Install a cash-based back pain
program inside your clinic that
generates an additional
$2,500 to $6,200 per patient
A complete clinical and operational system. $2,500 to $6,200 per patient. No new marketing. No new patients.
Your patients aren’t failing. The system is.
Most patients with chronic back pain have a mechanical problem with identifiable drivers — degenerative disc disease, osteophytes, postural deficits, movement dysfunction. When those drivers are not addressed at the tissue level, patients plateau. They return. They eventually get referred for surgery or simply give up.
You already know this. You see it every day.
The problem is not your clinical skill. The problem is that traditional PT — even excellent PT — was never structured to address the full mechanical picture. Insurance models limit visits. Protocols address symptoms. And patients leave with temporary relief at best.
There is a different way to treat these patients. A structured, modality-supported spine program that addresses root drivers, produces measurable outcomes, and generates $2,500 to $6,200 per patient — inside the clinic you already have.
That is what this system is built to do.
If you are an established clinic owner, you likely feel three things at once.
Traditional PT manages symptoms. It does not address the structural and tissue-level drivers underneath. You know this — and it bothers you professionally.
You want to offer cash-based care, but you need a system you can trust clinically before you ever ask a patient to pay for it.
A clinically complete protocol is what removes that fear. Once the structure is in place, the conversation becomes natural.
A program built inside a real clinic, by a clinician still in practice.
Karen DeSimone has practiced physical therapy for twenty-six years. She received her Doctor of Physical Therapy degree from the MGH Institute of Health Professions, began her career at Massachusetts General Hospital, and transitioned to outpatient private practice before opening KD360 Wellness & Physical Therapy on Cape Cod in 2009, where she still practices today.
For years she billed insurance. She watched reimbursements shrink and documentation requirements grow, working harder each year for the same revenue. She knew her chronic back pain patients deserved more than what the insurance model allowed.
So she built a different system. A structured clinical and operational framework combined with the physical therapy she already practiced. Cancellations no longer impact revenue. Patient attrition resolves. Revenue becomes predictable. That system is what is inside this program.
What is inside the system.
Six modules. Each one addresses a gap that traditional PT never filled — clinically, operationally, and financially.
The Clinical Reframe
Most PTs were never taught to assess the tissue-level drivers of chronic back pain. A clear, clinically defensible framework for identifying root drivers and building a structured path to measurable outcomes.
Patient Outcomes Toolkit
Good intentions don’t produce consistent outcomes. Structure does. The protocols, clinical tools, and sequencing to deliver measurable results across your chronic back pain caseload.
The Cash-Based Conversion Framework
The hesitation around cash-based care is rarely about selling. It’s about confidence in the outcome. The pricing structure, patient communication tools, and enrollment framework that make the cash conversation feel clinically natural, not transactional.
The Modality Stack
A great program fails without operational structure behind it. The session flow, scheduling model, and treatment sequencing that protect your time and produce consistent outcomes at scale.
Patient Adherence and Retention Model
Drop-offs are not a patient problem. They are a structure problem. The accountability systems that keep patients committed through their full plan of care, so outcomes are protected and revenue is predictable.
Clinical Adaptation and Case Refinement
Every clinic has difficult cases. Exactly how structured communication turns a resistant or inconsistent patient into a committed participant, using real cases, real conversations, and real outcomes.
A $5,000 clinical device. Included.
The HakoMed Regenerator Device is the same horizontal frequency modulation device used inside Karen’s own clinic. It is what addresses the tissue-level drivers that traditional PT was never built to reach. And it is what makes outcomes repeatable. It is included with this program — at no additional cost. Using the HakoMed, a single enrolled patient generates $2,500 to $3,500 for a 4 to 6 week plan of care. Bonus Module 3 gives you exactly how to use it from day one. The program pays for itself.
You are not getting a device and figuring it out alone.
What clinicians and patients say.
Everything you need to implement a structured spine program in your clinic.
Six modules. Three bonus trainings. Implementation tools. The HakoMed Regenerator Device. And a private one-on-one strategy call with Karen.
One enrolled spine patient generates $2,500 to $6,200.
You receive everything you need to implement this system into your clinic: clinical protocols, pricing structure, communication scripts, and implementation tools, built and tested. Ready to use.
The HakoMed Regenerator Device, a clinic-grade horizontal therapy device valued at $5,000, is included with enrollment.
Choose your enrollment option
The Implementation Guarantee.
I stand behind this system because it is built from real-world clinical implementation, not theory.
If you complete all six modules and bonus trainings and apply the framework inside your clinic, and you have not generated at least $5,000, I will personally work with you until you do.
You will not be left guessing. You will have real clinical and operational feedback from someone who has built and run this system in a real practice.
The structure is here. The tools are here. And I am here too.
Why this works when other programs don’t.
Most programs give you the information and end where the real work begins. You finish the modules and still don’t know how to put it to work inside your clinic for your patients. This is not more information. This is a system that gives you the clinical framework, the operational structure, and the implementation tools to actually do it.
Most cash-based models require you to drop your insurance credentialing. This one doesn’t. It runs alongside everything you already do.
No new marketing. No new patients. The patients already walking through your door, including the ones you could not fully help before, are where this starts.
If you complete all six modules and bonus trainings and apply the framework inside your clinic and have not generated at least $5,000, Karen will personally work with you until you do. That is the guarantee.
Clinical structure matters. Strategy matters. But what you think and what you believe ultimately determine what you build. Most programs leave mindset out entirely. This one treats it as essential, because it is.
Frequently asked questions.
This program is not for high-volume mill clinics focused solely on visit counts. It is not for clinicians unwilling to implement structured systems. And it is not for anyone looking for a quick marketing hack. If you value clinical integrity, want better outcomes for your chronic back pain patients, and are ready to build a repeatable system, you are exactly who this was built for.
Yes, if you are an established physical therapy clinic owner who already treats back pain but sees patients plateau or return months later. If you want a structured, repeatable system rather than more random techniques. If you are ready to reduce insurance dependence and increase per-case revenue.
The entire system, including all modules and bonuses, takes about five hours to complete. In a few hours, you will have a ready-to-implement system that can transform your patient outcomes and create a reliable new cash-based revenue stream.
Most courses give you theory but leave you to figure out the implementation. This system gives you ready-to-implement clinical and business pathways, complete with protocols, pricing models, client education materials, and workflow strategies.
No. The foundation of this system is structure and clinical decision-making. You can implement the framework using the modalities and tools you already have. The HakoMed Regenerator Device is included as a premium addition. Other technology can be layered in strategically over time.
You can begin right away. The system is clinic-ready — client handouts, protocols, pricing structures, and workflow strategies you can introduce within days, not months.
That is exactly who this system is built for. You do not need prior experience. You need a clear structure. Once the structure is in place, the conversation becomes natural.
No. The program runs as an additional cash-based revenue stream alongside everything you already do. You keep what works and add a structured option for the patients who need more.
No. This system is designed to integrate into what you are already doing. Many clinic owners begin by applying it to a small segment of appropriate patients and expand once they see consistent outcomes.
You always had the skill. Now you have the system to match it.
Your clinical ability was never the problem. What was missing was the model with the structure to provide better outcomes for your patients and a more sustainable practice for you. That structure, including the HakoMed Regenerator Device, is inside this system.
The framework is here. The decision is yours.
Enroll in the Program