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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

24:02

Prolapse: A Missing Piece

Pelvic PT Rising ·

2025/04/28

Are we assessing prolapse in the position where symptoms actually occur? Welcome back to another episode from the Rising Vault, where we revisit some of our most impactful episodes. In this Missing Piece episode, we’re breaking down a major oversight in prolapse treatment: 💡 The lack of a standing, functional assessment. Think about it—if an orthopedic patient came in with pain while running, would we evaluate them only sitting or lying down? Of course not! But that’s exactly what happens

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34:03

3 Ways to Fight Procrastination and Be More Productive

Pelvic PT Rising ·

2025/04/24

In this Rising Vault episode, we’re sharing 3 practical tips to help you become more productive—especially when you’re running or starting your own practice. Productivity is a skill, not something you're magically born with. And for many pelvic health professionals, it’s a big adjustment: 👉 We’re used to being told what to do in structured jobs. 👉 Perfectionism keeps us from calling things “done.” 👉 Our days get broken into small, unfocused chunks. 👉 We’re unsure what to prioritize in

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21:13

Stress Urinary Incontinence: A Missing Piece

Pelvic PT Rising ·

2025/04/21

Strength isn’t the key to fixing urinary incontinence. Welcome back to another episode from the Rising Vault—where we bring back some of our most impactful episodes to highlight The Missing Piece in common pelvic health conditions. Today, we’re tackling urinary incontinence—and the one thing that’s often overlooked: 🟢 The focus on task and timing. Most of us were taught to assess voluntary pelvic floor strength first—but here’s the problem: 👉 Pelvic floor strength isn’t correlated with

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27:31

5 Myths About Starting a Business

Pelvic PT Rising ·

2025/04/17

Thinking about starting a business—or already in it? Let’s bust some myths. In this episode from the Rising Vault, we’re diving into the 5 most common misconceptions we hear about starting a pelvic health business. These myths cause real harm—leading business owners to overspend, second-guess themselves, or build a practice that doesn’t align with their goals. We’re clearing up the confusion around: 1️⃣ “Starting a business is hard” – It takes effort, but it doesn’t have to be complicat...

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23:03

The Three Types of Downtraining (And Why They Matter)

Pelvic PT Rising ·

2025/04/14

🚨 Are you using all three types of downtraining in your practice? 🚨 We often talk about "downtraining" without fully defining what it is—or recognizing that there are actually three distinct types. If you’re not considering all three, you’re missing key ways to help your patients. We’re bringing back one of our most popular episodes! While I’m out on maternity leave, we’re replaying some of the most impactful conversations we’ve had on the podcast over the years. In this episode, we break

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32:23

Naysayers Gonna Nay: Confidence in Your Cash-Based Model

Pelvic PT Rising ·

2025/04/10

Not everyone will understand your cash-based practice. That’s okay. In this episode, we’re talking about how to handle the naysayers, critics, and confused looks that come with running a cash-based pelvic health practice. Whether it’s a skeptical practitioner, a price-sensitive patient, or your uncle who still doesn’t really get what you do—we want you feeling confident in the model you’ve chosen. We break it down by type: ✅ Other practitioners – How to market and explain what you do in a way...

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61:08

Biofeedback: Is It Worth Your Time?

Pelvic PT Rising ·

2025/04/07

Is biofeedback really worth your time? Biofeedback has been a staple in pelvic therapy for years, but is it actually helping patients—or is it just another outdated tool that doesn’t deliver results? This is a replay of one of our most thought-provoking episodes! While I’m out on maternity leave, we’re bringing back some of the best conversations we’ve had over 500+ episodes. In this episode, Nicole shares her biggest frustrations with biofeedback, including: 🚫 It focuses entirely on the

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41:16

Pros, Cons & Challenges of a Cash-Based Practice

Pelvic PT Rising ·

2025/04/03

Thinking about going cash-based—or already there but questioning it? Let’s break it all down. In this episode, we’re talking through the pros and cons of being in a cash-based practice. We break it down into three major categories: ✅ Clinical – The biggest win. You get to treat patients how you actually want—no insurance companies dictating your plan of care or cutting off treatment early. You’re in control, not a profit-focused third party. ✅ Financial – Cash-based practices have way higher ...

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29:36

Documentation: Taking Back Our Time

Pelvic PT Rising ·

2025/03/31

📋 Documentation is the bane of every pelvic therapist's existence. None of us went to PT school because we loved paperwork, and yet documentation takes up a huge portion of our time and energy. For many, it’s the #1 cause of burnout, frustration, and conflict—whether you’re in a cash-based or insurance-based model. But what if you could cut your documentation time significantly and reclaim hours of your life? We’re bringing back one of our most impactful episodes! While I’m out on maternity

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31:47

Train Your Front Desk for Success (Front Desk Series...

Pelvic PT Rising ·

2025/03/27

Hiring a great admin is just the first step—how you onboard them is what really matters. The first few weeks are critical in making sure your new front desk hire becomes a high-performing, confident part of your team. If you don’t set them up for success, you’ll find yourself micromanaging, frustrated, or even worse—back at square one looking for someone new. In this final part of our Front Desk Series, we break down how to train your new admin in a way that’s efficient, clear, and sets them ...

