For years, I would tell people that I was getting exceptional results with patients who had already failed just about everything else. Most people didn't believe me. So I published my diagnostic procedures and treatment protocols for multiple conditions. Those papers went on to achieve readership numbers that far exceeded what is typically seen in orthopedic research and still do to this day. People quickly realized I wasn't joking. Over the last 17 years, I've also built something else: a uniquely successful cash-based clinic model. I figured out how to work approximately 20 hours per week, generate seven figures plus in annual gross revenue, and maintain a business model with relatively low overhead. My clinic averages approximately $100,000 per month in revenue with about $40,000 per month in expenses. That allows me to take home roughly $60,000 per month while taking four weeks of vacation each year working only 20 hrs+ a week! But here's what makes this different. Just like I developed systems for diagnosing and treating patients, I developed systems for building a successful clinic. I don't just teach theory. I provide: • My marketing company • My ad strategies and scripts • My online booking systems • My patient consultation process • My business systems • My clinical protocols Most cash-based coaching programs teach marketing and business. Very few teach you how to consistently get better clinical outcomes. That's why I combined my Cash-Based Clinic Program with my Clinical Mentorship to create the Hybrid Clinical Cash-Based Clinic Mentorship. I teach you how I evaluate patients, how I diagnose, how I structure treatment plans, and I provide access to my ALL my clinical courses and protocols. I also work with you one-on-one to help develop both your business and clinical skills. If your goal is to build a traditional cash-based practice, there are plenty of programs that can help, I'm not your guy. But if your goal is to create a clinic that delivers exceptional patient outcomes while building a highly profitable business and giving you more freedom with your time, that's exactly what I teach.

I am working with a patient in her 30s who has had SI joint pain and Achilles tendinopathy for over a year. Clinically, this should be pretty straightforward for me. I would normally put her on my protocols and generally expect her to improve. The problem is she is not responding to either rehab program. Problem after problem after problem. This is unusual for me because I do this all day, every day, and I honestly can't remember the last time I saw this. Some patients improve and then have a flare-up in the middle of treatment, but to not feel any different at all is very strange for me. When I realign her SI joints, she has no pain. When I perform a posterior mobilization of her talocrural joint, her pain is immediately relieved. This confirms that these mechanical issues are contributing to her symptoms. Now I just need to make the changes "stick," if you will. I taught her several acupuncture points to stimulate with a TENS unit, which immediately relieved her low back pain. As soon as I showed her, her response was the same thing I've been hearing for weeks: "Yeah, but it's so bad." I put an SI belt on her and it instantly relieved her pain. I told her to use it until we could strengthen her adductors to help control the outflare. She replied: "Yeah, but it's so bad." No matter what solution I provide, I hear the same response. I've had patients who couldn't perform the Mulligan bike-tube mobilization for posterior capsule tightness because the tube irritated a tender area. In those cases, I simply reposition the tube and the problem is solved. I find a workaround. With this patient, she says she simply cannot do it. I've honestly never seen anything quite like this one. I'm starting to suspect that she may be subconsciously sabotaging the rehab process. It resembles classic pain catastrophizing: you provide a solution, and the patient immediately focuses on why it won't work without ever really trying it. These patients are not as common as I think many providers believe, but when I encounter one, my heart sinks.

I treat what I call the "I have failed everything patient." I tell people once you start learning how to properly diagnose these conditions and have protocols to treat them effectively, you will have a level of job satisfaction that you never thought possible. People ask me "Ryan, don't you want to work with athletes?" No, I don't I have worked in the NFL and all kinds of pros with my methods being used in pro sports and I would rather work with patients like this. This patient told me "I am in so much pain for so long and no one takes its seriously" she was sobbing, (very typical people cry in my clinic when someone finally understands what was wrong and get them out of pain!) My favorite part about this job is in the final video, she smiles! Watch all 3 videos. I documented her beginning, 4 weeks and final discharge appt. I show you how I helped her! Have you taken patients that are totally deblilitated like this to complete recovery? Comment below I want to hear!