Pelvic PT Rising

Nicole Cozean, PT, DPT, WCS & Jesse Cozean
  • 4.8 (190)
  • Alternative Health
  • 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. 4d ago

    Make Your Practice Feel Like a Bougie Hotel ⭐

    What if your pelvic health practice felt more like the Ritz-Carlton and less like a doctor's office? 🏝️ We're talking about how to create a five-star patient experience—and no, it doesn't mean you need to spend a fortune on fancy furniture or a massive clinic renovation! Think about what makes a luxury hotel special. It's not just the expensive sheets or beautiful lobby. It's that every interaction is intentional. You feel welcomed, comfortable, remembered, and taken care of. And that's exactly how we want our patients to feel. In this 'sode, we're sharing practical ways to make your practice feel a whole lot more bougie: 🏨 The concierge welcome — Why the first 30 seconds at your front desk can immediately build trust (or create anxiety). ☕ It's the little things — Drinks, snacks, bed warmers, nice linens, and other inexpensive touches that make patients feel special. 🎵 Create the right atmosphere — How lighting, music, and personalized preferences can completely change the feel of your treatment room. ⏰ Punctuality is a luxury — Why running on time is one of the most important ways to show patients you respect them. ✨ The details matter — From perfectly prepared treatment rooms to thoughtful clinician handoffs, consistency is what separates good service from great service. 🎁 Go the extra mile — Small surprises, personalized touches, and making the final minutes of every visit memorable. And we share plenty of examples from PelvicSanity—including a few things we STILL need to get better at (apparently our snack game needs some serious work 😂). Here's the big takeaway: A premium experience isn't defined by how much money you spend. It's defined by how much thought you put into every interaction. Whether you're a solo practitioner, own a multi-clinician practice, or work in a hospital system, there are things you can do THIS WEEK to make your patients feel more comfortable, valued, and cared for. So grab your imaginary concierge bell, and let's make your practice a little more bougie! 🛎️ Accelerator Program Now accepting applications for the Business Accelerator Program!  Opens in January, 2026 - find all the information and apply 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. Oct 26

    Are We Teaching Birth Prep Wrong? With Jen Hamilton

    Jen Freaking Hamilton is on the podcast!! 🎉 With more than 6 MILLION followers across social media, a #1 New York Times bestselling book (Birth Vibes), and 15 years of nursing experience, Jen Hamilton has become one of the most influential voices in birth education. And she's joining us for a conversation that every pelvic PT and OT who works with pregnant patients needs to hear. Because here's the uncomfortable question: Are we sometimes setting our patients up for disappointment with the way we teach birth prep? We talk about: 🤰 When birth plans backfire — How rigid expectations around pushing, positioning, and interventions can leave patients feeling like they've failed when birth doesn't go according to plan. 💪 The truth about pushing positions — Why there's no single "right" way to give birth, and what Jen wishes pelvic rehab providers understood about the realities of the delivery room. 🧠 Are we overcomplicating birth prep? — Why giving patients a giant checklist of techniques and positions might actually make things harder when labor gets intense. ❤️ Trust isn't automatic. It's earned. — Jen's incredible approach to helping patients feel safe, heard, and empowered—even when they're initially distrustful of their medical team. 🤝 Doulas, advocacy, and informed consent — How to help patients advocate for themselves without creating an adversarial relationship with their birth team. 🚨 When emergencies happen — What compassionate communication looks like when every second counts. 📖 The philosophy behind Birth Vibes — Why Jen wants patients to prepare for how they want to experience birth, not just exactly how they want it to happen. Nicole also shares her own birth experience—and how even nearly 20 years as a pelvic PT didn't prepare her for everything that happened in the delivery room. The big takeaway? Our job isn't to prepare patients for one perfect version of birth. It's to help them feel confident, informed, and supported no matter how their birth unfolds. This one might challenge some of what you've been teaching. And that's exactly why we wanted to have this conversation! About Jen Hamilton Jen Hamilton is a labor and delivery nurse, educator, social media creator, and author of the #1 New York Times bestseller Birth Vibes. With 15 years of nursing experience and millions of followers, Jen has become a leading voice for compassionate maternity care, informed consent, and helping families navigate birth with confidence. 📱 Instagram: @_jen_hamilton — 2M+ followers! 📖 Learn more about Jen and order Birth Vibes: JenHamilton.co 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!