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21:54

5 Ways the Pelvic Floor is Different

Pelvic PT Rising ·

2025/03/24

The pelvic floor isn’t just another muscle—so why do we treat it like one? The pelvic floor is different from every other muscle or area in the body, and if we don’t acknowledge that, we won’t get the best results for our patients. This is a replay of one of our most thought-provoking episodes! While I’m out on maternity leave, we’re bringing back some of the best conversations we’ve had over 500+ episodes. In this episode, we break down five key ways the pelvic floor is unique: ✅ Autonomic i...

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26:18

Interview and Hire an Amazing Front Desk Team (Front...

Pelvic PT Rising ·

2025/03/20

Hiring a front desk admin? You don’t have time to waste. One of the biggest challenges in hiring an admin is sorting through a flood of applications and avoiding interviews with people who aren’t actually qualified or interested (just looking for a paycheck!). In this episode (Part 2 of our Front Desk Series), we walk through the exact 5-step hiring process we use at PelvicSanity to find the best admin—without spending hours on bad interviews. Here’s how it works: 📌 Step 1: Post the job

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22:52

The Pelvic Floor is a Trampoline, Not a Biceps - A...

Pelvic PT Rising ·

2025/03/17

🚨 Are we still using the biceps analogy for the pelvic floor? It’s time for an upgrade. When explaining pelvic floor strength, many of us were taught to compare it to a bicep—contracting, strengthening, and controlling movement in a straightforward way. But this analogy doesn’t quite capture the full picture. This is one of our favorite episodes from the past 500+ we’ve recorded! While I’m out on maternity leave, we’re replaying some of the most impactful conversations we’ve had on the

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21:38

Do You Really Need an Admin? (Front Desk Series –...

Pelvic PT Rising ·

2025/03/13

Are you holding your business back by NOT hiring an admin? We were way too late in hiring a front desk team at PelvicSanity, and it’s one of the biggest mistakes we see practice owners make. If you’re unsure whether you need an admin, ask yourself: 👉 What aren’t you able to do for your business because you don’t have time? If you have answers to that question, it’s time to start looking for help. In this episode, we break down: ✅ Why an admin is necessary if you want to grow beyond yourself

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49:35

Why "Function First" Gets Better Results for Patients...

Pelvic PT Rising ·

2025/03/10

Still starting your evals with strength testing? It’s time to rethink that. Most pelvic health pros are trained to assess isolated pelvic floor strength first—and then jump straight into isolated strengthening. But we believe that’s backwards. In this episode, we’re talking about why you should start with function first—because it leads to better patient buy-in, faster results, and helps your patients actually connect their symptoms to real-life movement and function. We also dive into: ✅ Why...

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29:23

Stop Writing Blog Posts! Why SEO Has Changed & What...

Pelvic PT Rising ·

2025/03/06

Still writing blog posts to grow your practice? Stop. For years, we were told that blogging was the way to rank on Google and get new patients. And after building one of the largest pelvic health blogs in the world (with 130,000 visitors per year!), we can tell you firsthand… it doesn’t work. Here’s why: 🚫 Google prioritizes local SEO – Your blog won’t really help you rank for local searches. 🚫 AI-generated content dominates search results – People aren’t even clicking blogs anymore. 🚫 The

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71:43

The Great Kegel Debate (Part 2): The Case Against Kegels

Pelvic PT Rising ·

2025/03/03

Isolated pelvic floor strength isn’t the key to pelvic health. In Part 2 of the Great Kegel Debate, we dive deeper into why we come down firmly on the anti-Kegel side—and why we believe pelvic health is about so much more than isolated strength. The single biggest reason? Strength has no reliable correlation with symptoms. 👉 We’ve all seen patients with objectively weak pelvic floors who have no symptoms at all. 👉 And others with strong pelvic floors who are dealing with significant

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40:11

Should I Be Selling Packages in Pelvic Health?

Pelvic PT Rising ·

2025/02/27

Are packages really the best way to sell pelvic health services? At first glance, packages sound like a great idea. They give patients commitment, help cash flow, and make sales "easier," right? Not so fast. In this episode, we break down why we’re opposed to selling packages in pelvic health and the major issues that come with them: ❌ Unrealistic patient expectations – Patients assume they’ll be “done” when the package ends (even if they’re not). ❌ You’re putting limits on care – We hated wh...

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70:36

The Great Kegel Debate (Part 1): What Do We Actually...

Pelvic PT Rising ·

2025/02/24

The Kegel debate is heating up… but what are we really disagreeing about? Over the past few years, the conversation around Kegels has shifted big time. We’ve seen an explosion of “no-Kegel” content, frustration from those pushing back, and even research articles challenging each other in the literature. In this episode, we break down the three major camps in the Kegel conversation: 🔥 Pro-Kegel – Kegels are the most researched pelvic health tool and should be used for almost everyone. 🔥

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21:17

If You've Broken Up with Insurance Companies....Why...

Pelvic PT Rising ·

2025/02/20

If you’ve gone cash-based, why are you still acting like you work for insurance? Too many practice owners break up with insurance companies… but then keep trying to keep them happy. It’s like staying in touch with a toxic ex—you don’t owe them anything! In this episode, we’re putting a stop to the madness. Here’s what we cover: 🚫 No more calling insurance companies—Not for denials, pre-auths, or patient questions. That’s not your job anymore. 🚫 No more fighting on their behalf—If a patient

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