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Interacting with Interoception - What We're Missing in Pelvic Health (Part 1)09 Nov 202600:26:24

What if we're missing an entire SENSE when we're evaluating our pelvic health patients? 🤯

We all know the traditional five senses. But what about the eighth sense—interoception?

Interoception is how our nervous system receives, processes, and interprets information from inside our bodies. And Nicole thinks it's one of the most overlooked concepts in pelvic rehab.

Because here's the thing: Two patients can have the exact same symptom and need completely different treatments.

In Part 1 of this two-part series, we're diving into the science of interoception and how it should change the way we think about our patients.

We're talking about:

🧠 What IS interoception? — Understanding the body's internal signaling system and why it matters for bladder, bowel, pain, sexual function, and more.

🚽 It's not just about potty training! — Why interoception matters just as much for adults with pelvic health conditions as it does for kids learning to recognize bladder and bowel urges.

🔍 The five components of interoception — Sensitivity, accuracy, attention, interpretation, and response. Five different places where things can go wrong—and where we can potentially intervene.

⚡ When normal sensations become threatening — How previous experiences, emotions, and expectations can turn something like bladder filling into a source of anxiety or panic.

💧 Why urge suppression isn't always the answer — Two patients with urinary urgency may have very different underlying problems. Are we asking enough questions to tell the difference?

🧩 The connection to pain science — How the principles we've learned about pain perception can help us understand other internal sensations, from constipation to prolapse heaviness.

❤️ Interoception and neurodivergence — Why patients with ADHD, autism, or other sensory processing differences may experience and respond to internal signals differently.

The big takeaway? We need to stop treating symptoms as if they tell us the whole story.

Instead, we need to understand how our patients are actually experiencing, interpreting, and responding to those symptoms.

Because better questions lead to better clinical reasoning—and ultimately more individualized treatment.

And this is just Part 1!

Next week, we're getting practical: How do we actually assess and treat interoceptive differences in the clinic?

🎤 PelviCon 2027 Is Coming!

Want to learn from some of the brightest minds in pelvic health?

Get on the waitlist for PelviCon 2027 so you don't miss your chance at in-person tickets or our Live Virtual option!

👉 Join the waitlist: www.pelvicon.com

About Nicole & Jesse Cozean

Pelvic health is hard. We want everyone in this field to have a joyful, impactful career—and for business owners to build something that truly works for them.

🎙️ Pelvic PT Rising Podcast — Over 1 million downloads.

🏥 Founders of PelvicSanity — One of the nation's leading cash-based pelvic health practices.

🎤 Co-Creators of PelviCon — Bringing together the brightest minds in pelvic health.

📚 Authors — The Interstitial Cystitis Solution

🎓 Clinical Educators — Training thousands of pelvic PTs & OTs around the world.

💼 Business Coaches — Helping more than 1,000 pelvic health business owners build thriving practices.

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

The Rise of the Solopreneur: Good or Bad for Pelvic Health?05 Nov 202600:36:03

Is EVERYONE starting their own pelvic health practice these days?! 🤯

It certainly feels that way!

More and more pelvic PTs and OTs are leaving traditional employment to go out on their own. And depending on who you ask, that's either the best thing happening in our profession...or a huge problem.

In this 'sode, we're digging into why so many clinicians are starting their own practices, what it means for our profession, and why the answer is a whole lot more nuanced than you might think.

We're talking about:

📜 Why PTs and OTs are the exception — Unlike chiropractors, psychologists, dentists, and other healthcare professionals, physical therapists haven't historically had a strong tradition of entrepreneurship. Why?

🚀 Why NOW? — The four major forces driving clinicians toward business ownership: declining insurance reimbursement, lack of mentorship, the fallout from COVID, and the desire for more flexibility.

❤️ Is this good for patients? — Why more independent practices can mean greater access, more specialization, more education, and more choices for patients.

💰 The reality of being a solopreneur — Starting a business doesn't automatically mean financial freedom. Many practice owners are working harder, earning less, or struggling to turn a side hustle into a sustainable career.

🧠 Are clinicians going out on their own too early? — The real challenges of being both a newer clinician AND a new business owner, and why continued mentorship matters so much.

🏥 What about employers? — We understand how frustrating it is to invest in training someone only to have them leave and start their own practice. But what responsibility do employers have to create workplaces people actually want to stay in?

🌱 The rise of the multi-clinician cash practice — Why the biggest change might not be the solopreneur boom at all, but the emergence of a THIRD option for clinicians who want great care, great mentorship, and a great career without owning a business.

Here's our biggest takeaway: The rise of the solopreneur is GOOD for pelvic health. Period.

But that doesn't mean every solopreneur is successful, every clinician should start a business, or every employer is doing something wrong.

It means we're finally creating more choices for patients, clinicians, and business owners.

And that's something we should ALL be rooting for.

🚀 Ready to Build a Business That Actually Works for You?

Starting your own practice is one thing. Building a profitable, sustainable business that supports the life you want is something else entirely.

That's exactly why we created the Pelvic PT Rising Accelerator Program.

We've helped more than 1,000 pelvic health business owners navigate the challenges of entrepreneurship—from filling their schedules and increasing revenue to building systems, hiring, and creating more freedom.

Whether you're a solopreneur looking to finally make your practice financially successful or a growing business owner ready for the next stage, we'd love to help you build something that lasts.

👉 Learn more and join the Accelerator: www.pelvicptrising.com/accelerator

About Nicole & Jesse Cozean

Pelvic health is hard. We want everyone in this field to have a joyful, impactful career—and for business owners to build something that truly works for them.

🎙️ Pelvic PT Rising Podcast — Over 1 million downloads.

🏥 Founders of PelvicSanity — One of the nation's leading cash-based pelvic health practices.

🎤 Co-Creators of PelviCon — Bringing together the brightest minds in pelvic health.

📚 Authors — The Interstitial Cystitis Solution

🎓 Clinical Educators — Training thousands of pelvic PTs & OTs around the world.

💼 Business Coaches — Helping more than 1,000 pelvic health business owners build thriving practices.

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

Non-Competes Are Kinda Bull$#!t02 Nov 202600:23:29

We're about to make some employers mad. 😬

But here it goes: We think non-competes are bullshit.

And we're saying that as business owners who have spent years hiring, training, mentoring, and investing in our clinicians!

Why should getting a new job, starting your own practice, or leaving a workplace that isn't right for you mean having to move your family, change specialties, or drive an hour away just to earn a living?

In this 'sode, we're getting fired up about non-compete agreements and why we believe they're bad for employees, employers, AND the pelvic health profession.

We're talking about:

🚫 Why non-competes hurt our profession — How restricting clinicians' ability to change jobs limits opportunity, earning potential, and competition between employers.

⚖️ Are non-competes even legal? — Why the answer depends on your state, what happened to the proposed federal ban, and why understanding your specific agreement matters.

🤝 Non-competes vs. other employment protections — The important differences between non-competes, non-solicitation agreements, confidentiality, intellectual property, and training repayment agreements.

💪 You CAN negotiate your contract! — Why you shouldn't assume an employment agreement is set in stone, and what to consider before signing away your future options.

🏥 The employer perspective — We understand the fear of investing in an employee who eventually leaves. But is restricting their career really the answer?

🌱 Abundance vs. scarcity — Why great employers should focus on creating workplaces people WANT to stay at instead of trying to contractually force them to stay.

And yes, Jesse gets a little fired up. Nicole tries to keep things on track. We may or may not establish the official position of the newly formed Rising Task Force. 😂

Our bottom line? Your employer doesn't own your clinical skills, your degree, or your future.

If you're an employee, understand what you're signing and don't be afraid to negotiate.

If you're an employer, build a practice where people stay because they love working there—not because they're afraid to leave.

And remember, non-compete laws vary significantly by state. We're not attorneys, so make sure you understand the laws and agreements that apply to your specific situation.

Business Accelerator Program

If you want to build a business that truly works for you in the next year, apply for the Business Accelerator Program!  It's our six-month signature coaching program - details and apply here!  www.pelvicptrising.com/accelerator

About Nicole & Jesse Cozean

Pelvic health is hard. We want everyone in this field to have a joyful, impactful career—and for business owners to build something that truly works for them.

🎙️ Pelvic PT Rising Podcast — Over 1 million downloads.

🏥 Founders of PelvicSanity — One of the nation's leading cash-based pelvic health practices.

🎤 Co-Creators of PelviCon — Bringing together the brightest minds in pelvic health.

📚 Authors — The Interstitial Cystitis Solution

🎓 Clinical Educators — Training thousands of pelvic PTs & OTs around the world.

💼 Business Coaches — Helping more than 1,000 pelvic health business owners build thriving practices.

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

Make Your Practice Feel Like a Bougie Hotel ⭐29 Oct 202600:26:43

What if your pelvic health practice felt more like the Ritz-Carlton and less like a doctor's office? 🏝️

We're talking about how to create a five-star patient experience—and no, it doesn't mean you need to spend a fortune on fancy furniture or a massive clinic renovation!

Think about what makes a luxury hotel special. It's not just the expensive sheets or beautiful lobby. It's that every interaction is intentional. You feel welcomed, comfortable, remembered, and taken care of.

And that's exactly how we want our patients to feel.

In this 'sode, we're sharing practical ways to make your practice feel a whole lot more bougie:

🏨 The concierge welcome — Why the first 30 seconds at your front desk can immediately build trust (or create anxiety).

☕ It's the little things — Drinks, snacks, bed warmers, nice linens, and other inexpensive touches that make patients feel special.

🎵 Create the right atmosphere — How lighting, music, and personalized preferences can completely change the feel of your treatment room.

⏰ Punctuality is a luxury — Why running on time is one of the most important ways to show patients you respect them.

✨ The details matter — From perfectly prepared treatment rooms to thoughtful clinician handoffs, consistency is what separates good service from great service.

🎁 Go the extra mile — Small surprises, personalized touches, and making the final minutes of every visit memorable.

And we share plenty of examples from PelvicSanity—including a few things we STILL need to get better at (apparently our snack game needs some serious work 😂).

Here's the big takeaway: A premium experience isn't defined by how much money you spend. It's defined by how much thought you put into every interaction.

Whether you're a solo practitioner, own a multi-clinician practice, or work in a hospital system, there are things you can do THIS WEEK to make your patients feel more comfortable, valued, and cared for.

So grab your imaginary concierge bell, and let's make your practice a little more bougie! 🛎️

Accelerator Program

Now accepting applications for the Business Accelerator Program!  Opens in January, 2026 - find all the information and apply at www.pelvicptrising.com/accelerator

About Nicole & Jesse Cozean

Pelvic health is hard. We want everyone in this field to have a joyful, impactful career—and for business owners to build something that truly works for them.

🎙️ Pelvic PT Rising Podcast — Over 1 million downloads.

🏥 Founders of PelvicSanity — One of the nation's leading cash-based pelvic health practices.

🎤 Co-Creators of PelviCon — Bringing together the brightest minds in pelvic health.

📚 Authors — The Interstitial Cystitis Solution

🎓 Clinical Educators — Training thousands of pelvic PTs & OTs around the world.

💼 Business Coaches — Helping more than 1,000 pelvic health business owners build thriving practices.

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

Are We Teaching Birth Prep Wrong? With Jen Hamilton26 Oct 202601:01:49

Jen Freaking Hamilton is on the podcast!! 🎉

With more than 6 MILLION followers across social media, a #1 New York Times bestselling book (Birth Vibes), and 15 years of nursing experience, Jen Hamilton has become one of the most influential voices in birth education.

And she's joining us for a conversation that every pelvic PT and OT who works with pregnant patients needs to hear.

Because here's the uncomfortable question: Are we sometimes setting our patients up for disappointment with the way we teach birth prep?

We talk about:

🤰 When birth plans backfire — How rigid expectations around pushing, positioning, and interventions can leave patients feeling like they've failed when birth doesn't go according to plan.

💪 The truth about pushing positions — Why there's no single "right" way to give birth, and what Jen wishes pelvic rehab providers understood about the realities of the delivery room.

🧠 Are we overcomplicating birth prep? — Why giving patients a giant checklist of techniques and positions might actually make things harder when labor gets intense.

❤️ Trust isn't automatic. It's earned. — Jen's incredible approach to helping patients feel safe, heard, and empowered—even when they're initially distrustful of their medical team.

🤝 Doulas, advocacy, and informed consent — How to help patients advocate for themselves without creating an adversarial relationship with their birth team.

🚨 When emergencies happen — What compassionate communication looks like when every second counts.

📖 The philosophy behind Birth Vibes — Why Jen wants patients to prepare for how they want to experience birth, not just exactly how they want it to happen.

Nicole also shares her own birth experience—and how even nearly 20 years as a pelvic PT didn't prepare her for everything that happened in the delivery room.

The big takeaway? Our job isn't to prepare patients for one perfect version of birth. It's to help them feel confident, informed, and supported no matter how their birth unfolds.

This one might challenge some of what you've been teaching. And that's exactly why we wanted to have this conversation!

About Jen Hamilton

Jen Hamilton is a labor and delivery nurse, educator, social media creator, and author of the #1 New York Times bestseller Birth Vibes.

With 15 years of nursing experience and millions of followers, Jen has become a leading voice for compassionate maternity care, informed consent, and helping families navigate birth with confidence.

📱 Instagram: @_jen_hamilton — 2M+ followers!

📖 Learn more about Jen and order Birth Vibes: JenHamilton.co

About Nicole & Jesse Cozean

Pelvic health is hard. We want everyone in this field to have a joyful, impactful career—and for business owners to build something that truly works for them.

🎙️ Pelvic PT Rising Podcast — Over 1 million downloads.

🏥 Founders of PelvicSanity — One of the nation's leading cash-based pelvic health practices.

🎤 Co-Creators of PelviCon — Bringing together the brightest minds in pelvic health.

📚 Authors — The Interstitial Cystitis Solution

🎓 Clinical Educators — Training thousands of pelvic PTs & OTs around the world.

💼 Business Coaches — Helping more than 1,000 pelvic health business owners build thriving practices.


Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

Preventing the December Slowdown in Business22 Oct 202600:21:55

Every year, pelvic health business owners start dreading the same thing: the dreaded December slowdown. 🎄

Patients are traveling. Family commitments pile up. People cancel or reschedule appointments. And sometimes we're closing our own doors for the holidays!

But here's the question: Does December actually have to be a bad month for your business?

We don't think so!

Every month has its challenges AND its opportunities. And December has some pretty big advantages: patients want to reach their goals before the new year, use up their FSA dollars, and often experience symptom flares with holiday stress and travel.

In this 'sode, we're sharing 3 ways to prevent the December slowdown before it starts:

🩺 1. It starts in the treatment room. Use the Last 5 minutes of every session to discuss holiday plans, upcoming travel, and the importance of consistency. Don't wait until patients start cancelling to have these conversations!

