Pelvic PT Rising

Nicole Cozean, PT, DPT, WCS & Jesse Cozean
  • 4.8 (188)
  • Alternative Health
  • Updated Semiweekly

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. 9h ago

    The Hardest Part of Hiring Your First Clinician

    What if the first clinician you hire isn't as good as you? It's one of the biggest fears we hear from successful solopreneurs—and it's exactly what Nicole struggled with when we started growing PelvicSanity. Because hiring your first clinician isn't just adding another person to the schedule. It's changing your entire role. Suddenly, you have to trust someone else with your patients, your reputation, your culture and something you've worked incredibly hard to build. And yes...Nicole struggled with this enough that she eventually went to therapy to work through some of the control issues that came with becoming a leader. 😬 In this episode, we're talking about the mindset shifts required to successfully go from solopreneur to multi-clinician owner, including: 👉 Why being busy isn't a good enough reason to hire 👉 "No one will ever be as good as me" (and what to believe instead) 👉 Why your next clinician can actually enhance your reputation 👉 Raising the floor with great systems, onboarding and mentorship 👉 Raising the ceiling by helping your clinicians become incredible 👉 Why your clinicians don't need to be perfect on Day 1 👉 The fear that you'll invest in someone...and they'll eventually leave Ultimately, the traits that made you a successful solopreneur—control, high standards, personal responsibility—can become the exact things that prevent you from building a great team. Growing beyond yourself requires becoming a different kind of business owner. 🎧 Listen wherever you get your podcasts! Want to Grow as a Business Owner? Check out the Pelvic Business Accelerator - the 6-month program to jumpstart your business and get you to the next level.  More info 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. 🎙️ Pelvic PT Rising Podcast — Over 1 million downloads. 🏥 Founders of PelvicSanity — One of the nation's leading cash-based pelvic health practices. 🎤 Co-Creators of PelviCon — Bringing together the brightest minds in pelvic health. 📚 Authors — The Interstitial Cystitis Solution. 🎓 Clinical Educators — Training thousands of pelvic PTs & OTs around the world. 💼 Business Coaches — Helping more than 1,000 pelvic health business owners build thriving practices. 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. 3d ago

    Rethinking Compression Garments & Diastasis: An Interview with Gráinne Donnelly

    How do you challenge long-held beliefs in pelvic health?  You ask better questions. This week, we're joined by Gráinne Donnelly—pelvic health physiotherapist, researcher, educator, editor-in-chief of the Journal of Pelvic, Obstetric and Gynaecological Physiotherapy, and one of this year's featured PelviCon 2026 speakers.  Gráinne has built a career around asking questions that matter, from postpartum return to sport and diastasis recti to compression garments and pelvic floor function. In this conversation, she shares what she's learning through her PhD research, why clinical curiosity should drive research, and how our profession continues to evolve. In this episode, we discuss: 🔹 The story behind her new textbook, Sports Medicine and the Pelvic Floor: From Science to Practice 🔹 What her research is teaching us about compression garments 🔹 Why our understanding of diastasis recti continues to evolve 🔹 Bridging the gap between research and real-world clinical practice 🔹 How motherhood has shaped her as a clinician, researcher, and leader If you're passionate about evidence-based practice—and want to hear from someone helping shape the future of pelvic health—you'll love this conversation. 🎟️ Learn from Gráinne live at PelviCon 2026 Gráinne will be presenting two sessions at PelviCon 2026 (September 25–26): ✅ The Science of Pelvic Floor Support Garments ✅ Distilling Diastasis: Current Evidence for Assessment & Management Can't join us in Atlanta? Grab a Live Virtual + Lifetime Recording Ticket and you'll get access to both of Gráinne's presentations—and all 8 featured speakers—to watch live or anytime afterward. 🎟️ Register at www.pelvicon.com About Gráinne Donnelly Gráinne Donnelly is a pelvic health physiotherapist, researcher, educator, and editor-in-chief of the Journal of Pelvic, Obstetric and Gynaecological Physiotherapy. She is currently completing her PhD while leading internationally recognized research on postpartum return to sport, compression garments, and diastasis recti. She is also the editor of the textbook Sports Medicine and the Pelvic Floor: From Science to Practice. 📍 Website: https://absolute.physio/ 📸 Instagram: @grainnedonnelly_absolutephysio 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. 🎙️ Pelvic PT Rising Podcast — Over 1 million downloads and one of the world's leading pelvic health podcasts. 🏥 Founders of PelvicSanity — One of the nation's leading cash-based pelvic health practices. 🎤 Co-Creators of PelviCon — Bringing together the brightest minds in pelvic health. 📚 Authors — The Interstitial Cystitis Solution, helping more than 20,000 patients worldwide. 🎓 Clinical Educators — Training thousands of pelvic PTs & OTs around the world. 💼 Business Coaches — Helping more than 1,000 pelvic health business owners build thriving practices. 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. Aug 6

