Pelvic PT Rising

Nicole Cozean, PT, DPT, WCS & Jesse Cozean

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. vor 21 Std.

    What Do We Actually Gain From an Internal Pelvic Floor Evaluation?

    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 uncertaintyImproves diagnostic accuracyHelps individualize treatmentIdentifies findings that might otherwise be missedGives patients understanding and validationThis 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!

  2. vor 4 Tagen

    What We're Getting Wrong About "Access to Care"

    "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!

  3. 20. Juli

    Is Internal Evaluation + Treatment Still the Gold Standard?

    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!

  4. 16. Juli

    Is an Online Business Really the Future?

    "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!

  5. 13. Juli

    Endometriosis Is a Team Sport: An Interview with Excision Specialist Dr. Stuparich

    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!

  6. 9. Juli

    Building a Business That Stands for Something: An Interview with Joy Noble

    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!

  7. 2. Juli

    Scaling Your Practice: An Interview with Hannah Strom

    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!

  8. 29. Juni

    Grace, Boundaries & Burnout - Real Story of Leaving a Job

    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!

Info

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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