📅 2. Get ahead of scheduling. Your front desk should be booking patients through January, not treating December 31st like the finish line for their care. With holiday vacations and limited availability, every appointment becomes even more valuable.

📣 3. Don't stop marketing! So many practices pull back their marketing in November and December—right when they need it most. The new patients you're bringing in NOW are the ones who will help keep your schedule full through the holidays.

The December slowdown isn't something that just happens to you. It's something you can anticipate, plan for, and actively work to prevent.

And the time to start is NOW!

🚀 Want a Business That Thrives All Year?

Inside the Pelvic PT Rising Accelerator Program, we help pelvic health business owners build the systems, marketing strategies, and patient management processes that create a more profitable, predictable, and sustainable practice.

Because you shouldn't have to cross your fingers and hope your schedule stays full—or feel like you're starting from scratch every January.

👉 Learn more about the Pelvic PT Rising Accelerator: PelvicPTRising.com

About Nicole & Jesse Cozean

Pelvic health is hard. We want everyone in this field to have a joyful, impactful career—and for business owners to build something that truly works for them.

🎙️ Pelvic PT Rising Podcast — Over 1 million downloads.

🏥 Founders of PelvicSanity — One of the nation's leading cash-based pelvic health practices.

🎤 Co-Creators of PelviCon — Bringing together the brightest minds in pelvic health.

📚 Authors — The Interstitial Cystitis Solution

🎓 Clinical Educators — Training thousands of pelvic PTs & OTs around the world.

💼 Business Coaches — Helping more than 1,000 pelvic health business owners build thriving practices.

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

26 Years of Pelvic Health Lessons: An Interview with Tracy Sher19 Oct 202601:03:39

What does 26 years of treating complex pelvic pain teach you? And what happens when you decide it's time to step away from patient care?

We're joined by Tracy Sher, founder and CEO of Pelvic Global (formerly Pelvic Guru), international educator, and one of the pioneers who helped shape how our field approaches complex pelvic pain.

This conversation is packed with clinical pearls, honest reflections, and some incredible stories about building a business (including a VERY expensive picture of a uterus 😳).

We dive into:

⏳ "How long until I get better?" — Tracy's brilliant framework for answering one of the hardest patient questions without making promises you can't keep.

📈 Redefining progress — Why improvement isn't always about pain scores or symptoms disappearing, and how to help patients recognize meaningful wins.

🧠 Anxiety isn't the same as pain — How Tracy uses separate scales to guide examinations, build trust, and help patients feel safe.

🤝 Better mentorship, better referrals — Why pelvic PTs and OTs should be learning from each other and referring within our own specialty more often.

🌎 Lessons from around the world — What Tracy has learned teaching internationally, and why complex pelvic pain education still has a long way to go.

💸 The $20,000 uterus picture — How a copyright lawsuit, failed business ideas, and some expensive mistakes helped shape Pelvic Global.

❤️ Stepping away after 26 years — The emotional side of leaving direct patient care when being a clinician has been such a huge part of your identity.

One of our favorite takeaways? You don't need to know exactly when a patient will get better. But you do need a plan for figuring out whether you're on the right track.

And after 26 years, Tracy is still curious, still learning, and still finding new ways to make an impact on our field.

About Tracy Sher

Tracy Sher is a pelvic health physical therapist with 26 years of clinical experience, an international educator, and the founder and CEO of Pelvic Global, formerly Pelvic Guru.

She's known for her expertise in complex pelvic pain, including pudendal neuralgia, and for creating educational resources that help clinicians around the world deliver better care.

She's also the creator of The Art of Pelvic Anatomy, a beautifully illustrated anatomy resource designed for clinicians, educators, and patients.

🌐 Website: PelvicGlobal.com

📱 Instagram: @pelvicguru1

About Nicole & Jesse Cozean

Pelvic health is hard. We want everyone in this field to have a joyful, impactful career—and for business owners to build something that truly works for them.

🎙️ Pelvic PT Rising Podcast — Over 1 million downloads.

🏥 Founders of PelvicSanity — One of the nation's leading cash-based pelvic health practices.

🎤 Co-Creators of PelviCon — Bringing together the brightest minds in pelvic health.

📚 Authors — The Interstitial Cystitis Solution

🎓 Clinical Educators — Training thousands of pelvic PTs & OTs around the world.

💼 Business Coaches — Helping more than 1,000 pelvic health business owners build thriving practices.

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

You Built the Business. Now Can You Step Away?08 Oct 202600:23:55

What happens when you hit the financial goals…but realize you still can't slow down?

This episode was sparked by a business owner who had been in practice for five years, was financially successful, but felt like she still couldn't step back, stop grinding or really enjoy what she'd built. 

It got us thinking about the three very different seasons of PelvicSanity over the last 10 years—and how our definition of a successful business has changed along the way.

In this episode, we talk about:

🚀 Season 1: Growth — 80-hour weeks, rapid growth and proving the business could actually work.

🧑‍💼 Season 2: Leadership — Learning (sometimes the hard way) that doing everything ourselves wasn't sustainable—and that leading by example isn't actually enough.

⏰ Season 3: Time Freedom — Deliberately building a business that no longer depends on us being there every day.

🏝️ Why we regret not taking more vacations during the early years—and don't believe working every Saturday was responsible for our success.

📈 The realization that how much the business makes isn't directly tied to how much we work.

🧠 Why after years of being rewarded for grinding, stepping back is a skill you have to learn.

✋ And why sometimes you can't wait until you feel ready to slow down. You have to create the boundary first, see what breaks, and then build the systems to fix it.   

Your business will go through seasons. The way you built it doesn't have to be the way you run it forever.

And if you've realized the business you've created isn't giving you the life you actually want, that doesn't mean building a business was a mistake. It means it's time to build the next version of it.

Ready for Your Next Season?

If your business is successful on paper but still requires too much of you, that's exactly the kind of problem we work on inside the Pelvic PT Rising Accelerator.

We'll help you build a more profitable, sustainable business—with the systems, strategy and support to create more freedom, not just more work.

👉 Learn more and apply for the Accelerator Program at www.pelvicptrising.com/accelerator

About Nicole & Jesse Cozean

Pelvic health is hard. We want everyone in this field to have a joyful, impactful career—and for business owners to build something that truly works for them.

🎙️ Pelvic PT Rising Podcast — Over 1 million downloads.

🏥 Founders of PelvicSanity — One of the nation's leading cash-based pelvic health practices.

🎤 Co-Creators of PelviCon — Bringing together the brightest minds in pelvic health.

📚 Authors — The Interstitial Cystitis Solution

🎓 Clinical Educators — Training thousands of pelvic PTs & OTs around the world.

💼 Business Coaches — Helping more than 1,000 pelvic health business owners build thriving practices.

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

Does Your Business Get Easier Each Year? Nicole vs. Jesse Debate!01 Oct 202600:28:24

The longer you own a business…the easier it should get, right?

Well, Nicole and Jesse aren't so sure they agree. 😂

So we're debating it!

📈 On one hand, YOU get better every year. You know more. You've made mistakes. You've survived hard things. Problems that would have sent you spiraling five years ago barely register anymore.

But…

🔥 Your problems get bigger.

😬 You fall into bad habits.

🏃‍♀️ It gets harder to maintain momentum.

🤯 And as the business grows, you encounter entirely new challenges you never had when you were starting out.

So does business ownership actually get easier with experience?

Or does it just get…differently hard?

We make the case for both sides—and talk about the thing that has probably done more than anything else to make entrepreneurship easier and more enjoyable for us: coaching.

We've learned a LOT from our own mistakes over the years. But we've learned even more by shortening the learning curve, getting outside perspective, and benefiting from mistakes other smart business owners have already made.

Because you certainly can figure everything out yourself.

But you don't have to. 🙌

🚀 Want Business to Get Easier?

That's exactly why we created the Pelvic Health Business Accelerator.

You don't need to reinvent the wheel, make every mistake yourself, or spend years figuring out lessons someone else could help you see in minutes.

👉 Learn more at pelvicptrising.com/accelerator

About Nicole & Jesse Cozean

Pelvic health is hard. We want everyone in this field to have a joyful, impactful career—and for business owners to build something that truly works for them.

🎙️ Pelvic PT Rising Podcast — Over 1 million downloads.

🏥 Founders of PelvicSanity — One of the nation's leading cash-based pelvic health practices.

🎤 Co-Creators of PelviCon — Bringing together the brightest minds in pelvic health.

📚 Authors — The Interstitial Cystitis Solution.

🎓 Clinical Educators — Training thousands of pelvic PTs & OTs around the world.

💼 Business Coaches — Helping more than 1,000 pelvic health business owners build thriving practices.

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

5 Business Lessons From 5 Years of PelviCon24 Sep 202600:26:23

PelviCon is officially here! 🎉

Five years ago, PelviCon was basically an audacious idea: What if we built the pelvic health conference we always wished existed?

Since then, we've sold out five years in a row, grown to more than 600 in-person attendees, built an incredible Live Virtual experience—and learned a LOT about business along the way.

So we're pulling back the curtain on some of the biggest lessons PelviCon has taught us:

💡 Build what you wish existed. Don't just make something slightly better. Ask whether you can create something meaningfully different.

🧪 If you're going to fail, fail early. Test the idea, start small and get actual proof before making the giant investment.

🛑 Don't dilute what makes you special just to grow. We could fit more people into PelviCon. We've deliberately chosen not to when it would compromise the experience. 

📘 Buy the color manuals. Figure out the little things that define your brand—and don't nickel-and-dime them away just because you could save money. 

🤝 Partnerships are hard—and alignment matters. PelviCon has shown us both why we're usually cautious about partnerships and what can make a great one actually work.

⭐ Only work with great people. Great speakers. Great AV. Great partners. Great vendors. Life and business get a whole lot better when you stop settling for “good enough.” 

And maybe the bonus lesson: everyone has an opinion. Listen carefully to your customers, take feedback seriously—and still be willing to protect your own vision.

We're recording this as PelviCon kicks off, so we're going to stop talking business and go enjoy the thing we've spent five years building. If you're joining us in Atlanta or Live Virtual...let's freaking go! 🔥 

PelviCon 2026

If you haven't yet gotten your Live Virtual + Recording tickets - grab them here! www.pelvicon.com/virtual

About Nicole & Jesse Cozean

Pelvic health is hard. We want everyone in this field to have a joyful, impactful career—and for business owners to build something that truly works for them.

🎙️ Pelvic PT Rising Podcast — Over 1 million downloads.

🏥 Founders of PelvicSanity — One of the nation's leading cash-based pelvic health practices.

🎤 Co-Creators of PelviCon — Bringing together the brightest minds in pelvic health.

📚 Authors — The Interstitial Cystitis Solution

🎓 Clinical Educators — Training thousands of pelvic PTs & OTs around the world.

💼 Business Coaches — Helping more than 1,000 pelvic health business owners build thriving practices.

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

There’s No Such Thing as a Simple Pelvic Health Patient: An Interview with Michelle Lyons21 Sep 202600:57:15

There’s no such thing as a simple pelvic health patient.

Even the patient who walks in with “just a little stress incontinence” brings a history, a body, hormones, sleep, stress, previous injuries, bowel function, activity goals—and a whole lot more.

And that's exactly why being a great pelvic health clinician requires so much more than memorizing protocols.

We're joined by Michelle Lyons for one of those wide-ranging, thought-provoking conversations we always love having with her.

Michelle has been part of PelviCon from the very beginning. She's our only 5-time PelviCon speaker, an incredible educator and one of the most thoughtful voices in our profession.

In this episode, we talk about:

🪟 Why assessing the pelvic floor still matters. Michelle shares the analogy of an internal + external assessment being like “washing the windows on both sides”—and why telehealth can be valuable as well as, rather than instead of, in-person assessment.

🧩 Why there are no simple patients. Even seemingly straightforward incontinence can require us to think about hips, hormones, sleep, iron, constipation, previous injuries, activity and more.

🧠 What clinical reasoning actually looks like. Information isn't enough. Great clinicians have to connect seemingly unrelated pieces into a coherent picture.

🎓 Why pelvic health desperately needs more mentorship. Taking Pelvic Floor 1 doesn't magically make someone an expert. New clinicians need support, supervision and safe places to ask questions.

🔬 Why better research isn't enough. Michelle used to believe better research would automatically lead to better pelvic health care. She's changed her mind. We also need to get much better at translating evidence into actual behavior change.

🌱 Why clinicians are facilitators, not fixers. Our job is to create the conditions where patients can recover, build capacity and thrive.

And Michelle gives us a preview of her two PelviCon talks—one on pelvic health after cancer and another on women and back pain—including some brand-new oncology guidelines she's been involved in developing. 

🎟️ Final Chance for PelviCon Live Virtual + Recording!

Wednesday, 9/23 is the FINAL DAY to purchase PelviCon Live Virtual + Recording!

Join us live for 14 practice-changing talks from 8 world-class speakers, plus get lifetime access to the recordings to watch and revisit anytime.

👉 Grab PelviCon Live Virtual + Recording

About Michelle Lyons

Michelle Lyons is a global pelvic health educator, researcher and clinician—and a longtime favorite in the Pelvic PT Rising community.

Her work challenges us to think bigger about women's health, connect the research to the person sitting in front of us, and ultimately help women live well. 

📱 Follow Michelle on Instagram @michellelyons_muliebrity
🌐 Celebrate Muliebrity
🎙️ And check out Michelle's Celebrate Muliebrity podcast.

About Nicole & Jesse Cozean

Pelvic health is hard. We want everyone in this field to have a joyful, impactful career—and for business owners to build something that truly works for them.

🎙️ Pelvic PT Rising Podcast — Over 1 million downloads
🏥 Founders of PelvicSanity — One of the nation's leading cash-based pelvic health practices
🎤 Co-Creators of PelviCon — Bringing together the brightest minds in pelvic health
📚 Authors — The Interstitial Cystitis Solution
🎓 Clinical Educators — Training thousands of pelvic PTs & OTs around the world
💼 Business Coaches — Helping more than 1,000 pelvic health business owners build thriving practices

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

Your Business Doesn't Have to Grow17 Sep 202600:21:35

More revenue. More patients. More clinicians. More locations.

We're constantly told that a "successful" business should always be getting bigger.

But what if you don't actually want it to? 🤔

There are plenty of GREAT reasons not to grow.

👨‍👩‍👧‍👦 You're in a season where family needs more of you.

✈️ You want to travel or prioritize life outside the practice.

💰 You're already making enough money.

🙅‍♀️ You have absolutely zero desire to manage employees.

❤️ Or maybe you're just…happy with what you've built!

