The Paul Gough Show

Hosted by The Paul Gough

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800

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Aug 2026

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About the show

If you're a physical therapy clinic owner looking for tips, tools and strategies for growing your business, this is the podcast for you. Your host is Paul Gough - a former Professional Soccer Physical Therapist turned successful business owner and best selling Author from the UK. As well as running his own 4 location clinic, Paul works with clinic owners from all across the USA, Canada, Britain, Australia and beyond. Paul talks about everything from marketing, sales and hiring staff to leadership, finance and the mindset needed to become a world class clinic owner. Subscribe right NOW! Hosted on Acast. See acast.com/privacy for more information.

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60 recent

September 10, 20266 min

EP 813 🔥 "Are You the Reason Your Patients Quit?" [Paul on Fire]

Today, I break down why patients quietly quit on their PTs, and how giving out too many exercises can be doing more harm than good. Revealing a blind spot most clinic owners never catch until it's too late Breaking down the simple shift that separates practices patients stay loyal to from the ones they quietly leave 👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: https://physiofunnels.com/free/ 📲 Follow Paul here: 🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/ 📘 Facebook: https://www.facebook.com/ThePaulGough 📸 Instagram: @ThePaulGough 🎥 YouTube: Paul Gough Media 🐦 Twitter/X: @ThePaulGough 🌐 Website: https://www.paulgough.com/ Hosted on Acast. See acast.com/privacy for more information.

September 9, 20266 min

EP 812 🔥 "What Are You Holding Onto That Creates A Bigger Headache Elsewhere?" [Paul on Fire]

In this one, I rant about why holding onto the wrong tasks is quietly wrecking clinic owners' businesses, using the mechanic phone-tag story and a mother-and-ironing analogy to make the point. Uncovering the real reason business owners keep holding onto low-value work — and what it's secretly costing them Breaking down a simple test to spot where your time is misallocated before it turns into a much bigger problem 👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: https://physiofunnels.com/free/ 📲 Follow Paul here: 🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/ 📘 Facebook: https://www.facebook.com/ThePaulGough 📸 Instagram: @ThePaulGough 🎥 YouTube: Paul Gough Media 🐦 Twitter/X: @ThePaulGough 🌐 Website: https://www.paulgough.com/ Hosted on Acast. See acast.com/privacy for more information.

September 8, 20268 min

EP 811 🔥 "Is Your Comfort Zone Costing You Six Figures?" [Paul on Fire]

Today, I break down why avoiding marketing and outreach is quietly bankrupting clinic owners, and why workshops are outperforming digital ads right now. Explained that success comes down to a binary choice — go do the "ground game" (networking, referrals, in-person relationships) or master direct marketing (Google, Facebook, email) — and that avoiding both out of fear or comfort is what's actually costing owners money Broke down why monthly in-person workshops are now beating Google ads, Facebook ads, and social DMs for driving new patients, using real data from 350+ consulted clinics and the AI-driven "information overload" reshaping how patients make decisions 👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: https://physiofunnels.com/free/ 📲 Follow Paul here: 🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/ 📘 Facebook: https://www.facebook.com/ThePaulGough 📸 Instagram: @ThePaulGough 🎥 YouTube: Paul Gough Media 🐦 Twitter/X: @ThePaulGough 🌐 Website: https://www.paulgough.com/ Hosted on Acast. See acast.com/privacy for more information.

August 28, 20261 hr 11 min

EP 810 ☕️ "Are the PTs Asking for 150K Actually Any Good?" [Coffee with Goughy]

Today, I made the case that patients don't pay for research or clinical credentials — they pay for "the magic," and that's the real litmus test for whether a PT is worth what they're asking for. Introduced two litmus tests for a PT's true value: how many patients specifically call and ask for them by name, and how much of a fuss gets kicked up when you try to move them to another provider Argued that devotion, communication, and basic human courtesy (eye contact, please and thank you) build a practice far more than clinical research ever will, using the barbershop/loyalty analogy to make the point Shared the story of growing his own caseload from 15 to 71 patients through sheer devotion and desire, with no marketing systems at all, to illustrate what separates a great PT from an average one 👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: https://physiofunnels.com/free/ 📲 Follow Paul here: 🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/ 📘 Facebook: https://www.facebook.com/ThePaulGough 📸 Instagram: @ThePaulGough 🎥 YouTube: Paul Gough Media 🐦 Twitter/X: @ThePaulGough 🌐 Website: https://www.paulgough.com/ Hosted on Acast. See acast.com/privacy for more information.

August 27, 20261 hr 13 min

EP 809 ☕️ "Why Don't My Staff PTs Respect Me?" [Coffee with Goughy]

Today, I tackled the question "Why don't my staff PTs respect me?" — tracing it back to a self-respect problem in the business owner rather than the employees themselves. Explained why respect from staff starts with an owner's own self-belief, and broke down the cultural shift since 2005 where employees stopped automatically respecting "the boss" Unpacked how entitled, "why should I?" attitudes trace back to expensive degrees, indoctrinating colleges, and a generation raised without real risk or consequences Argued that being an employee doesn't entitle you to the upside of risks you didn't take, and made the case for why owners need unshakeable self-belief to run a successful business 👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: https://physiofunnels.com/free/ 📲 Follow Paul here: 🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/ 📘 Facebook: https://www.facebook.com/ThePaulGough 📸 Instagram: @ThePaulGough 🎥 YouTube: Paul Gough Media 🐦 Twitter/X: @ThePaulGough 🌐 Website: https://www.paulgough.com/ Hosted on Acast. See acast.com/privacy for more information.

