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Ever wondered if you're treating too many patients — or not enough?In this episode, we walk through Nicole's own journey, from solopreneur to running a 7-clinician practice. At each stage, her responsibilities and patient hours shifted. We (painfully) discuss the mistakes we made, what we'd do differently, and the myths that can trip up business owners.We cover:The trade-offs of maxing out your patient schedule as a solopreneur.The real math behind revenue when you're the only clinician.How to reassess your hours as you bring on staff.The biggest myth: that your clinicians won't respect you if you're not fully booked yourself.Why protecting your time is essential as your business (and life) grows.Whether you're a solopreneur seeing every patient or running a multi-clinician practice, this episode helps you rethink your hours and align your schedule with your goals.
She's a true legend. A trailblazer. And one of the people who made it possible for pelvic health to even exist as a specialty.In this PelviCon Speaker Series episode, we sit down with Holly Herman to reflect on her 50 years in pelvic health, the challenges of the early days, and the lessons she continues to teach the next generation of pelvic rehab providers.We cover:The fight for recognition of pelvic health inside the APTA and medical communityAdvocating for pregnant and postpartum women as an underserved populationMentorship, imposter syndrome, and why we always need to keep learningHer transition to treating male pelvic health patients (and the challenges that came with it)Boundaries, chaperones, and how to handle inappropriate patient behaviorThe importance of addressing sexual health in every patient interactionWhy pelvic health is truly lifespan care — from pregnancy through elder careHow Holly has avoided burnout across decades in the field
Ever felt guilty for wanting to make good money as a therapist? That's good therapist conditioning at work, and it's probably destroying your practice. Good therapist conditioning is a toxic belief we absorb in grad school, from supervisors and from society that tells us we should sacrifice ourselves for our work. It's that uncomfortable feeling when you talk about money, that guilt when you put yourself first, that fear that other therapists will judge you for wanting financial stability.In today's episode, I'm showing you how to spot good therapist conditioning in your own practice and, more importantly, how to slay it. I'll share real stories from therapists who went from shaking in their boots about raising fees to consistently filling their practices with full-fee clients. We'll talk about why financial health is actually part of your clinical effectiveness and why you don't need anyone's permission to thrive. If you're tired of being overworked, underpaid, and feeling guilty about wanting more, you're in the right place! It's time for you to build a practice that supports your life.Topics covered on Good Therapist Conditioning:Why good therapist conditioning starts in grad school and gets reinforced everywhere you lookThe toxic belief that caring about clients and making good money are mutually exclusiveThe "bad therapist" exercise that will crack open your money blocks immediatelyReal stories of therapists who raised their rates without losing a single clientThe hidden ways good therapist conditioning shows up in your life and businessResources from this episode: Kasia Urbaniak's Book: https://www.kasiaurbaniak.com/unbound-book Liberated Business: www.thebadtherapist.coach/liberatedbusinessThe Fee Formula: www.thebadtherapist.coach/feeformulaConnect with Felicia:Get my freebie & join the email list: The Magic SheetsInstagram: @the_bad_therapistWebsite: www.thebadtherapist.coachFacebook group: Healing MoneyQuote:"Bad therapists know something that other therapists don't. They know it's possible to do good work and have a life that is deeply pleasurable and financially stable and spiritually aligned." - Felicia
Where are you wasting money in your business — and where are you not investing enough?In this episode, we break down the biggest money mistakes we see pelvic business owners make. Spoiler: it's not about whether something feels “expensive,” it's about Return on Investment (ROI).