And sometimes growth stalls for reasons you didn't choose—staff turnover, seasonality, capacity issues, losing a referral source, or just the normal ups and downs of running a business.

A flat year doesn't mean you failed.

But there's an important flip side…

"I don't want to grow" can also become a really convenient story we tell ourselves when we're actually afraid to grow. 😬

There's a difference between intentionally choosing to maintain your business and avoiding the hard things required to take the next step.

And remember: not growing doesn't mean not improving.

If your revenue stays flat but you work 10 fewer hours a week, take four more weeks of vacation, increase your profit, improve your systems and enjoy your business more?

🎉 That's a better business.

The question isn't:

"Did my business grow this year?"

It's:

👉 "Did my business do what I wanted it to do for me this year?"

🚀 Want to build a business that actually works for YOU?

That's exactly what we do in the Pelvic Health Business Accelerator—helping pelvic health business owners get consistently full, improve their systems and build the business they actually want.

Learn more at pelvicptrising.com/accelerator

About Nicole & Jesse Cozean

Pelvic health is hard. We want everyone in this field to have a joyful, impactful career—and for business owners to build something that truly works for them.

🎙️ Pelvic PT Rising Podcast — Over 1 million downloads.

🏥 Founders of PelvicSanity — One of the nation's leading cash-based pelvic health practices.

🎤 Co-Creators of PelviCon — Bringing together the brightest minds in pelvic health.

📚 Authors — The Interstitial Cystitis Solution.

🎓 Clinical Educators — Training thousands of pelvic PTs & OTs around the world.

💼 Business Coaches — Helping more than 1,000 pelvic health business owners build thriving practices.

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

How to Actually Be an Evidence-Based Clinician: An Interview with Taryn Hallam14 Sep 202601:13:35

Reading research and actually understanding what it means for the patient in front of you are two VERY different things.

And there may be nobody in pelvic health better at bridging that gap than Taryn Hallam.

Taryn has essentially made research translation her full-time job—reading the enormous amount of pelvic health research being published and asking:

What does this actually mean in the clinic?

Because the abstract doesn't always tell the whole story.

As Taryn puts it, the abstract is like the trailer for a movie. Sometimes the trailer accurately represents the movie. And sometimes...all the best parts were in the trailer. 😆 

In this episode, we're diving deep into how we actually become evidence-based clinicians.

We talk about:

📊 Statistical significance vs. clinical significance. A result can be completely “statistically significant” and still be basically meaningless to your patient.

🎬 Why you can't just read the abstract. What gets highlighted in an abstract isn't necessarily what matters most clinically.

🔬 Why one research paper is never the whole story. Taryn compares a single paper to opening a 450-page novel to page 210 and expecting to understand the plot.

🤰 The danger of extrapolating research to the wrong population. What happens when research on young, nulliparous athletes gets applied to a completely different patient sitting in front of us?

🤷‍♀️ Why “we don't know” is sometimes the most evidence-based answer. We don't need to pretend the research is more definitive than it actually is.

🧠 How experience changes our ability to assess. Can research showing poor reliability among relatively inexperienced clinicians really tell us what an expert with decades of pattern recognition can—or can't—feel?

🔥 And yes...we ask Taryn about the internal exam debate.

Her answer?

Let's just say she has some thoughts. 😆

We talk prolapse, stress urinary incontinence, levator avulsion, pelvic floor muscle training, tone, overactivity—and why Taryn believes an internal examination remains an essential component of best-practice pelvic health care.

But she also makes an incredibly important distinction:

Saying virtual care has value and saying an internal examination adds important clinical information are NOT contradictory statements.

Both can be true.

And sometimes our profession gets into arguments because we haven't even agreed on what question we're debating. 

🎟️ Learn From Taryn at PelviCon 2026!

If you like Taryn on the podcast, you are going to LOVE her at PelviCon.

She's bringing us two completely different—and appropriately disruptive—presentations.

Should Possible Levator Avulsion Change Our Approach?

This one is for the research nerds. 🤓

Taryn is digging into the actual studies and statistics, including what odds ratios and p-values really tell us, to ask whether suspected levator avulsion should change how we approach someone in those first few months postpartum.

Coital Incontinence & Female Ejaculation

And this one tackles a topic many of us simply weren't taught enough about.

Our patients may be nervous enough to bring these concerns up. We shouldn't be sitting there thinking, Oh crap...what do I say now? 😬

Taryn is going to give us the research, understanding and language to have these conversations with confidence. 

Can't join us in Atlanta?

Grab your PelviCon Live Virtual + Recording ticket!

You'll get:

🎓 14 incredible, practice-changing talks

🌎 8 world-class leaders in pelvic health

💻 Live Virtual access to experience PelviCon with us

🙋‍♀️ Opportunities to interact, ask questions and participate live

▶️ Lifetime access to all the recordings so you can revisit these talks whenever they're relevant to a patient

👉 Grab your PelviCon Live Virtual + Recording ticket

About Taryn Hallam

Taryn Hallam is the founder of Women's Health Training Associates (WHTA) in Australia and one of the world's leading pelvic health educators.

She's trained more rehab providers in pessary fitting than anyone else and has become one of the profession's go-to voices for translating pelvic health research into information clinicians can actually use.

Her Research Update helps clinicians keep up with the enormous amount of new evidence being published, understand the statistics behind it, put individual studies into context—and most importantly, figure out what it actually means for patient care. 

📚 Check out WHTA and Taryn's Research Update

📱 Follow @whtaeducation on Instagram

About Nicole & Jesse Cozean

Pelvic health is hard. We want everyone in this field to have a joyful, impactful career—and for business owners to build something that truly works for them.

🎙️ Pelvic PT Rising Podcast — Over 1 million downloads.

🏥 Founders of PelvicSanity — One of the nation's leading cash-based pelvic health practices.

🎤 Co-Creators of PelviCon — Bringing together the brightest minds in pelvic health.

📚 Authors — The Interstitial Cystitis Solution.

🎓 Clinical Educators — Training thousands of pelvic PTs & OTs around the world.

💼 Business Coaches — Helping more than 1,000 pelvic health business owners build thriving practices.

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

What’s the Point If You Hate Your Business?10 Sep 202600:25:10

You can make great money. You can have control of your schedule.

But…do you actually like the business you've created? 😬

In Part 3 of our Make the Business Work for You series, we're talking about the third major piece of upside you traded for when you became a business owner: satisfaction & impact. 🙌

Ideally, as your business grows, your role should get BETTER.

✨ More time doing things you're great at.

❤️ More of the work you genuinely enjoy.

💰 More time spent on things that actually create value.

🗑️ Less answering phones, chasing paperwork, putting out preventable fires, scrambling for patients, and doing all the little things you hate.

And then there's impact.

Maybe success means becoming the go-to pelvic health resource in your community. Maybe it's mentoring clinicians, creating incredible jobs, building relationships with providers, or growing a team that can help far more patients than you ever could by yourself. 🌎

There's no single "right" version of a successful pelvic health business.

And that's the whole point of this series.

Money. Time. Satisfaction & impact.

You don't have to maximize all three at the same time—and sometimes you can't.

But you gave up a LOT of consistency to become an entrepreneur.

👉 Make sure you're actually collecting the upside you traded for.

🚀 Want to build a business that actually works for YOU?

That's exactly what we do in the Pelvic Health Business Accelerator—helping you build a thriving practice that's financially successful without losing sight of the life and career you actually wanted when you started.

Learn more at pelvicptrising.com/accelerator

About Nicole & Jesse Cozean

Pelvic health is hard. We want everyone in this field to have a joyful, impactful career—and for business owners to build something that truly works for them.

🎙️ Pelvic PT Rising Podcast — Over 1 million downloads.

🏥 Founders of PelvicSanity — One of the nation's leading cash-based pelvic health practices.

🎤 Co-Creators of PelviCon — Bringing together the brightest minds in pelvic health.

📚 Authors — The Interstitial Cystitis Solution.

🎓 Clinical Educators — Training thousands of pelvic PTs & OTs around the world.

💼 Business Coaches — Helping more than 1,000 pelvic health business owners build thriving practices.

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

Are We Really Providing Whole-Person Care If We Ignore Spirituality? With Sinéad Dufour07 Sep 202600:50:22

We talk a lot about providing “whole-person care.” But are we actually doing it?

And if we leave spirituality completely out of the conversation...can we really call our care whole-person?

This is exactly the kind of question we love exploring with Dr. Sinéad Dufour.

Sinéad is one of the researchers and educators we respect most because she's constantly willing to examine the evidence, challenge her own assumptions and change her mind when the science takes her somewhere new.

So naturally, when she decided to go back to graduate school for counseling and spiritual care, we knew the conversation was going to be fascinating. 😆

And it's the foundation for the panel she's leading at PelviCon this year:

Spirit in Session: Towards Whole-Person Pelvic Healthcare

In this episode, we dive into:

✨ Spirituality vs. religion — why they're not the same thing, and why that distinction matters in healthcare.

🧠 Is biopsychosocial care actually whole-person care? Sinéad argues there's another domain we often leave out.

❤️ Purpose, meaning and compassion in the treatment room — and how pelvic health clinicians may already be touching on spirituality without realizing it.

🚧 Where's the line between whole-person care and “out of scope”? And what training, mentorship and self-awareness do clinicians need?

💻 What does GOOD virtual pelvic health care actually look like? Sinéad has built both in-person and virtual practices and has some fascinating thoughts about where virtual care shines—and where it simply cannot replace in-person assessment.

👀 The great irony of virtual care: Sinéad believes that becoming excellent virtually may require years of honing your skills in person first.

🤝 Why pelvic PTs need to refer to other pelvic PTs more often. Sometimes the best care isn't choosing virtual or in-person—it's creating a circle of care around the patient.

And Sinéad is now leading research to answer one of the questions our profession desperately needs better evidence around:

What actually constitutes high-quality virtual pelvic health care?

We can't wait to see what she finds. 

🎟️ Learn from Sinéad LIVE at PelviCon 2026!

We're now just DAYS away from PelviCon!

Sinéad will be leading what might be one of the most unique conversations we've ever had on the PelviCon stage:

Spirit in Session: Towards Whole-Person Pelvic Healthcare

She'll be joined by Shelly Prosko, Yeni Abraham and Lynn Schulte for a panel discussion about spirituality, meaning, purpose and what it really means to care for the whole person. 

Can't join us in Atlanta?

Grab your PelviCon Live Virtual + Recording ticket!

You'll get:

🎓 14 incredible, practice-changing talks

🌎 Learn from 8 world-class leaders in pelvic health

💻 Live Virtual access September 25–26 — including the opportunity to participate, interact and ask questions

▶️ Lifetime access to every recording — so these become resources you can come back to for years

This isn't just another Zoom course or a replay you'll forget about in your inbox.

Join us live. Bring your questions. Be part of PelviCon from wherever you are.

👉 Grab your PelviCon Live Virtual + Recording ticket

About Dr. Sinéad Dufour

Dr. Sinéad Dufour is a physiotherapist, professor, researcher, educator and entrepreneur whose work has helped advance pelvic and perinatal health care.

She's a professor at McMaster University, co-founder of The WOMB, and has spent her career bringing evidence into clinical practice.

Most recently, Sinéad completed additional graduate training in counseling and spiritual care, adding another dimension to her work around biopsychosocial and whole-person healthcare. 

📱 Make sure you're following Sinéad on Instagram: @dr.sinead

About Nicole & Jesse Cozean

Pelvic health is hard. We want everyone in this field to have a joyful, impactful career—and for business owners to build something that truly works for them.

🎙️ Pelvic PT Rising Podcast — Over 1 million downloads.

🏥 Founders of PelvicSanity — One of the nation's leading cash-based pelvic health practices.

🎤 Co-Creators of PelviCon — Bringing together the brightest minds in pelvic health.

📚 Authors — The Interstitial Cystitis Solution.

🎓 Clinical Educators — Training thousands of pelvic PTs & OTs around the world.

💼 Business Coaches — Helping more than 1,000 pelvic health business owners build thriving practices.

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

Make the Business Work For You - Time Freedom03 Sep 202600:26:17

You started your business for more freedom.

So…why are you working more hours, answering messages on vacation, staying late for the one patient who "can only do 5pm," and feeling guilty anytime you need to change your schedule? 😬

In Part 2 of our Make the Business Work for You series, we're talking about TIME FREEDOM 🙌

⏰ How much time does your business actually require from you?

📅 Are you working the schedule you want—or the schedule your patients have created for you?

🧹 How much timesucking nonsense is quietly stealing hours from your week?

🤯 And if your kid gets sick, you want to take a vacation, or life just happens…do you actually feel free to change your schedule?

We also get into why having 28 appointment openings when you're only seeing 12 patients is a recipe for feeling like you're always at work—and why your patients are probably WAY more flexible than you think.

Because there's nothing worse than leaving a job for more freedom…and discovering you've become a more demanding boss than your old employer ever was. 😳

You traded consistency for upside.

Time freedom is part of that upside. Don't give it away. 💪

🚀 Want to build a business that actually works for YOU?

That's exactly what we do in the Pelvic Health Business Accelerator—help you get consistently full, eliminate the nonsense, build better systems, and create a business that supports the life you actually want.

👉 Learn more at pelvicptrising.com/accelerator

About Nicole & Jesse Cozean

Pelvic health is hard. We want everyone in this field to have a joyful, impactful career—and for business owners to build something that truly works for them.

🎙️ Pelvic PT Rising Podcast — Over 1 million downloads.

🏥 Founders of PelvicSanity — One of the nation's leading cash-based pelvic health practices.

🎤 Co-Creators of PelviCon — Bringing together the brightest minds in pelvic health.

📚 Authors — The Interstitial Cystitis Solution.

🎓 Clinical Educators — Training thousands of pelvic PTs & OTs around the world.

💼 Business Coaches — Helping more than 1,000 pelvic health business owners build thriving practices.

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

Disrupting Sexual Health with Dr. Rachel Rubin31 Aug 202600:48:54

Dr. Rachel Rubin is changing the landscape of women’s health—and she’s not waiting around for permission.

In this fiery conversation, we talk about why sexual medicine has been ignored for so long, the massive education gap around menopause and hormones, and Rachel’s work fighting to remove the FDA boxed warning from vaginal estrogen.

We also get into why pelvic PTs and OTs need to own our role in recognizing hormonal and vulvar changes, why the future of women’s healthcare requires a multidisciplinary “pit crew,” and Rachel’s philosophy that no grown-ups are coming to save the day.

Plus, we talk disruption, entrepreneurship, taking action, dealing with criticism…and why Rachel believes pelvic rehab providers are becoming leaders in this space.

