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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

23:55

You Built the Business. Now Can You Step Away?

Pelvic PT Rising ·

2026/10/08

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 abo...

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28:24

Does Your Business Get Easier Each Year? Nicole vs....

Pelvic PT Rising ·

2026/10/01

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

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26:23

5 Business Lessons From 5 Years of PelviCon

Pelvic PT Rising ·

2026/09/24

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

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57:15

There’s No Such Thing as a Simple Pelvic Health...

Pelvic PT Rising ·

2026/09/21

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 h...

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21:35

Your Business Doesn't Have to Grow

Pelvic PT Rising ·

2026/09/17

More revenue. More patients. More clinicians. More locations. We're constantly told that a "successful" business should always be getting bigger. But what if you don't actually want it to? 🤔 There are plenty of GREAT reasons not to grow. 👨‍👩‍👧‍👦 You're in a season where family needs more of you. ✈️ You want to travel or prioritize life outside the practice. 💰 You're already making enough money. 🙅‍♀️ You have absolutely zero desire to manage employees. ❤️ Or maybe you're just…happy with what

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73:35

How to Actually Be an Evidence-Based Clinician: An...

Pelvic PT Rising ·

2026/09/14

Reading research and actually understanding what it means for the patient in front of you are two VERY different things. And there may be nobody in pelvic health better at bridging that gap than Taryn Hallam. Taryn has essentially made research translation her full-time job—reading the enormous amount of pelvic health research being published and asking: What does this actually mean in the clinic? Because the abstract doesn't always tell the whole story. As Taryn puts it, the abstract is like...

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25:10

What’s the Point If You Hate Your Business?

Pelvic PT Rising ·

2026/09/10

You can make great money. You can have control of your schedule. But…do you actually like the business you've created? 😬 In Part 3 of our Make the Business Work for You series, we're talking about the third major piece of upside you traded for when you became a business owner: satisfaction & impact. 🙌 Ideally, as your business grows, your role should get BETTER. ✨ More time doing things you're great at. ❤️ More of the work you genuinely enjoy. 💰 More time spent on things that actually

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50:22

Are We Really Providing Whole-Person Care If We...

Pelvic PT Rising ·

2026/09/07

We talk a lot about providing “whole-person care.” But are we actually doing it? And if we leave spirituality completely out of the conversation...can we really call our care whole-person? This is exactly the kind of question we love exploring with Dr. Sinéad Dufour. Sinéad is one of the researchers and educators we respect most because she's constantly willing to examine the evidence, challenge her own assumptions and change her mind when the science takes her somewhere new. So naturally, wh...

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26:17

Make the Business Work For You - Time Freedom

Pelvic PT Rising ·

2026/09/03

You started your business for more freedom. So…why are you working more hours, answering messages on vacation, staying late for the one patient who "can only do 5pm," and feeling guilty anytime you need to change your schedule? 😬 In Part 2 of our Make the Business Work for You series, we're talking about TIME FREEDOM 🙌 ⏰ How much time does your business actually require from you? 📅 Are you working the schedule you want—or the schedule your patients have created for you? 🧹 How much

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48:54

Disrupting Sexual Health with Dr. Rachel Rubin

Pelvic PT Rising ·

2026/08/31

Dr. Rachel Rubin is changing the landscape of women’s health—and she’s not waiting around for permission. In this fiery conversation, we talk about why sexual medicine has been ignored for so long, the massive education gap around menopause and hormones, and Rachel’s work fighting to remove the FDA boxed warning from vaginal estrogen. We also get into why pelvic PTs and OTs need to own our role in recognizing hormonal and vulvar changes, why the future of women’s healthcare requires a multidi...

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28:13

Make the Business Work For You - Financial Success

Pelvic PT Rising ·

2026/08/28

When you leave a job to start your own practice, you're making a pretty massive trade: You're trading consistency for upside. Gone is the predictable paycheck, the regular schedule, the structure someone else created for you, and the relative certainty of knowing what you're going to make. In exchange? You get upside. And in this first episode of our Making Your Business Work for You series, we're talking about the most obvious kind: money. Because we all know the fantasy math. "If I charge $...

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60:49

You Know His Research. But Do You Know Paul Hodges?