Send us a textThe panic is real.Too many priorities, not enough time, and your brain is spinning instead of deciding.This isn't about doing it all, it's about strategic triage: choosing what matters most so you can focus your energy where it counts. With AI as your thinking partner, you can cut through the overwhelm, sequence your priorities for maximum impact, and turn chaos into hours of focused wins.In this episode of She's That Founder, you'll discover how to stop trying to do everything and start sequencing your priorities so you can make meaningful progress without burning out. You'll see how AI can help you cut through emotional noise, spot the highest-impact tasks, and keep momentum when competing priorities threaten to pull you in every direction.In this episode, you'll learn…How to use strategic triage to turn panic into a clear, doable action planThe energy + ROI framework that keeps you from wasting focus on low-value tasksWhy AI can see patterns and sequences you can't when emotions run highHow to reclaim momentum by choosing the right order — not just the right tasksThis episode at a glance:[00:00] – The panic every founder knows[01:45] – How emotional overload sabotages strategic thinking[03:00] – Why AI is your best objective advisor in overwhelm[05:15] – The energy + ROI priority map that made the difference[07:00] – Money first, strategic assets second, creativity third, admin last[09:30] – How each completed task fuels the next[11:00] – The four-step strategic triage framework to use in your businessResources and links mentioned in this episode:AI for Founders Playbook – Priority mapping templates, energy management system, and AI prompts for when you're spinning in founder anxietyTriage Assessment (Coming Soon) – Quick tool to help you decide what matters most when everything feels urgentJoin the AI for Founders CommunityWant to increase revenue and impact? Listen to “She's That Founder” for insights on business strategy and female leadership to scale your business. Each episode offers advice on effective communication, team building, and management. Learn to master routines and systems to boost productivity and prevent burnout. Our delegation tips and business consulting will advance your executive leadership skills and presence.
What does it take to build one of the largest pelvic health practices in the country, train medical colleagues, and tackle some of the toughest conditions in our field?In this PelviCon Speaker Series interview, we sit down with Stephanie Prendergast, co-founder of the Pelvic Health & Rehabilitation Center, to talk about her journey, her advocacy, and her upcoming PelviCon topics.In this episode we cover: ✨ Stephanie's early career struggles and mentorship with Dr. Jerome Weiss ✨ How she built a multi-location practice treating complex pelvic pain ✨ Her recent experience training OBGYN residents in pelvic floor exams ✨ Why demystifying PGAD is so critical — and how PTs can lead the way ✨ Balancing manual therapy with pain science in complex patient care ✨ The importance of internal exams (and how to explain them to patients) ✨ Why advocacy is essential to protect and advance our professionStephanie is not only an incredible clinician but a passionate advocate for our field. You'll leave this episode both inspired and challenged to level up your own work.
What if your business challenges aren't about what you need to ADD, but about what you need to REMOVE from how you're currently operating? In this Human Design business episode, I'm revealing the 9 Human Design Energy Centers that are either supporting or sabotaging every business decision you make. Most business advice focuses on external strategies (very important), but nobody's asking the deeper question - are you actually operating from your highest self? This episode uncovers the hidden conditioning patterns that could be blocking your success, no matter how good your strategy is.In this episode, I share:
Telehealth can be an incredible tool — when it's done right.In this follow-up to our first telehealth episode, we're diving into the best uses for virtual care, the worst abuses we're seeing from big companies, and how to make sure we keep our patients' best interests at the center.In this episode, we cover:The most valuable applications for telehealth, including:Postpartum appointments when leaving the house is toughHybrid models for patients traveling long distancesMaintaining care through illness, childcare issues, or bad weatherWellness check-ins for long-term patientsSpecialty remote consults when no local experts are availableReviewing home environments for treatment impactHelping apprehensive patients or building trust before an in-home visitWhy the biggest mistake is treating telehealth as a replacement for in-person care — instead of an augmentationHow larger, profit-driven companies are undermining in-person care (and the profession) with misleading marketingWe'll also share real examples from companies whose marketing actively puts down in-person care to sell telehealth, and talk about why that's a dangerous trend for our entire profession.