About Dr. Rachel Rubin

Dr. Rachel Rubin is a board-certified urologist and sexual medicine specialist, nationally recognized for her work in women’s sexual health, menopause, hormones, and Genitourinary Syndrome of Menopause (GSM).

Learn more from Rachel at Dr. Rachel Rubin’s website and follow her on Instagram @drrachelrubin.

See Rachel at PelviCon!

Rachel is making PelviCon history as our first physician speaker!

She’ll be delivering her keynote on Disrupting the FDA: A Fight for Vaginal Estrogen Safety AND a four-hour Pre-Con deep dive on Vulvar Exams for Pelvic Therapists.

Join us for PelviCon Live Virtual + Recording and get lifetime access to Rachel’s keynote and all of the incredible PelviCon content.

Get PelviCon Live Virtual + Recording →

About Nicole & Jesse Cozean

Pelvic health is hard. We want everyone in this field to have a joyful, impactful career—and for business owners to build something that truly works for them.

🎙️ Pelvic PT Rising Podcast — Over 1 million downloads.

🏥 Founders of PelvicSanity — One of the nation's leading cash-based pelvic health practices.

🎤 Co-Creators of PelviCon — Bringing together the brightest minds in pelvic health.

📚 Authors — The Interstitial Cystitis Solution.

🎓 Clinical Educators — Training thousands of pelvic PTs & OTs around the world.

💼 Business Coaches — Helping more than 1,000 pelvic health business owners build thriving practices.

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

Make the Business Work For You - Financial Success28 Aug 202600:28:13

When you leave a job to start your own practice, you're making a pretty massive trade:

You're trading consistency for upside.

Gone is the predictable paycheck, the regular schedule, the structure someone else created for you, and the relative certainty of knowing what you're going to make.

In exchange? You get upside.

And in this first episode of our Making Your Business Work for You series, we're talking about the most obvious kind: money.

Because we all know the fantasy math.

"If I charge $200 and see 40 patients a week…"

And suddenly you're mentally spending the fortune you're obviously going to make as a practice owner.

Except…that's not how this works.

There are plenty of practice owners making less than they could working for someone else. We'll share some real numbers, break down what different caseloads actually mean for your take-home income, and talk about the financial ceiling of the solo model versus the very different challenges (and opportunities) of growing beyond yourself.

We also break down the only four ways to make more money in your practice:

  • Get more leads
  • Convert more of those leads into patients
  • Keep your patients longer
  • Raise your prices

But making more isn't the whole story.

You can have a thriving practice and still panic over every cancellation, obsess over every eval who doesn't book, and wonder whether the whole thing is about to come crashing down after one slow week.

So we're also talking about financial confidence—knowing your numbers, understanding the normal ups and downs of business, and being confident you're on pace to hit your goals.

Because ultimately, running a small business is a get-rich-slow scheme.

You stack the wins. You make an extra $25,000 this year. You invest it. You get smarter about taxes. You improve the business. You let those gains compound over years and decades.

Your practice might be the single greatest wealth-generating machine you ever create.

Just don't expect it to happen overnight.

PelviCon Live Virtual + Recording

Can't be with us in person for PelviCon? Join us LIVE from anywhere—and get lifetime access to the recordings so you can come back to the incredible content whenever you want.

Get all the details at www.pelvicon.com/virtual

Accelerator Program

Want your practice to actually deliver the financial upside you started it for? The Accelerator is our six-month coaching program for pelvic health practice owners who want to get consistently full, improve their business, and build a practice that actually works for them.

Learn more at www.pelvicptrising.com/accelerator

About Nicole & Jesse Cozean

Pelvic health is hard. We want everyone in this field to have a joyful, impactful career—and for business owners to build something that truly works for them.

🎙️ Pelvic PT Rising Podcast — Over 1 million downloads.

🏥 Founders of PelvicSanity — One of the nation's leading cash-based pelvic health practices.

🎤 Co-Creators of PelviCon — Bringing together the brightest minds in pelvic health.

📚 Authors — The Interstitial Cystitis Solution.

🎓 Clinical Educators — Training thousands of pelvic PTs & OTs around the world.

💼 Business Coaches — Helping more than 1,000 pelvic health business owners build thriving practices.

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

You Know His Research. But Do You Know Paul Hodges?24 Aug 202601:00:49

You might not immediately recognize the name Paul Hodges. But we can almost guarantee you've been taught his work.

And if you're attending PelviCon (either in-person or with our Live Virtual option) you'll get the chance to learn from him directly!

If you've learned that...

👉 The pelvic floor and diaphragm work together

👉 The pelvic floor is part of a larger pressure-management system

👉 Timing and coordination matter—not just strength

👉 The abdominals and pelvic floor don't function independently

👉 Intra-abdominal pressure isn't inherently bad

👉 Pain is far more complicated than simply "tissue vs. brain"

...then you've been influenced by research Professor Paul Hodges and his collaborators have spent decades developing.

And that's why we were SO excited to sit down with him. 

Paul is one of the most influential physiotherapy researchers in the world, and in this episode we get to nerd out with him about the science that has fundamentally shaped how we practice.

We talk about:

🔬 What we got wrong about his early motor-control research — and how complex science gets oversimplified when it reaches the clinic.

💨 Why pressure isn't the enemy. Paul introduces the Swedish concept of lagom: we need the appropriate amount of pressure for the task—not simply less pressure.

♂️ Why we can't just extrapolate female pelvic floor rehab to men. Paul's team has been investigating what actually creates continence after prostatectomy and how that should change rehabilitation.

🧠 Why we've oversimplified chronic pain. We dig into nociceptive, neuropathic and nociplastic pain—and why chronic pain doesn't automatically mean the tissues are irrelevant.

🤯 The problems with “central sensitization.” Including Nicole getting a little surprise when Paul explains the limitations of the Central Sensitization Inventory!

📚 How research actually makes its way into clinical practice—and why Paul believes research should ultimately change outcomes for real people.

And maybe our favorite theme of the entire conversation:

Complexity doesn't mean we throw our hands up.

Our job is to understand that complexity well enough to find the clinically meaningful pieces that help the person sitting in front of us.

🎟️ Learn From Paul LIVE at PelviCon 2026!

If this conversation gets your clinical brain firing, just wait until PelviCon.  (You can still get your tickets at www.pelvicon.com/virtual)

Paul is giving two presentations during the main PelviCon conference:

Beyond the Squeeze: Ultrasound and Precision in Male Pelvic Floor Care

and

Same Symptoms, Different Pain: Phenotyping Pelvic Pain in Clinical Practice

Your PelviCon Live Virtual + Recording ticket gives you access to Paul's presentations PLUS all 14 talks from our eight incredible speakers—and you have lifetime access to the recordings.

And there's still time to be with us in spirit!

🎁 Order before September 2nd and we'll ship you the printed, full-color PelviCon manual PLUS a PelviCon swag set.

👉 Get your PelviCon Live Virtual + Recording ticket (www.pelvicon.com/virtual)

About Professor Paul Hodges

Professor Paul Hodges is a physiotherapist, neuroscientist and professor at the University of Queensland whose research has profoundly influenced our understanding of motor control, biomechanics, pain, continence, breathing and pelvic floor function.

His work spans decades and hundreds of scientific publications, but what makes it so relevant to us is how many of the principles we now take for granted in pelvic rehab have roots in questions Paul and his collaborators were asking long before those concepts became commonplace. 

📱 Follow Paul on Instagram: @paulwhodges

🔬 Learn more about his research and academic work: Professor Paul Hodges — University of Queensland

About Nicole & Jesse Cozean

Pelvic health is hard. We want everyone in this field to have a joyful, impactful career—and for business owners to build something that truly works for them.

🎙️ Pelvic PT Rising Podcast — Over 1 million downloads.

🏥 Founders of PelvicSanity — One of the nation's leading cash-based pelvic health practices.

🎤 Co-Creators of PelviCon — Bringing together the brightest minds in pelvic health.

📚 Authors — The Interstitial Cystitis Solution.

🎓 Clinical Educators — Training thousands of pelvic PTs & OTs around the world.

💼 Business Coaches — Helping more than 1,000 pelvic health business owners build thriving practices.

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

Do You Actually Need a CRM? Fight for Simplicity.20 Aug 202600:23:31

When does a cash-based pelvic health practice actually need a fancy CRM?

For most of us? Never.

And yes—we've made this mistake ourselves. 😬

In this episode, we're breaking down what a CRM actually is, how it's different from your EMR and email platform, and why adding more technology often creates more problems instead of solving them. 

We get into:

👉 Why you probably already have a CRM (even if it's just a Google Sheet!)

👉 The difference between your CRM, EMR and email platform

👉 Why PelvicSanity went from a simple Call Log → fancy CRM → right back to the Call Log

👉 The hidden costs of tech stacking and automation

👉 Why you shouldn't build your business systems around a specific admin

👉 The question you should ask before adding ANY new software, system or complexity

The bigger principle?

Fight for simplicity.

Before adding something new to your business, get crystal clear:  What problem am I actually trying to solve?

Then ask whether this is really the simplest, best way to solve it.

Because in more than 1,000 pelvic health business owners we've worked with, we've never once thought:

"You know what's really holding this business back? They need a better CRM." 😆 

🚀 Want Our Actual Systems? Join the Accelerator!

This is exactly the kind of stuff we work through in the Pelvic Health Business Accelerator.

You don't need to reinvent your systems or spend months testing fancy software.

We give you the actual tools, systems and frameworks we've built and refined at PelvicSanity—including the Call Log we still use today—and help you implement them in your own practice. 

If you're ready to stop guessing and build a simpler, more profitable pelvic health practice:

👉 Check out the Pelvic Health Business Accelerator (www.pelvicptrising.com/accelerator)

🎟️ And PelviCon Is Coming!

We also give you a little behind-the-scenes glimpse in this episode at just how much goes into putting PelviCon together.

If you can't join us in Atlanta, grab your PelviCon Live Virtual + Recording Ticket.

You'll get lifetime access to all 14 talks, plus the ability to join us live September 25–26, interact and ask questions.

And order by September 2nd and we'll ship you the printed full-color PelviCon manual + PelviCon swag set so you can be with us in spirit!

👉 Get your PelviCon Live Virtual + Recording Ticket (www.pelvicon.com/virtual)

About Nicole & Jesse Cozean

Pelvic health is hard. We want everyone in this field to have a joyful, impactful career—and for business owners to build something that truly works for them.

🎙️ Pelvic PT Rising Podcast — Over 1 million downloads.

🏥 Founders of PelvicSanity — One of the nation's leading cash-based pelvic health practices.

🎤 Co-Creators of PelviCon — Bringing together the brightest minds in pelvic health.

📚 Authors — The Interstitial Cystitis Solution.

🎓 Clinical Educators — Training thousands of pelvic PTs & OTs around the world.

💼 Business Coaches — Helping more than 1,000 pelvic health business owners build thriving practices.

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

Maternal Mortality, a Whole-Body Approach and Using Data: An Interview with Katherine Sylvester17 Aug 202600:55:26

How can we help save the lives of our pregnant and post-partum patients?  What about doing more than just resolving their reported symptoms?

We can't wait for you to hear this conversation with Katherine Sylvester - she has spent her entire career challenging the status quo and pushing for better results for her patients.  

After experiencing postpartum preeclampsia herself, Katherine began asking how wearable data could help women recognize problems earlier, advocate for themselves and make better decisions during pregnancy and postpartum. That eventually grew into Operation M.I.S.T. and her work helping women use their own data to better understand their bodies. 

And that's just one part of this conversation!

We talk about:

👉 How Katherine's own postpartum experience led to Operation M.I.S.T.

👉 Using wearable data to identify concerning changes before they become major problems

👉 Teaching women to self-monitor and make data-driven decisions

👉 Why postpartum return to exercise needs to be individualized

👉 Her mission to reduce unnecessary C-sections

👉 Why we're barely scratching the surface of what pelvic PT/OT can do with scar management

👉 What happens when you stop complaining about problems and start asking, “What can I do about this?”

Katherine is bringing two completely new topics to the PelviCon stage this year: using data to address maternal mortality and better understanding and treating scars in pelvic rehab. We can't wait for you to learn from her! 

🎟️ Join Us for PelviCon 2026 — From Anywhere!

Can't be with us in Atlanta? You can still experience PelviCon LIVE.

Your Live Virtual + Recording Ticket gives you:

✨ Live access to PelviCon 2026 on September 25–26

✨ Lifetime access to all 14 incredible presentations

✨ The ability to ask questions and participate live

✨ The flexibility to watch and rewatch whenever you want

PLUS: Order by September 2nd and we'll ship you the printed, full-color PelviCon manual AND a PelviCon swag set so you can be with us in spirit!

👉 Get your PelviCon Live Virtual + Recording Ticket

About Katherine Sylvester

Katherine Sylvester is a pelvic health physical therapist, maternal health innovator, author, VBAC doula, founder of Operation M.I.S.T., wife, mom of two and postpartum preeclampsia survivor. 

Her personal experience with postpartum preeclampsia helped inspire her work using remote monitoring and wearable data to improve pregnancy and postpartum outcomes. She's also passionate about scar management and helping women feel informed and empowered throughout pregnancy, birth and postpartum.

Katherine is the author of Pregnancy Principles and is also involved with 365 Vitals Partners and Operation M.I.S.T.

🌐 Learn more about Katherine, Pregnancy Principles, 365 Vitals Partners and Operation M.I.S.T. at Operation M.I.S.T.

📱 Instagram: @operationmist

About Nicole & Jesse Cozean

Pelvic health is hard. We want everyone in this field to have a joyful, impactful career—and for business owners to build something that truly works for them.

🎙️ Pelvic PT Rising Podcast — Over 1 million downloads.

🏥 Founders of PelvicSanity — One of the nation's leading cash-based pelvic health practices.

🎤 Co-Creators of PelviCon — Bringing together the brightest minds in pelvic health.

📚 Authors — The Interstitial Cystitis Solution.

🎓 Clinical Educators — Training thousands of pelvic PTs & OTs around the world.

💼 Business Coaches — Helping more than 1,000 pelvic health business owners build thriving practices.

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

The Hardest Part of Hiring Your First Clinician13 Aug 202600:32:00

What if the first clinician you hire isn't as good as you?

It's one of the biggest fears we hear from successful solopreneurs—and it's exactly what Nicole struggled with when we started growing PelvicSanity.

Because hiring your first clinician isn't just adding another person to the schedule.

It's changing your entire role.

Suddenly, you have to trust someone else with your patients, your reputation, your culture and something you've worked incredibly hard to build.

