Pelvic PT Rising

Nicole Cozean, PT, DPT, WCS & Jesse Cozean
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  • Alternative Health
  • Updated twice weekly

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!

  1. 13 hr ago

    Complex Patients Need Simple Interventions

    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!

    25 min

  2. 4 days ago

    The 10 Marketing Mistakes Costing You Patients

    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!

    29 min

  3. 1 Jun

    The Great Kegel Debate (Part 3): With Michelle Lyons

    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!

    1hr 12min

  4. 28 May

    How to Unlock the Hidden Potential in Your Business

    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 moreThat'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!

    23 min

  5. 25 May

    Birth Prep Isn't Birth Education: An Interview with Gina Conley of Mamaste Fit

    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!

    1hr 10min

  6. 21 May

    When the Dream of Time Freedom Turns to a Nightmare

    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!

    31 min

  7. 18 May

    Endometriosis, Fertility & Surgery: An Interview with Dr. Sadikah Behbehani

    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!

    58 min

  8. 14 May

    Revenue vs Profit - Where you Need to Be

    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!

    23 min
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About

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!

Information

  • Creator
    Nicole Cozean, PT, DPT, WCS & Jesse Cozean
  • Years Active
    2020 - 2026
  • Episodes
    614
  • Rating
    Explicit
  • Copyright
    © 2026 Pelvic PT Rising
  • Show Website
    Pelvic PT Rising

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