  3. Oct 22

    Preventing the December Slowdown in Business

    Every year, pelvic health business owners start dreading the same thing: the dreaded December slowdown. 🎄 Patients are traveling. Family commitments pile up. People cancel or reschedule appointments. And sometimes we're closing our own doors for the holidays! But here's the question: Does December actually have to be a bad month for your business? We don't think so! Every month has its challenges AND its opportunities. And December has some pretty big advantages: patients want to reach their goals before the new year, use up their FSA dollars, and often experience symptom flares with holiday stress and travel. In this 'sode, we're sharing 3 ways to prevent the December slowdown before it starts: 🩺 1. It starts in the treatment room. Use the Last 5 minutes of every session to discuss holiday plans, upcoming travel, and the importance of consistency. Don't wait until patients start cancelling to have these conversations! 📅 2. Get ahead of scheduling. Your front desk should be booking patients through January, not treating December 31st like the finish line for their care. With holiday vacations and limited availability, every appointment becomes even more valuable. 📣 3. Don't stop marketing! So many practices pull back their marketing in November and December—right when they need it most. The new patients you're bringing in NOW are the ones who will help keep your schedule full through the holidays. The December slowdown isn't something that just happens to you. It's something you can anticipate, plan for, and actively work to prevent. And the time to start is NOW! 🚀 Want a Business That Thrives All Year? Inside the Pelvic PT Rising Accelerator Program, we help pelvic health business owners build the systems, marketing strategies, and patient management processes that create a more profitable, predictable, and sustainable practice. Because you shouldn't have to cross your fingers and hope your schedule stays full—or feel like you're starting from scratch every January. 👉 Learn more about the Pelvic PT Rising Accelerator: PelvicPTRising.com 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!

  4. Oct 19

    26 Years of Pelvic Health Lessons: An Interview with Tracy Sher

    What does 26 years of treating complex pelvic pain teach you? And what happens when you decide it's time to step away from patient care? We're joined by Tracy Sher, founder and CEO of Pelvic Global (formerly Pelvic Guru), international educator, and one of the pioneers who helped shape how our field approaches complex pelvic pain. This conversation is packed with clinical pearls, honest reflections, and some incredible stories about building a business (including a VERY expensive picture of a uterus 😳). We dive into: ⏳ "How long until I get better?" — Tracy's brilliant framework for answering one of the hardest patient questions without making promises you can't keep. 📈 Redefining progress — Why improvement isn't always about pain scores or symptoms disappearing, and how to help patients recognize meaningful wins. 🧠 Anxiety isn't the same as pain — How Tracy uses separate scales to guide examinations, build trust, and help patients feel safe. 🤝 Better mentorship, better referrals — Why pelvic PTs and OTs should be learning from each other and referring within our own specialty more often. 🌎 Lessons from around the world — What Tracy has learned teaching internationally, and why complex pelvic pain education still has a long way to go. 💸 The $20,000 uterus picture — How a copyright lawsuit, failed business ideas, and some expensive mistakes helped shape Pelvic Global. ❤️ Stepping away after 26 years — The emotional side of leaving direct patient care when being a clinician has been such a huge part of your identity. One of our favorite takeaways? You don't need to know exactly when a patient will get better. But you do need a plan for figuring out whether you're on the right track. And after 26 years, Tracy is still curious, still learning, and still finding new ways to make an impact on our field. About Tracy Sher Tracy Sher is a pelvic health physical therapist with 26 years of clinical experience, an international educator, and the founder and CEO of Pelvic Global, formerly Pelvic Guru. She's known for her expertise in complex pelvic pain, including pudendal neuralgia, and for creating educational resources that help clinicians around the world deliver better care. She's also the creator of The Art of Pelvic Anatomy, a beautifully illustrated anatomy resource designed for clinicians, educators, and patients. 🌐 Website: PelvicGlobal.com 📱 Instagram: @pelvicguru1 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!