And yes...Nicole struggled with this enough that she eventually went to therapy to work through some of the control issues that came with becoming a leader. 😬

In this episode, we're talking about the mindset shifts required to successfully go from solopreneur to multi-clinician owner, including:

👉 Why being busy isn't a good enough reason to hire

👉 "No one will ever be as good as me" (and what to believe instead)

👉 Why your next clinician can actually enhance your reputation

👉 Raising the floor with great systems, onboarding and mentorship

👉 Raising the ceiling by helping your clinicians become incredible

👉 Why your clinicians don't need to be perfect on Day 1

👉 The fear that you'll invest in someone...and they'll eventually leave

Ultimately, the traits that made you a successful solopreneur—control, high standards, personal responsibility—can become the exact things that prevent you from building a great team.

Growing beyond yourself requires becoming a different kind of business owner.

🎧 Listen wherever you get your podcasts!

Want to Grow as a Business Owner?

Check out the Pelvic Business Accelerator - the 6-month program to jumpstart your business and get you to the next level.  More info at www.pelvicptrising.com/accelerator

About Nicole & Jesse Cozean

Pelvic health is hard. We want everyone in this field to have a joyful, impactful career. And for business owners to build something that truly works for them.

🎙️ Pelvic PT Rising Podcast — Over 1 million downloads.

🏥 Founders of PelvicSanity — One of the nation's leading cash-based pelvic health practices.

🎤 Co-Creators of PelviCon — Bringing together the brightest minds in pelvic health.

📚 Authors — The Interstitial Cystitis Solution.

🎓 Clinical Educators — Training thousands of pelvic PTs & OTs around the world.

💼 Business Coaches — Helping more than 1,000 pelvic health business owners build thriving practices.

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

Rethinking Compression Garments & Diastasis: An Interview with Gráinne Donnelly10 Aug 202600:53:37

How do you challenge long-held beliefs in pelvic health?  You ask better questions.

This week, we're joined by Gráinne Donnelly—pelvic health physiotherapist, researcher, educator, editor-in-chief of the Journal of Pelvic, Obstetric and Gynaecological Physiotherapy, and one of this year's featured PelviCon 2026 speakers. 

Gráinne has built a career around asking questions that matter, from postpartum return to sport and diastasis recti to compression garments and pelvic floor function. In this conversation, she shares what she's learning through her PhD research, why clinical curiosity should drive research, and how our profession continues to evolve.

In this episode, we discuss:

🔹 The story behind her new textbook, Sports Medicine and the Pelvic Floor: From Science to Practice

🔹 What her research is teaching us about compression garments

🔹 Why our understanding of diastasis recti continues to evolve

🔹 Bridging the gap between research and real-world clinical practice

🔹 How motherhood has shaped her as a clinician, researcher, and leader

If you're passionate about evidence-based practice—and want to hear from someone helping shape the future of pelvic health—you'll love this conversation.

🎟️ Learn from Gráinne live at PelviCon 2026

Gráinne will be presenting two sessions at PelviCon 2026 (September 25–26):

✅ The Science of Pelvic Floor Support Garments

✅ Distilling Diastasis: Current Evidence for Assessment & Management

Can't join us in Atlanta?

Grab a Live Virtual + Lifetime Recording Ticket and you'll get access to both of Gráinne's presentations—and all 8 featured speakers—to watch live or anytime afterward.

🎟️ Register at www.pelvicon.com

About Gráinne Donnelly

Gráinne Donnelly is a pelvic health physiotherapist, researcher, educator, and editor-in-chief of the Journal of Pelvic, Obstetric and Gynaecological Physiotherapy. She is currently completing her PhD while leading internationally recognized research on postpartum return to sport, compression garments, and diastasis recti. She is also the editor of the textbook Sports Medicine and the Pelvic Floor: From Science to Practice.

📍 Website: https://absolute.physio/

📸 Instagram: @grainnedonnelly_absolutephysio

About Nicole & Jesse Cozean

Pelvic health is hard. We want everyone in this field to have a joyful, impactful career—and for business owners to build something that truly works for them.

🎙️ Pelvic PT Rising Podcast — Over 1 million downloads and one of the world's leading pelvic health podcasts.

🏥 Founders of PelvicSanity — One of the nation's leading cash-based pelvic health practices.

🎤 Co-Creators of PelviCon — Bringing together the brightest minds in pelvic health.

📚 Authors — The Interstitial Cystitis Solution, helping more than 20,000 patients worldwide.

🎓 Clinical Educators — Training thousands of pelvic PTs & OTs around the world.

💼 Business Coaches — Helping more than 1,000 pelvic health business owners build thriving practices.

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

The Biggest Mistake We Make with Downtraining06 Aug 202600:31:20

If you've ever felt like you've "tried downtraining" and your patient still isn't getting better... this episode is for you.

We're also wrapping up our recent series on internal exams, the gold standard, and access to quality care before shifting back into one of our favorite clinical topics: downtraining.

The biggest mistake we see?

Thinking of downtraining as a single intervention.

In this episode, we introduce the updated framework from our completely re-recorded Downtraining Masterclass, including the three different "levers" of downtraining and how they help you identify why someone's pelvic floor is overactive—not just that it is.

In this episode we discuss:

✅ A quick recap of our recent series on internal exams & the gold standard

✅ Why "I've tried downtraining" usually isn't true

✅ The 3 Downtraining Levers:

  •  Pelvic Floor Direct 
  •  Pelvic Floor Indirect 
  •  Nervous System 

✅ How to choose the right intervention for the right patient

✅ When to stay the course... and when it's time to pivot

If you treat patients with pelvic pain, overactivity, urinary urgency, constipation, or other pelvic floor dysfunction, this framework will immediately change how you think about treatment.

🎓 Ready to Go Deeper?

The Downtraining Masterclass has been completely re-recorded and updated with:

✨ Our brand-new 3-Lever Downtraining Framework

✨ Five in-depth case studies

✨ Practitioner-led & home program intervention guides

✨ Patient communication scripts

✨ AI clinical reasoning prompts

✨ Lifetime access to all future updates

👉 Learn more at:

www.pelvicptrising.com/downtraining

About Nicole & Jesse Cozean

Pelvic health is hard. We want everyone in this field to have a joyful, impactful career—and for business owners to build something that truly works for them.

🎙️ Pelvic PT Rising Podcast — Over 1 million downloads and one of the world's leading pelvic health podcasts.

🏥 Founders of PelvicSanity — One of the nation's leading cash-based pelvic health practices.

🎤 Co-Creators of PelviCon — Bringing together the brightest minds in pelvic health.

📚 Authors — The Interstitial Cystitis Solution, helping more than 20,000 patients worldwide.

🎓 Clinical Educators — Training thousands of pelvic PTs & OTs around the world.

💼 Business Coaches — Helping more than 1,000 pelvic health business owners build thriving practices.

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

What's Changing in Endo Care? An Interview with Amy Stein03 Aug 202600:43:28

PelviCon '26 speaker Amy Stein has been one of the pioneers of modern pelvic health.

She founded Beyond Basics Physical Therapy, one of the largest cash-based pelvic health practices in the country, authored the groundbreaking books Heal Pelvic Pain and Beating Endo, and has spent more than two decades helping shape the future of pelvic rehabilitation. 

In this conversation, we talk about how far our profession has come—from a time when there were only a handful of pelvic health courses available to today, where thousands of clinicians are entering the field every year.

We also dive into:

✅ How Amy built Beyond Basics into one of the country's premier pelvic health practices

✅ Why collaboration—not competition—is the future of pelvic health

✅ What's changing in our understanding of endometriosis

✅ Why every patient deserves a multidisciplinary team

✅ The importance of mentorship and lifelong learning

Amy will also be joining us at PelviCon 2026 to present two incredible sessions:

📍 Endometriosis Decoded: What's New, What's Changing & What Matters Most

📍 Rehab After Excision Surgery

If you treat patients with endometriosis—or simply want to provide better pelvic health care—you won't want to miss these talks.

🎟️ Join Amy (and 7 other incredible speakers) at PelviCon 2026

Get your Live Virtual + Lifetime Recording Ticket and learn from the brightest minds in pelvic health from anywhere in the world.

📅 September 25–26, 2026

🎟️ Register now at www.pelvicon.com

About Amy Stein

Amy Stein, PT is the founder of Beyond Basics Physical Therapy, one of the nation's leading pelvic health practices. She is an entrepreneur, educator, author of Heal Pelvic Pain and Beating Endo, past President of the International Pelvic Pain Society, and one of the pioneers who helped shape modern pelvic rehabilitation. Learn more at https://beyondbasicsphysicaltherapy.com/ or follow her on Instagram @beyondbasicspt.

About Nicole & Jesse Cozean

Pelvic health is hard. We want everyone in this field to have a joyful, impactful career—and for business owners to build something that truly works for them.

🎙️ Pelvic PT Rising Podcast — 1M+ downloads and one of the world's leading pelvic health podcasts.

🏥 Founders of PelvicSanity — One of the largest cash-based pelvic health practices in the country.

🎤 Co-Creators of PelviCon — Bringing together the brightest minds in pelvic health.

📚 Authors — The Interstitial Cystitis Solution, helping 20,000+ patients worldwide.

🎓 Clinical Educators — Training thousands of pelvic PTs & OTs around the world.

💼 Business Coaches — Helping more than 1,000 pelvic health business owners build thriving practices.

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

The 5 Levels of Care in Pelvic Health: What Is The Gold Standard?30 Jul 202601:13:10

Let's cut through the noise....If someone you loved needed pelvic floor therapy tomorrow, where would you send them?

🤔 Are there actually different levels of pelvic health care?

We believe the answer is yes.

The interesting part? Most pelvic therapists already act as though these different levels exist—we've just never had a common language to describe them.

Think about it...

If your spouse, your parent, or your child developed pelvic floor dysfunction tomorrow, who would you recommend?

Most of us wouldn't say:

❌ "Just find any ortho PT."

❌ "Start with telehealth or try an online program."

❌ "Here's a great Instagram account."

We'd recommend a pelvic floor specialist.  Someone who is trained and able to perform both an internal and external evaluation and hands-on treatment.

That instinct reveals something important: we already recognize that different models of care have different capabilities.

In this episode, we introduce what we're calling the Five Levels of Pelvic Health Care—a framework for thinking about the different therapeutic ceilings of pelvic health, from free educational resources all the way to the current gold standard of in-person pelvic floor specialists.

In this episode, we discuss:

✅ Why different models of care have different capabilities

✅ What we mean by a model's therapeutic ceiling

✅ The Five Levels of Pelvic Health Care

✅ Why every level has value—and expands access in different ways

✅ Why preserving the gold standard matters while thoughtfully increasing access

This isn't about ranking clinicians or criticizing different models of care.

Every level has passionate clinicians doing their absolute best for patients.

Every level has an important role to play.

But patients deserve honesty about what each model can—and cannot—provide so they can make informed decisions about their care.

If you've been following this series, this episode brings everything together and introduces a framework we hope helps move the conversation around standards of care forward.

There's only two big requirements for us:

  1. Be honest about your therapeutic ceiling.
    Don't present your level as though it replaces—or is equivalent or superior to—a higher level.
  2. Be exceptional within the level you've chosen.  No matter what setting you've chosen to practice in, strive to learn, grow and provide incredible care.

About Nicole & Jesse Cozean

Pelvic health is hard. We want everyone in this field to have a joyful, impactful career. And for business owners to build something that truly works for them.

🎙️ Rising Podcast – Leading pelvic health podcast with 1M+ downloads

👤 Founders – PelvicSanity, one of the nation's leading cash-based pelvic health practices

🎙️ Co-creators – PelviCon, the first-ever pelvic rehab conference

📚 Clinical educators who have trained more than 3,000 pelvic PTs & OTs worldwide

💼 Business coaches who have guided more than 1,000 pelvic rehab business owners

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

What Do We Actually Gain From an Internal Pelvic Floor Evaluation?27 Jul 202601:13:46

To be honest, we never imagined we'd need to explain this. 
Fair warning: this episode gets a little nerdy.

Over the last two episodes, we've talked about why we believe internal pelvic floor evaluation remains the gold standard in pelvic rehabilitation. This week, we're answering the obvious follow-up question:

What do we actually gain from performing one?

For those of us who were trained to perform internal evaluations—and who use them every day in practice—the value seems almost self-evident. It's become such a fundamental part of how we think, reason, and treat that we rarely stop to ask why. It's also where our profession has focused its education, research, and clinical training for more than 40 years.

But recent conversations in our field have challenged us to step back and articulate something we've largely taken for granted.

So that's exactly what we do in this episode.

We break down the first principles of an internal pelvic floor evaluation: 

  • How it reduces uncertainty
  • Improves diagnostic accuracy
  • Helps individualize treatment
  • Identifies findings that might otherwise be missed
  • Gives patients understanding and validation

This is why the ability and willingness to perform an internal evaluation - when clinically relevant and with informed consent - has remained the gold standard in pelvic rehabilitation for decades.

If you've ever struggled to explain why internal evaluation matters—or simply want to think more deeply about one of the defining skills of our profession—this episode is for you.

International Continence Society Paper

In the episode we mention a paper from the ICS that was extremely helpful in listing out many of the areas where we gain information, specificity or new information.  You can review the article in full here: https://mail.google.com/mail/u/3/?ui=2&ik=c052c6fa3f&attid=0.1&permmsgid=msg-a:r7722291455026827186&th=19f9addb07427973&view=att&zw&disp=inline&acrobatPromotionSource=gmail_chrome-list


Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

What We're Getting Wrong About "Access to Care"23 Jul 202600:29:05

"Access to care" sounds like something everyone should support.

So why do we think it's become one of the most misleading phrases in pelvic health?

In this episode, we argue that we've been solving the wrong problem.

Because the goal isn't access to care.  The goal is access to quality care.

We discuss:

  •  Why lowering the standard of care isn't the same as increasing access 
  •  The difference between access and quality 
  •  Why patients are still falling through the cracks despite having "access" 
  •  The six biggest opportunities to improve pelvic healthcare 
  •  Why raising standards—not lowering them—is how we truly help more people 

If our profession wants to serve more patients, the answer isn't diluting what makes pelvic health special.

It's building more clinicians, better businesses, stronger education, and higher standards. 

About Nicole & Jesse Cozean

Pelvic health is hard. We want everyone in this field to have a joyful, impactful career. And for business owners to build something that truly works for them.

🎙️ Rising Podcast – Leading pelvic health podcast with 1M+ downloads

👤 Founders – PelvicSanity, one of the nation's leading cash-based pelvic health practices

🎙️ Co-creators – PelviCon, the first-ever pelvic rehab conference

📚 Clinical educators who have trained more than 3,000 pelvic PTs & OTs worldwide

💼 Business coaches who have guided more than 1,000 pelvic rehab business owners

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

Is Internal Evaluation + Treatment Still the Gold Standard?20 Jul 202600:57:14

Is internal evaluation the gold standard in pelvic health?  We believe the answer is yes.

