Ep 124: The New Patient Pipeline: Breakthrough Strategies for Practice Growth
The NeuFit Undercurrent Podcast
Release Date: 03/13/2026
The NeuFit Undercurrent Podcast
When Dr. Ted Arkfeld started as a team chiropractor in the early 2000s, the standard sideline concussion test was a whiff of smelling salts and a question: "Feel okay? Get back in." Twenty-plus years later, he's built one of the most rigorous neurological assessments in the field, and is one of the only chiropractors in the country presenting concussion research alongside the world's foremost authorities. In this episode, he walks us through what changed, what's still broken, and a better way to treat concussions from the nervous system up. We cover: Why you cannot have a concussion without a...
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In this episode of The Undercurrent Podcast, Garrett sits down with Dr. Trent Nessler, a physical therapist, biomechanics researcher, and founder of The Athlete Lab in Franklin, Tennessee. Over 28 years in practice, Trent has built one of the most comprehensive movement-data engines in the world: the ViMove+ AMI wearable sensor system, which has now captured over 4,700 data points per assessment on more than 490,000 athletes across five countries. What he's learned from that dataset is rewriting how we think about injury risk, ACL rehab, and return to play. In this conversation, we...
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Most golfers are chasing a better swing. But what if the real limitation isn’t your technique, but your body? In this episode with Mike McDonnell, we break down the Golf Performance Pyramid and discuss why most players are building their game on an incomplete foundation. We cover: The Golf Performance Pyramid: mobility → stability → strength → power Why hip mobility (especially internal rotation) is a major limiter of speed and consistency How skipping foundational movement leads to compensation and injury The difference between training muscles vs training movement How to structure...
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We often treat movement like a one-way equation: Brain → Body → Performance. But in reality, it’s a feedback loop. The body is constantly sending information back to the brain, and that information shapes how we move, perform, and recover. In this conversation with Harry Worrow, we talk about his frameworks for working with everyone from athletes to individuals with neurodegenerative conditions, and how he uses biomechanical analysis paired with functional neurology. Specifically, we cover: The two-way relationship between neurology and biomechanics Why better sensory input...
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What happens when physician referrals start disappearing? For Chad Madden, it forced a complete reinvention of how his practice attracted patients. That shift ultimately led to scaling his clinic to seven locations and co-founding Breakthrough to help hundreds of practices do the same. In this episode we discuss: The New Patient Pipeline and how it works The difference between clinician messaging and patient messaging Why direct response marketing works for healthcare The systems that turn cold leads into paying patients How cash-pay services are reshaping the economics of private practice ...
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Most healthcare is built around managing symptoms. A little treatment here. A quick intervention there. “Let’s try this and see how you respond.” But what if the real problem isn’t the pain – it’s the system treating pain? In this episode, Dr. Mike Carberry and Colleen Carberry, PT, the founders of Advanced Medical Integration break down: Why symptom-based care keeps patients on the “train to drugs and surgery” How integrating physician care, chiropractic, and PT, compresses recovery time Why frequency and coordinated team care matter more than isolated visits How structured...
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What separates a good practice from a top 10% practice? In this episode with Brian Gallagher, PT, we unpack the mindset shifts, leadership frameworks, and operational discipline that consistently show up in the highest-performing clinics. This isn’t about hacks, it’s about how elite operators think. Specifically, we discuss: The identity shift required to move from clinician to true business leader Why culture must be built intentionally, not accidentally The role of systems and accountability in sustainable growth How top practices approach hiring, retention, and performance standards...
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Healing is rarely about fixing a single tissue or structure. In this episode, Lisa Chase, PT, shares the frameworks from her new book, Be Responsible, Because the System Isn’t, and describes why true recovery depends on the health of the entire system – from the nervous system and sleep to lifestyle, resilience, and capacity. When the whole system is robust, healing becomes possible. When it’s not, symptoms simply move around. In this conversation, we discuss: Why pain and injury are often downstream expressions of system overload How nervous system regulation shapes recovery,...
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What happens when a child suddenly loses the ability to walk – and the answers aren’t structural, surgical, or pharmaceutical? In this episode, Garrett sits down with George James and Katie, the mother of 9-year-old Jodie, to share an extraordinary and deeply human story of Functional Neurological Disorder (FND), resilience, and recovery. In this conversation, we explore: Jodie’s sudden onset of FND after fainting during a field hockey game, and the loss of walking, speech, and confidence The emotional and logistical journey of navigating a misunderstood condition George’s decision to...
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Most practice owners don’t get stuck because they lack tactics – they get stuck because they’re still operating with a clinician’s identity. In this episode, Garrett sits down with Jamey Schrier, DPT, to unpack why sustainable growth and practice value require a fundamental shift in how owners see themselves and their role. In this conversation, we cover: Why clinical excellence alone doesn’t build a valuable business The identity shift from clinician to true practice owner Common traps that keep owners stuck in the day-to-day What actually makes a practice “sale-ready” How...
info_outlineWhat happens when physician referrals start disappearing? For Chad Madden, it forced a complete reinvention of how his practice attracted patients. That shift ultimately led to scaling his clinic to seven locations and co-founding Breakthrough to help hundreds of practices do the same.
In this episode we discuss:
- The New Patient Pipeline and how it works
- The difference between clinician messaging and patient messaging
- Why direct response marketing works for healthcare
- The systems that turn cold leads into paying patients
- How cash-pay services are reshaping the economics of private practice
The takeaway: Great care alone doesn’t guarantee growth. You also need a system to create demand, and Chad shows us that system.