helps women return to training and sport through confidence-building and biomechanics-driven pelvic health education.

Thanks to Collette Pryer for coming on the show! Learn more about Collette via https://www.instagram.com/strongafmums/

Clinicians, be sure to learn about Dr. Becky and Dr. Corrie’s Pelvic Powerhouse Clinical Mastermind: https://www.thepelvicpowerhouse.com/group-clinical-mastermind-2026-live

Grab your free guides:

* From the Ground Up: The Foot + Pelvic Floor Connection: https://www.thepelvicpowerhouse.com/fromthegroundup

* From the Top Down: From the Ribcage to the Pelvic Floor: https://www.thepelvicpowerhouse.com/fromthetopdown

Follow Becky on Instagram: https://www.instagram.com/drbeckypelvicpt/

Follow Genesis PT and Wellness on Instagram: https://www.instagram.com/genesisptwellness

Subscribe to "From the Ground Up with Dr. Becky Allen”:

* Apple Podcasts: https://apple.co/47eQP84

* Spotify: https://open.spotify.com/show/4QMmH0LDL0CrCEvVpJaOzd

* YouTube: https://www.youtube.com/@FromTheGroundUp-u4n/

This episode was produced by Story On Media: https://www.storyon.co/

How to Run Workshops That Actually Convert

Thu, 08 Jan 2026 03:00:00 -0500

Pelvic health leaders, how can you use workshops to ethically lead patients into your core offer?

In this episode, Dr. Becky Allen shares her framework for running workshops that deliver meaningful value while also converting attendees into paying clients. She also challenges clinicians to stop viewing selling as unethical and instead see invitation as leadership.

Clinicians, be sure to learn about Dr. Becky and Dr. Corrie’s Pelvic Powerhouse Clinical Mastermind: https://www.thepelvicpowerhouse.com/group-clinical-mastermind-2026-live

Grab your free guides:

* From the Ground Up: The Foot + Pelvic Floor Connection: https://www.thepelvicpowerhouse.com/fromthegroundup

* From the Top Down: From the Ribcage to the Pelvic Floor: https://www.thepelvicpowerhouse.com/fromthetopdown

Follow Becky on Instagram: https://www.instagram.com/drbeckypelvicpt/

Follow Genesis PT and Wellness on Instagram: https://www.instagram.com/genesisptwellness

Subscribe to "From the Ground Up with Dr. Becky Allen”:

* Apple Podcasts: https://apple.co/47eQP84

* Spotify: https://open.spotify.com/show/4QMmH0LDL0CrCEvVpJaOzd

* YouTube: https://www.youtube.com/@FromTheGroundUp-u4n/

This episode was produced by Story On Media: https://www.storyon.co/

The Cost of Alignment in Pelvic Health Leadership with Dr. Corrie Maguire

Thu, 01 Jan 2026 03:00:00 -0500

As the owner of a pelvic health clinic, what does alignment actually cost you?

In this episode, Dr. Becky Allen is joined by Dr. Corrie Maguire for a candid leadership conversation on what alignment truly costs in business. Together, they reflect on the difficult decisions, growing pains, and emotional challenges that shaped Genesis PT and Wellness in 2025.

Dr. Corrie serves as the chief operating officer and co-owner of Genesis, specializing in operational strategy, financial systems, and leadership development within pelvic health practices.

Be sure to check out our VIP coaching program: https://www.thepelvicpowerhouse.com/vipapplication

We have a limited number of open seats in our VIP program, which will teach you how to build a team that wholeheartedly believes in your vision, and will equip you with the tools required to design and implement systems so you can trust your team to deliver and own your role as the leader of your company. Visit the above link, or DM Becky or Corrie on Instagram to learn more about available coaching spots.

Thanks to Dr. Corrie Maguire for being on our show!

Learn more about Dr. Corrie: https://www.genesisptwellness.com/about/corrie

Dr. Corrie on Instagram: https://www.instagram.com/drcorriethepelvicpt

Clinicians, be sure to learn about Dr. Becky and Dr. Corrie’s Pelvic Powerhouse Clinical Mastermind: https://www.thepelvicpowerhouse.com/group-clinical-mastermind-2026-live

Grab your free guides:

* From the Ground Up: The Foot + Pelvic Floor Connection: https://www.thepelvicpowerhouse.com/fromthegroundup

* From the Top Down: From the Ribcage to the Pelvic Floor: https://www.thepelvicpowerhouse.com/fromthetopdown

Follow Becky on Instagram: https://www.instagram.com/drbeckypelvicpt/

Follow Genesis PT and Wellness on Instagram: https://www.instagram.com/genesisptwellness

Subscribe to "From the Ground Up with Dr. Becky Allen”:

* Apple Podcasts: https://apple.co/47eQP84

* Spotify: https://open.spotify.com/show/4QMmH0LDL0CrCEvVpJaOzd

* YouTube: https://www.youtube.com/@FromTheGroundUp-u4n/

This episode was produced by Story On Media: https://www.storyon.co/

Why Purpose Must Lead Your Pelvic Health Business

Thu, 18 Dec 2025 03:00:00 -0500

Pelvic health leaders, are you building a clinic that reflects your purpose, or just building what the industry tells you is “success”?

In this episode, Becky shares a personal, behind-the-scenes look at what happens when your pelvic health business outgrows the purpose that once fueled it. She also walks you through some of her recent revelations related to redefining purpose, success, and aligned action.

What you’ll learn in this episode:

(00:10) Why lacking a deeply rooted purpose leads to burnout even when your business looks successful on the outside.

(03:44) How Becky realized one of her businesses was misaligned.

(07:07) Why your purpose must be stronger than your revenue goals.

(09:39) Why money-focused goals cannot sustain you.

(13:03) The trap of copying industry trends and scaling models that aren’t aligned with your mission.

(15:58) Why success is a feeling, not a metric.

(22:36) The concept of annual and quarterly “rocks” and how they create a focused, aligned action plan for your business.

(26:55) How to reverse-engineer your purpose.