Lately, we've seen more clinicians claiming that internal pelvic floor evaluation isn't necessary—or isn't the gold standard of pelvic rehab. We don't think this is just another social media debate.

We think it's one of the most important conversations our profession needs to have.

We're going to be diving deep into this topic.  But for Part 1, we discuss:

  •  Why this issue matters so much for the future of pelvic health 
  •  What the pioneers of our profession fought to establish 
  •  The strongest arguments against internal evaluation—and where we think they fall short 
  •  Why "access to care" shouldn't mean lowering the standard of care 
  •  Why extraordinary claims require extraordinary evidence 

(Also, the caveat we shouldn't need....Every internal evaluation should be clinically appropriate and performed only with informed patient consent.  Of course.)

Instead, this episode asks a bigger question:  What should the gold standard actually be for pelvic rehab?

About Nicole & Jesse Cozean

Pelvic health is hard. We want everyone in this field to have a joyful, impactful career. And for business owners to build something that truly works for them.

🎙️ Rising Podcast – Leading pelvic health podcast with 1M+ downloads

👤 Founders – PelvicSanity, one of the nation's leading cash-based pelvic health practices

🎙️ Co-creators – PelviCon, the first-ever pelvic rehab conference

📚 Clinical educators who have trained more than 3,000 pelvic PTs & OTs worldwide

💼 Business coaches who have worked with more than 1,000 pelvic rehab business owners

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

Is an Online Business Really the Future?16 Jul 202600:37:02

"Everyone" seems to be saying the future is online.  Create a course.  Sell a membership.  Telehealth in your pajamas.  

Stop trading your time for money.  Retire on a beach.

As owners of both a thriving brick-and-mortar practice and a successful online business, we wanted to share a reality check.

In this episode, we discuss:

✅ Why most pelvic PTs are looking at online business for the wrong reasons
✅ Why building an online business is often harder than building a local practice
✅ The biggest mistakes we see clinicians make before they ever get started
✅ Why content creation is a full-time job—not passive income
✅ How AI is changing the future of online education
✅ Why we still believe the greatest opportunity is delivering exceptional in-person care

One of our biggest takeaways:

Don't chase what looks exciting online. Build the business you're actually passionate about.

Business Accelerator

If your goal is to build a thriving pelvic rehab business, we'd encourage you to double down on what you already know how to do: provide exceptional patient care.

The Business Accelerator helps you build the marketing, systems, pricing, and confidence to grow a profitable brick-and-mortar practice—without chasing every new trend.

Learn more about future cohorts:

👉 www.pelvicptrising.com/accelerator

About Nicole & Jesse Cozean

Pelvic health is hard. We want everyone in this field to have a joyful, impactful career. And for business owners to build something that truly works for them.

🎙️ Rising Podcast – Leading pelvic health podcast with 1M+ downloads
 👤 Founder – PelvicSanity clinic in Southern California
 🎙️ Co-creator – PelviCon, the first-ever pelvic rehab conference
 📚 Author – The IC Solution, helping 20,000+ patients worldwide
 🎓 Clinical Educator – Trained 3,000+ pelvic PTs & OTs globally
 💼 Business Coach – Guided 1,000+ pelvic rehab businesses to grow, thrive and enjoy their business

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

Endometriosis Is a Team Sport: An Interview with Excision Specialist Dr. Stuparich13 Jul 202601:01:36

Endometriosis care is about so much more than surgery.

In this episode, Nicole sits down with endometriosis excision surgeon Dr. Mallory Stuparich for a wide-ranging conversation on what it really takes to care for patients living with endometriosis.

We discuss:

  •  The role of pelvic PT before and after surgery 
  •  Setting realistic expectations for recovery 
  •  Central sensitization and persistent pain 
  •  Imaging, inflammation, and recurrence 
  •  Why multidisciplinary care leads to better outcomes 

But one message stood above everything else:

Our first job is to rebuild trust.

Many patients with endometriosis have spent years feeling dismissed, misunderstood, or told their symptoms were normal. Before we can guide them toward healing, we have to help them feel seen, heard, and believed.

Whether you're part of the surgical team or the rehabilitation team, that trust is where recovery begins. 

About Dr. Mallory Stuparich

Dr. Mallory Stuparich is a fellowship-trained gynecologic surgeon specializing in advanced endometriosis excision surgery, adenomyosis, and complex pelvic pain. She is passionate about collaborative care and helping patients navigate every stage of their treatment journey with compassion, education, and evidence-based care.

Downtraining Masterclass

Helping patients with persistent pelvic pain requires more than great hands-on skills.

Our Downtraining Masterclass provides practical frameworks for treating high-tension, pain-dominant patients with more confidence.

👉 www.pelvicptrising.com/downtraining

About Nicole & Jesse Cozean

Pelvic health is hard. We want everyone in this field to have a joyful, impactful career. And for business owners to build something that truly works for them.

🎙️ Rising Podcast – Leading pelvic health podcast with 1M+ downloads
 👤 Founder – PelvicSanity clinic in Southern California
 🎙️ Co-creator – PelviCon, the first-ever pelvic rehab conference
 📚 Author – The IC Solution, helping 20,000+ patients worldwide
 🎓 Clinical Educator – Trained 3,000+ pelvic PTs & OTs globally
 💼 Business Coach – Guided 1,000+ pelvic rehab businesses to grow, thrive and enjoy their business

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

Building a Business That Stands for Something: An Interview with Joy Noble09 Jul 202600:42:44

What if the biggest key to business success isn't strategy... but confidence?

In this episode, we bring on Joy Noble, founder of Pelvic Pride, to talk about building a business with purpose, creating an incredible team culture, and having the courage to do things differently.

A coach in our Rising Mentorship Program, Joy shares the journey from opening her practice just before the pandemic to growing into two locations, expanding her team, and creating one of the most recognizable brands in pelvic health.

We discuss:

✅ Why community is one of the greatest competitive advantages you can have
 ✅ The courage it took to rebrand to Pelvic Pride
 ✅ Building a practice around your values instead of trying to please everyone
 ✅ Growing from an anxious decision-maker into a confident leader
 ✅ The importance of mentorship, team culture, and saying "no"
 ✅ Joy's newest project supporting the mental health of pelvic therapists

One of our favorite takeaways:

Confidence isn't something you're born with. It's something you build by doing hard things.

About Joy Noble

Joy Noble is the founder of Pelvic Pride, a pelvic health practice dedicated to creating an inclusive, affirming environment where every patient feels seen, heard, and cared for. In addition to leading a rapidly growing multi-clinician practice, Joy is passionate about supporting the wellbeing of pelvic health providers through her newest initiative, The Reset Room.

🌐 www.pelvicpride.com

📸 Instagram: @pelvicpride

Business Accelerator

If you're building a pelvic rehab practice and want support from a community of business owners who understand exactly what you're going through, we'd love to have you join us in a future Accelerator cohort.

Learn more at:

👉 www.pelvicptrising.com/accelerator

About Nicole & Jesse Cozean

Pelvic health is hard. We want everyone in this field to have a joyful, impactful career. And for business owners to build something that truly works for them.

🎙️ Rising Podcast – Leading pelvic health podcast with 1M+ downloads
 👤 Founder – PelvicSanity clinic in Southern California
 🎙️ Co-creator – PelviCon, the first-ever pelvic rehab conference
 📚 Author – The IC Solution, helping 20,000+ patients worldwide
 🎓 Clinical Educator – Trained 3,000+ pelvic PTs & OTs globally
 💼 Business Coach – Guided 900+ pelvic rehab businesses to grow, thrive and enjoy their business

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

Scaling Your Practice: An Interview with Hannah Strom02 Jul 202600:40:00

What does it really take to grow from a single treatment room into a thriving multi-location practice?

In this episode, we sit down with Hannah Strom, founder of Awake Pelvic Health, to talk about the mindset, leadership, and intentional decisions that fueled her incredible growth.

Hannah shares how she started in a tiny room at the back of a yoga studio and, just five years later, has built a practice with ten clinicians. But this conversation isn't just about growth—it's about becoming the leader your business needs.

We discuss:

 ✅ Why every stage of growth feels uncomfortable
 ✅ Building a culture centered on mentorship and curiosity
 ✅ The transition from clinician to business owner
 ✅ Balancing high standards with giving your team room to grow
 ✅ Why workshops have been a cornerstone of her marketing strategy
 ✅ Creating a business that supports your life—not just your schedule

One of our favorite takeaways:

Your business only grows as much as you're willing to grow.

About Hannah Strom

Hannah Strom is the founder of Awake Pelvic Health, a pelvic health practice with three locations built around whole-body care, mentorship, and clinical excellence.

Learn more at www.awakepelvichealth.com

Follow Hannah on Instagram: @awakepelvichealth

Business Accelerator

If you're looking to grow your practice with more confidence, better systems, and support from a community of like-minded pelvic rehab business owners, we'd love to have you in a future Business Accelerator cohort.

Learn more at:

👉 www.pelvicptrising.com/accelerator

About Nicole & Jesse Cozean

Pelvic health is hard. We want everyone in this field to have a joyful, impactful career. And for business owners to build something that truly works for them.

🎙️ Rising Podcast – Leading pelvic health podcast with 1M+ downloads
 👤 Founder – PelvicSanity clinic in Southern California
 🎙️ Co-creator – PelviCon, the first-ever pelvic rehab conference
 📚 Author – The IC Solution, helping 20,000+ patients worldwide
 🎓 Clinical Educator – Trained 3,000+ pelvic PTs & OTs globally
 💼 Business Coach – Guided 900+ pelvic rehab businesses to grow, thrive and enjoy their business

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

Grace, Boundaries & Burnout - Real Story of Leaving a Job29 Jun 202600:33:36

Leaving a job is one of the trickiest moments in your career.

Whether you're the employee or the employer, emotions run high, plans change quickly, and patients are caught in the middle.

In this episode, we discuss a question that came up in the Pelvic PT Huddle and use it to explore what it really means to leave a position professionally and gracefully.

We cover:

✅ Why giving notice is so emotionally complex for both sides
✅ The difference between a poor business decision and an unethical one
✅ Why it's not your job to create the transition plan
✅ How to advocate for your patients without taking on responsibility that isn't yours
✅ Why pelvic rehab is incredibly important... but it isn't life-or-death care

One of our biggest takeaways:

You can care deeply about your patients without carrying the weight of the entire system on your shoulders.

About Nicole & Jesse Cozean

Pelvic health is hard. We want everyone in this field to have a joyful, impactful career. And for business owners to build something that truly works for them.

🎙️ Rising Podcast – Leading pelvic health podcast with 1M+ downloads
 👤 Founder – PelvicSanity clinic in Southern California
 🎙️ Co-creator – PelviCon, the first-ever pelvic rehab conference
 📚 Author – The IC Solution, helping 20,000+ patients worldwide
 🎓 Clinical Educator – Trained 3,000+ pelvic PTs & OTs globally
 💼 Business Coach – Guided 900+ pelvic rehab businesses to grow, thrive and enjoy their business

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

How Your Money Mindset Issues Are Holding You Back25 Jun 202600:34:31

You have money mindset issues.

We do too.  Every business owner does.

The question isn't whether you have them...

It's how much they're quietly holding your business back.

In this episode, we unpack how money mindset shows up in pricing, hiring, investing, patient care, and even the recommendations you make in the treatment room.

We discuss:

  •  Why money mindset affects far more than your finances 
  •  The subtle ways it shows up in your business every day 
  •  How it impacts pricing, confidence, and patient care 
  •  Why awareness alone isn't enough 
  •  The ABCs of changing your money mindset: Awareness, Behavior, and Coaching & Community 

One of the biggest takeaways:

Your money mindset doesn't just affect your income. It affects your decisions.

And better decisions build better businesses. 

Business Accelerator Program

🚨 Today is the FINAL DAY to join Accelerator Cohort #7.

Honestly, this episode is a preview of the work we do inside the Accelerator.

Money mindset isn't something you fix by reading another book or listening to another podcast.

It changes when you're surrounded by people who challenge your thinking, support your growth, and help you make different decisions.

Our most recent cohort averaged:

✅ +8.5 patients per week

✅ +$6,267/month in revenue

✅ +$75,206/year in revenue

And 97% reported feeling more confident as business owners.

Doors close tonight.

👉 www.pelvicptrising.com/accelerator

About Nicole & Jesse Cozean

Pelvic health is hard. We want everyone in this field to have a joyful, impactful career. And for business owners to build something that truly works for them.

🎙️ Rising Podcast – Leading pelvic health podcast with 1M+ downloads
 👤 Founder – PelvicSanity clinic in Southern California
 🎙️ Co-creator – PelviCon, the first-ever pelvic rehab conference
 📚 Author – The IC Solution, helping 20,000+ patients worldwide
 🎓 Clinical Educator – Trained 3,000+ pelvic PTs & OTs globally
 💼 Business Coach – Guided 900+ pelvic rehab businesses to grow, thrive and enjoy their business

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

Why PelvicSanity Doesn't Have a Gym22 Jun 202600:26:59

Wait...you don't have a gym?  It's a question we get all the time.

Especially because when we redesigned our clinic from the ground up, we could have built anything we wanted.

A dedicated gym space.  Fancy equipment.  Treadmills.  Squat racks. All the toys.

Instead?

We made our treatment rooms bigger.

In this episode, we discuss how to think strategically about clinic space, equipment, and designing a practice around your actual patients—not what your last employer had, what you see on social media, or what everyone else seems to be doing.

We cover:

 ✅ Why your treatment philosophy (Ethos) should drive your decisions
 ✅ How to think critically about expensive equipment purchases
 ✅ Why you don't need everything right away
 ✅ Creative alternatives to dedicated gym spaces
 ✅ Matching your environment to your patient population
 ✅ When investing in equipment absolutely makes sense

One of the biggest takeaways:

Every square foot in your practice should serve a purpose.

Build the clinic that supports your patients and your style of care—not someone else's.

Business Accelerator Program

🚨 Registration for Accelerator Cohort #7 closes June 25th.

One of the biggest mistakes we see business owners make is spending money, time, and energy on things they don't actually need.

The Accelerator helps you build your business intentionally—from your marketing and systems to your clinic design, pricing, team, and growth strategy.

Our most recent cohort added:

✅ 8.5 patients per week
 ✅ $6,267 per month in revenue
 ✅ $75,206 per year in revenue

And 97% reported feeling more confident as business owners.

If you're ready to build a business that actually works for you:

👉 www.pelvicptrising.com/accelerator

About Nicole & Jesse Cozean

Pelvic health is hard. We want everyone in this field to have a joyful, impactful career. And for business owners to build something that truly works for them.