We're talking all things real-time ultrasound in pelvic rehab with the brilliant Gráinne Donnelly! If you've been curious about using ultrasound as part of your pelvic health practice — or want to learn from one of the world's leading experts — this is the episode for you.Grainne is a doctoral researcher, private clinic owner, co-creator of the Return to Run guidelines, Editor-in-Chief of the POGP Journal, and an international educator. She's bringing her expertise to PelviCon 2025 with a Pre-Con add-on session all about real-time ultrasound — from the basics to advanced clinical applications.In this episode, we cover:What real-time (point of care) ultrasound is and how it's being used in pelvic rehabWhy it's a powerful objective complement to subjective assessmentDynamic and functional applications: squatting, pelvic pain, constipation, vaginismus, and moreNavigating scope of practice and collaborating with physiciansHow ultrasound can change patient understanding and buy-inBalancing research, clinical work, teaching, and family lifeThe importance of realistic timelines in pelvic healthGrainne's upcoming book, Sports Medicine and the Pelvic Floor: Science to Practice
Is virtual therapy just as good as in-person care?In this episode, we tackle one of the most important — and controversial — conversations in pelvic health right now: the role of telehealth and virtual care in our specialty. What's appropriate? Where is our field going? What do the therapists in the trenches think? And what is actually best for our patients?We dive into:The difference between the different types of telehealth, including remote consults, online programs, virtual therapy, and hybrid modelsResults of a poll of more than 500 pelvic rehab providersWhat the evidence actually says about the efficacy of telehealthThe challenges of doing telehealth when we have no structure around itWhy “access to care” shouldn't be used as a blanket justificationOur own experience with hundreds of patients who've done both virtual and in-person careWhy in-person care remains the gold standard
Get ready to meet Dane Cohen, the newest member of The Boutique Hub team, whose retail roots run deep! Growing up in his family's store, Lester's, a Brooklyn-based business that blossomed from a 500-square-foot shop into a specialty department store, Dane shares how those early experiences shaped his perspective on community, business, and what it really takes to succeed in retail. In this episode, he dives into the lessons learned behind the register and how he's bringing that same passion and insight to the Hub. Resources: Dane Cohen: LinkedIn Join The Boutique Hub Ashley Alderson: Instagram The Boutique Hub: Website | Facebook | Instagram | Pinterest | TikTok | YouTube
PelviCon Speaker Series: Bill Taylor on Male Pelvic Health, Sexual Dysfunction & the Evolution of a ClinicianWhat's it really like to specialize in male pelvic and sexual health?In this episode of the Pelvic PT Rising Podcast, we sit down with Bill Taylor—a leading global educator, founder of Taylor Physio, and longtime expert in male pelvic health.We dive into:How treating men differs from treating other populationsThe most important lessons from treating thousands of menWhat he's still learning as a clinician and educatorThe clinical hill he's willing to die onWhat he'll be teaching at his PelviCon 2025 Post-Con session: “Male Pelvic Health & Sexual Dysfunction”
Welcome back to the Empower Her Business Accelerator podcast! I'm your host, Philippa Channer, and today we're kicking off a brand-new series for August that's all about one of the most overlooked but powerful keys to business success—your resources. Whether you're a solopreneur or leading a growing team, understanding your business's essential resources is vital for building something sustainable and scalable. In this episode, we'll explore the three key categories of resources—human, financial, and operational—and how each plays a role in fueling your growth journey. Plus, I'll walk you through practical exercises to help you audit what you already have and what you still need to grow with intention. ⏱️ Episode Breakdown & Timestamps (00:00) Welcome & August Series Introduction (01:00) Understanding Business Resources Beyond Money (02:00) Category 1: Human Resources (03:00) Category 2: Financial Resources (04:00) Category 3: Physical & Digital Resources (05:00) Final Thoughts & Invitation to Join the Community ✨ Special Announcements & Links
