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December 2, 2025 17 mins

Pain that lingers isn’t a life sentence; it’s a puzzle waiting for the right clues. We sit down with Paula Nickel of Performance Physical Therapy and Rehabilitation to unpack what truly drives recovery, why slowing care down can speed healing, and how a small, patient-first clinic thrives after 30 years by refusing to treat people like metrics. From triathlon roots and Olympic training rooms to everyday back pain and post-op rehab, Paula shares how she reads movement like a story—spotting muscle imbalances, compensations, and daily habits that hide beneath symptoms.

We dig into common myths, including the idea that physical therapy is just exercises, and the harmful belief that aging equals decline. Paula explains how targeted mobility, hip dissociation, and stability work can unlock back and sciatic pain when done consistently, and why tiny daily movements often outperform big, flashy workouts. Her philosophy is practical and hopeful: outcomes improve when you combine hands-on assessment, clear coaching, and time to think. She also makes a case for a multidisciplinary team—PTs, chiropractors, massage therapists, acupuncturists—because different perspectives reveal different solutions.

Paula’s most formative story comes from a college English class, not a clinic: a harsh critique, a flawless draft, and a C that sparked a lifelong promise to never do a lazy job. That same standard shows up in her practice’s careful evaluations and individualized plans for athletes, weekend warriors, and active grandparents alike. If you’ve tried PT and felt unseen, don’t stop there—fit matters, and not all physical therapy is the same. Subscribe to discover more neighbor-to-neighbor stories, share this with someone who needs a nudge toward hope, and leave a review to help others find the show.

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Episode Transcript

Available transcripts are automatically generated. Complete accuracy is not guaranteed.
SPEAKER_00 (00:00):
This is the Good Neighbor Podcast, the place
where local businesses andneighbors come together.
Here's your host, Nick George.

SPEAKER_02 (00:11):
Welcome to the Good Neighbor Podcast.
Today I have the great pleasureof introducing your good
neighbor, Paula Nickel, withPerformance Physical Therapy and
Rehabilitation.
Paula, how's it going today?

SPEAKER_01 (00:24):
Good, Nick.
How are you?

SPEAKER_02 (00:26):
Excellent.
Tell us all about yourperformance uh physical therapy
and rehabilitation operation.

SPEAKER_01 (00:33):
Well, it's healthcare, so that's always a
challenge.
Um it's a small practice,orthopedic uh physical therapy
practice that's been in for intown up and running about 30
years.

SPEAKER_02 (00:51):
How did you get into the business in the first place?

SPEAKER_01 (00:55):
Uh well once I decided I was gonna be a
physical therapist, uh I worked,my first job was uh working for
Orthopedic Center of theRockies, which was a good first
job.
And uh I was in town and I leftand I came back, and just in the

(01:20):
few years uh of being a physicaltherapist, um you I wanted more
control of uh how I did my work.
And so uh uh it's it's probablymore this way now, but very it

(01:41):
started to be very much metricmeasured.
So it's all about uh production,and it seems like um it seemed
like uh no matter how manypeople you saw, you they wanted
you to see more.
And I just didn't want tooperate that way anymore.
And so I started my own, andsomehow 30 years later, I'm

(02:03):
still in business.
Uh, you know what?
I did not know I was gonna be aphysical therapist, um uh which
sometimes you know disappointsmy patients.
They think I've dreamt aboutbeing a physical therapist my

(02:23):
whole life.
But um, I went to school and uhI thought I wanted to go to
medical school.
I knew I wanted to be in healthcare, I knew I didn't want to be
a nurse, I didn't want to dealwith bodily fluids, and uh uh

(02:44):
and I got out of college and Ididn't know what I wanted to do.
And I uh started thinking, whatcan I do?
And I applied to physicaltherapy and I got in and I went
and I just prayed to God that Iliked it.
And uh uh and it's been a reallygood career for me.
I I really do like it.
I've been I've been doing it fora long time, and um uh you get

(03:07):
you you get trained in everyaspect of physical therapy, and
your job probably determineswhere you go, whether it's
orthopedics or pediatrics orneurological or whatever.
And my first job was theorthopedic center, and it just
set the stage.
And uh I just like I like thatit's not all the same.

