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. 20H AGO

    The Courage of Little Leaps: An Interview with Kyle Hartman

    What if growing your business didn’t require one big leap… …but a series of small, courageous ones? Because that’s how most successful practices are actually built. In this episode, Jesse sits down with Rising CEO coach and practice owner Kyle Hartman to talk about what it really looks like to grow—from a brand new pelvic PT during COVID… to running a 4-clinician practice. And the story isn’t what you think. There was no master plan.  Just a willingness to take the next step. We get into:  Why confidence doesn’t come before action (it comes from it)  How “low-risk” decisions can still lead to big outcomes  The power of starting small—and staying consistent  How to grow a practice without losing focus or chasing every opportunity  What it actually takes to lead a team (and have hard conversations well)  Why grit and courage matter more than experience early on We also dive into how Kyle has intentionally expanded her practice:  A quarterly labor prep seminar that serves the community and drives leads  Her work in sex coaching and counseling, helping patients move beyond pain into pleasure  Consulting with professional athletes on return-to-sport postpartum careIf you’ve been waiting until you feel “ready”… This episode is your reminder: You don’t need a perfect plan.  You just need the courage to take the next step. Business Accelerator Program If you're ready to build your business step-by-step (without guessing what comes next)… The Business Accelerator is where we walk you through exactly what to focus on—at every stage. 👉 Learn more here:  www.pelvicptrising.com/accelerator About Kyle Hartman Kyle Hartman is a pelvic health physical therapist, Rising CEO coach, and owner of Monterey Pelvic Health—a thriving 4-clinician practice in California. Known for her intentional growth and strong team culture, Kyle has expanded her services beyond traditional pelvic PT to include labor prep education, sex counseling, and consulting for professional athletes navigating pregnancy and return to sport. You can learn more at www.montereypelvichealth.com and follow her on Instagram at @montereypelvichealth https://www.instagram.com/montereypelvichealth 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!

    38 min
  2. 3D AGO

    Beyond the Obvious: An Interview with Anna Hartman

    Are you actually treating the right thing… or just what’s obvious? Because those are very different. And if you’re missing the real driver of your patient’s symptoms… No amount of exercises, techniques, or experience is going to fix it. In this episode, Nicole sits down with athletic trainer and educator Anna Hartman to dive into a completely different way of thinking about assessment, treatment, and what it really means to be an effective clinician. Anna brings a unique blend of:  Orthopedic rehab  Osteopathic and visceral approaches  High-level work with professional athletes and Navy SEAL candidates And the result is a perspective that challenges a lot of what we’ve been taught. We cover:  Why assessment—not treatment—is the most important skill you have  The difference between treating symptoms vs finding the true driver  Why “results in 1–3 visits” isn’t about shortcuts—it’s about precision  How ego gets in the way of clinical progress (more than you think)  What it actually means to “trust what you feel” as a clinician  Why repetition—not information—is the key to real skill development This conversation will push you. It might even make you a little uncomfortable. But if you’re willing to question your assumptions and level up your clinical thinking… There’s a lot here. Anna Hartman A huge 'thank you' to Anna for being on the podcast and sharing her wisdom with all of us.  Make sure you're following her @movementrev and find all her courses and resources at www.movementrev.com If you’re looking to become more confident in your assessment, communication, and clinical reasoning… Our Clinical Courses are designed to help you bridge the gap between what you know and what you actually do in the clinic. 👉 Explore all courses here:  www.pelvicptrising.com/clinical 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 9m
  3. APR 30

    Is Your Problem Supply or Demand?

    Is supply or demand the bigger problem in your business? Because if you don’t know the answer to that… You’re probably working on the wrong thing. We see this all the time.  Business owners are busy, putting in effort, trying to grow… …but focusing on an area that isn’t actually the bottleneck. In this episode, we simplify everything down to one core concept: supply vs demand. 👉 Supply = how many patient visits you can actually provide  👉 Demand = how many people want to be on your schedule Sounds basic. But most people never apply it to their own business. We walk through:  How to identify whether you're supply or demand limited  Why you’ll always be limited on one side (and why that’s normal)  What to do if you’re supply limited (efficiency, adding time, hiring, or raising prices)  What to do if you’re demand limited (leads, conversion, or clinical buy-in)  How focusing on the wrong side wastes time, energy, and money If your business feels scattered or stuck… This is the lens that brings clarity. Business Accelerator Program If you’re ready to stop guessing and start focusing on what actually moves your business forward… The Business Accelerator is where we help you identify your biggest constraint—and fix it. No more spinning your wheels on things that don’t matter. 👉 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!