Clinicians, be sure to learn about Dr. Becky and Dr. Corrie’s Pelvic Powerhouse Clinical Mastermind: https://www.thepelvicpowerhouse.com/group-clinical-mastermind-2026-live

Grab your free guides:

* From the Ground Up: The Foot + Pelvic Floor Connection: https://www.thepelvicpowerhouse.com/fromthegroundup

* From the Top Down: From the Ribcage to the Pelvic Floor: https://www.thepelvicpowerhouse.com/fromthetopdown

Follow Becky on Instagram: https://www.instagram.com/drbeckypelvicpt/

Follow Genesis PT and Wellness on Instagram: https://www.instagram.com/genesisptwellness

Subscribe to "From the Ground Up with Dr. Becky Allen”:

* Apple Podcasts: https://apple.co/47eQP84

* Spotify: https://open.spotify.com/show/4QMmH0LDL0CrCEvVpJaOzd

* YouTube: https://www.youtube.com/@FromTheGroundUp-u4n/

This episode was produced by Story On Media: https://www.storyon.co/

The 3 Pillars Every Evidence-Based Pelvic Health Clinic Needs

Thu, 11 Dec 2025 03:00:00 -0500

Pelvic health leaders, what does evidence-based practice really mean? Also, what does it mean for your team to be evidence-based practitioners?

In this episode, Becky reframes evidence-based practice by demonstrating why scientific research alone cannot guide effective pelvic health care. She illustrates how true evidence-based treatment requires equal reliance on research, clinical reasoning, and patient preferences, especially when navigating complex cases like prolapse and high-level lifting.

What you’ll learn in this episode:

(2:33) How the “evidence police” often misunderstand what evidence-based practice truly is when attacking clinicians online.

(4:00) How protocol-based approaches—like app-based Kegel prescriptions—limit patient progress.

(7:16) Why rigid adherence to protocols harms patient trust.

(10:20) The danger of putting all your weight into research without considering clinical judgment or patient desires.

(13:05) How to integrate research findings with patient goals.

(15:00) Why Becky redesigned her Clinical Mastermind to train clinicians in all three pillars of evidence-informed care.

(17:13) Specific methods Becky teaches for asking better questions and understanding patient motivations.

Clinicians, be sure to learn about Dr. Becky and Dr. Corrie’s Pelvic Powerhouse Clinical Mastermind: https://www.thepelvicpowerhouse.com/group-clinical-mastermind-2026-live

Grab your free guides:

* From the Ground Up: The Foot + Pelvic Floor Connection: https://www.thepelvicpowerhouse.com/fromthegroundup

* From the Top Down: From the Ribcage to the Pelvic Floor: https://www.thepelvicpowerhouse.com/fromthetopdown

Follow Becky on Instagram: https://www.instagram.com/drbeckypelvicpt/

Follow Genesis PT and Wellness on Instagram: https://www.instagram.com/genesisptwellness

Subscribe to "From the Ground Up with Dr. Becky Allen”:

* Apple Podcasts: https://apple.co/47eQP84

* Spotify: https://open.spotify.com/show/4QMmH0LDL0CrCEvVpJaOzd

* YouTube: https://www.youtube.com/@FromTheGroundUp-u4n/

This episode was produced by Story On Media: https://www.storyon.co/

Paige Genova’s Pelvicology Framework Every Pelvic Clinician Needs

Thu, 04 Dec 2025 03:00:00 -0500

Pelvic health leaders, are your clinicians unintentionally overwhelming patients with manual and orthopedic care before addressing their fear-based symptom loops?

In this conversation, Becky and her guest Paige Genova unpack why so many chronic pelvic pain cases plateau, and how neuroplasticity explains the missing link. Paige also introduces her six-step “pelvicology” framework, showing clinicians exactly how to apply neuro reprocessing therapy alongside manual work, orthopedic interventions, and emotional pattern recognition.

Paige Genova is an occupational therapist and founder of Vital Pelvic Health & Wellness in Ohio. She specializes in complex pelvic pain and created Pelvicology, a neuro-informed clinical framework for treating chronic symptoms at the root.

What you’ll learn in this episode:

(02:40) Why neuropsychology and sensory interpretation form the foundation of chronic pelvic pain.

(06:52) Why symptom improvement before an appointment often reveals neuroplastic mechanisms rather than structural change.

(09:10) Why traditional pain neuroscience education falls short.

(14:37) How to determine whether a patient is primarily neuroplastic, primarily musculoskeletal, or a blend.

(16:50) How manual therapy, exercises, and neuro reprocessing work together to create corrective experiences that retrain the brain.

(33:12) How guided imagery and emotional identification can help patients break long-standing symptom cycles.

Thanks to Paige Genova for coming on the show! Learn more about Paige and her six-step pelvicology framework: https://www.instagram.com/paige_thepelvic_ot/

Join the waitlist for Paige’s upcoming pelvicology course launching in 2026: https://vph.kit.com/pelvicology_waitlist

Download Paige’s free clinical guide and chart for identifying neuroplastic components in pelvic cases: https://vph.kit.com/pg

If you’re in Ohio, be sure to visit Paige at Vital Pelvic Health and Wellness: https://www.vitalpelvichealth.com/

Clinicians, be sure to learn about Dr. Becky and Dr. Corrie’s Pelvic Powerhouse Clinical Mastermind: https://www.thepelvicpowerhouse.com/group-clinical-mastermind-2026-live

Grab your free guides:

* From the Ground Up: The Foot + Pelvic Floor Connection: https://www.thepelvicpowerhouse.com/fromthegroundup

* From the Top Down: From the Ribcage to the Pelvic Floor: https://www.thepelvicpowerhouse.com/fromthetopdown

Follow Becky on Instagram: https://www.instagram.com/drbeckypelvicpt/

Follow Genesis PT and Wellness on Instagram: https://www.instagram.com/genesisptwellness

Subscribe to "From the Ground Up with Dr. Becky Allen”:

* Apple Podcasts: https://apple.co/47eQP84

* Spotify: https://open.spotify.com/show/4QMmH0LDL0CrCEvVpJaOzd

* YouTube: https://www.youtube.com/@FromTheGroundUp-u4n/

This episode was produced by Story On Media: https://www.storyon.co/

Clinical Leadership Begins With Informed Autonomy

Thu, 27 Nov 2025 03:00:00 -0500

Pelvic health clinicians, are you guiding and leading your patients, or are you a passive participant in their care?

In this episode, Becky challenges pelvic health OTs and PTs to step into true clinical leadership rather than waiting passively for patients to guide their own care. She explains how informed autonomy, trust-building, and confidently owning 51% of the provider-patient relationship radically improve outcomes and retention.

What you’ll learn in this episode:

(0:52) How leading your patients—rather than riding along passively—creates better clinical outcomes.