(03:29):
Um, I like every day'sdifferent, and I like kind of
being a detective and trying tofigure out how to help people.

SPEAKER_02 (03:37):
Why high performance or performance physical therapy?
Um, you like working withathletes?

SPEAKER_01 (03:45):
Uh we started, I used to do a lot of uh like a
lot of triathlons and bike racesand running races.
And um uh so when we started, Ithink that's kind of the name we
picked.
I had a partner at one point.
Uh he was into golf and otherthings.
And uh sports medicine for sureis an easy grab, an easy market.

(04:12):
Um I don't really so I see a lotof I I see a lot of athletes
that way, but now it's justgeneral orthopedics.
We see anything from a kid to a90-year-old.
But I have done like I, youknow, I when I left and went to
California, one of my jobs wasworking with the group that did
all the athletic teams in LosAngeles, the uh Lakers and

(04:35):
Dodgers and stuff.
And I've done CSU uh trainingrooms, and I've done the
orthopedic or the OlympicTraining Center.
Uh and I I like athletes.
I do I get I get enjoyment outwhether you're an athlete or an
85-year-old.
Doesn't matter to me.

SPEAKER_02 (04:55):
Sure.

SPEAKER_01 (04:56):
Yeah or both.
Or both, yeah.

SPEAKER_02 (04:59):
What's um what are some myths or misconceptions in
your niche of the industry?

SPEAKER_01 (05:07):
Um one is I think that people and doctors uh think
we just give exercises, that weuh treat with just exercises.
I think another myth is uh, andI've heard I don't hear it

(05:30):
anymore, but I used to hear itfrom older patients, uh, that
the older patients, you know,they used to, I mean, that the
over my time opinions havechanged, but they used to think
that just they're just gettingold and that's just the way it
is, and you can't help them.
So that was one.
You I don't know why I'm here,you can't help me.

(05:51):
And they didn't even know whatwe did.
Um those are probably the twobig myths there.
And I think over time people areusing physical therapy quite a
bit.
I think it's stillunderutilized, uh, probably more
from physicians than population,but uh I think it's getting more

(06:15):
and more utilized.

SPEAKER_02 (06:18):
Yeah, absolutely.
Um, I've had a lifelong sciaticaissue that I recently was able
to overcome because I ran intothe right chiropractor.
Wasn't a physical therapist, butum he he told me that everything
that I was doing with my legstogether at the same time with
squats was as bad for me as theEnglish chair.

(06:38):
And that I I needed to startlearning to do scissor
activities with my hips, um, andbecause we humans in in a
natural environment never liftanything legs synchronized that
way any more than we would walklike we're in a sack race.

SPEAKER_01 (06:56):
Yeah.

SPEAKER_02 (06:56):
Um, so um it we've been damaging ourselves the way
we exercise.
And um, if I do the rightballerina exercises every
morning before I start myregular workout, I don't have
back problems, but I have to doall of those leg swings and dog
pointer uh moves.
I don't even know what it'scalled, but I do it every day.

SPEAKER_01 (07:17):
Um, and I mean, and you can you can help yourself
with the right guidance.
Yeah, it's it's uh good.

SPEAKER_02 (07:24):
Yeah, I have to do it daily though, and nobody
knows this.
There's people walking aroundthinking they're gonna be broken
forever because they just don'tknow a few simple things.
So it's good that you're outthere.

SPEAKER_01 (07:33):
Well, and and I, you know, like you're using a
chiropractor.
I'm I believe in probablymultidisciplinary.
I think I think you need a teamof people to help you, which is
probably chiropractor, massage,acupuncture, physical therapist.
Um, and if you don't if youdon't get uh help, don't judge
them all the same.
Go find another one.

(07:55):
Yeah.