🎙️ Rising Podcast – Leading pelvic health podcast with 1M+ downloads
 👤 Founder – PelvicSanity clinic in Southern California
 🎙️ Co-creator – PelviCon, the first-ever pelvic rehab conference
 📚 Author – The IC Solution, helping 20,000+ patients worldwide
 🎓 Clinical Educator – Trained 3,000+ pelvic PTs & OTs globally
 💼 Business Coach – Guided 900+ pelvic rehab businesses to grow, thrive and enjoy their business

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

5 Principles for Long-Term Business Success18 Jun 202600:29:55

After working with more than 900 pelvic rehab business owners, we've noticed something:

The people who have long-term success aren't necessarily the most talented, charismatic, or the best clinicians.

They're the most consistent.

In this episode, we break down the five biggest principles we've seen separate thriving business owners from everyone else.

We discuss:

✅ Why you're a different business every six months
✅ Why consistency beats talent every time
✅ The surprising power of community and support
✅ How to embrace the seasons of business and life
✅ Why financial confidence matters more than financial success

One of the biggest takeaways:

Business growth is personal growth.

The businesses that last aren't built by people who avoid challenges.

They're built by people who learn, adapt, stay connected, and keep showing up.

If you're playing the long game, this episode is for you. 

Registration for Accelerator Cohort #7 is now open.

This episode is essentially a summary of what we've learned from coaching more than 900 pelvic rehab business owners over the last decade.

Inside the Accelerator, we help you build the three pillars of a successful business:

📈 Marketing & Sales
 ⚙️ Business Systems
 🎯 Clinical Excellence

The results from our most recent cohort were incredible:

✅ +8.5 patients per week
 ✅ +$6,267 per month in revenue
 ✅ +$75,206 per year in revenue
 ✅ 97% reported feeling more confident as business owners

If you're ready to make your business look different by the end of 2026, we'd love to help.

👉 www.pelvicptrising.com/accelerator

About Nicole & Jesse Cozean

Pelvic health is hard. We want everyone in this field to have a joyful, impactful career. And for business owners to build something that truly works for them.

🎙️ Rising Podcast – Leading pelvic health podcast with 1M+ downloads
 👤 Founder – PelvicSanity clinic in Southern California
 🎙️ Co-creator – PelviCon, the first-ever pelvic rehab conference
 📚 Author – The IC Solution, helping 20,000+ patients worldwide
 🎓 Clinical Educator – Trained 3,000+ pelvic PTs & OTs globally
 💼 Business Coach – Guided 900+ pelvic rehab businesses to grow, thrive and enjoy their business

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

Why Running Late Isn't Being Nice or Valuable to Your Patient15 Jun 202600:34:02

Do you run late with your patients?  Most clinicians do. And almost all of them think it's either helping or 'not that big a deal'.

It's not.

In this episode, we break down why running late is one of the most damaging habits in clinical practice—for you, your patients, and your business.

We discuss:

  •  Why running late doesn't earn gratitude or loyalty 
  •  How it quietly poisons patient expectations 
  •  The biggest reasons clinicians fall behind schedule 
  •  Why insecurity often shows up as "doing too much" 
  •  How poor session planning creates chaos 
  •  The importance of ending sessions confidently and professionally 
  •  Simple logistical fixes that can immediately improve your schedule 

One of the biggest takeaways:

Running late isn't a victimless problem.

It affects your energy, your stress levels, the patient experience, your clinic and ultimately your ability to provide great care.

If you're constantly behind, this episode will help you identify why—and what to do about it.

Business Accelerator Program

Registration for Accelerator Cohort #7 is open now.

One of the biggest things we help business owners do is create a business that doesn't depend on chaos, stress, and constantly feeling behind.

If you're ready for better systems, better boundaries, and a business that actually supports your life:

👉 www.pelvicptrising.com/accelerator

About Nicole & Jesse Cozean

Pelvic health is hard. We want everyone in this field to have a joyful, impactful career. And for business owners to build something that truly works for them.

🎙️ Rising Podcast – Leading pelvic health podcast with 1M+ downloads
 👤 Founder – PelvicSanity clinic in Southern California
 🎙️ Co-creator – PelviCon, the first-ever pelvic rehab conference
 📚 Author – The IC Solution, helping 20,000+ patients worldwide
 🎓 Clinical Educator – Trained 3,000+ pelvic PTs & OTs globally
 💼 Business Coach – Guided 900+ pelvic rehab businesses to grow, thrive and enjoy their business

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

Converting Leads to Paying Patients - Your Conversion System11 Jun 202600:25:04

Getting leads is only the first step.  The next part is turning those leads into paying patients.  And this is where many of us struggle. 

In this episode, we break down the conversion system that takes someone from "I'm interested" to actually showing up for an evaluation.

We cover:

  •  Why scripts are only a small part of conversion 
  •  The biggest follow-up mistakes practice owners make 
  •  Why texting isn't enough 
  •  The power of getting people on the phone 
  •  How systems reduce mental load and improve consistency 
  •  Why most people aren't losing patients to competitors—they're losing them to inaction 

If your schedule isn't full, your conversion system may be leaking more patients than you realize.

Business Accelerator Program

Registration for Accelerator Cohort #7 is opening soon! 

Inside our 6-month coaching program, we give you:
 ✅ The exact phone scripts we used at PelvicSanity
 ✅ The conversion systems that have helped thousands of patients get scheduled
 ✅ Marketing, business systems, and clinical excellence training
 ✅ Coaching, accountability, and support from our team

If you're ready to make your business look different by the end of 2026, we'd love to help.

👉 www.pelvicptrising.com/accelerator

About Nicole & Jesse Cozean

Pelvic health is hard. We want everyone in this field to have a joyful, impactful career. And for business owners to build something that truly works for them.

🎙️ Rising Podcast – Leading pelvic health podcast with 1M+ downloads
 👤 Founder – PelvicSanity clinic in Southern California
 🎙️ Co-creator – PelviCon, the first-ever pelvic rehab conference
 📚 Author – The IC Solution, helping 20,000+ patients worldwide
 🎓 Clinical Educator – Trained 3,000+ pelvic PTs & OTs globally
 💼 Business Coach – Guided 900+ pelvic rehab businesses to grow, thrive and enjoy their business

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

Complex Patients Need Simple Interventions08 Jun 202600:24:59

What if the answer for your most complex patient...was actually simpler than you think?

In this episode, we share a favorite clinical principle and one that we train on at PelvicSanity...

The more complex the patient, the simpler the intervention.

Because when someone has seen multiple providers, tried countless treatments, and feels completely overwhelmed by their symptoms...

The last thing they usually need is a more complicated plan.

We discuss:

✅ Why newer clinicians shouldn't be shielded from complex patients
✅ The foundational interventions most clinicians overlook
✅ How to choose treatment priorities with your patient
✅ Metaphors that help patients understand why you're starting simple
✅ Why patience is required—for both clinician and patient
✅ Why no patient is too complex to help

If you've ever felt intimidated by a long history, a thick intake packet, or a patient who's "tried everything"...

This episode is for you. 

Downtraining Masterclass

Many complex patients don't need more exercises.

They need a nervous system that can actually accept change.

If you'd like a deeper dive into downtraining and nervous system-focused treatment, check out the Downtraining Masterclass.

👉 www.pelvicptrising.com/downtraining

At just $47, it's one of the most practical courses you'll use every week in the clinic.

About Nicole & Jesse Cozean

Pelvic health is hard. We want everyone in this field to have a joyful, impactful career. And for business owners to build something that truly works for them.

🎙️ Rising Podcast – Leading pelvic health podcast with 1M+ downloads
 👤 Founder – PelvicSanity clinic in Southern California
 🎙️ Co-creator – PelviCon, the first-ever pelvic rehab conference
 📚 Author – The IC Solution, helping 20,000+ patients worldwide
 🎓 Clinical Educator – Trained 3,000+ pelvic PTs & OTs globally
 💼 Business Coach – Guided 900+ pelvic rehab businesses to grow, thrive and enjoy their business

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

The 10 Marketing Mistakes Costing You Patients04 Jun 202600:28:49

Why isn't your schedule full?

The first place to look is whether we are getting enough leads.

We break down the 10 biggest marketing and sales mistakes pelvic rehab business owners make—and how to fix them.

From not tracking your numbers to relying too heavily on social media, these mistakes quietly sabotage growth and leave owners feeling frustrated, overwhelmed, and stuck.

You'll learn:

 ✅ Why most owners don't actually know how many leads they need
 ✅ The hidden cost of inconsistent marketing
 ✅ Why relying on one marketing strategy is dangerous
 ✅ How poor follow-up kills referrals and leads
 ✅ Why social media isn't the answer most people think it is
 ✅ The biggest conversion mistakes happening on the phone
 ✅ How to identify whether your problem is marketing, sales, systems, or clinical excellence

If you want a different result in your business by the end of the year, you'll need to take different action.

This episode shows you where to start. 

Business Accelerator Program

Registration for Cohort #7 is now open!

The Business Accelerator is our signature 6-month coaching program designed specifically for pelvic rehab business owners.

Inside the program we help you master the three pillars of practice growth:

📈 Marketing & Sales
 ⚙️ Business Systems
 🎯 Clinical Excellence

More than 900 pelvic rehab business owners have used these frameworks to grow their practices, improve profitability, and build businesses that actually support their lives.

Learn more and apply here:

👉 www.pelvicptrising.com/accelerator

About Nicole & Jesse Cozean

Pelvic health is hard. We want everyone in this field to have a joyful, impactful career. And for business owners to build something that truly works for them.

🎙️ Rising Podcast – Leading pelvic health podcast with 1M+ downloads
 👤 Founder – PelvicSanity clinic in Southern California
 🎙️ Co-creator – PelviCon, the first-ever pelvic rehab conference
 📚 Author – The IC Solution, helping 20,000+ patients worldwide
 🎓 Clinical Educator – Trained 3,000+ pelvic PTs & OTs globally
 💼 Business Coach – Guided 900+ pelvic rehab businesses to grow, thrive and enjoy their business

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

The Great Kegel Debate (Part 3): With Michelle Lyons01 Jun 202601:12:23

Should we be anti-Kegel?  Has the pendulum swung too far?

We brought on the one and only Michelle Lyons to continue the conversation.  It deserved a Part 3, and there's no one else we'd rather deep dive into the topic with than Michelle.  We cover:

  • Why Kegels and pelvic floor muscle training are NOT the same thing 
  •  The history of Dr. Kegel (and why we may have misunderstood him) 
  •  Why pelvic floor rehab is far more sophisticated than "squeeze and lift" 
  •  The role of strength, timing, coordination, endurance, and movement 
  •  Why social media has made this debate more confusing 
  •  How to become a more evidence-informed clinician 

If you've followed Parts 1 and 2 of the Great Kegel Debate, this episode brings everything together with one of the sharpest minds in pelvic health.

Michelle Lyons

Michelle Lyons is an internationally recognized pelvic health physiotherapist, educator, author, and speaker. She has taught clinicians around the world on pelvic health, hormones, oncology, GI dysfunction, and women's health rehabilitation.

Learn more:
 🌐 https://celebratemuliebrity.com

Follow Michelle:
 📸 https://www.instagram.com/michellelyons_muliebrity

Downtraining Masterclass

Want to better understand the role of pelvic floor relaxation, coordination, and function?

Check out Nicole's Downtraining Masterclass:
 👉 www.pelvicptrising.com/downtraining

At just $47, it's one of the most practical and immediately applicable trainings we offer.

About Nicole & Jesse Cozean

Pelvic health is hard. We want everyone in this field to have a joyful, impactful career. And for business owners to build something that truly works for them.

🎙️ Rising Podcast – Leading pelvic health podcast with 1M+ downloads
 👤 Founder – PelvicSanity clinic in Southern California
 🎙️ Co-creator – PelviCon, the first-ever pelvic rehab conference
 📚 Author – The IC Solution, helping 20,000+ patients worldwide
 🎓 Clinical Educator – Trained 3,000+ pelvic PTs & OTs globally
 💼 Business Coach – Guided 900+ pelvic rehab businesses to grow, thrive and enjoy their business

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

How to Unlock the Hidden Potential in Your Business28 May 202600:23:00

Many of us have the feeling there’s more potential in the business…we just don't know how to unlock it. 

What got us to this level of success isn't enough to take us to the next.

We start to feel stuck, or wonder 'is this it?'

Working harder than ever.  Stressing about the business.  Trying to do 'all the right things'.

And yet:

  •  You’re not hitting your financial goals 
  •  You don’t feel the freedom you expected 
  •  And you know your business could be doing more

That's what we tackle in this episode.

Free Training - How to Unlock The Hidden Potential

If you're a pelvic PT/OT business owner, make sure you've signed up for our free training on June 3rd (replay available for a limited time).

www.pelvicptrising.com/potential

And our newest cohort of the Accelerator Program starts in just a few weeks - check it out at www.pelvicptrising.com/accelerator

About Nicole & Jesse Cozean

Pelvic health is hard. We want everyone in this field to have a joyful, impactful career. And for business owners to build something that truly works for them.

🎙️ Rising Podcast – Leading pelvic health podcast with 1M+ downloads
 👤 Founder – PelvicSanity clinic in Southern California
 🎙️ Co-creator – PelviCon, the first-ever pelvic rehab conference
 📚 Author – The IC Solution, helping 20,000+ patients worldwide
 🎓 Clinical Educator – Trained 3,000+ pelvic PTs & OTs globally
 💼 Business Coach – Guided 900+ pelvic rehab businesses to grow, thrive and enjoy their business

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

Birth Prep Isn't Birth Education: An Interview with Gina Conley of Mamaste Fit25 May 202601:10:01

Are we trying to do too much as pelvic rehab providers?

That might be an uncomfortable question.

Because when it comes to birth prep, many of us genuinely want to help our patients have the best experience possible.

But where does our expertise end?

And where does someone else's begin?

In this episode, Nicole sits down with Gina Conley of MamasteFit—perinatal fitness provider, birth doula, educator, and someone who has attended hundreds of births—to talk about the role pelvic PTs actually play in pregnancy and birth preparation. 

This conversation challenges a lot of assumptions and asks us to reflect on how we're showing up for our pregnant patients.

We dive into:

👉 The difference between being a perinatal professional and a birth professional
👉 Why pelvic PTs bring huge value in birth preparation—but may not need to be teaching full childbirth education classes
👉 The difference between rehabilitation exercises and true fitness programming
👉 Why "never push on your back" and "never hold your breath" may be oversimplifications
👉 Birth plans vs birth preferences
👉 Why collaboration across professions leads to better care
👉 How our own experiences and biases can unintentionally shape how we treat patients

One of the biggest takeaways:

Birth prep isn't about controlling outcomes.

It's about helping patients feel informed, adaptable, confident, and supported.

And the more we collaborate instead of compete…the better care we're going to provide.