August 27, 202618 min

EP 808 🔥 "How Long Have You Been Trying to Fix Your PT's Rotten Attitude?" [Paul on Fire]

Today, I broke down why detachment — not attachment — is the key to being a good parent, boss, and business owner, using the parallel between raising kids and managing staff to make the point. Explained that trying to change someone's attitude is a losing game, since beliefs are ~88% fixed, and the real job is to observe, offer a nudge, and let people self-select in or out Argued that owners get emotionally hijacked into an "attitude correction officer" role instead of remembering the actual goal: build a profitable business with the right people around you Made the case that PTs are more valuable than they realize (citing a 2.3% national unemployment rate among PTs) and urged owners to stop fearing staff turnover since replacing a bad attitude usually makes the business richer, not poorer 👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: https://physiofunnels.com/free/ 📲 Follow Paul here: 🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/ 📘 Facebook: https://www.facebook.com/ThePaulGough 📸 Instagram: @ThePaulGough 🎥 YouTube: Paul Gough Media 🐦 Twitter/X: @ThePaulGough 🌐 Website: https://www.paulgough.com/ Hosted on Acast. See acast.com/privacy for more information.

August 24, 20261 hr 11 min

EP 807 ☕️ "Is Your Staff PT's Bad Attitude Costing You Money?" [Coffee with Goughy]

Today, I dug into whether staff PT attitude is costing clinic owners money, breaking down where attitude actually comes from and why you can never train it away. Explained that attitude is a manifestation of belief systems (88% fixed for life), so performance plans and "attitude correction" courses are futile — you either tolerate it or cut the person loose Argued that owners and employees are clashing because entitled, self-righteous new-grad PTs want the lifestyle without following the proven success playbook Riffed on possible names for a joke "attitude correction" course to run alongside PPM Live, and made the case for choosing Orlando over the "boring" APTA conference in Denver 👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: https://physiofunnels.com/free/ 📲 Follow Paul here: 🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/ 📘 Facebook: https://www.facebook.com/ThePaulGough 📸 Instagram: @ThePaulGough 🎥 YouTube: Paul Gough Media 🐦 Twitter/X: @ThePaulGough 🌐 Website: https://www.paulgough.com/ Hosted on Acast. See acast.com/privacy for more information.

August 21, 20261 hr 11 min

EP 806 ☕️ "Should Staff PTs Make More Than Clinic Owners?"

Today, I broke down whether staff PTs should out-earn clinic owners, using reactions from a Facebook debate to unpack the "and life" mindset that separates thriving business owners from those stuck blaming insurance companies and the marketplace for their problems. Explained why owners deserve a CEO-level salary plus profit, and called out the excuse-making that keeps struggling clinics stuck Called out "bang average" PTs and clinic owners coasting on outdated models, arguing the real enemy is complacency, not insurance reimbursements 👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: https://physiofunnels.com/free/ 📲 Follow Paul here: 🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/ 📘 Facebook: https://www.facebook.com/ThePaulGough 📸 Instagram: @ThePaulGough 🎥 YouTube: Paul Gough Media 🐦 Twitter/X: @ThePaulGough 🌐 Website: https://www.paulgough.com/ Hosted on Acast. See acast.com/privacy for more information.

August 19, 20261 hr 5 min

EP 805 ☕️ "Your 'Full-Time' PT Is Part-Time Profitable" [Coffee With Goughy]

In today's episode, I answer: "If a PT works 40 hours a week doing patient care, why does that only add up to 50K a year? Did clinical expertise stop being worth anything, or is this really about how insurance decides what your skills are worth?" "My PT wants a raise to offset the increased fuel costs for his long commute." 👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: https://physiofunnels.com/free/ 📲 Follow Paul here: 🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/ 📘 Facebook: https://www.facebook.com/ThePaulGough 📸 Instagram: @ThePaulGough 🎥 YouTube: Paul Gough Media 🐦 Twitter/X: @ThePaulGough 🌐 Website: https://www.paulgough.com/ Hosted on Acast. See acast.com/privacy for more information.

August 18, 20261 hr 5 min

EP 804 ☕️ "My Wife's Divorce Lawyer Is Killing My PT Business" [Coffee With Goughy]

In today's episode I answer: “I’m going through a divorce and her lawyer wants the value of my business included in the settlement. On paper, I’ve built a successful clinic worth several million dollars. The problem is, that money doesn’t actually exist in my bank account. If I have to compensate her based on that valuation, I could end up giving away most of my cash and investments — leaving me with little except shares in a company I still have to turn up and run every morning. How is that fair? And what should business owners be doing before divorce is ever on the table?” 👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: https://physiofunnels.com/free/ 📲 Follow Paul here: 🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/ 📘 Facebook: https://www.facebook.com/ThePaulGough 📸 Instagram: @ThePaulGough 🎥 YouTube: Paul Gough Media 🐦 Twitter/X: @ThePaulGough 🌐 Website: https://www.paulgough.com/ Hosted on Acast. See acast.com/privacy for more information.