  5. Oct 8

    You Built the Business. Now Can You Step Away?

    What happens when you hit the financial goals…but realize you still can't slow down? This episode was sparked by a business owner who had been in practice for five years, was financially successful, but felt like she still couldn't step back, stop grinding or really enjoy what she'd built.  It got us thinking about the three very different seasons of PelvicSanity over the last 10 years—and how our definition of a successful business has changed along the way. In this episode, we talk about: 🚀 Season 1: Growth — 80-hour weeks, rapid growth and proving the business could actually work. 🧑‍💼 Season 2: Leadership — Learning (sometimes the hard way) that doing everything ourselves wasn't sustainable—and that leading by example isn't actually enough. ⏰ Season 3: Time Freedom — Deliberately building a business that no longer depends on us being there every day. 🏝️ Why we regret not taking more vacations during the early years—and don't believe working every Saturday was responsible for our success. 📈 The realization that how much the business makes isn't directly tied to how much we work. 🧠 Why after years of being rewarded for grinding, stepping back is a skill you have to learn. ✋ And why sometimes you can't wait until you feel ready to slow down. You have to create the boundary first, see what breaks, and then build the systems to fix it.    Your business will go through seasons. The way you built it doesn't have to be the way you run it forever. And if you've realized the business you've created isn't giving you the life you actually want, that doesn't mean building a business was a mistake. It means it's time to build the next version of it. Ready for Your Next Season? If your business is successful on paper but still requires too much of you, that's exactly the kind of problem we work on inside the Pelvic PT Rising Accelerator. We'll help you build a more profitable, sustainable business—with the systems, strategy and support to create more freedom, not just more work. 👉 Learn more and apply for the Accelerator Program 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!

  6. Oct 1

    Does Your Business Get Easier Each Year? Nicole vs. Jesse Debate!

    The longer you own a business…the easier it should get, right? Well, Nicole and Jesse aren't so sure they agree. 😂 So we're debating it! 📈 On one hand, YOU get better every year. You know more. You've made mistakes. You've survived hard things. Problems that would have sent you spiraling five years ago barely register anymore. But… 🔥 Your problems get bigger. 😬 You fall into bad habits. 🏃‍♀️ It gets harder to maintain momentum. 🤯 And as the business grows, you encounter entirely new challenges you never had when you were starting out. So does business ownership actually get easier with experience? Or does it just get…differently hard? We make the case for both sides—and talk about the thing that has probably done more than anything else to make entrepreneurship easier and more enjoyable for us: coaching. We've learned a LOT from our own mistakes over the years. But we've learned even more by shortening the learning curve, getting outside perspective, and benefiting from mistakes other smart business owners have already made. Because you certainly can figure everything out yourself. But you don't have to. 🙌 🚀 Want Business to Get Easier? That's exactly why we created the Pelvic Health Business Accelerator. You don't need to reinvent the wheel, make every mistake yourself, or spend years figuring out lessons someone else could help you see in minutes. 👉 Learn more at 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!