    The Biggest Mistake We Make with Downtraining

    If you've ever felt like you've "tried downtraining" and your patient still isn't getting better... this episode is for you. We're also wrapping up our recent series on internal exams, the gold standard, and access to quality care before shifting back into one of our favorite clinical topics: downtraining. The biggest mistake we see? Thinking of downtraining as a single intervention. In this episode, we introduce the updated framework from our completely re-recorded Downtraining Masterclass, including the three different "levers" of downtraining and how they help you identify why someone's pelvic floor is overactive—not just that it is. In this episode we discuss: ✅ A quick recap of our recent series on internal exams & the gold standard ✅ Why "I've tried downtraining" usually isn't true ✅ The 3 Downtraining Levers:  Pelvic Floor Direct  Pelvic Floor Indirect  Nervous System ✅ How to choose the right intervention for the right patient ✅ When to stay the course... and when it's time to pivot If you treat patients with pelvic pain, overactivity, urinary urgency, constipation, or other pelvic floor dysfunction, this framework will immediately change how you think about treatment. 🎓 Ready to Go Deeper? The Downtraining Masterclass has been completely re-recorded and updated with: ✨ Our brand-new 3-Lever Downtraining Framework ✨ Five in-depth case studies ✨ Practitioner-led & home program intervention guides ✨ Patient communication scripts ✨ AI clinical reasoning prompts ✨ Lifetime access to all future updates 👉 Learn more at: 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. 🎙️ Pelvic PT Rising Podcast — Over 1 million downloads and one of the world's leading pelvic health podcasts. 🏥 Founders of PelvicSanity — One of the nation's leading cash-based pelvic health practices. 🎤 Co-Creators of PelviCon — Bringing together the brightest minds in pelvic health. 📚 Authors — The Interstitial Cystitis Solution, helping more than 20,000 patients worldwide. 🎓 Clinical Educators — Training thousands of pelvic PTs & OTs around the world. 💼 Business Coaches — Helping more than 1,000 pelvic health business owners build thriving practices. 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. Aug 3

    What's Changing in Endo Care? An Interview with Amy Stein

    PelviCon '26 speaker Amy Stein has been one of the pioneers of modern pelvic health. She founded Beyond Basics Physical Therapy, one of the largest cash-based pelvic health practices in the country, authored the groundbreaking books Heal Pelvic Pain and Beating Endo, and has spent more than two decades helping shape the future of pelvic rehabilitation.  In this conversation, we talk about how far our profession has come—from a time when there were only a handful of pelvic health courses available to today, where thousands of clinicians are entering the field every year. We also dive into: ✅ How Amy built Beyond Basics into one of the country's premier pelvic health practices ✅ Why collaboration—not competition—is the future of pelvic health ✅ What's changing in our understanding of endometriosis ✅ Why every patient deserves a multidisciplinary team ✅ The importance of mentorship and lifelong learning Amy will also be joining us at PelviCon 2026 to present two incredible sessions: 📍 Endometriosis Decoded: What's New, What's Changing & What Matters Most 📍 Rehab After Excision Surgery If you treat patients with endometriosis—or simply want to provide better pelvic health care—you won't want to miss these talks. 🎟️ Join Amy (and 7 other incredible speakers) at PelviCon 2026 Get your Live Virtual + Lifetime Recording Ticket and learn from the brightest minds in pelvic health from anywhere in the world. 📅 September 25–26, 2026 🎟️ Register now at www.pelvicon.com About Amy Stein Amy Stein, PT is the founder of Beyond Basics Physical Therapy, one of the nation's leading pelvic health practices. She is an entrepreneur, educator, author of Heal Pelvic Pain and Beating Endo, past President of the International Pelvic Pain Society, and one of the pioneers who helped shape modern pelvic rehabilitation. Learn more at https://beyondbasicsphysicaltherapy.com/ or follow her on Instagram @beyondbasicspt. 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. 🎙️ Pelvic PT Rising Podcast — 1M+ downloads and one of the world's leading pelvic health podcasts. 🏥 Founders of PelvicSanity — One of the largest cash-based pelvic health practices in the country. 🎤 Co-Creators of PelviCon — Bringing together the brightest minds in pelvic health. 📚 Authors — The Interstitial Cystitis Solution, helping 20,000+ patients worldwide. 🎓 Clinical Educators — Training thousands of pelvic PTs & OTs around the world. 💼 Business Coaches — Helping more than 1,000 pelvic health business owners build thriving practices. 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. Jul 30

    The 5 Levels of Care in Pelvic Health: What Is The Gold Standard?

    Let's cut through the noise....If someone you loved needed pelvic floor therapy tomorrow, where would you send them? 🤔 Are there actually different levels of pelvic health care? We believe the answer is yes. The interesting part? Most pelvic therapists already act as though these different levels exist—we've just never had a common language to describe them. Think about it... If your spouse, your parent, or your child developed pelvic floor dysfunction tomorrow, who would you recommend? Most of us wouldn't say: ❌ "Just find any ortho PT." ❌ "Start with telehealth or try an online program." ❌ "Here's a great Instagram account." We'd recommend a pelvic floor specialist.  Someone who is trained and able to perform both an internal and external evaluation and hands-on treatment. That instinct reveals something important: we already recognize that different models of care have different capabilities. In this episode, we introduce what we're calling the Five Levels of Pelvic Health Care—a framework for thinking about the different therapeutic ceilings of pelvic health, from free educational resources all the way to the current gold standard of in-person pelvic floor specialists. In this episode, we discuss: ✅ Why different models of care have different capabilities ✅ What we mean by a model's therapeutic ceiling ✅ The Five Levels of Pelvic Health Care ✅ Why every level has value—and expands access in different ways ✅ Why preserving the gold standard matters while thoughtfully increasing access This isn't about ranking clinicians or criticizing different models of care. Every level has passionate clinicians doing their absolute best for patients. Every level has an important role to play. But patients deserve honesty about what each model can—and cannot—provide so they can make informed decisions about their care. If you've been following this series, this episode brings everything together and introduces a framework we hope helps move the conversation around standards of care forward. There's only two big requirements for us: Be honest about your therapeutic ceiling. Don't present your level as though it replaces—or is equivalent or superior to—a higher level.Be exceptional within the level you've chosen.  No matter what setting you've chosen to practice in, strive to learn, grow and provide incredible care.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!

  6. Jul 27

    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!

  7. Jul 23

    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!

  8. Jul 20

    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!

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4.8
out of 5
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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
    632
  • Rating
    Explicit
  • Copyright
    © 2026 Pelvic PT Rising
  • Show Website
    Pelvic PT Rising

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