Pelvic PT Rising

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 solopreneur working long hours, maximizing revenue, and riding the edge of burnout. 3️⃣ The Accidental Boss – A multi-clinician owner who hired help, but hasn't stepped fully into a leadership role. 4️⃣ The True CEO – A purpose-driven leader building a scalable, impactful clinic and investing in their team.We talk about the pros and cons of each, mistakes to avoid, and how to optimize for your goals—because these categories aren't fixed. They evolve.Level up with the Business Accelerator

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:

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:

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, leaving us with massive debt ✅ How insurance reimbursement has dropped, shrinking wages across the board ✅ Why we get bad financial advice from parents, financial advisors, and even the internetThis isn't just about numbers—it's about the stress, anxiety, and shame so many clinicians carry about money. We're here to change that.

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:

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:

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:

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 complicated. 2️⃣ “You have to take insurance” – Nope. Not unless that's the model you want. 3️⃣ “You need a loan or expensive experts to get started” – Most don't. You can start lean and still succeed. 4️⃣ “Patients and physicians will just follow you” – You'll need to market and earn that trust again. 5️⃣ “Starting a business is risky” – The right business model actually gives you more control and stability.If you're dreaming of your own practice—or just started and are feeling overwhelmed—this is a must-listen.

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 that's funny, honest, and real, without being defensive or weird about money.✅ Patients – Giving them everything they need to make an informed choice and respecting that you're not the right fit for everyone. That's a good thing.✅ Friends & family – Real talk: they have no idea what we do. Love them. But don't let their opinions shake your confidence.You don't need everyone to get it. You just need to own your decision and know your value.

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:

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 profit margins. You can charge what you're worth (not what insurance allows), and you don't need a massive patient volume just to stay afloat.✅ Lifestyle – Fewer patients. More time. More flexibility. When your margins are higher and your schedule is your own, you get to live more life.BUT—it comes with a catch. You've got to get patients in the door. That means marketing, messaging, and selling your value. That's the deal.

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 up for long-term success.Here's how we do it:

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 innervation – The pelvic floor has both voluntary and involuntary control, making treatment more complex.✅ Unique anatomy & function – It doesn't have a typical origin/insertion like other muscles.✅ Interconnected with organs – Unlike most muscles, the pelvic floor is woven into multiple organ systems.✅ Emotional & psychosocial components – Trauma, stigma, and cultural attitudes impact pelvic health treatment.✅ You can't rest it – The pelvic floor is always in use, which makes healing more challenging.When we understand these differences, we can treat the pelvic floor more effectively—instead of relying on outdated approaches that don't take its complexity into account.Tune in to hear why there's no such thing as a simple pelvic floor patient!About UsNicole 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 (nicole@pelvicsanity.com).Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

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:

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:

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 pelvic floor therapists often overlook orthopedic factors✅ Why ortho therapists often miss the specialized pelvic floor knowledge✅ How combining both orthopedic and pelvic assessments gives you the full picture✅ The importance of standing and dynamic assessments to see how the pelvic floor works in the system✅ Our mantra: Assess, Don't Guess!If you want to bridge the gap between orthopedic and pelvic health—and stop wasting time on isolated strength tests—this episode is for you!Not Your Mama's Kegel Course - Cohort #3Registration is now open for Cohort #3 of Not Your Mama's Kegels! (www.pelvicptrising.com/kegels).  Learn how to strengthen more functionally and in the system. Registration closes Wednesday—don't miss out!About UsNicole 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 (nicole@pelvicsanity.com).Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

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:

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.

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 when insurance dictated treatment plans, so why are we doing it to ourselves?❌ Cash flow challenges – You get paid upfront, but then have to deliver care without ongoing revenue.❌ Hiring headaches – Most great clinicians don't want to be salespeople, and training them to sell packages is hard.At the end, we share what to do if you're committed to selling packages and how to structure them for the best results. But after working with over 650+ practices, we've seen very few do it well.If you've been debating packages, this is the episode you need to hear first!Business Accelerator ProgramIf you're looking to grow as a business owner and meet your business goals faster, make sure to join us for the next cohort of the  Business Accelerator Program!  You can find all the details and submit an application at www.pelvicptrising.com/acceleratorWe've now had more than 350+ business owners through the program - check out all the results and apply now to reserve a spot!About UsNicole 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 (nicole@pelvicsanity.com).Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

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:

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:

Are you setting your patients up for success—or failure?Too often, we focus so much on challenging our patients that we forget the power of easy wins. When patients struggle with an exercise or intervention, they don't feel excited to come back and report a failure.Instead, we need to stack small wins to build confidence, buy-in, and momentum.In this episode, we dive into:✅ Why early successes matter – Patients need to feel like they're making progress now, not just months from now.✅ How to avoid an ‘all or nothing' mindset – Recovery isn't about perfection; it's about steady progress.✅ The psychology of patient buy-in – Small, achievable tasks help patients trust the process and stay committed.By giving patients simple, doable tasks, we create incremental progress instead of a frustrating cycle of struggle.Let's talk about how to shift your approach and help patients feel successful at every stage of their healing journey!PelviCon Live Virtual SurveyAs many of you know, in-person PelviCon tickets sold out in just 29 minutes this year!  With more than 400 people on the wait list for any spots that open up, we wanted to open up the amazing content and experience to more people.We're planning to do some kind of live virtual option for PelviCon 2025 and asking for your feedback!  Fill out this brief survey and be entered to win a free live virtual ticket - entry closes today (2/17)!  https://forms.gle/uAY2yxBuUtoGFe1t6About UsNicole 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 (nicole@pelvicsanity.com).Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

Are you just busy, or actually productive? As a business owner, it's easy to feel like you're constantly working but never making real progress. The truth? You don't need more productivity hacks—you need to get the big picture right.In this episode, we break down how to focus your time where it matters most so you're not just working hard, but actually moving your business forward.Here's what we cover:✅ Prioritizing the right things – Not all tasks are created equal! Learn how to identify the work that truly impacts your business.✅ Fixing your schedule – Your time should reflect your priorities. We'll show you how to build a schedule that supports your goals.✅ Cutting out the rest – Whether it's eliminating, automating, or delegating, we'll help you free up time by getting rid of what doesn't serve you.If you feel stuck in the day-to-day grind and want to finally take control of your time, this episode is for you. Let's get you working smarter, not just harder!Business Accelerator ProgramIf you're looking to grow as a business owner and meet your business goals faster, make sure to join us for the next cohort of the  Business Accelerator Program!  You can find all the details and submit an application at www.pelvicptrising.com/acceleratorWe've now had more than 350+ business owners through the program - check out all the results and apply now to reserve a spot!About UsNicole 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 (nicole@pelvicsanity.com).Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

Your patient's progress has stalled… but is it actually a problem?We expect healing to happen in a straight line, but the reality? Plateaus are completely normal. No one improves at the same steady rate throughout their entire recovery.So when a patient isn't progressing as fast as you (or they) think they should, it's time to step back and assess:

Hitting $1M in revenue sounds amazing… but do you actually want it?Everyone talks about the magic $1M mark, but what does it really take to get there? And is it even the right goal for you?In this episode, we break down the real numbers behind a $1M practice—including 100+ visits per week, 700+ evaluations per year, and a team of 5+ clinicians supported by a solid admin staff.Here's what you need in place to scale:✅ A massive lead pipeline – You'll need more than 1,000 leads per year to keep your schedule full.✅ Tight business systems – You can't rely on great people alone. Your conversions, drop-offs, and internal processes have to be dialed in.✅ An investment in staff – Hiring, onboarding, and training are non-negotiable as you grow.✅ A shift to the CEO role – You won't have time to do everything yourself—you need to focus on strategy, leadership, and business growth.But here's the thing… most businesses won't (and don't need to) hit $1M. Many owners are building highly profitable, fulfilling businesses without ever reaching that milestone.So before you chase the $1M dream, let's talk about whether it's actually right for you!Business Accelerator ProgramIf you're looking to grow as a business owner and meet your business goals faster, make sure to join us for the next cohort of the  Business Accelerator Program!  You can find all the details and submit an application at www.pelvicptrising.com/acceleratorWe've now had more than 350+ business owners through the program - check out all the results and apply now to reserve a spot!About UsNicole 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 (nicole@pelvicsanity.com).Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

