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🚨 New Episode! Ep 167: “Virtual Physical Therapy with Dr. Kelsey Changsing”

What if the most effective physical therapy wasn’t tied to a clinic—but came straight to your home, tailored to your goals?

In this important episode, Dr. Kelsey Changsing shares how she’s redefining what care can look like through virtual physical therapy. She breaks down why individualized, goal-based treatment isn’t just better—it’s essential, especially for populations often overlooked, like postpartum women and aging athletes.

We cover everything from the mindset shift needed in modern PT to the business realities facing today’s physical therapists. Whether you’re a coach, a clinician, a new mom, or someone navigating chronic pain—there’s something here for you.

Takeaways:

💻 Virtual PT isn’t a lesser version of in-person care—it’s just more focused, flexible, and highly effective when done with intention.

🧠 Pain science has shifted—understanding the biopsychosocial model is key to helping people heal, not just treat symptoms.

🦵 Internal rotation is one of the most ignored aspects of rehab and performance—and it might be what’s holding you back.

🤱 Postpartum recovery must include nutrition, mental health, and motor control—not just timelines and bounce-back pressure.

This episode will open your eyes to how physical therapy is evolving—and why that’s a great thing for both patients and practitioners.

#physicaltherapy #fitpregnancy #postpartumhealth 

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Chapters

(00:00) Introduction to Virtual Physical Therapy

(02:54) Individualized Care in Physical Therapy

(05:58) Performance Mindset vs. Rehabilitation

(08:58) Ageism in Physical Therapy

(11:58) Real-Life Success Stories

(14:55) The Evolution of Pain Science

(18:00) Understanding Pain and Patient Education

(21:03) The Business of Physical Therapy

(29:04) The DPT Dilemma: Autonomy vs. Pay

(30:03) Business Skills in Physical Therapy

(31:54) Manual Therapy: Importance and Misconceptions

(36:42) Individualized Care in Physical Therapy

(40:56) Long-Term vs. Short-Term Solutions

(47:47) Specialization in Pelvic Health and Foot Care

(55:39) Hydration and Breathing Techniques

(56:59) Postpartum Recovery and Nutrition

(01:00:06) Returning to Exercise Postpartum

(01:02:03) Mental Health and Exercise Expectations

(01:05:43) Personalized Approaches to Fitness

(01:10:43) The Importance of Internal Rotation

(01:14:40) Upcoming Programs and Workshops

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About Dr. Kelsey 

I am a Doctor of Physical Therapy, US Air Force Veteran, and owner of Anteater Physical Therapy and Performance. I've been a CrossFitter since 2012 and coached CrossFit for 4 years. I was fortunate to be able to continue doing CrossFit throughout my pregnancy in 2024. I also started doing sprint triathlon races in 2023. I took a break during my pregnancy but plan on doing the Las Vegas Sprint Tri as my first race back in October 2025!

 I founded Anteater PTP to help people return to the gym or their sport even stronger after injury or postpartum. My mission is to empower people to take back control of their physical health.

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You can find Dr. Kelsey here:

Instagram

Website

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You can find The Macro Perspective and its hosts here:

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Marcos: https://www.instagram.com/marcoslukerivera/

Seamus: https://www.instagram.com/seamusmatthewsullivan/

TikTok:  https://www.tiktok.com/@the.macro.perspec

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Apple Podcast

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The Macro Perspective is hosted by Marcos Rivera and Seamus Sullivan, and was born from a simple but powerful mission: to help people take ownership of their health and lives. As performance health coaches, they've spent their careers empowering clients to think critically, stay curious, and make informed choices—not just in fitness, but in all aspects of life. This podcast is an extension of that mission, bringing insightful conversations that challenge, educate, and inspire.

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