Pelvic PT Rising ·

2026/08/24

You might not immediately recognize the name Paul Hodges. But we can almost guarantee you've been taught his work. And if you're attending PelviCon (either in-person or with our Live Virtual option) you'll get the chance to learn from him directly! If you've learned that... 👉 The pelvic floor and diaphragm work together 👉 The pelvic floor is part of a larger pressure-management system 👉 Timing and coordination matter—not just strength 👉 The abdominals and pelvic floor don't function

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23:31

Do You Actually Need a CRM? Fight for Simplicity.

Pelvic PT Rising ·

2026/08/20

When does a cash-based pelvic health practice actually need a fancy CRM? For most of us? Never. And yes—we've made this mistake ourselves. 😬 In this episode, we're breaking down what a CRM actually is, how it's different from your EMR and email platform, and why adding more technology often creates more problems instead of solving them. We get into: 👉 Why you probably already have a CRM (even if it's just a Google Sheet!) 👉 The difference between your CRM, EMR and email platform 👉 Why P...

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55:26

Maternal Mortality, a Whole-Body Approach and Using...

Pelvic PT Rising ·

2026/08/17

How can we help save the lives of our pregnant and post-partum patients? What about doing more than just resolving their reported symptoms? We can't wait for you to hear this conversation with Katherine Sylvester - she has spent her entire career challenging the status quo and pushing for better results for her patients. After experiencing postpartum preeclampsia herself, Katherine began asking how wearable data could help women recognize problems earlier, advocate for themselves...

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32:00

The Hardest Part of Hiring Your First Clinician

Pelvic PT Rising ·

2026/08/13

What if the first clinician you hire isn't as good as you? It's one of the biggest fears we hear from successful solopreneurs—and it's exactly what Nicole struggled with when we started growing PelvicSanity. Because hiring your first clinician isn't just adding another person to the schedule. It's changing your entire role. Suddenly, you have to trust someone else with your patients, your reputation, your culture and something you've worked incredibly hard to build. And yes...Nicole struggled...

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53:37

Rethinking Compression Garments & Diastasis: An...

Pelvic PT Rising ·

2026/08/10

How do you challenge long-held beliefs in pelvic health? You ask better questions. This week, we're joined by Gráinne Donnelly—pelvic health physiotherapist, researcher, educator, editor-in-chief of the Journal of Pelvic, Obstetric and Gynaecological Physiotherapy, and one of this year's featured PelviCon 2026 speakers. Gráinne has built a career around asking questions that matter, from postpartum return to sport and diastasis recti to compression garments and pelvic floor functi...

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31:20

The Biggest Mistake We Make with Downtraining

Pelvic PT Rising ·

2026/08/06

If you've ever felt like you've "tried downtraining" and your patient still isn't getting better... this episode is for you. We're also wrapping up our recent series on internal exams, the gold standard, and access to quality care before shifting back into one of our favorite clinical topics: downtraining. The biggest mistake we see? Thinking of downtraining as a single intervention. In this episode, we introduce the updated framework from our completely re-recorded Downtraining Masterclass, ...

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43:28

What's Changing in Endo Care? An Interview with Amy...

Pelvic PT Rising ·

2026/08/03

PelviCon '26 speaker Amy Stein has been one of the pioneers of modern pelvic health. She founded Beyond Basics Physical Therapy, one of the largest cash-based pelvic health practices in the country, authored the groundbreaking books Heal Pelvic Pain and Beating Endo, and has spent more than two decades helping shape the future of pelvic rehabilitation. In this conversation, we talk about how far our profession has come—from a time when there were only a handful of pelvic health courses ...

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73:10

The 5 Levels of Care in Pelvic Health: What Is The...

Pelvic PT Rising ·

2026/07/30

Let's cut through the noise....If someone you loved needed pelvic floor therapy tomorrow, where would you send them? 🤔 Are there actually different levels of pelvic health care? We believe the answer is yes. The interesting part? Most pelvic therapists already act as though these different levels exist—we've just never had a common language to describe them. Think about it... If your spouse, your parent, or your child developed pelvic floor dysfunction tomorrow, who would you recommend? Most

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73:46

What Do We Actually Gain From an Internal Pelvic...

Pelvic PT Rising ·

2026/07/27

To be honest, we never imagined we'd need to explain this. Fair warning: this episode gets a little nerdy. Over the last two episodes, we've talked about why we believe internal pelvic floor evaluation remains the gold standard in pelvic rehabilitation. This week, we're answering the obvious follow-up question: What do we actually gain from performing one? For those of us who were trained to perform internal evaluations—and who use them every day in practice—the value seems almost self...

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