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Pelvic PT Rising

Pelvic PT Rising

Nicole Cozean, PT, DPT, WCS & Jesse Cozean

Forme & Santé

Fréquence : 1 épisode/4j. Total Éps: 612

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Helping pelvic physical therapists improve as clinicians, in their careers or business, and their lives. Hosted by Dr. Nicole Cozean and Jesse Cozean, the founders of PelvicSanity physical therapy and the Pelvic PT Huddle, the podcast explores all aspects of pelvic physical therapy. You'll find the clinical pearls that Dr. Nicole teaches in her continuing education courses, the business and career advice that catapulted PelvicSanity into one of the largest cash-based physical therapy practices in the country, and living life as business owners and pelvic health advocates. And we'll be keeping it 100% real - and having some fun - along the way!
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From Surviving to Thriving in Business as a Pelvic PT/OT Owner

jeudi 18 décembre 2025Durée 36:03

A lot of pelvic health business owners are just surviving.

They’re working hard.  Seeing patients.  Paying the rent and bills, with maybe a bit left over for themselves.  

But surviving isn’t why most people started a practice.

In this episode, we talk about what it actually means to thrive as a business owner—and why the success you want is often on the other side of the work you’ve been avoiding.

We walk through the five core areas we see in truly thriving practices:

  • Financial confidence
  • Lifestyle and time freedom
  • Clinical excellence
  • Daily enjoyment
  • Community impact

We also discuss why willpower alone rarely gets people there, why grinding harder often backfires, and how getting the right support can completely change the trajectory of your business.

If you’ve ever felt stuck between “it’s fine” and “this isn’t what I imagined,” this episode will give you clarity—and a framework to think differently about what’s next.

👉 Want to see where you fall right now?
Check out our Thriving Practice Calculator:
www.pelvicptrising.com/thriving-practice

Business Accelerator Program - Closing Tomorrow!

If you want to take your business to the next level - to truly thrive - we'd love to help you.  Find all the details and register at www.pelvicptrising.com/accelerator.  Registration closes tomorrow (Fri, 12/19).  

See how 425+ business owners have transformed their practice!

About Us

Nicole and Jesse Cozean founded Pelvic PT Rising to provide clinical and business resources to physical therapists to change the way we treat pelvic health.   PelvicSanity Physical Therapy (www.pelvicsanity.com) together in 2016.  It grew quickly into one of the largest cash-based physical therapy practices in the country.

Through Pelvic PT Rising, Nicole has created clinical courses (www.pelvicptrising.com/clinical) to help pelvic health providers gain confidence in their skills and provide frameworks to get better patient outcomes.  Together, Jesse and Nicole have helped 800+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them! 

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 4 Types of Clinical Mentorship (And Why Most Clinicians Are Missing At Least One)

lundi 15 décembre 2025Durée 38:20

Mentorship has become a buzzword in pelvic PT and OT — but most conversations around it are incomplete.

In this episode, we break down the four distinct types of mentorship that actually shape clinical confidence, patient outcomes, and long-term career satisfaction. Most clinicians receive some mentorship — but very few receive all four.

We unpack:

  • Hard Skills
    Hands-on techniques, assessments, and interventions — what most people think of as “mentorship,” and what many con-ed courses focus on.
  • Soft Skills
    Communication, motivation, managing difficult personalities, and helping patients truly buy into care. Often overlooked, but frequently the difference between average and exceptional outcomes.
  • Information
    Understanding diagnoses, testing, medical management, and knowing what actually matters for the patient in front of you — not just what’s theoretically interesting.
  • Professional Development
    Career guidance, burnout prevention, time management, and mentorship that considers you as a person — not just a clinician.

We also talk honestly about what to do if you’re not getting this level of mentorship where you work — and how to approach your career strategically instead of hoping things improve on their own.

🔍 Looking for a clinic that prioritizes mentorship?

We’ve built a Hiring & Mentorship Map featuring pelvic PT/OT practices — many within the Pelvic PT Rising community — that value training, growth, and long-term career development.

👉 Explore the map: www.pelvicptrising.com/map

Whether you’re early in your career or years in, this episode will help you identify what kind of mentorship you’re actually receiving — and what you may be missing.