In this episode, we share 3 Big Things from our recent Pelvic PT Rising business retreat. These are the foundational principles for creating a practice you love and a business that thrives.First, we dive into clinical excellence—why it's the backbone of your practice. Treating according to your ethos, keeping patients engaged, and creating superfans who rave about your services will set you apart and make the biggest impact for your patients.Next, we tackle time management. As business owners, time is our most valuable resource, but are we spending it wisely? Learn how to prioritize what truly matters and focus on growth-oriented tasks.Finally, we discuss financial confidence. You can't enjoy the success of your practice if you're constantly stressed about money. We'll explore why understanding your numbers is critical and how financial clarity can reduce anxiety and allow you to savor your wins.If you've ever felt stuck, overwhelmed, or unsure about your next steps, this episode is packed with actionable takeaways to help you move forward confidently.Business Accelerator ProgramIf you're looking to grow as a business owner and meet your business goals faster, make sure to join us for the next cohort of the  Business Accelerator Program!  You can find all the details and submit an application at www.pelvicptrising.com/acceleratorWe've now had more than 350+ business owners through the program - check out all the results and apply now to reserve a spot!About UsNicole 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 (nicole@pelvicsanity.com).Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

How can your own story shape the way you practice? In this episode, we dive into Jenny's personal ethos of helping women stay active throughout their lives. She reflects on how her experience as an athletic trainer still influences her approach to patient care and shares the lessons she's learned from navigating her own hip dysplasia and surgery during PT school—experiences that have transformed how she tempers expectations with her patients.We also nerd out on research! Jenny breaks down two of her recent articles, revealing how to better read and apply research in your clinical work. If you've ever felt overwhelmed by journal articles, this is the conversation for you.This episode is packed with inspiration, practical advice, and a shared love for advancing pelvic health. Whether you're a new grad or a seasoned clinician, you'll come away with fresh insights to improve your practice.More about Jenny: Jenny is a clinician, researcher, and PhD committed to empowering women to live actively throughout their lives. Follow her great content on Instagram at @jenn.lacross.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!

How do you really know if your patient care is effective? It's easy to rely on gut feelings or anecdotes, but those can lead us astray. If you're serious about improving your clinical outcomes and patient experience, it's time to start tracking objective metrics.In this episode, we're diving into the two essential metrics every clinician should track:Forfeit Rate – How many patients stop care after 3 or fewer visits?Appointment:Evaluation Ratio – How many visits, on average, are patients attending after their initial evaluation?These numbers provide powerful insights into your clinical buy-in, the trust patients have in your care, and whether they're staying long enough to achieve meaningful, lasting results.What You'll Learn in This Episode:Why relying on “gut feelings” can mislead even the best clinicians.The significance of your forfeit rate and what it reveals about patient buy-in.How your appointment:evaluation ratio highlights whether you're making a long-term impact on your patients' health.Actionable strategies to improve both metrics and enhance your practice.Practical tips for tracking, analyzing, and using metrics to guide your clinical care.Business Accelerator ProgramIf you'd like to learn more about using these metrics in the context of your business and becoming a more confident business owner, make sure to join us for the next cohort of the Business Accelerator Program!  You can find all the details and submit an application at www.pelvicptrising.com/acceleratorAbout UsNicole 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 (nicole@pelvicsanity.com).Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

Why do patients say they're too busy? Or that they can't afford care? On the surface, these sound like perfectly reasonable excuses. But are they the real reasons—or just polite ways to avoid saying, “I don't believe you can help me”?In this episode, we're flipping the script and challenging ourselves to take radical responsibility for how patients perceive us and our ability to help them. Instead of accepting their excuses at face value, we're asking the hard questions:Are we truly communicating the value of what we do?Have we built the trust and connection they need to commit to their care?What signals might we be sending—intentionally or not—that make patients hesitate?We'll explore how to shift our lens from frustration to reflection, recognizing that patient objections are often symptoms of a deeper issue. Let's take the reins and make sure our actions reflect our ability to help—no excuses.About UsNicole 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 (nicole@pelvicsanity.com).Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

Does your schedule control you—or do you control your schedule?Too many practice owners bend over backward to accommodate every patient request. Early mornings, late evenings, skipping lunch—it's no wonder burnout is lurking around every corner!In this episode, we introduce the simple but powerful Red/Yellow/Green method to take back control of your schedule. It's not just about managing time; it's about protecting your energy, setting boundaries, and creating a practice that fits your life.Here's how it works:Red: Absolutely no scheduling—these are your sacred no-work zones.Yellow: Special exceptions only—reserved for the right patient or situation.Green: Open season—this is when you want to see patients.By applying this framework, you'll eliminate the stress of constant decision-making, streamline your availability, and make sure your practice supports your priorities instead of derailing them.Whether you're feeling overbooked or just want to refine your workflow, this episode will give you practical steps to transform your schedule and reclaim your time.Say goodbye to burnout and hello to smarter, sustainable scheduling! Tune in now and take control.About UsNicole 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 (nicole@pelvicsanity.com).Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

