The Pelvis Isn’t Frozen: Why Millimeters Matter

The "Pelvis on Femur Guy" Is Here… Pelvic Floor Rehab Will Never Look the Same

In this final episode of season one of From the Ground Up, Dr. Becky Allen interviews physical therapist, certified athletic trainer, PhD, and sports PT specialist Steve “Steve D” Dischiavi (associate professor at the Medical University of South Carolina; former Florida Panthers NHL team PT/AT/rehab coordinator), whose research on motor control-based exercises for the pelvis, hip, and trunk shaped widely used clinical progressions. Steve explains how pro hockey’s high-speed, multi-plane demands led him to the “pelvis-on-femur” concept, drawing parallels between scapula/humerus and acetabulum/femur mechanics and emphasizing eccentric deceleration control. They discuss hockey-related pelvic pathologies, obturator internus as a stabilizer rather than a prime mover, limitations of isolated strengthening (e.g., clamshells), and evidence questioning bilateral TA “corseting” and pre-contraction strategies during movement. The episode ends with an announcement of a live in-person collaborative course in Fort Worth, Texas on September 12, 2026, with a limited 10-spot waitlist and registration opening July 6. (00:04) - Welcome and Season Finale (01:04) - Meet Steve D (03:58) - Pelvis on Femur Origins (12:16) - Hockey to Pelvic Health (18:11) - Obturator Internus Explained (24:12) - Kinetic Chain in Practice (27:36) - Rethinking TA Bracing (33:20) - No Kegels Philosophy (36:03) - Global Systems Approach (44:37) - Live Course Announcement (48:43) - Waitlist and Closing Thanks to Dr. Steve Dischiavi for coming on the show! Find more information on the waitlist for the course here: WAITLIST: Steve D + Becky Allen: [https://www.thepelvicpowerhouse.com/global-approach-waitilst]A Global Systems Approach to the Trunk, Pelvis, and Lower Extremity [https://www.thepelvicpowerhouse.com/global-approach-waitilst] * LIVE & In person 9/12/26 * Fort Worth TX * 10 spots available Find out more about Steve’s bands here: https://www.stabilitybands.com/ [https://www.stabilitybands.com/] Make sure to follow her on Instagram here: https://www.instagram.com/finishfirst_pt/ [https://www.instagram.com/finishfirst_pt/] (no posts, but he is there for comments and DMs!) Join my email list so you don't miss what else I am building next! https://www.thepelvicpowerhouse.com/sign-me-up [https://www.thepelvicpowerhouse.com/sign-me-up] Grab your free guides: * From the Ground Up: The Foot + Pelvic Floor Connection: https://www.thepelvicpowerhouse.com/fromthegroundup [https://www.thepelvicpowerhouse.com/fromthegroundup] * From the Top Down: From the Ribcage to the Pelvic Floor: https://www.thepelvicpowerhouse.com/fromthetopdown [https://www.thepelvicpowerhouse.com/fromthetopdown] Clinicians, be sure to learn about Dr. Becky and Dr. Corrie’s Pelvic Powerhouse Clinical Mastermind: https://www.thepelvicpowerhouse.com/group-clinical-mastermind-2026-live [https://www.thepelvicpowerhouse.com/group-clinical-mastermind-2026-live] Follow Becky on Instagram: https://www.instagram.com/drbeckypelvicpt/ [https://www.instagram.com/drbeckypelvicpt/] Follow Genesis PT and Wellness on Instagram: https://www.instagram.com/genesisptwellness [https://www.instagram.com/genesisptwellness] Subscribe to "From the Ground Up with Dr. Becky Allen”: * Apple Podcasts: https://apple.co/47eQP84 [https://apple.co/47eQP84] * Spotify: https://open.spotify.com/show/4QMmH0LDL0CrCEvVpJaOzd [https://open.spotify.com/show/4QMmH0LDL0CrCEvVpJaOzd] * YouTube: https://www.youtube.com/@FromTheGroundUp-u4n/ [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/ [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.

Why Your Marketing Funnel Is Keeping You Exhausted

Dr. Becky Allen explains why marketing that relies on a traditional funnel leaves practice owners exhausted and constantly chasing new patients, and proposes replacing it with a flywheel that compounds through ongoing momentum. She credits Tori from Ugly Ventures for teaching the framework and outlines six flywheel stages: awareness (first discovery), engage (taking an action like subscribing or signing up), nurture (relationship-building content such as emails or a podcast), invite (a clear, specific call to action to book or join), delight (excellent outcomes and patient experience), and advocate (systems that prompt reviews, referrals, and sharing). She recommends a 15-minute “flywheel audit” to list current tactics under each stage, identify the weakest link, and implement one improvement—especially strengthening invite, nurture, or advocate—to fuel sustainable word-of-mouth growth. (00:00) - Welcome and Setup (01:24) - Why Marketing Feels Exhausting (03:29) - Funnels vs. Flywheels (05:51) - Flywheel Stages 1 & 2 (06:45) - Stages 3 & 4: Nurture and Invite (09:34) - Stages 5 & 6: Delight and Advocate (13:21) - 15 Minute Flywheel Audit (17:43) - Fix the Weakest Link (20:04) - Recap and Call to Action Join my email list so you don't miss what I am building next! https://www.thepelvicpowerhouse.com/sign-me-up 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 Clinicians, be sure to learn about Dr. Becky and Dr. Corrie’s Pelvic Powerhouse Clinical Mastermind: https://www.thepelvicpowerhouse.com/group-clinical-mastermind-2026-live 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.

