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. 2D AGO

    Tailbone Pain: What We’ve Been Getting Wrong with Dr. Patrick Foye

    Tailbone pain is one of the most misunderstood — and underdiagnosed — conditions we see. In this episode, we sit down with Dr. Patrick Foye, one of the leading experts in coccyx pain, to break down what clinicians are missing and how we can do better. We cover: Why tailbone pain is rarely a fracture (and what it usually is instead)The concept of dynamic instability — and why it’s often missed  How to think about imaging (and why sit-to-stand X-rays matter) Red flags you actually need to worry about How injections and pelvic rehab can work together, not separately And why collaboration is the key to better outcomesThis is a must-listen if you’ve ever felt unsure treating coccyx pain — or if your patients aren’t getting better the way you’d expect. About Dr. Patrick Foye Dr. Patrick Foye is a leading expert in non-surgical treatment of tailbone pain and Director of the Coccyx Pain Center at Rutgers New Jersey Medical School. He is the author of Tailbone Pain Relief Now! and has published extensively while teaching and lecturing internationally. Website: https://www.tailbonedoctor.com/ YouTube: https://www.youtube.com/user/TailbonePainDoctor/ Book: https://a.co/d/04s0eU2g 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!

    1h 4m
  2. MAR 23

    Stop Chasing Letters - Certificates in Pelvic Health

    Will getting another certification actually make you a better clinician? Or just give you more letters after your name? In this episode, we tackle one of the most common questions we hear — which certifications should I get? Because in pelvic health, there are a lot of options. And a lot of confusion. We break down what certifications really are… and what they’re not. At the end of the day, a certification is simply someone saying:  “You’re certified.” That’s it. We also talk about the uncomfortable truth — that many certifications are primarily a marketing tool. They’re designed to package courses together, increase completion, and yes… sell more education. That doesn’t make them bad. But it does mean we need to think about them differently. We also dive into: • Why certifications don’t bring patients through the door • Why they won’t fix imposter syndrome • The difference between learning for growth vs. chasing letters • Why even the most recognized certifications don’t guarantee better clinical skills • How to actually choose the right con-ed for your career At the end of the day, the question isn’t: “What certification should I get?” It’s: “Would I take this if there were no letters attached?” 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!

    21 min
  3. MAR 19

    Offer Benefits To Appeal and Retain Your Team

    Most smaller practice owners think they need to be “bigger” before they can offer real benefits. But that’s not actually true. In this episode, we break down what providing benefits as an employer really looks like — especially for small, growing pelvic health practices. Because benefits aren’t just about checking boxes. They’re about attracting the right people… and keeping them. We talk about the biggest misconception owners have — that benefits need to be expensive or complicated to matter. They don’t. In fact, some of the most meaningful benefits have very little to do with money. We also dive into: • What employees actually value (hint: it’s not always what you think)  • Why benefits are really a retention strategy, not just a hiring tool • How to think about flexibility, growth, and mentorship as benefits • Why you don’t need to offer everything — just a few things done really well • How your benefits reflect what you truly value as a business At the end of the day, your benefits send a signal. To your team. To future hires. And to the kind of business you’re building. If you’re an owner trying to grow your team — this episode will help you think about benefits in a completely different way. Free Training - Should I Be Running Ads? Join us for our quarterly free training all about Google, Instagram and Facebook Ads.  Learn about ads from people you aren't trying to sell you ads! www.pelvicptrising.com/ads 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!

    51 min
  4. MAR 16

    Advocate for Yourself and Stop Accepting These 3 Things in Our Field

    Why do so many pelvic rehab clinicians love treating patients… but feel frustrated with their jobs? In this episode we dig into the results from our State of Pelvic Rehab Survey and talk about three things every pelvic PT and OT employee should be advocating for in their workplace. The data was eye-opening. 67% of clinicians are doing unpaid documentation. That means many rehab providers are literally working for free so their employer can be reimbursed by insurance. We also found that 79% of clinicians don’t have a regular clinical mentor, and 74% receive no paid mentorship time in their job. At the same time, most clinicians also report very small continuing education budgets. You can’t grow without support — which means you should have either strong mentorship or a meaningful con-ed budget. And then there’s raises. The average raise reported in our survey was just 1.8%. Nearly 81% of clinicians received raises of 3% or less, which means many pelvic rehab providers are effectively taking a pay cut every year after inflation. In this episode we break down three things every employee deserves — and give scripts you can use to advocate for yourself professionally and respectfully. Pick one. Start the conversation. And see what kind of workplace you’re really in. 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!

