Pelvic PT Rising was created to help 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!
Wondering about the science behind red light therapy and whether it's 'a thing' in pelvic rehab? So were we! So we brought Liz Frey on the podcast to answer all of our questions about photobiomodulation and it's uses in pelvic therapy.
We'll talk about the basic science behind red light therapy and what the research says on how it can help. We'll also talk about the development of the Fringe Red Light Want, discuss how Liz uses red light therapy with her own pelvic patients and how they can be an adjunct to pelvic therapy.
Can't wait for you to hear about the possibilities of this technology!
Full Disclosure: I provided (unpaid) advice to Fringe as they were developing their red light pelvic wand to help make it more usable and approachable for patients. Fringe has also sponsored PelviCon and I have an affiliate link with them for anyone who orders their products (and also gets people 25% off when they order before the end of the year!).
Fringe and Liz Frey
Fringe (https://fringeheals.com/ref/168/) is a health company focused on evidence-based use of red light therapy. They have a red-light wrap, a face mask and a pelvic wand all using the same technology.
From now until the end of the year, you can get 25% off ANY Fringe product (even those out of stock!) using the code NICOLE25.
Liz Frey is the Pelvic Health Medical Director at Fringe, as well as an educator and pelvic health clinic owner herself. We're glad to have her on the podcast and answering our questions about red light therapy!
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 ([email protected]).
Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!
Why do we expect to be great business owners without any training at all? We don't think that way about our clinical skills.
In fact, we all spent 7+ years in school, countless clinical con-ed hours and often hundreds of thousands of dollars to become good clinicians.
And yet, most of us have never invested anything in ourselves as business owners. Yet we expect to have immediate success - no wonder 90% of us aren't happy with what we're making financially in business!
There's a 'compound interest' in becoming a better business owner. A small improvement or investment now grows and grows over the years and decades we own our practice.
If we develop a front desk script now, we might use it for thousands of patients. Our call logs, budget templates, 'last 5' for clinical buy-in - all of these skills or habits will last for years.
These investments in the business will pay off over the life of your practice. Yet we don't approach business with the same dedication we do our clinical practice.
As we said in a recent podcast 'sode, "If we invested 1% of the time and money in business ownership that we did to become great clinicians, 90% of us wouldn't be unhappy with what we make in the practice!
Business Accelerator Program - Closes Friday!
Registration for the January Cohort of the Accelerator Program closes on Friday (12/20)!! If you're a business owner looking to take things to the next level in 2025, make sure to check it out and get on the wait list here: www.pelvicptrising.com/accelerator
See how business owners increased their revenue, boosted their confidence and reduced the overwhelm of building a business!
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 ([email protected]).
Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!
Sara is one of the most impactful advocates for pelvic health we have. As The Vagina Whisperer she has an audience of over 600,000 people. She's done a TED talk, she's been a PelviCon speaker, and now she is going to be a published author!
We discuss how to communicate with patients in their own language, shifting our mindset to helping patients through their entire lifespan and what we can learn from the dental model - yes, dentists - of providing care.
Sara's new book Floored is available for pre-order now. Learn about the process of writing a book and how Sarah sold her practice to her employees to give herself more time for what she is passionate about, advocating for pelvic health for all.
Can't wait for you to hear it - a fun conversations with twists, turns, rants and tangents!
Dr. Sara Reardon
Sara is a clinician, educator, pelvic health advocate and now a published author! Her book Floored: A Woman's Guide to Pelvic Floor Health at Every Age and Stage is available for pre-order now (https://amzn.to/4gEJKiN) - order it to help increase reach and get into more stores! You can always follow Sara @the.vagina.whisperer on IG for all her info and updates!
Business Accelerator Program - Closes riday!
Registration for the January Cohort of the Accelerator Program closes on Friday (12/20)!! If you're a business owner looking to take things to the next level in 2025, make sure to check it out and get on the wait list here: www.pelvicptrising.com/accelerator
See how business owners increased their revenue, boosted their confidence and reduced the overwhelm of building a business!
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 ([email protected]).
Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!
If you aren't feeling satisfied with your income, you aren't alone. More than 9 in 10 business owners say they aren't happy with what they are making from the business.....but why?
That's what today's 'sode is all about. We may have heard how 'easy' it is. Or think everyone is successful because that's what we see online. But we're going to lay out the truth for you when it comes to business finance!
1) Expectations - A lot of business owners 'just do the math'. If they saw the same number of patients they were seeing elsewhere, but kept all the money....not taking into account the challenges of marketing, administration, and fulfillment. They don't know their minimums and keep moving goalposts.
2) Such Hard Work - Many business owners feel like what they make isn't commensurate with the work, stress and hours they are putting into the practice.
3) Aren't Making Money - Some business owners really are struggling with revenue. The phones aren't ringing, they aren't able to convert the leads they get, and the patients who do come in tend to drop off or space our visits.