Business Accelerator Program

Are you a business owner looking to take things to the next level in 2026?  If so, make sure you check out the Business Accelerator Program - the January cohort is now open for registration!  

👉 www.pelvicptrising.com/accelerator

About Us

Nicole and Jesse Cozean founded Pelvic PT Rising to provide clinical and business resources to physical therapists to change the way we treat pelvic health.   PelvicSanity Physical Therapy (www.pelvicsanity.com) together in 2016.  It grew quickly into one of the largest cash-based physical therapy practices in the country.

Through Pelvic PT Rising, Nicole has created clinical courses (www.pelvicptrising.com/clinical) to help pelvic health providers gain confidence in their skills and provide frameworks to get better patient outcomes.  Together, Jesse and Nicole have helped 800+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them! 

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 Experience Isn't Everything in Pelvic Rehab

lundi 10 novembre 2025Durée 33:30

When we’re hiring at PelvicSanity (and we are right now 👀), we always get asked what we’re looking for — and honestly, it’s not what most people expect.

Experience is great…but it’s not everything. In pelvic rehab, years on a résumé don’t necessarily translate to better outcomes, better patient care, or better fit.

In this episode, we’re diving into:

  • Why “experience” in other specialties doesn’t mean much in pelvic health
  • How quantity (number of patients treated) and quality (mentorship, environment) matter more than years
  • Why certifications don’t guarantee great treatment
  • The kinds of backgrounds that actually help you in pelvic rehab (hint: think Pilates, yoga, massage, or personal training)
  • Why your first 5 years in the field set your long-term trajectory

We’ll also talk about how the insurance model has devalued experience — paying the same for a 30-year veteran as for a new grad — and why that mindset can hold us all back.

Whether you’re a new grad wondering if you’re ready for pelvic health, or a seasoned clinician questioning your next step, this episode will give you a new perspective on what really matters.

🎧 Listen here: www.pelvicptrising.com/podcast

👉 And don’t forget — the PelviCon 2026 Waitlist is now open! Grab your spot at www.pelvicon.com
to be first in line when registration goes live.

📈 If you’re a pelvic rehab business owner, our Accelerator Program helps you build a thriving, sustainable, and profitable practice — without burning out. Learn more at www.pelvicptrising.com/accelerator

About Us

Nicole and Jesse Cozean founded Pelvic PT Rising to provide clinical and business resources to physical therapists to change the way we treat pelvic health.   PelvicSanity Physical Therapy (www.pelvicsanity.com) together in 2016.  It grew quickly into one of the largest cash-based physical therapy practices in the country.

Through Pelvic PT Rising, Nicole has created clinical courses (www.pelvicptrising.com/clinical) to help pelvic health providers gain confidence in their skills and provide frameworks to get better patient outcomes.  Together, Jesse and Nicole have helped 800+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them! 

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!

A Standing Assessment is Critical!: An Interview with Christina Prevett

lundi 9 décembre 2024Durée 56:50

Can't wait for you to hear this interview!  We discuss why a standing assessment is so critical, the limitations of a supine exam and the PERF, how to 'stack the deck' for our pregnant patients and what we know - and don't know! - about exercise during pregnancy.

We talk about the power and limitations of research.  And we dive into Christina's mission to remove as much fear as possible from pregnancy and post-partum.

Discover what Christina learned from her own pregnancy, diving into research, and conducting her own.  This will change your mindset on helping your pregnant patients!

Dr. Christina Prevett

Christina is a pelvic physio, researcher, 'clinician-scientist' and post-doctoral fellow.  Her research focus is high-load weight training during pregnancy and she's passionate about removing the fear from the pregnancy and post-partum journey.  She's the founder of the Barbell Mamas (https://thebarbellmamas.com/), and make sure you're following her amazing content @dr.christina_prevett

Business Accelerator Program - New Cohort Open Thursday!

Registration for the January Cohort of the Accelerator Program opens on Thursday!  If you're a business owner looking to take things to the next level in 2025, make sure to check it out and get on the wait list here: www.pelvicptrising.com/accelerator

See how business owners increased their revenue, boosted their confidence and reduced the overwhelm of building a business!