    25 min
  5. MAR 12

    The Power of Your Circle: How Lauryn Beecher Built Her Practice

    Some practices grow into something incredible. Others burn the owner out along the way. What makes the difference? In this episode we sit down with Lauryn Beecher, owner of Pelvic Health and Wellness, to talk about the real journey of building a pelvic health practice that actually aligns with your values. Lauryn didn’t start with a big clinic. She started by renting a treatment room two days a week, juggling multiple jobs and slowly building something of her own. Today she runs a thriving multi-clinician practice serving one of the most diverse pelvic health populations we see anywhere — men, women, kids, fertility patients, and the trans community. But the real secret behind what she’s built? Intentionality. Lauryn shares why she’s incredibly intentional about the people around her — her team, referral partners, mentors, and even the patients she works with. Because the people in your circle shape your business far more than most owners realize. We also dive into: • Why certifications alone don’t bring patients in the door  • The myth of the “magic number” before starting a practice  • How adaptability becomes a business superpower  • The overlooked skill every business owner should develop You can learn more about Lauryn and her practice at  www.pelvichealthandwellness.com Instagram: @pelvichealthandwellness Business Accelerator Program If you're a business owner looking to grow your practice, we are currently accepting applications for the Pelvic PT Rising Business Accelerator Program. We've helped 900+ business owners build practices aligned with their mission. 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 900+ 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!

    43 min
  6. MAR 9

    6 Surprising Results from Our State of Pelvic Rehab Survey

    We recently wrapped up our State of Pelvic Rehab Survey, with hundreds of responses from pelvic therapists working as employees. And a few things stood out. First, the paradox. Despite a number of structural challenges in these jobs, most pelvic therapists report being pretty happy. Nearly 70% rated their job satisfaction a 4 or 5 out of 5. We (generally) love the work. But when you dig into the details of how these jobs are structured… the numbers get interesting. In this episode, we walk through six of the most surprising findings from the survey, including: Why mentorship still hasn’t improved in the past five years (and why nearly 80% of clinicians still report having none)Why most pelvic therapists are not treating anywhere close to 40 hours per week anymoreHow documentation is still largely unpaid — with 63% of clinicians reporting they aren’t fully compensated for itWhy raises across the field remain extremely small, with 80% of clinicians receiving 3% or less last yearWhy continuing education budgets are surprisingly low — with nearly 60% of clinicians receiving less than $1,000 per year, despite the lack of in-house mentorshipAnd what clinicians say is actually driving burnout in pelvic rehab (spoiler: it’s mostly administrative)The survey paints a fascinating picture of the field right now. Experienced clinicians. Complex patients. A specialty people genuinely love. But also a lot of clinics still figuring out how to structure these jobs in a way that actually supports the clinicians doing the work. 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!

    44 min
  7. MAR 5

    9 Secrets of Success After Working with 900 Business Owners

    After working directly with more than 900 business owners through the Pelvic PT Rising mentorship programs and Kickstart, we’ve had a front-row seat to what actually leads to success in private practice. We’ve seen thriving practices in 45 states and 5 different countries, including places with universal healthcare. The pelvic health field is growing rapidly, and there has never been more opportunity. In this episode, we break down the nine biggest patterns of success we’ve seen from clinicians who start and grow successful practices. The 9 Secrets of Success 1️⃣ External factors matter less than you think. We’ve seen successful practices in all types of communities and markets. 2️⃣ There is no single path to success. Different owners succeed with very different strategies. 3️⃣ Define what success means to you. Time, impact, freedom, and income can all be valid measures of success. 4️⃣ Authenticity wins. Build a practice that reflects who you are and how you want to work. 5️⃣ Boundaries are essential. Without them, people-pleasing can quickly lead to burnout. 6️⃣ Strong systems beat relying on great employees. 7️⃣ You’ll mess up the first pancake. Mistakes are part of learning to run a business. 8️⃣ Fun matters. Consistency is much easier when you enjoy the process. 9️⃣ Success = clear direction × effort. Business Accelerator Program If you're looking to hire, make sure you have the foundations in place.  Whether you are thinking about hiring in the future or already have a team, we'd love to work with you in the Business Accelerator Program - now accepting applications for June 2026! 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 900+ 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!

    31 min
  8. MAR 2

    How to Get Hired (And Actually Stand Out)

    If you’re looking for your dream job, this episode is for you. We walk through exactly how to position yourself — authentically — to land the role you actually want. The through-line?  Be genuinely you. We cover: ✉️ Why your cover letter matters more than your resume📖 Using your resume to tell a story of growth and passion🧠 Showing how your interest in pelvic health began — and how it’s evolved👗 What to wear⏰ When to show up💬 How to rock the interview conversation👐 Preparing for a hands-on interview❓ Asking thoughtful, researched questionsEmployers aren’t looking for perfection. They’re looking for: AuthenticityCoachabilityPassionAlignmentWe want you to get your dream job — not just any job. And in this golden era of pelvic health, you absolutely can. Looking for a Position? Looking for a position aligned with your passion?  Browse our Hiring Directory: 👉 www.pelvicptrising.com/map If you see a mentorship program practice listed, you know they share our ethos around patient care and workplace culture. 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 900+ 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!

    26 min
4.9
out of 5
183 Ratings

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!

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