4) They Aren't Getting Help! - These numbers change dramatically for those getting help! We've all spent multiple years and hundreds of thousands of dollars to become excellent clinically, but haven't invested in ourselves as business owners.
Business Accelerator Program - Now Open!
Registration for the January Cohort of the Accelerator Program is now open! If you want things to be different in your business, you need to make changes. Check it out and get on the wait list here: www.pelvicptrising.com/accelerator
See how business owners increased their revenue, boosted their confidence and reduced the overwhelm of building a business!
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 ([email protected]).
Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!
Can't wait for you to hear this interview! We discuss why a standing assessment is so critical, the limitations of a supine exam and the PERF, how to 'stack the deck' for our pregnant patients and what we know - and don't know! - about exercise during pregnancy.
We talk about the power and limitations of research. And we dive into Christina's mission to remove as much fear as possible from pregnancy and post-partum.
Discover what Christina learned from her own pregnancy, diving into research, and conducting her own. This will change your mindset on helping your pregnant patients!
Dr. Christina Prevett
Christina is a pelvic physio, researcher, 'clinician-scientist' and post-doctoral fellow. Her research focus is high-load weight training during pregnancy and she's passionate about removing the fear from the pregnancy and post-partum journey. She's the founder of the Barbell Mamas (https://thebarbellmamas.com/), and make sure you're following her amazing content @dr.christina_prevett
Business Accelerator Program - New Cohort Open Thursday!
Registration for the January Cohort of the Accelerator Program opens on Thursday! If you're a business owner looking to take things to the next level in 2025, make sure to check it out and get on the wait list here: www.pelvicptrising.com/accelerator
See how business owners increased their revenue, boosted their confidence and reduced the overwhelm of building a business!
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 ([email protected]).
Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!
Why is it so important to get all three of these pillars - Marketing & Sales, Business Systems, and Clinical Excellence - right for a well-running business?
In this 'sode we discuss the three main pillars of business. If only one or two of these are working well, the business is going to take a lot of effort and always feel precarious.
Marketing & Sales - If you don't have a consistent source of leads and are always worried about getting the phone to ring, marketing your practice is vital. We need a systematic plan for marketing to avoid dips and the 'rollercoaster' of business.
Business Systems - If you're feeling overwhelmed or burned out, it's usually because you're lacking systems. We often make up for poor systems with more work and late nights, but that's not sustainable.
Clinical Excellence - If you're having patients drop off, space out their visits, or stop coming in because 'it's expensive', we aren't getting the clinical buy-in necessary.
When all three of these are working well, the business gets much easier to run, grows faster and is actually fun to work in!
Accelerator Program - Registration Opens Dec 12th!
If you know one - or more - of these areas needs work, consider joining us for the January cohort of the Business Accelerator Program!
We've helped 300+ business owners grow their practice and build a business that truly works for them. You can see all the details and real-world results 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 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 ([email protected]).
Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!
Can't wait for you to hear this conversation with Dr. Ken McGee of B3 Physical Therapy. They have a diverse practice featuring mobile, telehealth and in-office visits.
We discuss a major mindset shift in postpartum care that will change your perspective, supporting parents with feeding, how to make your intake forms more inclusive, the importance of more open-ended questions, and more.
Can't wait for you to learn from Ken on providing better care for people of all genders!
Dr. Ken McGee - B3 Physical Therapy
Ken McGee, PT, DPT, (they/he) is a white queer transmasculine pelvic health physical therapist based in Seattle who owns B3 Physical Therapy. Their mission is to bring greater awareness to the pelvic health needs of the LGBTQIA2S+ community. They enjoy mentoring other rehabilitation professionals to better care for people of all genders and you can follow them @b3ptco for great info!
PelviCon 2025 - Sold Out in 29 Minutes!
We're so excited and grateful to announce PelviCon 2025 sold out in just 29 minutes on Black Friday! For those who are coming, we can't wait to take over a hotel with you and enjoy these incredible speakers together.
If you weren't able to come, there's a wait list on PelviCon right now for both any in-person or virtual options we have - make sure to get your name on that wait list so you don't miss out (www.PelviCon.com).
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 ([email protected]).
Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!
In this practical and wide-ranging conversation we discuss why Lynn believes we overlook the bones of the pelvis, the common patterns she sees in post-partum patients and which pelvic floor muscle she pays the most attention to in her evaluation.
We also hear some great questions you should be asking your post-partum patients and discuss the impact of birth trauma.
Can't wait for you to hear this conversation with Lynn Schulte!
Lynn Schulte - Institute of Birth Healing
Lynn is the founder of the Institute for Birth Healing, has her own podcast and clinic. Make sure you're following her @InstituteforBirthHealing. If you're interested in learning more, Lynn has a free online course on Sacral Mobility you can find here.
PelviCon 2025: Black Friday is Almost Here!