(2:27) Why autonomy only works when patients fully understand their options and the path forward.

(6:05) How to take the reins of the plan of care by confidently articulating the patient’s dream outcome and the journey required to reach it.

(11:14) How to provide true informed choice.

(13:11) Why trust is the foundation of every patient decision.

(15:23) How lessons from equine therapy illustrate the power of congruence and leadership in patient relationships.

(20:41) Why clinicians must own 51% of the relationship to guide patients through obstacles and toward their best outcomes.

Clinicians, be sure to learn about Dr. Becky and Dr. Corrie’s Pelvic Powerhouse Clinical Mastermind: https://www.thepelvicpowerhouse.com/group-clinical-mastermind-2026-live

Grab your free guides:

* From the Ground Up: The Foot + Pelvic Floor Connection: https://www.thepelvicpowerhouse.com/fromthegroundup

* From the Top Down: From the Ribcage to the Pelvic Floor: https://www.thepelvicpowerhouse.com/fromthetopdown

Follow Becky on Instagram: https://www.instagram.com/drbeckypelvicpt/

Follow Genesis PT and Wellness on Instagram: https://www.instagram.com/genesisptwellness

Subscribe to "From the Ground Up with Dr. Becky Allen”:

* Apple Podcasts: https://apple.co/47eQP84

* Spotify:https://open.spotify.com/show/4QMmH0LDL0CrCEvVpJaOzd

* YouTube: https://www.youtube.com/@FromTheGroundUp-u4n/

This episode was produced by Story On Media: https://www.storyon.co/

Leading with Values and Vision with Dr. Shaun Astorga

Thu, 20 Nov 2025 03:00:00 -0500

Pelvic health professionals, how do you build a clinic culture that truly reflects your values?

In today’s episode, Becky and her guest, Dr. Shaun Astorga, explore how personal experience shapes clinical purpose and leadership. Shaun shares how a devastating neck injury transformed his “why,” leading him to create a clinic and mentorship model rooted in values, clarity, and patient transformation. From team culture to scaling with integrity, this conversation challenges clinicians to lead from purpose—not pressure.

Dr. Shaun Astorga founded AMP Performance Rehab, a performance-focused clinic helping people overcome pain and rediscover movement.

What you’ll learn in this episode:

(01:52) How a life-changing injury led Shaun to redefine his purpose.

(05:10) Why creating a clinic for both patients and clinicians begins with alignment and core values.

(10:34) How Shaun built a deeply invested team culture rooted in ownership and shared mission.

(15:09) The difference between biomechanical skill and whole-person understanding in clinical care.

(19:38) How AMP Performance Rehab is systematizing mentorship.

(22:46) Why understanding the “why” behind systems helps teams stay engaged.

(26:33) Overcoming money mindset barriers and pricing your services based on transformation, not time.

(33:53) The key to scaling mentorship without losing authenticity or impact.

Thanks to Dr. Shaun Astorga for coming on the show!

Learn more about physical therapy with AMP Performance Rehab via https://www.ampperformancerehab.com/physicaltherapy

Follow Dr. Astorga on Instagram: https://www.instagram.com/dr.shaun.astorga/

Clinicians, be sure to learn about Dr. Becky and Dr. Corrie’s Pelvic Powerhouse Clinical Mastermind: https://www.thepelvicpowerhouse.com/group-clinical-mastermind-2026-live

Grab your free guides:

* From the Ground Up: The Foot + Pelvic Floor Connection: https://www.thepelvicpowerhouse.com/fromthegroundup

* From the Top Down: From the Ribcage to the Pelvic Floor: https://www.thepelvicpowerhouse.com/fromthetopdown

Follow Becky on Instagram: https://www.instagram.com/drbeckypelvicpt/

Follow Genesis PT and Wellness on Instagram: https://www.instagram.com/genesisptwellness

Subscribe to "From the Ground Up with Dr. Becky Allen”:

* Apple Podcasts: https://apple.co/47eQP84

* Spotify: https://open.spotify.com/show/4QMmH0LDL0CrCEvVpJaOzd

* YouTube: https://www.youtube.com/@FromTheGroundUp-u4n/

This episode was produced by Story On Media: https://www.storyon.co/

The Whole-Person OT Lens with Audra Harris

Thu, 13 Nov 2025 03:00:00 -0500

Pelvic health leaders, what can occupational therapists uniquely bring to the world of pelvic health?

In this episode, Dr. Becky Allen talks with Audra Harris about how OTs and PTs can work together to elevate pelvic health care. Audra shares her personal journey from burnout in the traditional system to building a practice rooted in empathy and holistic connection. Together, Becky and Audra unpack the power of listening, collaboration, and lifelong learning to truly change the game in pelvic health.

Audra Harris owns Autonomy Pelvic Health in Central Massachusetts, where she helps adults of all genders reconnect with their bodies and move without fear. A weightlifter, traveler, and educator, Audra blends biomechanics and holistic OT principles to deliver deeply human care.

What you’ll learn in this episode:

(02:27) How Audra’s journey led her to pelvic health and entrepreneurship.

(05:05) The story of how a frustrating clinical encounter fueled Audra’s passion to challenge outdated beliefs in pelvic health.

(10:54) Why the “PT vs. OT” debate misses the point.

(14:06) What the OT lens adds to pelvic health: sensory systems, mental wellness, and a truly holistic view of patients.

(17:39) How working with OTs transformed Becky’s own clinic and her understanding of pelvic care.

(23:46) Why Audra left the insurance model behind to create a more human-centered approach to patient care.

(28:14) The five-year vision for Autonomy Pelvic Health and what growth looks like for her team.

(30:08) What “changing the game” means to Audra—and how curiosity and collaboration can transform the profession.

Thank you to Audra Harris of Autonomy Pelvic Health for being on the show!

Autonomy Pelvic Health’s website: https://www.autonomypelvichealth.com/

Follow Audra and Autonomy Pelvic Health on Instagram (https://www.instagram.com/autonomypelvichealth/) and Facebook (https://www.facebook.com/autonomypelvichealth/).

