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

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/

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.

This episode was produced by Story On Media:

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.

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/

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.

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

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/

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.

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