It's been a minute, but we're back with another round of “Shit That Needs to Be Said.”No fluff. No sugar-coating. Just the real, raw truths about what's actually holding pelvic health business owners back. Lightning round format. The things that are pissing us off.Here's a taste of what we cover: ⚠️ You can't out-hustle low pricing ⚠️ Doing another social media post isn't 'marketing' ⚠️ No, you're not going to make money from your online course. ⚠️ No one cares about the letters after your name (or your fancy equipment) ⚠️ Please stop listening to advice from people who haven't done the thing.We're doing a quick-hitting 'sode on almost 20 different topics. You won't want to miss this one!Business AcceleratorIf you want to take your business to the next level, make sure to check out the 6-month coaching intensive from Rising. We help you market the practice, build out business systems and achieve Clinical Excellence in the practice. Find out why we've worked with 700+ business owners with big-time results in their business (www.pelvicptrising.com/accelerator).We're now accepting applications for our January 2026 cohort!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 700+ 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 of The Backyard Bouquet Podcast, host Jennifer Gulizia sits down with Jenny Jonak of Dragon Song Farm in Oregon's Willamette Valley to explore how one flower farmer is blending sustainable flower farming, community-supported agriculture (CSA), and policy advocacy to create real impact.Jenny shares how she grew her CSA flower farm from a few bouquets for friends into a thriving market business—and why she now champions water rights reform and land access for small farmers. We also dive into her innovative pressed flower jewelry, neurodivergent-friendly farm systems, and real-world tips for succeeding at farmers markets.Whether you're a flower farmer, backyard grower, or passionate advocate for local agriculture, this episode is packed with practical wisdom and heartfelt perspective.What You'll Learn: How Jenny scaled Dragon Song Farm from a backyard garden to a full-time CSA and market farm Her journey as a neurodivergent farmer and systems that support her success Tips for creating high-impact farmers market bouquets (and maximizing cooler space!) The surprising legal hurdles small farms face around water rights in Oregon How pressed flower jewelry became a profitable and creative side of her farm businessResources & Links Mentioned: Visit Jenny's website: dragonsongfarm.com Follow Jenny on Instagram Learn more about the August Press for pressed flowers: https://www.theaugustpress.com/ Explore Friends of Family Farmers – Oregon-based advocacy and resources: https://friendsoffamilyfarmers.org/ Connect with NRCS (Natural Resources Conservation Service): https://www.nrcs.usda.gov/ Learn about ASCFG – Association of Specialty Cut Flower Growers: https://www.ascfg.org/Show Notes: https://thefloweringfarmhouse.com/2025/08/01/ep-65-how-jenny-jonak-of-dragon-song-farm-is-growing-more-than-just-flowers/
PelviCon Speaker Series: Fiona Rogers on Chronic Pelvic Pain, Modalities & 40+ Years in the FieldWe're kicking off our PelviCon Speaker Interview Series with none other than Fiona Rogers—a legend in the field of pelvic health!With more than 40 years of experience as a physiotherapist, Fiona has spoken all over the world and helped shape how we treat pelvic pain today. In this episode, we dive into:
What You Do in the Hard Times Builds Your BusinessIt's easy to show up when things are going great—when the schedule is full, the numbers are up, and you're fired up. But that's not what builds a sustainable, successful business.The truth? It's what you do in the slow times—the unmotivated days, the flat revenue months, the “why am I even doing this?” moments—that actually matters most.In this episode, we're talking about:How to stay focused when business feels hardSystems that help you show up even when you're not motivatedWhy your expectations might be the real problemWhat to do when it feels like everyone else is doing better than youHow to borrow strength from your community when you're running lowWhether you're in a hard season or just prepping for the next one, this episode is your reminder that real business growth isn't built in the easy times.Accelerator ProgramIf you'd like help working through the hard times in your business and growing faster, we'd love to connect. Check out the next cohort of the Business Accelerator Program 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 700+ 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!
Top Takeaways from the Coccydynia Symposium (Flash Sale!)We just wrapped the Coccydynia Symposium, bringing together the world's leading experts on persistent tailbone pain.In this episode, Nicole shares her biggest takeaways from each speaker, including:
The Truth About Selling Your Practice: It Won't Make You RichWe all have this fantasy at some point as practice owners:“One day, I'll sell this thing and cash out.”But here's the truth—especially in cash-based pelvic health—that's probably not happening.In this episode, we're breaking down:Why there's no market of buyers lining up for small, niche, owner-dependent clinicsThe 5 real exit options (and why most don't lead to a big payday)The real reason most owners think they want to sell: burnout, exhaustion, frustrationHow to build a practice you actually want to run (or that can run without you)Exit plans are great. But fantasizing about a huge buyout? That's not the move.Instead, let's help you build a business you don't want to run away from.