  7. Sep 24

    5 Business Lessons From 5 Years of PelviCon

    PelviCon is officially here! 🎉 Five years ago, PelviCon was basically an audacious idea: What if we built the pelvic health conference we always wished existed? Since then, we've sold out five years in a row, grown to more than 600 in-person attendees, built an incredible Live Virtual experience—and learned a LOT about business along the way. So we're pulling back the curtain on some of the biggest lessons PelviCon has taught us: 💡 Build what you wish existed. Don't just make something slightly better. Ask whether you can create something meaningfully different. 🧪 If you're going to fail, fail early. Test the idea, start small and get actual proof before making the giant investment. 🛑 Don't dilute what makes you special just to grow. We could fit more people into PelviCon. We've deliberately chosen not to when it would compromise the experience.  📘 Buy the color manuals. Figure out the little things that define your brand—and don't nickel-and-dime them away just because you could save money.  🤝 Partnerships are hard—and alignment matters. PelviCon has shown us both why we're usually cautious about partnerships and what can make a great one actually work. ⭐ Only work with great people. Great speakers. Great AV. Great partners. Great vendors. Life and business get a whole lot better when you stop settling for “good enough.”  And maybe the bonus lesson: everyone has an opinion. Listen carefully to your customers, take feedback seriously—and still be willing to protect your own vision. We're recording this as PelviCon kicks off, so we're going to stop talking business and go enjoy the thing we've spent five years building. If you're joining us in Atlanta or Live Virtual...let's freaking go! 🔥  PelviCon 2026 If you haven't yet gotten your Live Virtual + Recording tickets - grab them here! www.pelvicon.com/virtual 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!

  8. Sep 21

    There’s No Such Thing as a Simple Pelvic Health Patient: An Interview with Michelle Lyons

    There’s no such thing as a simple pelvic health patient. Even the patient who walks in with “just a little stress incontinence” brings a history, a body, hormones, sleep, stress, previous injuries, bowel function, activity goals—and a whole lot more. And that's exactly why being a great pelvic health clinician requires so much more than memorizing protocols. We're joined by Michelle Lyons for one of those wide-ranging, thought-provoking conversations we always love having with her. Michelle has been part of PelviCon from the very beginning. She's our only 5-time PelviCon speaker, an incredible educator and one of the most thoughtful voices in our profession. In this episode, we talk about: 🪟 Why assessing the pelvic floor still matters. Michelle shares the analogy of an internal + external assessment being like “washing the windows on both sides”—and why telehealth can be valuable as well as, rather than instead of, in-person assessment. 🧩 Why there are no simple patients. Even seemingly straightforward incontinence can require us to think about hips, hormones, sleep, iron, constipation, previous injuries, activity and more. 🧠 What clinical reasoning actually looks like. Information isn't enough. Great clinicians have to connect seemingly unrelated pieces into a coherent picture. 🎓 Why pelvic health desperately needs more mentorship. Taking Pelvic Floor 1 doesn't magically make someone an expert. New clinicians need support, supervision and safe places to ask questions. 🔬 Why better research isn't enough. Michelle used to believe better research would automatically lead to better pelvic health care. She's changed her mind. We also need to get much better at translating evidence into actual behavior change. 🌱 Why clinicians are facilitators, not fixers. Our job is to create the conditions where patients can recover, build capacity and thrive. And Michelle gives us a preview of her two PelviCon talks—one on pelvic health after cancer and another on women and back pain—including some brand-new oncology guidelines she's been involved in developing.  🎟️ Final Chance for PelviCon Live Virtual + Recording! Wednesday, 9/23 is the FINAL DAY to purchase PelviCon Live Virtual + Recording! Join us live for 14 practice-changing talks from 8 world-class speakers, plus get lifetime access to the recordings to watch and revisit anytime. 👉 Grab PelviCon Live Virtual + Recording About Michelle Lyons Michelle Lyons is a global pelvic health educator, researcher and clinician—and a longtime favorite in the Pelvic PT Rising community. Her work challenges us to think bigger about women's health, connect the research to the person sitting in front of us, and ultimately help women live well.  📱 Follow Michelle on Instagram @michellelyons_muliebrity 🌐 Celebrate Muliebrity 🎙️ And check out Michelle's Celebrate Muliebrity podcast. 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!

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4.8
out of 5
190 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!

Information

  • Creator
    Nicole Cozean, PT, DPT, WCS & Jesse Cozean
  • Years Active
    2020 - 2026
  • Episodes
    650
  • Rating
    Explicit
  • Copyright
    © 2026 Pelvic PT Rising
  • Show Website
    Pelvic PT Rising

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