About Us

Nicole and Jesse Cozean founded Pelvic PT Rising to provide clinical and business resources to physical therapists to change the way we treat pelvic health.   PelvicSanity Physical Therapy (www.pelvicsanity.com) together in 2016.  It grew quickly into one of the largest cash-based physical therapy practices in the country.

Through Pelvic PT Rising, Nicole has created clinical courses (www.pelvicptrising.com/clinical) to help pelvic health providers gain confidence in their skills and provide frameworks to get better patient outcomes.  Together, Jesse and Nicole have helped 600+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them! 

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 3 Pillars of Business for Sustained Success

jeudi 5 décembre 2024Durée 25:10

Why is it so important to get all three of these pillars - Marketing & Sales, Business Systems, and Clinical Excellence - right for a well-running business?

In this 'sode we discuss the three main pillars of business.  If only one or two of these are working well, the business is going to take a lot of effort and always feel precarious.

Marketing & Sales - If you don't have a consistent source of leads and are always worried about getting the phone to ring, marketing your practice is vital.  We need a systematic plan for marketing to avoid dips and the 'rollercoaster' of business.

Business Systems - If you're feeling overwhelmed or burned out, it's usually because you're lacking systems.  We often make up for poor systems with more work and late nights, but that's not sustainable.

Clinical Excellence - If you're having patients drop off, space out their visits, or stop coming in because 'it's expensive', we aren't getting the clinical buy-in necessary.

When all three of these are working well, the business gets much easier to run, grows faster and is actually fun to work in!

Accelerator Program - Registration Opens Dec 12th!

If you know one - or more - of these areas needs work, consider joining us for the January cohort of the Business Accelerator Program! 

We've helped 300+ business owners grow their practice and build a business that truly works for them.  You can see all the details and real-world results at www.pelvicptrising.com/accelerator.

About Us

Nicole and Jesse Cozean founded Pelvic PT Rising to provide clinical and business resources to physical therapists to change the way we treat pelvic health.   PelvicSanity Physical Therapy (www.pelvicsanity.com) together in 2016.  It grew quickly into one of the largest cash-based physical therapy practices in the country.

Through Pelvic PT Rising, Nicole has created clinical courses (www.pelvicptrising.com/clinical) to help pelvic health providers gain confidence in their skills and provide frameworks to get better patient outcomes.  Together, Jesse and Nicole have helped 600+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them! 



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!

More Inclusive Care: A Conversation with Ken McGee

lundi 2 décembre 2024Durée 50:42

Can't wait for you to hear this conversation with Dr. Ken McGee of B3 Physical Therapy.  They have a diverse practice featuring mobile, telehealth and in-office visits.

We discuss a major mindset shift in postpartum care that will change your perspective, supporting parents with feeding, how to make your intake forms more inclusive, the importance of more open-ended questions, and more.

Can't wait for you to learn from Ken on providing better care for people of all genders!

Dr. Ken McGee - B3 Physical Therapy

Ken McGee, PT, DPT, (they/he) is a white queer transmasculine pelvic health physical therapist based in Seattle who owns B3 Physical Therapy. Their mission is to bring greater awareness to the pelvic health needs of the LGBTQIA2S+ community. They enjoy mentoring other rehabilitation professionals to better care for people of all genders and you can follow them @b3ptco for great info!

PelviCon 2025 - Sold Out in 29 Minutes!

We're so excited and grateful to announce PelviCon 2025 sold out in just 29 minutes on Black Friday!  For those who are coming, we can't wait to take over a hotel with you and enjoy these incredible speakers together.

If you weren't able to come, there's a wait list on PelviCon right now for both any in-person or virtual options we have - make sure to get your name on that wait list so you don't miss out (www.PelviCon.com).

About Us

Nicole and Jesse Cozean founded Pelvic PT Rising to provide clinical and business resources to physical therapists to change the way we treat pelvic health.   PelvicSanity Physical Therapy (www.pelvicsanity.com) together in 2016.  It grew quickly into one of the largest cash-based physical therapy practices in the country.