Grab your free guides:

* From the Ground Up: The Foot + Pelvic Floor Connection: https://www.thepelvicpowerhouse.com/fromthegroundup

* From the Top Down: From the Ribcage to the Pelvic Floor: https://www.thepelvicpowerhouse.com/fromthetopdown

Follow Becky on Instagram: https://www.instagram.com/drbeckypelvicpt/

Follow Genesis PT and Wellness on Instagram: https://www.instagram.com/genesisptwellness

Subscribe to "From the Ground Up with Dr. Becky Allen”:

* Apple Podcasts: https://apple.co/47eQP84

* Spotify: https://open.spotify.com/show/4QMmH0LDL0CrCEvVpJaOzd

* YouTube: https://www.youtube.com/@FromTheGroundUp-u4n/

This episode was produced by Story On Media: https://www.storyon.co/

Getting In The Room Is The Strategy

Thu, 06 Nov 2025 03:00:00 -0500

Pelvic health leaders, what rooms are you avoiding because you don’t feel ready yet? Also, how would your leadership change if you surrounded yourself with women who expect you to win?

In this episode, Becky shares how getting in the room before you feel ready has been the single most transformative strategy in her business and leadership growth. She reflects on experiences in CEO School and the Millionaire Founders Club, describing how these environments have shaped her identity, mindset, and decisions.

What you’ll learn in this episode:

(0:40) Why “getting in the room” is the actual business strategy, beyond tactics, notes, or conference speakers.

(3:02) How being surrounded by women actively living their dreams fuels clarity, belief, and forward momentum.

(6:07) Why applying for a room you don’t feel qualified for is sometimes the move that changes your identity.

(9:54) How saying “yes” to a coach or mastermind before you feel ready can create business growth.

(14:50) A reframing of stress as an internal narrative.

(20:31) What it means that “hype is currency” and why real hype requires meaningful investment.

(24:35) How building a circle of women becomes a strategic advantage for leadership, resilience, and growth.

(27:12) The importance of being able to give as much as you receive within the rooms you step into.

Grab your free guides:

* From the Ground Up: The Foot + Pelvic Floor Connection: https://www.thepelvicpowerhouse.com/fromthegroundup

* From the Top Down: From the Ribcage to the Pelvic Floor: https://www.thepelvicpowerhouse.com/fromthetopdown

Follow Becky on Instagram: https://www.instagram.com/drbeckypelvicpt/

Follow Genesis PT and Wellness on Instagram: https://www.instagram.com/genesisptwellness

Subscribe to "From the Ground Up with Dr. Becky Allen”:

* Apple Podcasts: https://apple.co/47eQP84

* Spotify: https://open.spotify.com/show/4QMmH0LDL0CrCEvVpJaOzd

* YouTube: https://www.youtube.com/@FromTheGroundUp-u4n/

This episode was produced by Story On Media: https://www.storyon.co/

Pelvic Floor Clinicians, Know Where to Start with Your Patients

Thu, 30 Oct 2025 03:00:00 -0500

As a pelvic health professional seeing a new pelvic floor patient, how can you confidently decide where to start?

In this episode, Dr. Becky Allen shares her five-step framework for confidently deciding where to start with pelvic floor patients. She explains how to move beyond tension-versus-weakness and diagnosis-based models by focusing on root causes, asking better questions, and aligning care with each patient’s dream outcome. This approach helps clinicians create clarity, boost patient buy-in, and build long-term trust that leads to better outcomes.

What you’ll learn in this episode:

(0:20) Why treating based on diagnosis or tension-versus-weakness is limiting and how to think beyond those frameworks.

(2:19) How to identify the biggest constraint or driver of dysfunction before choosing interventions.

(3:49) Why asking better, open-ended questions helps you think like a detective and uncover root causes.

(5:45) The importance of clarifying your patient’s dream outcome.

(8:01) A real case example showing how aligning with a patient’s goals builds trust.

(10:27) How to form a working hypothesis that drives your objective assessments.

(15:13) Why tying every treatment back to the patient’s dream outcome strengthens buy-in.

Grab your free guides:

* From the Ground Up: The Foot + Pelvic Floor Connection: https://www.thepelvicpowerhouse.com/fromthegroundup

* From the Top Down: From the Ribcage to the Pelvic Floor: https://www.thepelvicpowerhouse.com/fromthetopdown

Follow Becky on Instagram: https://www.instagram.com/drbeckypelvicpt/

Follow Genesis PT and Wellness on Instagram: https://www.instagram.com/genesisptwellness

Subscribe to "From the Ground Up with Dr. Becky Allen”:

* Apple Podcasts: https://apple.co/47eQP84

* Spotify: https://open.spotify.com/show/4QMmH0LDL0CrCEvVpJaOzd

* YouTube: https://www.youtube.com/@FromTheGroundUp-u4n/

This episode was produced by Story On Media: https://www.storyon.co/

Aligning Your Why, How, and What for True Success

Thu, 23 Oct 2025 03:00:00 -0500

Pelvic health leaders, are you building your practice around what you do or why you do it?

In this episode, Dr. Becky Allen explores the difference between the “why,” “how,” and “what” of leadership—and why everything starts with knowing your purpose. Through her own story of career transitions, motherhood, and the creation of Genesis PT and Wellness, she illustrates how clarity of purpose fuels resilience, alignment, and growth.

What you’ll learn in this episode:

(00:55) Discover why starting with your “why” is the foundation for leadership and success.

(02:40) Learn how clarity of purpose helps you stay in the game.

(04:35) How Becky approaches leadership talks that inspire future clinicians to think differently.

(06:45) How Becky’s early misconceptions about pelvic health shaped her journey to finding purpose.

(10:19) How motherhood helped Becky define her first true “why.”

(14:21) Learn how intrinsic and extrinsic purpose can coexist and strengthen your mission.

(19:20) Discover how Genesis PT’s action-oriented values demonstrate the “how” behind its purpose.

Grab your free guides:

* From the Ground Up: The Foot + Pelvic Floor Connection: https://www.thepelvicpowerhouse.com/fromthegroundup

* From the Top Down: From the Ribcage to the Pelvic Floor: https://www.thepelvicpowerhouse.com/fromthetopdown

Join the waitlist for the next cohort of Becky’s course: How to Treat the Pelvic Floor Without Kegels:

https://www.thepelvicpowerhouse.com/treatingthepelvicfloor. In this course, you’ll learn how to identify the root cause of pelvic floor dysfunction and confidently treat your patients without relying on

Kegels. Becky runs this course only twice a year, so be sure to join the waitlist!