Send us a textEver feel like there aren't enough hours in the day to truly build the business of your dreams? This week on "The Selling Podcast," Mike and Scott are joined by an incredible trio: Aaron Skinner, Alex Skinner, and PJ Howland, the brilliant minds behind UnsexyBusinessmen.com!This episode is a goldmine for aspiring and current entrepreneurs who are tired of the hustle culture narrative and want practical strategies to regain control of their time. The UnsexyBusinessmen founders reveal their unique philosophy on utilizing the correct resources to effectively give you the time to create, build, and run your own business.They dive into:Identifying and leveraging overlooked resources that free up your most valuable asset: time.How to streamline operations to focus on growth, not just daily tasks.The critical balance between working in your business and working on your business.Real-world insights from their own experiences in building and managing ventures, including the story of Aaron's successful janitorial business exit that proves "unsexy" can be incredibly profitable.If you're looking for honest, actionable advice on how to stop trading hours for dollars and start building a truly sustainable and thriving enterprise, Aaron, Alex, and PJ bring the goods. Mike and Scott ensure the conversation is packed with their signature humor and sharp questions, making complex business principles accessible and engaging.Tune in to discover how to strategically reclaim your time and put it to work building the business you've always envisioned.Scott SchlofmanMike Williams - Cell 801-635-7773 #sales #podcast #customerfirst #relationships #success #pipeline #funnel #sales success #selling #salescoach
5 Things You're Missing with Your Coccydynia PatientsCoccydynia (persistent tailbone pain) is one of the most challenging diagnoses we see in pelvic health. And it's often not just about the tailbone.In this episode, we're diving into 5 things you might be missing when treating these complex patients, including:1️⃣ Transrectal Evaluation & Treatment – It matters, and many providers skip it. 2️⃣ Internal Treatment in Functional Positions – Treatment isn't just about prone or side-lying. 3️⃣ Weight-Bearing & Hip Angles – Tailbone symptoms are often positional and functional! 4️⃣ A Real Differential Diagnosis – Is it really the coccyx? Or are you missing something? 5️⃣ Pain Science & Sensitization – Chronic tailbone pain won't resolve if you don't address the nervous system.
Whether you're a clinic owner trying to create a great work environment or a team member wondering where the line is between support and overstepping...this episode is for you.We're diving into one of the biggest mindset shifts in leadership:
Coccydynia: The Pain in the Butt We Need to UnderstandTailbone pain (coccydynia) is one of the most misunderstood—and under-treated—diagnoses in pelvic health. There's no one go-to expert for these patients, which means they're often left suffering with little direction or hope.In this episode, we're sharing exciting news about the upcoming Online Symposium for Coccydynia on July 19th!This online event brings together top experts from around the world, including physicians, physiotherapists, and pain science specialists who treat coccydynia in the real world.You'll get:
Partner + Family Support: What It Really Takes to Grow Your BusinessBehind every successful business is a support system—but that support doesn't always look like what you think. In this episode, we're digging into the five types of partner and family support, how to move someone along the support spectrum, and why comparing your growth to someone else's (without knowing their behind-the-scenes help) is a fast path to burnout.We're also sharing personal stories from our own journey—what helped, what didn't, and what we've seen in the 600+ businesses we've worked with.You'll learn:The 5 types of partner/family support (and where yours falls)How to have hard conversations about what you needWhat to do if you're not getting the support you hoped forWhy you need to stop comparing your business to someone else'sWhether your partner is all-in or totally checked out, this episode will help you grow without losing your mind.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!
What's It Costing You to Not Grow?In this episode, we open up about one of the biggest mistakes we made in the early days of PelvicSanity—waiting years to invest in coaching. We thought we were saving money by doing it all ourselves...but it ended up costing us big time.
Rising to the Occasion: Celebrating 1 Million DownloadsWe made it – 1 MILLION downloads of the Pelvic PT Rising podcast!
Are you constantly feeling like you need more leads to grow your practice?We get it. The marketing world tells us to run paid ads, boost our SEO, post more on social, do (another) workshop. Basically, just keep doing more. But here's the truth: If you can't convert the leads you're already getting, more leads won't help.In this episode, we challenge the “lead chase” mentality and dive into:Why practices feel stuck in a marketing hamster wheelThe 3 keys to great conversion: website, system, and phoneWhat a good conversion rate actually is (hint: 70%+)How to optimize for the leads you already haveBefore you spend another dollar on marketing, ask yourself:
Gloving for External Treatment – What's Actually Best for Our Patients?In this episode, we're diving into a surprisingly controversial topic in pelvic rehab: gloving for external treatment.Our informal poll showed a nearly 50/50 split:58% of pelvic rehab professionals always glove with both hands for external work42% reported they don'tBut why the discrepancy?We take a closer look at:How gloves can interfere with our palpation skills and clinical sensitivityThe potential message gloving sends to patients (especially when not medically necessary)Why external treatment in ortho, massage, and chiro doesn't involve gloves – and what that means for usWhether your habits around gloving are intentional or just what you've always doneAt PelvicSanity, we have a clear philosophy about when we glove (and when we don't) – and we share that in this episode.This isn't about telling you what to do, but challenging you to examine your approach and make sure it aligns with your values and what's best for your patients.✨ Business Owners - Want to take your business to the next level? Our Business Accelerator is now open again - Cohort #5 begins in July. Check out all the information and register now if you'd like to build a business that truly works for you. 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!
