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

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/

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/