Follow Becky on Instagram: https://www.instagram.com/drbeckypelvicpt/

Follow Genesis PT and Wellness on Instagram: https://www.instagram.com/genesisptwellness

Subscribe to "From the Ground Up with Dr. Becky Allen”:

* Apple Podcasts: https://apple.co/47eQP84

* Spotify: https://open.spotify.com/show/4QMmH0LDL0CrCEvVpJaOzd

* YouTube: https://www.youtube.com/@FromTheGroundUp-u4n/

This episode was produced by Story On Media: https://www.storyon.co/

The Power of Partnership in Growing a Pelvic Health Practice

Thu, 16 Oct 2025 05:00:00 -0500

Pelvic health professionals, what makes a business partnership thrive instead of fracture?

In this episode, Dr. Becky Allen has a candid conversation with her business partner and COO, Dr. Corrie Maguire, about partnership, leadership, and growth. Together, they share the story of how Genesis PT evolved from a one-woman practice into a thriving clinic built on trust, complementary strengths, and a shared vision.

What you’ll learn in this episode:

(02:51) How Dr. Corrie’s journey from staff PT to COO shaped her leadership approach.

(04:30) Why investing in leadership coaching early on transformed the Genesis culture.

(06:24) The pivotal moment when Dr. Corrie chose commitment and vision over convenience.

(10:03) How trust and alignment between partners develop over time.

(11:22) What the “Integrator” role really means inside a growing practice—and how it complements the “Visionary” in bringing big ideas to life.

(17:53) How to keep your team “rowing in the same direction” by leading with curiosity, solving problems at the root, and modeling growth.

(20:16) Practical strategies for balancing big vision with clinician well-being.

(22:49) What every clinician should know before becoming a partner.

Thanks to Dr. Corrie Maguire for being on our show!

Learn more about Dr. Corrie: https://www.genesisptwellness.com/about/corrie

Dr. Corrie on Instagram: https://www.instagram.com/drcorriethepelvicpt

Grab your free guide: "From the Top Down: From the Ribcage to the Pelvic Floor": https://www.thepelvicpowerhouse.com/fromthetopdown

Join the waitlist for Becky’s upcoming coaching course: “How to Treat the Pelvic Floor Without Kegels”: https://www.thepelvicpowerhouse.com/treatingthepelvicfloor. In this course, you’ll learn how to identify the root cause of pelvic floor dysfunction and confidently treat your patients without relying on Kegels. Becky runs this course only twice a year, so be sure to join the waitlist!

Follow Becky on Instagram: https://www.instagram.com/drbeckypelvicpt/

Follow Genesis PT and Wellness on Instagram: https://www.instagram.com/genesisptwellness

Subscribe to "From the Ground Up with Dr. Becky Allen”:

* Apple Podcasts: https://apple.co/47eQP84

* Spotify: https://open.spotify.com/show/4QMmH0LDL0CrCEvVpJaOzd

* YouTube: https://www.youtube.com/@FromTheGroundUp-u4n/

This episode was produced by Story On Media: https://www.storyon.co/

Stay in the Game, You Cannot Fail

Thu, 09 Oct 2025 03:00:00 -0500

Pelvic health professionals, how might the fear of failure prevent you from taking the next step in your business? But what if you fully believed that if you stayed in the game, you wouldn't fail?

In this episode, Becky Allen shares why you, as a pelvic health professional, can’t fail if you simply choose to stay in the game. Through her own experiences—from investing in retreats, to hiring her first coach, to bringing on a business partner—Becky highlights how action, even when imperfect or scary, leads to growth. This episode will leave you inspired to bet on yourself, pivot when needed, and keep showing up to unlock new levels of success.

What you’ll learn in this episode:

(0:00) Why the only true failure in business is quitting and not taking action.

(2:01) How fear of failure can paralyze clinicians.

(3:52) Why applying for opportunities, even when you feel unqualified, can be game-changing.

(6:05) How investing in retreats or education can unlock confidence and clarity.

(11:28) Why saying yes to a business coach accelerated Becky’s growth and impact.

(14:22) How building her first course transformed her business and reached more providers.

(18:12) Why bringing on a business partner required trust, risk, and vision alignment.

(26:00) How choosing action over fear every day ensures you keep moving forward.

Grab your free guide: "From the Top Down: from the ribcage to the pelvic floor": https://www.thepelvicpowerhouse.com/fromthetopdown

Follow Becky on Instagram: https://www.instagram.com/drbeckypelvicpt/

Follow Genesis PT and Wellness on Instagram: https://www.instagram.com/genesisptwellness

Subscribe to "From the Ground Up with Dr. Becky Allen”:

* Apple Podcasts: https://apple.co/47eQP84

* Spotify: https://open.spotify.com/show/4QMmH0LDL0CrCEvVpJaOzd

* YouTube: https://www.youtube.com/@FromTheGroundUp-u4n/

"From the Ground Up with Dr. Becky Allen” is the podcast for pelvic health pros who are done playing small in the clinic or in business. Your host is Dr. Becky Allen, a Physical Therapist and the Founder and Visionary of Genesis PT & Wellness. As your coach, Becky will share with you what it really takes to lead a mission-driven, team-powered, game-changing pelvic health practice.

This episode was produced by Story On Media: https://www.storyon.co/

Let’s Change the Game of Pelvic Floor Therapy

Thu, 02 Oct 2025 03:00:00 -0500

Pelvic health professionals, what does it truly mean to change the game of pelvic floor therapy both for your patients and your business?

In this episode, Dr. Becky Allen unpacks what she truly means when she says, “Let’s change the game” (which she often mentions on social media and in every episode!). She challenges clinicians and leaders in pelvic health to think differently about clinical practice, business operations, and team culture. By focusing on root causes, building strong systems, and prioritizing people without losing profitability, Becky lays out a vision for a better, more sustainable future in pelvic health.

What you’ll learn in this episode:

(00:45) Why “changing the game” goes beyond stopping Kegels and includes clinical, cultural, and operational transformation.

(04:30) How the traditional weak vs. tight pelvic floor model limits patient care and outcomes.

(06:28) Why identifying root causes is the foundation for sustainable treatment plans.

(08:05) How to shift from symptom resolution toward building long-term patient resilience.

(14:10) How aligned systems and processes unlock vision and growth potential.

(15:30) Why culture is a lived set of behaviors—not just values on paper.

(19:16) How leaders can step up to create workplaces where people feel valued, fulfilled, and committed.

