Why are so many physical therapists burning out—and what can be done to change the system? In this episode, Arash sits down with entrepreneur and clinician Vinh Pham, the founder of Myodetox, to talk about the flaws in the healthcare industry, the rise of cash-based rehab, and how he scaled from treating patients in his living room to building 22+ clinics across North America.

Vinh shares his journey of almost quitting physical therapy, how frustration with patient volume and quality of care sparked his entrepreneurial path, and what it takes to create a clinic model that prioritizes both patient outcomes and clinician growth. This conversation isn't just about PT—it's about rethinking the entire rehab and healthcare system.

🔑 In this episode, we cover:

1. Why the healthcare system is built on sick care instead of true health care

2. Vinh's burnout story and how he turned frustration into entrepreneurship

3. The challenges of scaling from 1 clinic to 22—and his vision for the future

4. Why insurance companies hurt quality rehab care (and how cash-based models solve it)

5. Lessons on clinician self-awareness, growth, and building sustainable careers

If you're a physical therapist, athletic trainer, or healthcare professional looking for career growth, better patient care, and new business models in rehab, this episode is a must-listen.

Chapters:

00:00 Frustration that sparked an idea

00:27 Meet Vinny Pham: From yoga mat to 22 clinics

03:00 Early hustle: condo gyms & first patients

05:40 Scaling Myo: from 1 to 22+ locations

08:15 Why the healthcare system is broken

11:30 Redefining patient care through education

14:50 Mixed Martial Rehab: breaking down silos

18:00 Insurance barriers vs. cash-based freedom

20:30 Clinician growth & feedback culture at Myo

25:00 Personal growth, therapy & self-awareness

29:00 Mentorship, advice & who to trust

32:20 Cutting through noise in health content

36:00 Authenticity, honesty & building trust

37:30 Content creation mindset & consistency

40:45 Energy audits & doing what fuels you

42:00 Lightning round: books, lessons & insights

47:00 Rebranding Myo & creative inspiration

50:00 Future of PT: learning from dentistry

52:00 What's next: health management & products

54:00 Designing the future of rehab tools

56:30 Final thoughts & takeaways

👉 Don't forget to subscribe for more podcasts on physical therapy, rehab, and performance. Share your thoughts in the comments—what do you think is the biggest issue in healthcare today?

#PhysicalTherapy #RehabPodcast #HealthcareInnovation #ClinicianBurnout #Entrepreneurship

Are you chasing credentials and career milestones, only to feel burned out once you "make it"? In this episode, we sit down with Emma, a physiotherapist turned coach, to uncover the surprising truth about success, fulfillment, and the hidden challenges clinicians face in the rehab and performance world.

Emma shares her story of climbing the PT ladder—fellowships, prestigious roles, and all—only to hit rock bottom at the peak of her career. From there, she redefined what it means to thrive as a clinician, blending coaching, personal development, and clinical practice. This conversation isn't just for physical therapists—it's for anyone in healthcare or performance fields who wants to build a sustainable and fulfilling career.

🔑 In this episode, we cover:

1. Why professional success doesn't always equal personal fulfillment

2. How coaching differs from therapy—and why clinicians need both

3. Practical ways to align your personal values with your clinical practice

4. The biggest challenges PTs and rehab professionals face today

5. Lessons from comparing U.S. vs. Canadian healthcare systems

If you're a physical therapist, athletic trainer, or healthcare provider looking to prevent burnout, improve performance, and find more meaning in your work, this episode is for you.

Connect with Emma: https://www.emmajack.com/

👉 Don't forget to subscribe for more conversations on physical therapy, rehab, and performance. Drop a comment below with your biggest takeaway!

#PhysicalTherapy #Rehab #Burnout #Coaching #Clinicians

Episode Chapters:

00:00 – 00:34 | Introduction

02:11 – 05:19 | Burnout & Redefining Success

06:15 – 08:07 | Personal Development = Professional Development

08:28 – 11:05 | Coaching at Different Career Stages

13:14 – 15:22 | Coaching vs. Therapy vs. Mentorship

18:18 – 20:18 | Asking for Help

21:06 – 21:46 | Sponsor Break – Jane EMR

24:03 – 25:56 | Human First, Therapist Second

29:05 – 30:35 | Values & Workplace Culture

32:03 – 33:33 | Enneagram & Self-Understanding

Muscle Lab's founder joins us to reveal how recovery, NAD therapy, and proactive care are reshaping the future of performance and healthcare.

In this episode, we sit down with Vatche Ourishian, co-founder of Muscle Lab, to talk about building a modern recovery business from the ground up. From NAD IV drips to in-house certifications, we dive deep into what today's clients actually want—and why so many are turning away from traditional models of physical therapy.

Whether you're a clinician, entrepreneur, or wellness enthusiast, this conversation is packed with real-world insights on scaling a business, staying ahead of the curve, and delivering lasting value in the health & performance space.

🔑 In this episode, we cover:

What NAD therapy really does for energy, aging, and cognition

Why Muscle Lab pivoted from training to recovery

How they built systems to scale across multiple locations

The biggest mistakes (and lessons) in launching during COVID

Why the healthcare system is broken—and what's replacing it

For more information about Vatche and Muscle Lab: https://musclelab.la

Looking for structured personalized programming to get out of pain and prevent injuries? Check out the Prehab App: https://theprehabguys.com/membership

LISTEN / SUBSCRIBE TO THE PODCAST

Channel: https://www.youtube.com/@ThePrehabPodcast

Apple Podcasts:https://podcasts.apple.com/us/podcast/the-prehab-podcast/id1456407031

Spotify: https://open.spotify.com/show/4ku81i10QkvyttTdlkSaKp

Chapters:

00:00 Introductions - Meet the Founders

1:00 NAD+ Therapy Benefits & What to Expect from Treatment

02:35 How Muscle Lab Recovery Center Got Started

03:25 From Personal Training to Recovery Business: Finding Your Niche

05:10 Starting a Business During COVID-19 & Overcoming Challenges

06:10 Scaling Your Recovery Business: Systems, Team Building & Delegation

7:30 Common Business Scaling Challenges & How to Overcome Them

10:20 Hiring Strategies: Using Internships as Talent Recruitment Pipelines

11:28 Weekly NAD+ Therapy Routine: Why I Do It Every Week

12:21 NAD+ Nasal Spray Benefits: How to Extend Treatment Results

13:15 Business Growth Strategies: Focus, Mentorship & Key Metrics

15:20 Customer Retention vs New Offers: Getting Clients to Come Back

18:10 From Free Services to Celebrity Clients: Early Business Hustle

20:47 Client Work vs Building a Bigger Mission: Finding Purpose

22:20 The $420 Billion Musculoskeletal Problem & Recovery Solutions

25:00 Career Change to Healthcare: Finding Your Path in Wellness

27:54 Proactive Wellness & Longevity Trends: The Future of Healthcare

31:08 Entrepreneurship Advice: Expect Failure & Stay Adaptable

🎧 Subscribe for more unfiltered conversations on performance, recovery, and the future of rehab. Drop a comment if you've tried NAD therapy or are curious about proactive care!

#PhysicalTherapy #SportsRecovery #NADTherapy #HealthcareInnovation #MuscleLab