In this 'sode we dive into the growing presence of online programs and how they're influencing the field of pelvic health. Many physical therapists worry that these programs are drawing patients away from in-person care, but is that really the case? We break down this common fear and take a closer look at how these programs fit into the larger pelvic health landscape.Instead of viewing online programs as competition, we explore how they can actually raise awareness about pelvic health issues. These programs introduce people to the idea that their pain or dysfunction isn't normal and that help is available. For many patients, online programs are just the first step in their journey, one that often leads them to seek out individualized care from experts like us. Tune in to learn why online programs are not your enemy, how to shift your mindset about them, and why this trend could ultimately benefit your practice. If you've ever felt frustrated or worried about the rise of online pelvic health resources, this episode will help you reframe your perspective and show you how to position your practice as the go-to expert when patients are ready for personalized care.About UsNicole 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 (nicole@pelvicsanity.com).Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

Worried about 'competitors' in your area?  Struggling with keeping an abundance mindset?  We've all been there - we want you feeling more confident and at-ease in your practice.A scarcity mindset is understandable for business owners.  In fact, we all experience it to some degree at some point in the business.  But it's not a fun place to be!A few signs you might be struggling with this:Following (maybe a little obsessively) competitors online or thinking about what they are doingWorried about who you can market to because someone has already been thereConcerned that you might hire someone who eventually leaves to start their own practiceFear a patient might stop coming in if they see a chiropractor/acupuncturist/ortho PT as wellThis scarcity mindset can drive bad decision, poison relationships, cause us to perseverate and steal the joy from our business.Cultivating an abundance mindset is the antidote.  In this 'sode we talk about how many people need our help, how our focus is best on expanding the pie instead of fighting for our own slice, and practical tips for leaning into an abundance mindset in 2025.  Don't miss this one! About UsNicole 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 (nicole@pelvicsanity.com).Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

We all have big hopes for 2025.  But how do we make sure we make meaningful progress on the things that matter most?In this 'sode we go through a goal-setting exercise we use in the Rising coaching programs to make sure we're living a balanced, healthy life.  We talk about setting goals in various areas, not just in the business or at our jobs.We share some of our goals from 2024 and why we are very happy to have 'only' achieved 70% of what we set out to accomplish at the beginning of the year.And we share our word of the year and how we allow that to guide us as we make decisions about where to prioritize our time and energy in 2025.Can't wait to have a fantastic year with you all!About UsNicole 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 (nicole@pelvicsanity.com).Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

Before we turn the page to focus on our goals for 2025, we have to review the year we're finishing.What was the story of your 2024?  How does it fit into the context of where you've been and where you're going?For us, our word of 2024 was 'abundance.'  It proved to be a helpful guide as we navigated a challenging year as business owners and parents.  We provided free business trainings, allowed other businesses to use PelvicSanity rent-free, created a 'Student Symposium' for those interested in pelvic health, started the Finding Pelvic Sanity podcast and increased our impact in both our local community and for pelvic rehab providers in 2024.For us, the year was one of doing less to accomplish more.  We discuss how acknowledging and accepting our limitations allowed us to prioritize what was most important and grow the business while being true to our vision for our family.We had to create a team to support what we were doing, trust our people, build systems and surrender control.  And the results were incredible for us, for our coaches and our mentees.So what is your 2024 story?  How does it fit within your narrative?  Only by understanding where we've been can we plan where we want to go in the new year!Clinical Sale!  24% off through the end of the yearWe don't often do sales at Rising, but through the end of the year enter RISING24 and get 24% off any of our clinical courses or masterclasses.  See all the options here (www.pelvicptrising.com/clinical).  Use the code before January 1 to get 24% off anything we've done!About UsNicole 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 (nicole@pelvicsanity.com).Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

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 FreyFringe (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 UsNicole 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 (nicole@pelvicsanity.com).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/acceleratorSee how business owners increased their revenue, boosted their confidence and reduced the overwhelm of building a business!About UsNicole 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 (nicole@pelvicsanity.com).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 ReardonSara 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/acceleratorSee how business owners increased their revenue, boosted their confidence and reduced the overwhelm of building a business!About UsNicole 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 (nicole@pelvicsanity.com).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/acceleratorSee how business owners increased their revenue, boosted their confidence and reduced the overwhelm of building a business!About UsNicole 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 (nicole@pelvicsanity.com).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 PrevettChristina 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_prevettBusiness 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/acceleratorSee how business owners increased their revenue, boosted their confidence and reduced the overwhelm of building a business!About UsNicole 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 (nicole@pelvicsanity.com).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 UsNicole 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 (nicole@pelvicsanity.com).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 TherapyKen 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 UsNicole 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 (nicole@pelvicsanity.com).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 HealingLynn 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 UsNicole 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 (nicole@pelvicsanity.com).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 UsNicole 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 (nicole@pelvicsanity.com).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 OpenThe 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 UsNicole 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 (nicole@pelvicsanity.com).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 UsNicole 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 (nicole@pelvicsanity.com).Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