Grab your free guide: "From the Top Down: from the ribcage to the pelvic floor": https://www.thepelvicpowerhouse.com/fromthetopdown

Follow Becky on Instagram: https://www.instagram.com/drbeckypelvicpt/

Follow Genesis PT and Wellness on Instagram: https://www.instagram.com/genesisptwellness

Subscribe to "From the Ground Up with Dr. Becky Allen”:

* Apple Podcasts: https://apple.co/47eQP84

* Spotify: https://open.spotify.com/show/4QMmH0LDL0CrCEvVpJaOzd

* YouTube: https://www.youtube.com/@FromTheGroundUp-u4n/

This episode was produced by Story On Media: https://www.storyon.co/

Why Saying No Can Actually Move Your Business Forward

Thu, 25 Sep 2025 03:00:00 -0500

Pelvic health professionals, the truth is, you can’t say “yes” to everything. So, how might saying “no” more often help you move the needle in your business?

In this episode, Becky shares how learning to say no has reshaped her leadership, her team’s focus, and her business outcomes at Genesis PT and Wellness. Through stories about turning down high-profile opportunities to making tough internal decisions, she highlights the importance of clarity, boundaries, and laser focus.

What you’ll learn in this episode:

(0:40) Why saying yes to everything actually leads to achieving nothing.

(3:25) How Alex Hormozi’s “make great sandwiches” analogy applies to pelvic health clinics.

(7:34) The critical reflection question that helps you identify your true priority.

(10:43) Why Becky turned down a high-profile opportunity to protect her focus.

(15:12) How Genesis decided not to build out its pediatric services this quarter.

(20:46) Why Genesis chose to exit Colorado and what it means for the bigger vision.

(25:37) How focusing on systems and processes became the one thing that moved the needle.

(28:55) The challenge to clinicians: identify your one thing for the next six months.

Grab your free guide: "From the Top Down: from the ribcage to the pelvic floor": https://www.thepelvicpowerhouse.com/fromthetopdown

Follow Becky on Instagram: https://www.instagram.com/drbeckypelvicpt/

Follow Genesis PT and Wellness on Instagram: https://www.instagram.com/genesisptwellness

Subscribe to "From the Ground Up with Dr. Becky Allen”:

* Apple Podcasts: https://apple.co/47eQP84

* Spotify: https://open.spotify.com/show/4QMmH0LDL0CrCEvVpJaOzd

* YouTube: https://www.youtube.com/@FromTheGroundUp-u4n/

This episode was produced by Story On Media: https://www.storyon.co/

Internal Pelvic Floor Work: Helpful Tool or Overhyped Standard?

Thu, 18 Sep 2025 03:00:00 -0500

Is it possible to be a great pelvic rehab provider without doing internal manual assessment and therapy?

In this episode, Becky challenges the idea that internal pelvic floor work is the “holy grail” of pelvic rehab. She explains why internal assessments and manual therapy can be helpful tools but are not necessary for successful patient outcomes. By focusing on root causes, patient beliefs, and proven frameworks, Becky shows how pelvic health professionals can deliver transformative results both in person and virtually.

What you’ll learn in this episode:

(0:00) Why internal pelvic floor work sparks debate among clinicians.

(2:36) How internal exams are helpful but not essential for success.

(5:30) Why provider skill and curiosity matter more than specialized techniques.

(9:42) The role of manual therapy in short-term versus long-term outcomes.

(15:00) How internal assessments can confirm clinical hypotheses and build patient trust.

(19:37) Why patient education about manual therapy prevents reliance and fosters empowerment.

(24:26) How to effectively help patients virtually without internal treatments.

(26:38) Real-world examples of virtual patients improving after failed in-person care.

Hey pelvic floor therapists and coaches! Sign up for Dr. Becky’s free virtual workshop, “From the Ground Up: Understanding the Foot & Pelvic Floor Connection”: https://www.thepelvicpowerhouse.com/foot-and-pelvic-floor-workshop

Follow Becky on Instagram: https://www.instagram.com/drbeckypelvicpt/

Follow Genesis PT and Wellness on Instagram: https://www.instagram.com/genesisptwellness

Subscribe to "From the Ground Up with Dr. Becky Allen”:

* Apple Podcasts: https://apple.co/47eQP84

* Spotify: https://open.spotify.com/show/4QMmH0LDL0CrCEvVpJaOzd

* YouTube: https://www.youtube.com/@FromTheGroundUp-u4n/

This episode was produced by Story On Media: https://www.storyon.co/

How to Uncover Patient Beliefs That Hold Them Back

Thu, 11 Sep 2025 05:00:00 -0500

As a pelvic health professional, what questions could you ask to uncover the hidden stories your patients tell themselves about topics such as chronic pain and their pelvic floor?

In this episode, Dr. Becky explores how patient beliefs and the stories they carry about their bodies shape clinical outcomes in pelvic health. Through personal experience and patient examples, she shows how curiosity and neutrality can replace fear-driven narratives, breaking the cycle of chronic pain and dysfunction. Dr. Becky also provides clinicians with practical strategies for asking the right questions, reframing patient beliefs, and creating lasting change in recovery and resilience.

What you’ll learn in this episode:

(0:05) Why the language patients use about their symptoms directly impacts their recovery.

(3:40) How Becky’s own “bad back” story shaped her pain experience for years.

(9:54) The difference reframing beliefs made in Becky’s latest “bad back” flare-up.

(11:20) How patient-provider language can create long-lasting limiting beliefs in patients.

(15:24) How asking the right questions helps uncover hidden patient fears and beliefs.

(18:05) Examples of reframing negative beliefs into curiosity-driven perspectives.

(21:50) Why clinicians must treat the whole person beyond biomechanics and manual therapy.

Follow Becky on Instagram: https://www.instagram.com/drbeckypelvicpt/

Follow Genesis PT and Wellness on Instagram: https://www.instagram.com/genesisptwellness

Subscribe to "From the Ground Up with Dr. Becky Allen”:

* Apple Podcasts: https://apple.co/47eQP84

* Spotify: https://open.spotify.com/show/4QMmH0LDL0CrCEvVpJaOzd

* YouTube: https://www.youtube.com/@FromTheGroundUp-u4n/

This episode was produced by Story On Media: https://www.storyon.co/

Why Every Pelvic Health Clinic Needs a Method

Thu, 04 Sep 2025 03:00:00 -0500

Pelvic health professionals, how does having a clear method improve the overall patient experience in your clinic?

