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PODCAST

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

health & fitness alternative health

All Episodes

29:59

You Won't Sell Your Practice for a Pile of Cash....So...

Pelvic PT Rising ·

2025/07/17

The Truth About Selling Your Practice: It Won’t Make You Rich We all have this fantasy at some point as practice owners: “One day, I’ll sell this thing and cash out.” But here’s the truth—especially in cash-based pelvic health—that’s probably not happening. In this episode, we’re breaking down: Why there’s no market of buyers lining up for small, niche, owner-dependent clinicsThe 5 real exit options (and why most don’t lead to a big payday)The real reason most owners think they want to sell: ...

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28:08

Beyond the Tailbone: 5 Keys to Better Coccydynia Care

Pelvic PT Rising ·

2025/07/14

5 Things You’re Missing with Your Coccydynia Patients Coccydynia (persistent tailbone pain) is one of the most challenging diagnoses we see in pelvic health. And it’s often not just about the tailbone. In this episode, we’re diving into 5 things you might be missing when treating these complex patients, including: 1️⃣ Transrectal Evaluation & Treatment – It matters, and many providers skip it. 2️⃣ Internal Treatment in Functional Positions – Treatment isn’t just about prone or side-lying...

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20:53

It's Not Your Boss' Job to Make You Happy

Pelvic PT Rising ·

2025/07/10

Whether you're a clinic owner trying to create a great work environment or a team member wondering where the line is between support and overstepping...this episode is for you. We’re diving into one of the biggest mindset shifts in leadership: 👉 You are not responsible for your employees’ happiness. 👉 You are not your boss’s emotional support system. 👉 You can care without carrying the emotional burden. We break down: ✅ What leaders do owe their teams❌ What’s not their jobWhy emot...

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22:22

We Need To Be The Experts in Treating Tailbone Pain +...

Pelvic PT Rising ·

2025/07/07

Coccydynia: The Pain in the Butt We Need to Understand Tailbone pain (coccydynia) is one of the most misunderstood—and under-treated—diagnoses in pelvic health. There’s no one go-to expert for these patients, which means they’re often left suffering with little direction or hope. In this episode, we’re sharing exciting news about the upcoming Online Symposium for Coccydynia on July 19th! This online event brings together top experts from around the world, including physicians, physiotherapist...

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22:17

Hidden Secret to Business? Your Support System!

Pelvic PT Rising ·

2025/07/03

Partner + Family Support: What It Really Takes to Grow Your Business Behind every successful business is a support system—but that support doesn’t always look like what you think. In this episode, we’re digging into the five types of partner and family support, how to move someone along the support spectrum, and why comparing your growth to someone else's (without knowing their behind-the-scenes help) is a fast path to burnout. We’re also sharing personal stories from our own journey—what hel...

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29:46

What’s It Costing You to NOT Grow Your Business?

Pelvic PT Rising ·

2025/06/26

What’s It Costing You to Not Grow? In this episode, we open up about one of the biggest mistakes we made in the early days of PelvicSanity—waiting years to invest in coaching. We thought we were saving money by doing it all ourselves...but it ended up costing us big time. 💸 Lost revenue. ⏳ Wasted time. 😣 Burnout, skipped vacations and overwork. 👥 Losing great people because we couldn't manage them well. 📉 Missed opportunities. We break down the real cost of staying whe...

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32:19

We Hit 1 Million Downloads! 🎉 What We've Learned on...

Pelvic PT Rising ·

2025/06/23

Rising to the Occasion: Celebrating 1 Million Downloads We made it – 1 MILLION downloads of the Pelvic PT Rising podcast! 🎉 In this very special episode, we (Nicole & Jesse) take a step back and reflect on what this milestone means – and what we’ve learned after 500+ episodes of sharing our thoughts, rants, and reflections with this incredible community. We talk about: How the podcast got started (and the cringe factor of early episodes)Why mentorship and community are so crucial in

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17:55

Stop Chasing Leads: Fix Your Conversion First

Pelvic PT Rising ·

2025/06/19

Are you constantly feeling like you need more leads to grow your practice? We get it. The marketing world tells us to run paid ads, boost our SEO, post more on social, do (another) workshop. Basically, just keep doing more. But here’s the truth: If you can’t convert the leads you’re already getting, more leads won’t help. In this episode, we challenge the “lead chase” mentality and dive into: Why practices feel stuck in a marketing hamster wheelThe 3 keys to great conversio...

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51:42

Do You Really Need to Glove for External Work?

Pelvic PT Rising ·

2025/06/16

Gloving for External Treatment – What’s Actually Best for Our Patients? In this episode, we're diving into a surprisingly controversial topic in pelvic rehab: gloving for external treatment. Our informal poll showed a nearly 50/50 split: 58% of pelvic rehab professionals always glove with both hands for external work42% reported they don’tBut why the discrepancy? We take a closer look at: How gloves can interfere with our palpation skills and clinical sensitivityThe potential message gloving ...

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25:02

How to Actually Pay Yourself from Your Business

Pelvic PT Rising ·

2025/06/12

"Pay Yourself First." It’s become a buzzword in business…but what does it really mean? In this week’s episode, we’re diving into one of the biggest sources of financial stress for business owners – paying yourself. Most of us weren’t taught how to handle business finances, and it creates a ton of anxiety. Am I saving enough? Doing it right? Transferring money properly? We get into: What “paying yourself first” actually looks like in practiceWhy you can’t pay yourself with money the business ...

