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. 1d ago

    Why PelvicSanity Doesn't Have a Gym

    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!

    27 min
  2. 5d ago

    5 Principles for Long-Term Business Success

    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!

    30 min
  3. Jun 15

    Why Running Late Isn't Being Nice or Valuable to Your Patient

    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!

    34 min
  4. Jun 11

    Converting Leads to Paying Patients - Your Conversion System

    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!

    25 min
  5. Jun 8

    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
  6. Jun 4

    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
  7. Jun 1

    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!

    1h 12m
  8. May 28

    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
4.8
out of 5
187 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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