In this episode, Becky unpacks why every pelvic health practice needs a clear, simple method that communicates the patient journey. She explains how moving from “ick” about rigid, cookie-cutter methods to defining the Genesis Method transformed her clinic’s buy-in, retention, and outcomes. Becky also shares practical insights on designing a method that empowers patients, strengthens team language, and ensures continuity of care.

What you’ll learn in this episode:

(0:13) Why having a treatment method is vital for your clinic.

(2:23) How Becky realized she was already using a method without naming it.

(3:20) Why defining a method creates continuity across a clinical team.

(5:33) What a method should not be in pelvic health.

(9:29) How a method gives patients clarity about their journey.

(12:06) The difference between your clinic’s why, how, and what.

(13:57) An inside look at Becky’s three-phase Genesis Method: Root Cause, Restore, Resilience.

(25:03) How a method unifies brand language, builds trust, and boosts retention.

Grab your free guide: "From the Top Down: from the ribcage to the pelvic floor": https://www.thepelvicpowerhouse.com/fromthetopdown

Join the waitlist for Becky’s upcoming No Kegels course: https://www.thepelvicpowerhouse.com/treatingthepelvicfloor

The full name of Becky’s group coaching cohort is: How to Treat the Pelvic Floor Without Kegels Course. In this course you’ll learn how to identify the root cause of pelvic floor dysfunction and confidently treat your patients without relying on Kegels. Becky runs this course only twice a year, so be sure to join the waitlist!

Follow Becky on Instagram: https://www.instagram.com/drbeckypelvicpt/

Follow Genesis PT and Wellness on Instagram: https://www.instagram.com/genesisptwellness

Subscribe to "From the Ground Up with Dr. Becky Allen”:

* Apple Podcasts: https://apple.co/47eQP84

* Spotify: https://open.spotify.com/show/4QMmH0LDL0CrCEvVpJaOzd

* YouTube: https://www.youtube.com/@FromTheGroundUp-u4n/

This episode was produced by Story On Media: https://www.storyon.co/

Understanding the Biomechanics of the Pelvis

Thu, 28 Aug 2025 03:00:00 -0500

Pelvic health professionals, how can restoring full pelvic biomechanics prevent recurrent pelvic floor dysfunction in your patients?

This episode is a deep dive into the biomechanics of the pelvis and how it relates to pelvic floor muscle function. Becky explains how the pelvic floor muscles need an optimal length-tension relationship to function automatically. She also introduces and defines key concepts like ilium internal rotation, sacral nutation, and pelvic pronation, arguing that training these movements is crucial for restoring pelvic floor function.

What you’ll learn in this episode:

(0:59) Why the pelvic floor requires an optimal length-tension relationship to function automatically.

(1:32) How ilium internal rotation creates the foundation for pelvic floor support.

(4:42) What sacral nutation and counter-nutation mean, and how to remember them.

(11:19) The difference between ilium rotation and pelvic orientation, and why patients need both.

(19:52) How pelvic pronation functions and why it is a “secret weapon” in treatment.

(23:35) Why traditional hip exercises can train away essential pelvic motion.

(27:24) How eccentric control of pelvic pronation restores pelvic floor lengthening and support.

(30:21) Why clinicians must also address rib cage and foot mechanics for long-term patient results.

Join the waitlist for Becky’s upcoming No Kegels course: https://www.thepelvicpowerhouse.com/treatingthepelvicfloor

Grab your free guide: "From the Top Down: from the ribcage to the pelvic floor": https://www.thepelvicpowerhouse.com/fromthetopdown

Follow Becky on Instagram: https://www.instagram.com/drbeckypelvicpt/

Follow Genesis PT and Wellness on Instagram: https://www.instagram.com/genesisptwellness

Subscribe to "From the Ground Up with Dr. Becky Allen”:

* Apple Podcasts: https://apple.co/47eQP84

* Spotify: https://open.spotify.com/show/4QMmH0LDL0CrCEvVpJaOzd

* YouTube: https://www.youtube.com/@FromTheGroundUp-u4n/

This episode was produced by Story On Media: https://www.storyon.co/

Why the Rib Cage Matters for Pelvic Floor Dysfunction

Thu, 21 Aug 2025 03:00:00 -0500

Pelvic health professionals, in what ways can a patient's rib cage and pelvis posture impact their pelvic floor?

In this episode, Dr. Becky Allen challenges traditional pressure management exercises and introduces a top-down approach to treating pelvic floor dysfunction. She also explains how the rib cage holds the key to addressing pressure symptoms like leaking and prolapse. This episode will help clinicians rethink how they treat and empower their patients.

What you’ll learn in this episode:

(0:21) Why treating the pelvic floor from the top down is a game-changer.

(2:19) Why pressure management exercises often miss the root cause.

(3:40) How the toothpaste analogy helps patients understand pressure dynamics.

(8:47) The pressure formula: pressure = force / area, and how it applies to pelvic health.

(14:44) Why reducing weight or modifying movement doesn’t always solve pressure issues.

(15:36) How ribcage expansion displaces force and reduces pelvic floor pressure.

(18:21) How to increase the “area” of the pelvic floor through expansion.

(24:15) Becky’s favorite exercise for posterior pelvic floor expansion using a yoga block.

Grab your free guide: "From the Top Down: from the ribcage to the pelvic floor": https://www.thepelvicpowerhouse.com/fromthetopdown

Join the waitlist for Becky’s upcoming No Kegels course: https://www.thepelvicpowerhouse.com/treatingthepelvicfloor

The full name of Becky’s Group Coaching Cohort is: How to Treat the Pelvic Floor Without Kegels Course. In this course you’ll learn how to identify the root cause of pelvic floor dysfunction and confidently treat your patients without relying on Kegels. Becky runs this course only twice a year, so be sure to join the waitlist!

Follow Becky on Instagram: https://www.instagram.com/drbeckypelvicpt/

Follow Genesis PT and Wellness on Instagram: https://www.instagram.com/genesisptwellness

Subscribe to "From the Ground Up with Dr. Becky Allen”:

* Apple Podcasts: https://apple.co/47eQP84

* Spotify: https://open.spotify.com/show/4QMmH0LDL0CrCEvVpJaOzd

If you want to grow your practice, provide great patient care, and create the life and business you love, then visit The Pelvic Powerhouse: https://www.thepelvicpowerhouse.com/

This episode was produced by Story On Media: https://www.storyon.co/

Stop the Kegels, Start Asking Why

Thu, 14 Aug 2025 03:00:00 -0500

Pelvic health professionals, why is relying on Kegels alone a disservice to your patients, and what should you do instead?