SPEAKER_02 (07:56):
Yeah, that worked for me.
So um, but he was thinkingoutside of his lane.
He was pretending like he was aphysical therapist and giving me
information that I begged fromhim.
You know, it wasn't even Ididn't have to do anything to do
with chiropractic, but uh Iprobably should have been with a
physical therapist all along.
So uh how are you marketingyourself now?

(08:17):
How are you educating peopleabout what you do and and that
you exist and and why theyshould come see you in the
digital world?

SPEAKER_01 (08:25):
Okay, so not well.
Um in the you know, in the goodold days, 30 years ago, you was
all you had to go see thedoctor, talk to the doctor.
Um uh you did mailers, right?
Um now it's Google searches,Facebook, Instagram.

(08:50):
I'm not very good at it, nor uhthe big thing, Nick, is I don't
have an interest, but I knowthat's the way uh that you
market a business today.
So I've had people work for methat take that interest and then
they leave and then it kind ofgoes by the wayside.
Um so we still have a website,we still have a Facebook that's
probably not uh attended to verywell.

(09:13):
Um and then the biggest one it,I mean, I've been in town so
long, you still have thedoctor's referral, although the
ones I started with are retired.
So now you have a new group thatI don't really know.
Uh and uh so the biggest thingis word of mouth for us.

(09:33):
Um that's probably the biggestthing.
And then and then when you askpeople how they came to you, uh
it's a Google search.
Yeah.
And so I assume the Googlesearch leads them to a website.

SPEAKER_02 (09:46):
Well, um it's awesome that you've established
yourself for so long.
Uh, when you do start goingdigital, um, that'll make you
more authentic, I think, in theSEO because you're so you've
been around for so long.
Um, maybe make it a littleeasier than people just starting
out.
Have you ever thought aboutdoing your own podcast?

SPEAKER_01 (10:05):
No.

SPEAKER_02 (10:08):
For all the reasons you mentioned.

SPEAKER_01 (10:10):
Uh well, you know, I uh I have I mean, just I just
never crossed my mind, right?
I used to do uh talks, uh, go topeople would ask me to go to a
school and teach teach somethingabout physical therapy to their
AP anatomy class, or uh I usedto go to the senior center and
do a uh class there.

(10:31):
I mean, but I've never yeah, Imean the thing about doing live
work, live talk, you get alimited audience.
You get whatever the room holdsif you're lucky, or you get 10
people to show up.
And uh, you know, digital, youget a wide audience.
I just haven't taken care, Ihaven't, I just haven't taken
attention to it.

SPEAKER_02 (10:52):
But what do you do for fun when you're not doing
physical therapy for people?

SPEAKER_01 (10:56):
Um, I still, you know, uh I like being outside.
Uh I haven't done a race, like atriathlon in a long time, but
I'll still work out with uh uhcycling and running and
weightlifting, and then uhpeople have warned me not to do
this one, but I'm playing golf.

SPEAKER_02 (11:17):
Why is that a problem?

SPEAKER_01 (11:19):
Because golf is very frustrating.
But uh I hike, I hike, I swim,camp, uh, stuff like that.
But now I'm trying to mastergolf a little bit, which is it
is frustrating.
I'm usually I grew up doing abunch of sports, so I think I
can usually pick something upand do it.

(11:39):
And golf hasn't been quite soeasy.

SPEAKER_02 (11:43):
Paula, is there some um hardship or life challenge
that you overcame at some pointin your youth or or middle life
that uh that that uh made youthe person that you are today?