Through Pelvic PT Rising, Nicole has created clinical courses (www.pelvicptrising.com/clinical) to help pelvic health providers gain confidence in their skills and provide frameworks to get better patient outcomes.  Together, Jesse and Nicole have helped 600+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them! 

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 Pelvis Moves!": An Interview with Lynn Schulte

lundi 25 novembre 2024Durée 55:26

In this practical and wide-ranging conversation we discuss why Lynn believes we overlook the bones of the pelvis, the common patterns she sees in post-partum patients and which pelvic floor muscle she pays the most attention to in her evaluation.

We also hear some great questions you should be asking your post-partum patients and discuss the impact of birth trauma.

Can't wait for you to hear this conversation with Lynn Schulte!

Lynn Schulte - Institute of Birth Healing

Lynn is the founder of the Institute for Birth Healing, has her own podcast and clinic.  Make sure you're following her @InstituteforBirthHealing.  If you're interested in learning more, Lynn has a free online course on Sacral Mobility you can find here.

PelviCon 2025: Black Friday is Almost Here!

If you want to hear the leaders of pelvic health - Michelle Lyons, Taryn Hallam, Sudan Clinton, Fiona Rogers, Stephanie Prendergast, Quiara Smith, Bill Taylor, Grainne Donnelly - speak, make sure you're looking into PelviCon 2025: Elevate!

You can find all the details and get on the wait list at www.PelviCon.com.  Tickets go on sale (and typically sell out!) on Black Friday, so don't miss out.

About Us

Nicole and Jesse Cozean founded Pelvic PT Rising to provide clinical and business resources to physical therapists to change the way we treat pelvic health.   PelvicSanity Physical Therapy (www.pelvicsanity.com) together in 2016.  It grew quickly into one of the largest cash-based physical therapy practices in the country.

Through Pelvic PT Rising, Nicole has created clinical courses (www.pelvicptrising.com/clinical) to help pelvic health providers gain confidence in their skills and provide frameworks to get better patient outcomes.  Together, Jesse and Nicole have helped 600+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them! 

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!

We Were Wrong About Not Having a Mission Statement

jeudi 21 novembre 2024Durée 24:03

If you're like us, you might have a negative perception of a 'mission statement'.  We certainly thought it was dumb for us as a small company.

We had both sat through long meetings to create, or explain, or pontificate about a mission statement before.  Usually something created by HR and long, boring and pointless.

But we were wrong to throw away the idea just because the execution is so bad in big companies!

Clarifying your message and mission can help you create content around what you really believe.  If you are clear on what you stand for, you'll never have trouble finding topics to talk about!  A lot of our struggles to make IG posts, newsletters, or other content come down to not being clear on this.

In this 'sode we talk about how we came to our missions statement for Rising:

"We coach entrepreneurs in authentically creating impactful patient care while building financial confidence and lifestyle freedom."

Each word is carefully chosen and means something to us (and communicates it to those thinking about working with us.

Hope you enjoy this 'sode on how we changed our mind about a mission statement and how important it has been for us going forwrd!

Accelerator - January Cohort!

If you're looking to grow as a business owner in 2025, you don't have to go it alone!  Our next cohort of the Business Accelerator Program is starting in January.

We've taken more than 300 pelvic health businesses through this program.  They've increased revenue, grown in confidence and begun to enjoy the journey more.

Whether you're a brand-new business owner or a veteran with multiple employees, this is the program for you!  Check it out and apply at www.pelvicptrising.com/accelerator!

We review every application and get back to you, so we'll answer questions and make sure it's the right fit.

About Us

Nicole and Jesse Cozean founded Pelvic PT Rising to provide clinical and business resources to physical therapists to change the way we treat pelvic health.   PelvicSanity Physical Therapy (www.pelvicsanity.com) together in 2016.  It grew quickly into one of the largest cash-based physical therapy practices in the country.

Through Pelvic PT Rising, Nicole has created clinical courses (www.pelvicptrising.com/clinical) to help pelvic health providers gain confidence in their skills and provide frameworks to get better patient outcomes.  Together, Jesse and Nicole have helped 600+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them! 

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 My Patient "Really" Have IC?

lundi 18 novembre 2024Durée 18:42

This is something I've heard when teaching and training about how to treat interstitial cystitis (IC): "I don't think they really have IC."