Dr. Becky Allen takes on one of pelvic health’s biggest debates: Kegels. In this episode, she challenges both the overuse of pelvic floor contractions and the oversimplified turn to relaxation exercises, urging clinicians to uncover the root cause instead. With clinical clarity and a call to rethink pelvic health rehab, Becky lays out what it truly means to lead with “the why.”

What you’ll learn in this episode:

(0:40) Why Becky strongly identifies as being anti-Keges.

(1:52) How the pelvic floor functions as an automatic system, not a voluntary one.

(3:40) Why cueing Kegels during sneezes or deadlifts is just a Band-Aid.

(7:04) What happens when clinicians treat tension with only relaxation strategies.

(15:27) The three major reasons Becky says Kegels don’t make sense.

(22:51) The nervous system, gut health, and biomechanics as core root causes.

(31:26) How to evaluate functionally from head to toe — not just inside the pelvis.

Join the waitlist for Becky’s upcoming No Kegels course: https://www.thepelvicpowerhouse.com/treatingthepelvicfloor

Follow Becky on Instagram: https://www.instagram.com/drbeckypelvicpt/

Follow Genesis PT and Wellness on Instagram: https://www.instagram.com/genesisptwellness

Subscribe to "From the Ground Up with Dr. Becky Allen”:

* Apple Podcasts: https://apple.co/47eQP84

* Spotify: https://open.spotify.com/show/4QMmH0LDL0CrCEvVpJaOzd

If you want to grow your practice, provide great patient care, and create the life and business you love, then visit The Pelvic Powerhouse: https://www.thepelvicpowerhouse.com/

This episode was produced by Story On Media: https://www.storyon.co/

What is the Foot and Pelvic Floor Connection?

Thu, 07 Aug 2025 05:15:00 -0500

Pelvic health professionals, could your patient’s pelvic floor symptoms be caused by their feet?

In this episode, Dr. Becky Allen unpacks the powerful connection between foot mechanics and pelvic floor function. She explains why true healing starts from the ground up and shares a pivotal patient case that transformed her approach. By zooming out from the pelvis and into the kinetic chain, Becky empowers pelvic health clinicians to get better, lasting outcomes.

What you’ll learn in this episode:

(01:40) Why pelvic floor muscles need ilium internal rotation to function.

(03:48) How foot pronation sets the foundation for the kinetic chain.

(04:53) What over-pronation really means.

(06:15) How to use the navicular drop test in clinic.

(08:32) When orthotics might hurt more than they help.

(09:50) How a dysfunctional foot can prevent ilium rotation.

(16:10) A patient case that proves foot work improves pelvic floor outcomes.

(21:45) How daily foot movement impacts even seated pelvic floor symptoms.

Follow Becky on Instagram: https://www.instagram.com/drbeckypelvicpt/

Follow Genesis PT and Wellness on Instagram: https://www.instagram.com/genesisptwellness

Grab your FREE guides:

* "From the Top Down: from the ribcage to the pelvic floor": https://www.thepelvicpowerhouse.com/fromthetopdown

* "From the Ground Up: from the midfoot to the pelvic floor": https://www.thepelvicpowerhouse.com/fromthegroundup

Subscribe to "From the Ground Up with Dr. Becky Allen”:

* Apple Podcasts: https://apple.co/47eQP84

* Spotify: https://open.spotify.com/show/4QMmH0LDL0CrCEvVpJaOzd

If you want to grow your practice, provide great patient care, and create the life and business you love, then visit The Pelvic Powerhouse: https://www.thepelvicpowerhouse.com/

This episode was produced by Story On Media: https://www.storyon.co/

How Saying "No" to Kegels Built a Waitlist Brand

Thu, 07 Aug 2025 05:00:00 -0500

As a pelvic health professional, how can a single belief set your practice apart?

In this kickoff episode, Dr. Becky Allen shares how a single clinical conviction—treating pelvic floor dysfunction without Kegels—became the foundation of her waitlist brand. She unpacks how having a strong belief, showing up consistently, and leading with clarity built her multimillion-dollar practice. This episode is a rally cry for pelvic health professionals ready to treat differently, lead boldly, and grow on purpose.

What you’ll learn in this episode:

(1:12) Why saying “no” to Kegels started Becky’s clinical identity.

(3:18) How Genesis grew to a multimillion-dollar brand.

(4:43) Building a magnetic brand that patients and providers trust.

(5:42) Why Kegels are outdated.

(10:33) Why pelvic floor dysfunction is often a symptom, not the root cause.

(13:28) How being different made Genesis stand out in the market.

(18:23) Why repeating your message endlessly is essential for brand trust and patient growth.

Follow Becky on Instagram: https://www.instagram.com/drbeckypelvicpt/

Follow Genesis PT and Wellness on Instagram: https://www.instagram.com/genesisptwellness

Grab your FREE guides:

* "From the Top Down: from the ribcage to the pelvic floor": https://www.thepelvicpowerhouse.com/fromthetopdown

* "From the Ground Up: from the midfoot to the pelvic floor": https://www.thepelvicpowerhouse.com/fromthegroundup

Subscribe to "From the Ground Up with Dr. Becky Allen”:

* Apple Podcasts: https://apple.co/47eQP84

* Spotify: https://open.spotify.com/show/4QMmH0LDL0CrCEvVpJaOzd

If you want to grow your practice, provide great patient care, and create the life and business you love, then visit The Pelvic Powerhouse: https://www.thepelvicpowerhouse.com/

This episode was produced by Story On Media: https://www.storyon.co/

TRAILER - Welcome to From The Ground Up with Becky Allen

Thu, 31 Jul 2025 05:00:00 -0500

Welcome to From The Ground Up with Becky Allen, a podcast for pelvic health professionals who want to treat their clients with more than just the basics, lead with confidence in their business, and build values-driven practices that truly thrive.

Hosted by Dr. Becky Allen, a pelvic PT, founder of Genesis PT & Wellness, and business coach, you’ll get weekly clinical insights, business strategies, and real stories that challenge the status quo in pelvic health care.

This is your space to learn, grow, and change the game! You in?