SPEAKER_01 (11:57):
You know that uh the easy answer is probably starting
this business.
That was hard.
Uh but the thing that that madeprobably the most impact to me,
that really probably justchanged my approach to stuff, uh

(12:20):
I'm in college, I take anEnglish class, and I could give
a I did not care two iotas aboutEnglish.
It's you have to take it,English 101.
And I have this New York editorthat uh is very uh critical of

(12:42):
me.
And so she gives you yourwriting assignments, and these
are typewriter days, okay.
So uh, and every paper I turnedin, it's just marked up.
And I don't care because I justneed to get through this English
class and move on to my scienceclasses, and uh just full of

(13:03):
red, and she finally uh I don'tthink I got one good mark from
her, and uh she's hammering thatI'm I don't uh proofread it, I
don't check my typing errors, Idon't do a rough draft, I don't
do an outline, and she gives thelast assignment, which is a
longer paper, and for somereason I say to her, I say to

(13:28):
myself, okay, I'm gonna show herI can do a good paper.
And I do everything she's toldme I've been lazy on.
And I uh do the do the outline,I rewrite it, I do rough drafts,
I rewrite it, I rewrite it, Irewrite it, I type it, I check
for typos, I turn in the paper,and I get it back and there's no

(13:53):
marks on it.
And she gives me a C.
And I I go and I said, you know,there's no marks on this paper.
Why did you give me a C?
And she says, I don't think youwrote it.
And uh and she said, I thinksomebody wrote it for you.

(14:13):
And I didn't know I could getsomebody to write a paper for
me.
Okay, but I I looked at her andshe had every right to think I
didn't write that paper becauseI was so lazy on every other
paper.
And I said to myself, that'snever gonna happen again.
I am never gonna do a crappy joblike that again.

(14:36):
And and I that that reallychanged, like if I take
something on, I'm not gonna belazy, I'm gonna do a good job.
But that's probably that'sprobably the thing that I
remember from 18 years old thathas really stuck with me.
And she she did have every rightto think I didn't write the
paper.
I wrote the paper, but uh yeah.

SPEAKER_02 (14:56):
So now you want to keep everything perfect, I get
it.

SPEAKER_01 (14:59):
Yeah, or I will I at least don't want to be lazy.
I'm gonna try to do my best onstuff.
Like I'm not gonna give you areason to think I didn't do I
didn't do my best.

SPEAKER_02 (15:08):
Well, Paula, um, what do you want people that
that find this um interview onGoogle to what do you want the
big takeaway to be about PaulaNickel and performance physical
therapy and rehabilitation?

SPEAKER_01 (15:22):
You know, the the big one is uh not all physical
therapy is the same.
Uh I think uh like we have ourour niche here.
We look at the body in a wayfrom a muscle imbalance, a
muscle compensating uh way.
We have a specific technique weuse for that.

(15:43):
Um uh so not all physicaltherapy is the same.
So if you've had a badexperience or not not a helpful
experience, uh just keep seekinguh another practitioner.
It's everybody's individual.
Um that's probably the biggestone.

(16:03):
Like if I like the big one,yeah, you go to parties or
occasions or whatever, andpeople will say, What do you do?
And they'll either say theirphysical therapists are great,
or it doesn't help me.
Right.
And I I think uh they're not allthe same.
We're not all just doingexercises, we're not all uh
we're all individuals, and Ithink we all have our niche.

(16:26):
Yeah.

SPEAKER_02 (16:27):
Paula, what are all the ways that people can find
you in the digital world onsocial media, your website, um,
and then a phone number if ifthat's okay?

SPEAKER_01 (16:37):
Uh the big one is a website, which is uh performance
performance-physicaltherapy.com.
Uh, we do have a Facebook pagegoing by the same name.
Uh and we used to haveInstagram, I'm not sure we do
anymore.
So I would say website orFacebook.

(16:58):
Phone number 970-493-8727.

SPEAKER_02 (17:04):
Well, Paula, it's been an extreme pleasure having
you on our show, and wedefinitely wish you and
Performance Physical Therapy andReal Rehabilitation the very
best moving forward.

SPEAKER_01 (17:14):
Thanks, Nick.

SPEAKER_00 (17:17):
Thank you for listening to the Good Neighbor
Podcast.
To nominate your favorite localbusinesses to be featured on the
show, go to gmpfortcollins.com.
That's gmpfortcollins.com orcall 970 438 0825.
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