What we usually mean by this is we feel their symptoms are stemming from pelvic floor dysfunction and central sensitization.

The AUA Definition of IC is simply: "An unpleasant sensation (pain, pressure, discomfort) perceived to be related to the urinary bladder, associated with lower urinary tract symptoms of more than six weeks duration, in the absence of infection or other identifiable causes."

So this is really a description of symptoms.  If they have any kind of pelvic pain and urinary urgency/frequency without an infection or other medical cause, it is - by definition - correct to call it IC.

This is similar to how someone can have pudendal neuralgia....caused by pelvic floor dysfunction.
Vulvodynia....caused by pelvic floor dysfunction.
Coccydynia....caused by pelvic floor dysfunction.

Many of the diagnoses we treat are really just descriptors of the condition.  So just because pelvic floor dysfunction is the underlying cause, it doesn't mean they don't have the diagnosis!

Now, how you present this to your patient depends on their history with their symptoms and how they perceive the diagnosis.

But if they have those symptoms, among ourselves, we need to stop saying "I don't think this patient really has IC".

PelviCon 2025 - Wait List Open

The PelviCon 2025 wait list is now open!  For those who want more info (or know they are coming and want priority registration on Black Friday), make sure you head to www.pelvicon.com and sign up for the wait list!

About Us

Nicole and Jesse Cozean founded Pelvic PT Rising to provide clinical and business resources to physical therapists to change the way we treat pelvic health.   PelvicSanity Physical Therapy (www.pelvicsanity.com) together in 2016.  It grew quickly into one of the largest cash-based physical therapy practices in the country.

Through Pelvic PT Rising, Nicole has created clinical courses (www.pelvicptrising.com/clinical) to help pelvic health providers gain confidence in their skills and provide frameworks to get better patient outcomes.  Together, Jesse and Nicole have helped 600+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them! 

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!

Challenges of a Growing Multi-Clinician Practice

jeudi 14 novembre 2024Durée 27:30

We get really honest about the challenges and growing pains in a multi-clinician practice in this 'sode.  And we'll make sure to have some advice on how to mitigate them!

But you can really boil down the big challenges into three categories.

Time - You're going to have a huge increase in the demands on your time.  You'll be doing more admin work.  More marketing.  More leadership.  More logistics.  More training and onboarding.  All while still dealing with your own caseload.  

Role - The moment you hire, your role in the business changes forever.  But it can take time to recognize and assume your new role.  You're responsible for filling schedules, training and building systems.  Leading a team and providing mentorship.  And - as with any new role - we're usually not very good at it right out of the gate!

Financial - Many business owners are surprised when adding staff doesn't increase what they make in the business.  We've worked with many business owners who have employees making more than they do!  Your profit margin drops, and we often feel we're not making income commensurate with the extra time and patient volume the practice is seeing.

Especially when you're growing, you have a new business every six months.  What got you here won't get you to the next mountaintop.  We hope this 'sode helps you know you're not alone, and gives you some practical tips as you grow your business!

Accelerator - January Cohort!

If you're looking to grow as a business owner in 2025, you don't have to go it alone!  Our next cohort of the Business Accelerator Program is starting in January.

We've taken more than 300 pelvic health businesses through this program.  They've increased revenue, grown in confidence and begun to enjoy the journey more.

Whether you're a brand-new business owner or a veteran with multiple employees, this is the program for you!  Check it out and apply at www.pelvicptrising.com/accelerator!

We review every application and get back to you, so we'll answer questions and make sure it's the right fit.

About Us

Nicole and Jesse Cozean founded Pelvic PT Rising to provide clinical and business resources to physical therapists to change the way we treat pelvic health.   PelvicSanity Physical Therapy (www.pelvicsanity.com) together in 2016.  It grew quickly into one of the largest cash-based physical therapy practices in the country.

Through Pelvic PT Rising, Nicole has created clinical courses (www.pelvicptrising.com/clinical) to help pelvic health providers gain confidence in their skills and provide frameworks to get better patient outcomes.  Together, Jesse and Nicole have helped 600+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them! 

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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