If you want to hear the leaders of pelvic health - Michelle Lyons, Taryn Hallam, Sudan Clinton, Fiona Rogers, Stephanie Prendergast, Quiara Smith, Bill Taylor, Grainne Donnelly - speak, make sure you're looking into PelviCon 2025: Elevate!
You can find all the details and get on the wait list at www.PelviCon.com. Tickets go on sale (and typically sell out!) on Black Friday, so don't miss out.
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 ([email protected]).
Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!
If you're like us, you might have a negative perception of a 'mission statement'. We certainly thought it was dumb for us as a small company.
We had both sat through long meetings to create, or explain, or pontificate about a mission statement before. Usually something created by HR and long, boring and pointless.
But we were wrong to throw away the idea just because the execution is so bad in big companies!
Clarifying your message and mission can help you create content around what you really believe. If you are clear on what you stand for, you'll never have trouble finding topics to talk about! A lot of our struggles to make IG posts, newsletters, or other content come down to not being clear on this.
In this 'sode we talk about how we came to our missions statement for Rising:
"We coach entrepreneurs in authentically creating impactful patient care while building financial confidence and lifestyle freedom."
Each word is carefully chosen and means something to us (and communicates it to those thinking about working with us.
Hope you enjoy this 'sode on how we changed our mind about a mission statement and how important it has been for us going forwrd!
Accelerator - January Cohort!
If you're looking to grow as a business owner in 2025, you don't have to go it alone! Our next cohort of the Business Accelerator Program is starting in January.
We've taken more than 300 pelvic health businesses through this program. They've increased revenue, grown in confidence and begun to enjoy the journey more.
Whether you're a brand-new business owner or a veteran with multiple employees, this is the program for you! Check it out and apply at www.pelvicptrising.com/accelerator!
We review every application and get back to you, so we'll answer questions and make sure it's the right fit.
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 ([email protected]).
Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!
This is something I've heard when teaching and training about how to treat interstitial cystitis (IC): "I don't think they really have IC."
What we usually mean by this is we feel their symptoms are stemming from pelvic floor dysfunction and central sensitization.
The AUA Definition of IC is simply: "An unpleasant sensation (pain, pressure, discomfort) perceived to be related to the urinary bladder, associated with lower urinary tract symptoms of more than six weeks duration, in the absence of infection or other identifiable causes."
So this is really a description of symptoms. If they have any kind of pelvic pain and urinary urgency/frequency without an infection or other medical cause, it is - by definition - correct to call it IC.
This is similar to how someone can have pudendal neuralgia....caused by pelvic floor dysfunction.
Vulvodynia....caused by pelvic floor dysfunction.
Coccydynia....caused by pelvic floor dysfunction.
Many of the diagnoses we treat are really just descriptors of the condition. So just because pelvic floor dysfunction is the underlying cause, it doesn't mean they don't have the diagnosis!
Now, how you present this to your patient depends on their history with their symptoms and how they perceive the diagnosis.
But if they have those symptoms, among ourselves, we need to stop saying "I don't think this patient really has IC".
PelviCon 2025 - Wait List Open
The PelviCon 2025 wait list is now open! For those who want more info (or know they are coming and want priority registration on Black Friday), make sure you head to www.pelvicon.com and sign up for the wait list!
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 ([email protected]).
Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!
We get really honest about the challenges and growing pains in a multi-clinician practice in this 'sode. And we'll make sure to have some advice on how to mitigate them!
But you can really boil down the big challenges into three categories.
Time - You're going to have a huge increase in the demands on your time. You'll be doing more admin work. More marketing. More leadership. More logistics. More training and onboarding. All while still dealing with your own caseload.
Role - The moment you hire, your role in the business changes forever. But it can take time to recognize and assume your new role. You're responsible for filling schedules, training and building systems. Leading a team and providing mentorship. And - as with any new role - we're usually not very good at it right out of the gate!
Financial - Many business owners are surprised when adding staff doesn't increase what they make in the business. We've worked with many business owners who have employees making more than they do! Your profit margin drops, and we often feel we're not making income commensurate with the extra time and patient volume the practice is seeing.
Especially when you're growing, you have a new business every six months. What got you here won't get you to the next mountaintop. We hope this 'sode helps you know you're not alone, and gives you some practical tips as you grow your business!
Accelerator - January Cohort!
If you're looking to grow as a business owner in 2025, you don't have to go it alone! Our next cohort of the Business Accelerator Program is starting in January.
We've taken more than 300 pelvic health businesses through this program. They've increased revenue, grown in confidence and begun to enjoy the journey more.
Whether you're a brand-new business owner or a veteran with multiple employees, this is the program for you! Check it out and apply at www.pelvicptrising.com/accelerator!
We review every application and get back to you, so we'll answer questions and make sure it's the right fit.
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 ([email protected]).
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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