Why do we start teaching perineal massage (and all of our birth prep) earlier than most at PelvicSanity?  There are a few reasons.The first is simple - 37 weeks is considered full term.  No one will try and stop it if you go into labor.  So we plan to have all of our birth prep complete by then.  Any time we get after 37 weeks is just a bonus.  We're keeping our people comfortable or reminding them of things we've already covered in those final weeks.Next, most of our pregnant folks are coming in with other symptoms.  So if we're planning to wait until 34 or 35 weeks, our plan to teach perineal massage might get blown up if they have a flare-up of back pain or need other help.As they get closer to delivery, our people (naturally) get more focused on the baby as well.  They are going to more OB appointments, which might get in the way of our plan of care.  They're trying to prepare for the arrival of the new addition, and have other stresses as they plan for delivery and bringing the new one home.Finally, I think we usually oversimply perineal massage.  It's not that easy!  It's a difficult area to reach.  The tissue is often tender and needs to be worked on by us prior to teaching them to do it themselves.  They may not want a partner to help or might feel self-conscious about doing this.  Remember, not everyone is as excited about the pelvic floor as we are!And speaking from personal experience, I'm guessing even many of us - as pelvic rehab providers - don't do much for our own perineal massage.  So if we're going to emphasize it to patients, we need to give ourselves time to do it!PelviCon 2025 - Wait List OpenThe 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 UsNicole 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 (nicole@pelvicsanity.com).Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

While many solopreneurs are struggling to fill their schedule, there is also a problem of being 'too busy.'  Remember, we are never out of problems as entrepreneurs.  Instead, we're just trading one problem for a better one!So if you're a busy solopreneur, you're often feeling overwhelmed by the demand for your services.  Worried you aren't providing the best patient care because you can't offer regular appointments.  And dealing with a long wait list for people to get in to see you.  You're probably feeling guilty about not being able to provide the care you want for your people.Remember, the answer isn't to 'panic hire'!  Sometimes you might want to stay a busy solopreneur.  And if you do (or you can't find someone to hire), here are some suggestions to make life better:Honor why you started your practice and keep that in mind as you make decisionsIncrease your pricesSet your ideal scheduleSchedule your caseload further out so you can honestly assess your availabilityWork only with your ideal patientsBuy back time with admin helpWe would love everyone listening to settle into 'Happy as a Little Clam', but it's difficult to do!And if you're looking to get more settled and grow as a business owner, would love to work with you in the Business Accelerator Program in January!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 UsNicole 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 (nicole@pelvicsanity.com).Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

Building an outwardly successful business doesn't mean much if we don't enjoy the journey!  In this 'sode we dive into how we can be more content and happy as business owners.What we all get wrong is thinking we'll be happier in our business when we reach the next milestone.  The ideal amount of patients.  The next big revenue number.  When we hire.  We just keep chasing the next thing.We certainly hit this in building PelvicSanity.  In 2019 we had grown from just Nicole to 5 full-time clinicians in just 3 years.  We had an admin team and a massage program.  But despite all that outward success we were still working constantly, stressing over finances, frustrated with our team, forgoing vacations and time off, and not being true to why we had started the business in the first place.After working on it ourselves and with 600+ other business owners, we've learned a few things about being happier in business.1.  Financial Confidence.  This is more than just financial success or security.  It's knowing your numbers.  Paying yourself regularly.  Setting aside money for taxes and building a buffer account for a rainy day in the business.  And being confident your business can provide for you.2.  Time Freedom.  Many of us started our own business to have more time freedom.  But find ourselves working late, miss pickups, don't take vacation or sacrifice time we'd rather spend with our families, working out, or with friends.3.  Crafting Our Job.  We want you to be able to spend more of your time doing what you love in the business and less doing things you don't enjoy.  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!About UsNicole 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 (nicole@pelvicsanity.com).Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!