    22 min
  4. APR 27

    The Real Reason We Created the Prolapse Symposium

    Prolapse is one of the most talked-about conditions in pelvic health right now. And also one of the most misunderstood. In this episode, we take you behind the scenes of the PelviCon Prolapse Symposium — why we created it, how it’s different, and why this topic needed a deeper dive. Because the truth is: Most of us were taught a one-size-fits-all approach to prolapse. And it doesn’t work. Prolapse is one of the fastest-evolving areas in pelvic rehab, with more research, more perspectives, and more complexity than ever before. That’s exactly why we built this symposium differently. Instead of staying within our silo… We brought together: Pelvic PTs and OTs  Surgeons  Researchers  Mental health professionals  And experts from around the world To answer one question: 👉 What does it actually mean to treat prolapse well in 2026? In this episode, we talk about: The origin story of the symposium  Why prolapse was the obvious choice  What most clinicians are still getting wrong  And what you’ll actually learn from attending If you’ve ever felt like prolapse treatment is more complicated than it “should” be… You’re right. Prolapse Symposium Join us for the 2026 PelviCon Prolapse Symposium here:   www.pelvicon.com/symposium 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!

    22 min
  5. APR 23

    Starting Your Practice the Right Way

    Starting your own practice isn’t actually that hard. But building one you actually want to run? That’s where most people get it wrong. In this episode, we walk through a high-level roadmap for starting your practice — based on the exact framework we’ve used to help hundreds of pelvic health businesses get off the ground. The biggest mistake we see? People jump straight into the checklist: LLC. Website. Logo. Bank account. Before they ever decide what they’re building. And that’s how you end up with:  A schedule you don’t want  Patients you don’t enjoy treating  A business that feels like another job We cover: Why pre-start planning is the most important stepHow to define your ideal patient, schedule, and financial goalsHow to choose the right business modelWhat you actually need to get started (and what you don’t)And the biggest mistakes that slow people down earlyIf you’re thinking about starting your own practice — or want to fix one that doesn’t feel right — this is the roadmap. Ready to Start Your Practice? If you want the full step-by-step process, that’s exactly what we walk through in the Business Kickstart Program. 👉 www.pelvicptrising.com/kickstart Right now it’s $100 off (just $297). 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
  6. APR 20

    Why Is Prolapse So Hard to Treat?

    Prolapse should be simple… right? Strengthen the pelvic floor, support the organs, and move on. Except that’s not what actually happens. In this episode, we break down why prolapse is one of the most complex conditions we treat — and why so many clinicians feel stuck. We cover: Why prolapse is often taught incorrectly from the beginningThe disconnect between symptoms and anatomical findings Why you can’t “Kegel your way out” of structural defectsHow the nervous system, identity, and fear all play a roleThe impact of hormones, birth trauma, and connective tissueAnd why prolapse is really a multi-system condition, not just a pelvic floor issueThis isn’t about doing more. It’s about understanding the full picture — and knowing when pelvic PT is just one piece of the solution. Want to Go Deeper?  PelviCon Symposium This is exactly why we created the PelviCon Prolapse Symposium — bringing together PTs, surgeons, researchers, and mental health experts to actually connect all the dots. 👉 Get on the waitlist:  www.pelvicon.com/symposium 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!

    35 min
  7. APR 16

    7 Reasons Nicole Never Wanted to Start a Business

    Starting your own practice gets talked about a lot. But what doesn’t get talked about? 👉 The reasons not to do it. In this episode, we break down the 7 reasons Nicole never wanted to start her own business — and why, for a long time, staying an employee was actually the better choice. We cover: What it looks like when a job gives you all the good (and shields you from the bad)  The uncertainty and complexity of starting from scratch  The role of loyalty — and when it matters  Career growth without ownership  Financial risk, student loans, and lack of safety net  The appeal of a predictable schedule  And the very real fear of failure This is a nuanced conversation about business ownership — not everyone should do it, and that’s okay. But it’s also about what changes when those reasons start to fall apart. The Bigger Takeaway If you’re thinking about starting a business… It needs to be for something bigger than just frustration with your current job. And if you’re a business owner… Your job is to create a place where it’s genuinely hard for great people to leave. Ready to Start Your Own Practice? If you’re serious about starting your own business the right way… 👉 Check out the Business Kickstart Program (step-by-step guide):  www.pelvicptrising.com/kickstart 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!

    34 min
  8. APR 13

    Do You Dread Certain Patients? Let's Fix That

    Ever looked at your schedule and thought… “Ugh… that patient.” You’re not alone. Dreading certain patients is something almost every pelvic PT or OT experiences — but it’s not something we talk about enough. In this episode, we break down: The subtle signs you might be dreading certain patients (even if you don’t realize it)Why it happens — from tricky diagnoses to personality challenges to specific stages of careAnd what to actually do about itBecause it’s not about being a better “perfect” clinician. It’s about building the confidence to handle whatever walks through your door. The truth is: 👉 You’re never going to have it all figured out. And the sooner you accept that… …the more freedom (and enjoyment) you’ll have in treating your patients. Resources & Upcoming Events PelviCon Prolapse Symposium Waitlist:  www.pelvicon.com/Symposium Nicole’s Free Core Assessment Training (April 16):  www.pelvicptrising.com/abdominal 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
4.8
out of 5
185 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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