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27:22

Please...Don't Poke Your Patient!

Pelvic PT Rising ·

2025/06/09

“Don’t poke your patient.” It’s something we say all the time, but it’s how almost all of us were taught in pelvic health. Poking—pressing around internally to assess the pelvic floor—isn’t just ineffective, it’s also the wrong way to treat. In this episode, we break down: Why the “poke-and-see” method doesn’t workHow it’s completely different from how we assess any other muscle groupWhy it causes patients to tense, brace or withdrawWhat you should be doing instead to actually get helpful, f...

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23:46

Why Burnout Hits Business Owners Harder (And How to...

Pelvic PT Rising ·

2025/06/05

Burnout hits pelvic rehab business owners twice as hard. First, there’s the emotional and mental weight of treating patients with chronic and complex issues—something all clinicians face. But then there’s a second, heavier layer: the unique stress and responsibility of owning a business. You’re wearing all the hats. Managing a team. Marketing. Making financial decisions. Juggling it all—and still trying to be present in your actual life. In this episode, we talk about: The two layers of burn...

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24:13

Interstitial Cystitis: A Missing Piece

Pelvic PT Rising ·

2025/06/02

Interstitial cystitis is one of the most complex conditions we treat—so what’s the missing piece? In this Missing Piece episode from the Rising Vault, we’re breaking down one of the most overlooked contributors to IC: 💡 Neural tension of the sciatic nerve. With interstitial cystitis, there are so many possible contributing factors—superficial pelvic floor muscles, constipation, urachus, inner thighs, ischiorectal fascia, even the calves. But time and time again, we come back to the sciatic

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28:43

The 3 Pillars of a Successful Cash Practice

Pelvic PT Rising ·

2025/05/29

What actually makes a pelvic health business thrive? In this episode, we break down the Three Pillars of Business we teach inside the Business Accelerator: 1️⃣ Marketing + Sales 2️⃣ Business Systems 3️⃣ Clinical Excellence (getting buy-in and taking patients through their full plan of care) Most practices feel stuck because one (or more!) of these pillars is missing or weak. You can’t out-market a broken patient experience. You can’t build a team without systems. And you can’t grow a susta...

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25:00

Male Pelvic Pain: A Missing Piece

Pelvic PT Rising ·

2025/05/26

Male pelvic pain is complex - there so many different areas to evaluate and clear. Often it can be overwhelming and we jump straight to breathing and the pelvic floor. In this Missing Piece episode from the Rising Vault, we’re highlighting a commonly overlooked factor in male pelvic pain: 💡 The spermatic cord. This structure runs along the inguinal canal, carrying essential nerves and blood vessels that impact function and pain. Here’s why it matters: 👉 Many male pelvic pain patie...

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20:38

Vulvodynia: A Missing Piece

Pelvic PT Rising ·

2025/05/19

Vulvodynia is as non-specific as ‘low back pain.’ So why are we treating it like one condition? In this Missing Piece episode from the Rising Vault, we’re diving into one of the most overlooked areas when it comes to vulvodynia treatment: 💡 The perineal fascia. Vulvodynia can be complex and multi-factorial, with contributing factors like: 👉 Rectal dysfunction 👉 Urachus and belly button involvement 👉 Lumbar referral patterns 👉 Hip referrals But one consistent missing pi...

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29:39

The 4 Business Owner Archetypes (And How to Level Up)

Pelvic PT Rising ·

2025/05/15

Not all business owners are the same—and that’s the point. In this episode, we break down the 4 types of pelvic health business owners we’ve seen after working with hundreds of practices. Each type has its own strengths, challenges, and opportunities to grow—if you’re honest about where you are and what you want. We dive into: 1️⃣ The Lifestyle Business – The solopreneur optimizing for life outside the practice: family, hobbies, freedom. 2️⃣ The Hustler – The high-performing solopreneu...

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23:51

Pudendal Neuralgia: A Missing Piece

Pelvic PT Rising ·

2025/05/12

Pudendal neuralgia is one of the most intimidating diagnoses we treat. It’s complex, frustrating, and often misunderstood—even among pelvic health providers. In this Missing Piece episode from the Rising Vault, we’re breaking down a key factor that’s often overlooked in pudendal neuralgia treatment: 💡 The posterior cutaneous femoral nerve. It’s easy to hyperfocus on the pudendal nerve itself, but the reality is: 👉 It’s almost impossible for pudendal neuralgia to only involve the pudendal

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21:43

Diastasis Recti: A Missing Piece

Pelvic PT Rising ·

2025/05/05

When treating diastasis recti, are we missing the real problem? In this Missing Piece episode from the Rising Vault, we’re tackling one of the biggest oversights in diastasis recti treatment: 💡 The back is often the missing piece. It’s easy to focus on the front—after all, that’s where the diastasis is! Most treatment plans go straight to engaging the transversus abdominus and strengthening the core muscles. But diastasis recti is often a symptom of a system problem—and that problem

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21:48

Pelvic Rehab & Your Money: The Talk We All Need To Have

Pelvic PT Rising ·

2025/05/01

You can do everything ‘right’… and still struggle financially. In this episode, we’re sharing Nicole’s financial story—going to a top PT school, graduating at the top of her class, landing a prestigious job, getting promoted… and still barely able to pay off student loans, accumulating credit card debt, and feeling lost about retirement. If you’ve ever wondered how we’re supposed to make this career work financially, you’re not alone. We dive into: ✅ Why school costs have skyrocketed, l...

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