About Gina Conley

Gina Conley is co-founder of MamasteFit, a prenatal and postpartum fitness company that blends perinatal fitness, birth preparation, postpartum recovery, and professional education. Gina has a master's degree in exercise science, is a birth doula who has attended hundreds of births, and specializes in helping families and professionals better understand movement, birth preparation, and postpartum recovery. 

Follow Gina here: 📸 @mamastefit Instagram

About Nicole & Jesse Cozean

Pelvic health is hard. We want everyone in this field to have a joyful, impactful career. And for business owners to build something that truly works for them.

🎙️ Rising Podcast – Leading pelvic health podcast with 1M+ downloads
 👤 Founder – PelvicSanity clinic in Southern California
 🎙️ Co-creator – PelviCon, the first-ever pelvic rehab conference
 📚 Author – The IC Solution, helping 20,000+ patients worldwide
 🎓 Clinical Educator – Trained 3,000+ pelvic PTs & OTs globally
 💼 Business Coach – Guided 900+ pelvic rehab businesses to grow, thrive and enjoy their business

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

When the Dream of Time Freedom Turns to a Nightmare21 May 202600:30:44

One of the biggest reasons people start a business…

is freedom.  Freedom to:

  •  Work the hours you want 
  •  Pick your kids up from school 
  •  Travel 
  •  Control your schedule 

But somewhere along the way…

the dream turns into a nightmare.

You started the business for freedom, but...

 👉 You’re working constantly
 👉 Thinking about the business all the time
 👉 Feeling trapped by your schedule
 👉 And wondering why you somehow have less freedom than before

Because you cannot truly feel successful if you don’t control your time.

The Business Accelerator helps you create the systems, workflows, and structure that actually lead to freedom.

👉 Learn more here:
 www.pelvicptrising.com/accelerator

About Nicole & Jesse Cozean

Pelvic health is hard. We want everyone in this field to have a joyful, impactful career. And for business owners to build something that truly works for them.

🎙️ Rising Podcast – Leading pelvic health podcast with 1M+ downloads
 👤 Founder – PelvicSanity clinic in Southern California
 🎙️ Co-creator – PelviCon, the first-ever pelvic rehab conference
 📚 Author – The IC Solution, helping 20,000+ patients worldwide
 🎓 Clinical Educator – Trained 3,000+ pelvic PTs & OTs globally
 💼 Business Coach – Guided 900+ pelvic rehab businesses to grow, thrive and enjoy their business

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

Endometriosis, Fertility & Surgery: An Interview with Dr. Sadikah Behbehani18 May 202600:57:42

How many of your patients might have endometriosis… and no one has said it out loud yet?

Because that’s happening. A lot.

In this episode, Nicole sits down with one of the only physicians in the country trained in both endometriosis excision surgery and reproductive endocrinology—Dr. Sadikah Behbehani.

And this conversation pulls back the curtain on what’s really happening with endo, fertility, and patient care.

We cover:
 👉 Why endometriosis is still massively underdiagnosed (and often missed—even in fertility clinics)
 👉 The difference between suspecting endo vs actually confirming it
👉 Why surgery is still the gold standard—and when it matters most
👉 The role pelvic PT plays (before AND after surgery)
👉 What REIs are often missing—and why
👉 How endometriosis impacts fertility, miscarriage risk, and pregnancy outcomes
👉 When conservative care is helpful… and when it’s delaying necessary treatment

Because as pelvic rehab providers…

👉 We’re often the first ones to connect the dots
 👉 The first ones to say the word “endometriosis”
 👉 And the first chance patients have to get the right care

About Dr. Sadikah Behbehani

Dr. Sadikah Behbehani is a double board-certified OB/GYN and reproductive endocrinology and infertility specialist with additional fellowship training in minimally invasive gynecologic surgery.

She is one of only a handful of physicians in the U.S. with expertise in both fertility treatment and advanced endometriosis excision surgery.

She practices at Endometriosis & Fertility Center, where she focuses on complex endometriosis care, fertility preservation, and helping patients build their families.

👉 Website: https://endometriosis-fertility.com/

👉 Instagram: https://www.instagram.com/dr.sadikahbehbehani/

Downtraining Masterclass

If you want to be able to better help your pelvic pain patients, you need to be working on the nervous system.  And if you don't know the three different types of downtraining....make sure you've taken the Downtraining Masterclass ($47). 

👉  www.pelvicptrising.com/downtraining

About Nicole & Jesse Cozean

Pelvic health is hard. We want everyone in this field to have a joyful, impactful career. And for business owners to build something that truly works for them.

🎙️ Rising Podcast – Leading pelvic health podcast with 1M+ downloads
 👤 Founder – PelvicSanity clinic in Southern California
 🎙️ Co-creator – PelviCon, the first-ever pelvic rehab conference
 📚 Author – The IC Solution, helping 20,000+ patients worldwide
 🎓 Clinical Educator – Trained 3,000+ pelvic PTs & OTs globally
 💼 Business Coach – Guided 900+ pelvic rehab businesses to grow, thrive and enjoy their business

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

Revenue vs Profit - Where you Need to Be14 May 202600:23:13

Revenue is vanity. Profit is reality.

And most business owners are focused on the wrong number.

In this episode, we break down one of the biggest mindset shifts in business:

👉 Revenue is how much money your business brings in
👉 Profit is how much actually ends up in your pocket

And the difference between those two numbers determines everything about your life.

This conversation started after a high-level business conference in Vegas where someone asked:

“How do you improve profitability in an insurance-based business?”

The answer?

“If you can’t control your pricing… there’s only one game to play:
 you have to ruthlessly cut costs.”

And honestly?

That’s not a business most of us want to run.

We break down:

  •  Why profit margin is the metric serious business owners actually care about 
  •  The huge mistake most people make when trying to improve profitability 
  •  Why you cannot save your way to a successful business 
  •  The difference between finite expense cuts and uncapped revenue growth 
  •  How small increases in patient volume massively outperform tiny cost savings 
  •  Why business model determines lifestyle more than almost anything else 

And then we get into the contrast that changes everything:

🏥 Insurance-based model
 ~10% margins
 ~42 visits/day to make $100k

💰 Cash-based model
 ~66% margins
 ~3 visits/day to make $100k

Same income.

Completely different life.

This episode is about more than money.

It’s about:
 👉 Burnout
 👉 Freedom
 👉 Control
 👉 And building a business that actually works for your life

If you're ready to build a business with stronger systems, better margins, and more freedom…

The Business Accelerator is where we help pelvic rehab business owners grow intentionally—without burning themselves out.

👉 Learn more here:
 www.pelvicptrising.com/accelerator

About Nicole & Jesse Cozean

Pelvic health is hard. We want everyone in this field to have a joyful, impactful career. And for business owners to build something that truly works for them.

🎙️ Rising Podcast – Leading pelvic health podcast with 1M+ downloads
 👤 Founder – PelvicSanity clinic in Southern California
 🎙️ Co-creator – PelviCon, the first-ever pelvic rehab conference
 📚 Author – The IC Solution, helping 20,000+ patients worldwide
 🎓 Clinical Educator – Trained 3,000+ pelvic PTs & OTs globally
 💼 Business Coach – Guided 900+ pelvic rehab businesses to grow, thrive and enjoy their business


Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

What Trauma-Informed Care Really Means: An Interview with Krystyna Holland11 May 202601:01:42

Are you truly practicing trauma-informed care… or just assuming you are?

Because there’s a big difference.

And most of us were never actually trained in it.

In this episode, Nicole sits down with pelvic PT, researcher, and educator Krystyna Holland to break down what trauma-informed care really looks like—and where our field is still falling short.

And this conversation goes deeper than you expect.

We’re not just talking about being empathetic or “good with patients.”

We’re talking about:
 👉 The intentional choices that either build safety… or unintentionally cause harm
👉 Why “I’m a caring provider” isn’t the same as being trauma-informed
👉 The missing clinical frameworks that should have been part of our training
👉 How even well-meaning clinicians can get this wrong

Krystyna shares insights from her current research—including the development of actual, tangible guidelines for trauma-informed care in pelvic health.

Not theory.

Not buzzwords.

Real, actionable practices.

We also get into:

  •  Why ongoing consent matters (and how to actually do it) 
  •  How intake forms can unintentionally create harm 
  •  What to say when a patient discloses trauma 
  •  The biggest mistakes clinicians make when trying to “protect” patients 
  •  Why trauma-informed care applies to every interaction—not just internal exams 
  •  The surprising gap between what patients want… and what providers think matters 

This episode will likely challenge how you think about your care.

And that’s the point.

About Krystyna Holland

Krystyna Holland is a pelvic health physical therapist, trauma-informed care researcher, author, and founder of Inclusive Care LLC. She specializes in providing inclusive, affirming, and trauma-informed pelvic healthcare and is a leading voice in bringing evidence-based trauma-informed practices into the pelvic health space.

She has spoken at major conferences including PelviCon and is currently leading research to develop standardized clinical guidelines for trauma-informed care.

Follow her here: https://www.instagram.com/krystyna.holland/

If you want to feel more confident in how you communicate, assess, and treat patients…

Our clinical courses are designed to bridge the gap between what you know and how you actually show up in the room.

👉 Explore here:
 www.pelvicptrising.com/clinical

About Nicole & Jesse Cozean

Pelvic health is hard. We want everyone in this field to have a joyful, impactful career. And for business owners to build something that truly works for them.

🎙️ Rising Podcast – Leading pelvic health podcast with 1M+ downloads
 👤 Founder – PelvicSanity clinic in Southern California
 🎙️ Co-creator – PelviCon, the first-ever pelvic rehab conference
 📚 Author – The IC Solution, helping 20,000+ patients worldwide
 🎓 Clinical Educator – Trained 3,000+ pelvic PTs & OTs globally
 💼 Business Coach – Guided 900+ pelvic rehab businesses to grow, thrive and enjoy their business

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

The Courage of Little Leaps: An Interview with Kyle Hartman07 May 202600:38:08

What if growing your business didn’t require one big leap…

…but a series of small, courageous ones?

Because that’s how most successful practices are actually built.

In this episode, Jesse sits down with Rising CEO coach and practice owner Kyle Hartman to talk about what it really looks like to grow—from a brand new pelvic PT during COVID… to running a 4-clinician practice.

And the story isn’t what you think.

There was no master plan.  Just a willingness to take the next step.

We get into:

  •  Why confidence doesn’t come before action (it comes from it) 
  •  How “low-risk” decisions can still lead to big outcomes 
  •  The power of starting small—and staying consistent 
  •  How to grow a practice without losing focus or chasing every opportunity 
  •  What it actually takes to lead a team (and have hard conversations well) 
  •  Why grit and courage matter more than experience early on 

We also dive into how Kyle has intentionally expanded her practice:

  •  A quarterly labor prep seminar that serves the community and drives leads 
  •  Her work in sex coaching and counseling, helping patients move beyond pain into pleasure 
  •  Consulting with professional athletes on return-to-sport postpartum care

If you’ve been waiting until you feel “ready”…

This episode is your reminder:

You don’t need a perfect plan.
 You just need the courage to take the next step.

Business Accelerator Program

If you're ready to build your business step-by-step (without guessing what comes next)…

The Business Accelerator is where we walk you through exactly what to focus on—at every stage.

👉 Learn more here:
 www.pelvicptrising.com/accelerator

About Kyle Hartman

Kyle Hartman is a pelvic health physical therapist, Rising CEO coach, and owner of Monterey Pelvic Health—a thriving 4-clinician practice in California. Known for her intentional growth and strong team culture, Kyle has expanded her services beyond traditional pelvic PT to include labor prep education, sex counseling, and consulting for professional athletes navigating pregnancy and return to sport.

You can learn more at www.montereypelvichealth.com
and follow her on Instagram at @montereypelvichealth https://www.instagram.com/montereypelvichealth

About Nicole & Jesse Cozean

Pelvic health is hard. We want everyone in this field to have a joyful, impactful career. And for business owners to build something that truly works for them.

🎙️ Rising Podcast – Leading pelvic health podcast with 1M+ downloads
 👤 Founder – PelvicSanity clinic in Southern California
 🎙️ Co-creator – PelviCon, the first-ever pelvic rehab conference
 📚 Author – The IC Solution, helping 20,000+ patients worldwide
 🎓 Clinical Educator – Trained 3,000+ pelvic PTs & OTs globally
 💼 Business Coach – Guided 900+ pelvic rehab businesses to grow, thrive and enjoy their business


Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

Beyond the Obvious: An Interview with Anna Hartman04 May 202601:09:27

Are you actually treating the right thing… or just what’s obvious?

Because those are very different.

And if you’re missing the real driver of your patient’s symptoms…

No amount of exercises, techniques, or experience is going to fix it.

In this episode, Nicole sits down with athletic trainer and educator Anna Hartman to dive into a completely different way of thinking about assessment, treatment, and what it really means to be an effective clinician.

Anna brings a unique blend of:

  •  Orthopedic rehab 
  •  Osteopathic and visceral approaches 
  •  High-level work with professional athletes and Navy SEAL candidates 

And the result is a perspective that challenges a lot of what we’ve been taught.

We cover:

  •  Why assessment—not treatment—is the most important skill you have 
  •  The difference between treating symptoms vs finding the true driver 
  •  Why “results in 1–3 visits” isn’t about shortcuts—it’s about precision 
  •  How ego gets in the way of clinical progress (more than you think) 
  •  What it actually means to “trust what you feel” as a clinician 
  •  Why repetition—not information—is the key to real skill development 

This conversation will push you.

It might even make you a little uncomfortable.

But if you’re willing to question your assumptions and level up your clinical thinking…

There’s a lot here.

Anna Hartman

A huge 'thank you' to Anna for being on the podcast and sharing her wisdom with all of us.  Make sure you're following her @movementrev and find all her courses and resources at www.movementrev.com

If you’re looking to become more confident in your assessment, communication, and clinical reasoning…

Our Clinical Courses are designed to help you bridge the gap between what you know and what you actually do in the clinic.

👉 Explore all courses here:
 www.pelvicptrising.com/clinical

About Nicole & Jesse Cozean

Pelvic health is hard. We want everyone in this field to have a joyful, impactful career. And for business owners to build something that truly works for them.

🎙️ Rising Podcast – Leading pelvic health podcast with 1M+ downloads
 👤 Founder – PelvicSanity clinic in Southern California
 🎙️ Co-creator – PelviCon, the first-ever pelvic rehab conference
 📚 Author – The IC Solution, helping 20,000+ patients worldwide
 🎓 Clinical Educator – Trained 3,000+ pelvic PTs & OTs globally
 💼 Business Coach – Guided 900+ pelvic rehab businesses to grow, thrive and enjoy their business

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

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