The 3 Lies Keeping Female Founders Stuck

In this episode of From the Ground Up, Dr. Becky Allen debriefs three main takeaways from a wellness-focused retreat with a long-running group of female founders at a resort in Arizona, noting the unusually honest, vulnerable conversations. She observes that many successful women weren’t stuck due to lack of vision, talent, or strategy, but because of limiting beliefs: “I don’t belong,” “I’m not enough,” and “I’m not worthy.” She explains how feeling different can be misread as not belonging and cites Jeremiah 1:5 and Romans 12:6–8 to emphasize being set apart with distinct gifts and finding belonging in God. For inadequacy, Dr. Becky references 2 Corinthians 12:9 about grace being sufficient and power perfected in weakness. For worthiness, she cites Ephesians 2:10 and John 15:16, concluding worth comes through Jesus rather than achievements, and invites listeners to reach out if struggling. (00:00) - Retreat Debrief Setup (01:04) - Wellness Retreat Vibes (03:14) - Three Limiting Beliefs (08:05) - Belonging and Being Different (15:46) - Not Enough Mindset (21:49) - Worthy of Success (30:28) - Final Encouragement Join my email list so you don't miss what I am building next! https://www.thepelvicpowerhouse.com/sign-me-up 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 Clinicians, be sure to learn about Dr. Becky and Dr. Corrie’s Pelvic Powerhouse Clinical Mastermind: https://www.thepelvicpowerhouse.com/group-clinical-mastermind-2026-live 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.

The Pelvis Isn’t Frozen: Why Millimeters Matter

In this episode of From the Ground Up, Dr. Becky Allen addresses disagreement in online pelvic health discussions by clarifying key biomechanics terms and why they matter clinically. She explains that the pelvis is neither rigid nor wildly unstable, but moves in small, meaningful ways affecting pelvic floor function, pressure management, and force transfer. Dr. Becky distinguishes pelvis-on-femur motion (pelvis rotating over a relatively fixed femur in gait, squats, lunges, etc.) from innominate/ilium rotation and from sacral nutation/counternutation, describing how these related motions influence hip external rotators and pelvic floor length-tension. Ilium internal rotation is linked with pelvic outlet widening and posterior rotation/extension, while external rotation narrows the outlet with anterior rotation/flexion. She also clarifies that mobile pelvis models exaggerate motion for teaching, but millimeters of SI joint motion still affect symptoms such as leaking, heaviness/prolapse, pain, hip pinching, bowel mechanics, and birth mechanics. (00:00) - Biomechanics Drama Setup (03:06) - Key Terms and Definitions (04:02) - Pelvis on Femur Motion (06:38) - Pelvic Floor Effects in Gait (09:40) - Innominate and Ilium Basics (12:22) - Ilium IR and Outlet Opening (15:01) - Ilium ER and Outlet Closing (17:45) - Why Models Exaggerate Motion (19:48) - Sacrum Nutation Explained (24:30) - Why Millimeters Matter Clinically (26:26) - Wrap Up and Share Join my email list so you don't miss what I am building next! https://www.thepelvicpowerhouse.com/sign-me-up 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 Clinicians, be sure to learn about Dr. Becky and Dr. Corrie’s Pelvic Powerhouse Clinical Mastermind: https://www.thepelvicpowerhouse.com/group-clinical-mastermind-2026-live 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.

Pelvic Health Clinicians: Can We Disagree Without Destroying Each Other?

In this episode of From the Ground Up, Dr. Becky Allen discusses how pelvic health professionals often mishandle disagreement online and argues the field must practice collaboration and nuance while holding strong clinical beliefs. She describes an Instagram post by a respected PT claiming iliums cannot rotate, prompting her to seek clarification via DM and then public comments, where the issue seemed to be exaggerated motion in movable pelvis models rather than absolute impossibility. Dr. Becky contrasts this with a prior incident where she criticized a “tight vs weak” pelvic floor quiz and was publicly labeled as having “mean girl energy,” highlighting the double standard of being told to DM versus comment. She emphasizes that challenging ideas is not attacking people, social media lacks nuance, and clinicians should ask clarifying questions, avoid defensiveness, and prioritize respectful dialogue to improve patient care. (00:00) - Spicy Episode Setup (00:33) - Why Online Disagreement Fails (01:46) - The Ilium Rotation Post (04:05) - Social Media Lacks Nuance (08:54) - Tight vs Weak Quiz Drama (12:49) - Challenge Ideas Not People (16:46) - Keyboard Courage Problem (17:56) - Practical Challenge And Wrap Join my email list so you don't miss what I am building next! https://www.thepelvicpowerhouse.com/sign-me-up 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 Clinicians, be sure to learn about Dr. Becky and Dr. Corrie’s Pelvic Powerhouse Clinical Mastermind: https://www.thepelvicpowerhouse.com/group-clinical-mastermind-2026-live 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.