"Pay Yourself First." It's become a buzzword in business…but what does it really mean?In this week's episode, we're diving into one of the biggest sources of financial stress for business owners – paying yourself. Most of us weren't taught how to handle business finances, and it creates a ton of anxiety. Am I saving enough? Doing it right? Transferring money properly?We get into:What “paying yourself first” actually looks like in practiceWhy you can't pay yourself with money the business isn't makingHow consistency is key (just like rent or your EMR)Whether to use payroll or just transfer funds directlyHow to overcome the anxiety and confusion around business financesAt the end of the day, the most important thing you can do to pay yourself well is to make the business successful. There's no revenue cap — so optimizing your caseload is the fastest way to give yourself a raise.
“Don't poke your patient.” It's something we say all the time, but it's how almost all of us were taught in pelvic health.Poking—pressing around internally to assess the pelvic floor—isn't just ineffective, it's also the wrong way to treat.In this episode, we break down:Why the “poke-and-see” method doesn't workHow it's completely different from how we assess any other muscle groupWhy it causes patients to tense, brace or withdrawWhat you should be doing instead to actually get helpful, functional informationHow mentorship and advanced training can help you move past this outdated approachThis isn't just a clinical technique—it's about making patients feel safe, understood, and better with every visit.✨ Want to create a business that energizes you instead of draining you?Join our FREE training: How to Create a ‘Hell Yes' Experience from First Click to Final VisitAbout 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!
Burnout hits pelvic rehab business owners twice as hard.First, there's the emotional and mental weight of treating patients with chronic and complex issues—something all clinicians face.But then there's a second, heavier layer: the unique stress and responsibility of owning a business. You're wearing all the hats. Managing a team. Marketing. Making financial decisions. Juggling it all—and still trying to be present in your actual life.In this episode, we talk about:The two layers of burnout that hit business ownersWhy owning a business is a marathon, not a sprintHow to recognize the early signs of burnout before it takes overStrategies we use (and teach!) to prevent burnout while running a business you're proud of✨ Want to create a business that energizes you instead of draining you? Join our FREE training: How to Create a ‘Hell Yes' Experience from First Click to Final VisitThis is one of the best ways to fill your schedule and reduce burnout—by creating patients who are bought in from the beginning. Register here: www.pelvicptrising.com/hellyes
Interstitial cystitis is one of the most complex conditions we treat—so what's the missing piece?In this Missing Piece episode from the Rising Vault, we're breaking down one of the most overlooked contributors to IC:
What actually makes a pelvic health business thrive?In this episode, we break down the Three Pillars of Business we teach inside the Business Accelerator: 1️⃣ Marketing + Sales 2️⃣ Business Systems 3️⃣ Clinical Excellence (getting buy-in and taking patients through their full plan of care)Most practices feel stuck because one (or more!) of these pillars is missing or weak. You can't out-market a broken patient experience. You can't build a team without systems. And you can't grow a sustainable business without getting the right people in the door.We talk about what goes into each pillar, common mistakes we see, and how to build a business you're proud of that actually works for your life.
Male pelvic pain is complex - there so many different areas to evaluate and clear. Often it can be overwhelming and we jump straight to breathing and the pelvic floor.In this Missing Piece episode from the Rising Vault, we're highlighting a commonly overlooked factor in male pelvic pain:
Vulvodynia is as non-specific as ‘low back pain.' So why are we treating it like one condition?In this Missing Piece episode from the Rising Vault, we're diving into one of the most overlooked areas when it comes to vulvodynia treatment:
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.
This episode is part of the 8FE (8-figure entrepreneur) series, where we talk to entrepreneurs who have already passed the million-dollar mark. Stuck at 6 or 7 figures? In this episode of Beyond A Million, Brad sits down with Preston Brown to unpack why most entrepreneurs struggle to break the 8-figure ceiling—and what it actually takes to get there. Preston Brown is a highly successful entrepreneur, speaker, and business mentor based in El Paso, Texas. Known for his expertise in scaling and automating businesses, he manages a diverse portfolio of companies that collectively generate over nine figures—more than $200 million—in annual revenue. His ventures span various industries, including real estate and finance. Preston began his entrepreneurial journey while still in college, earning more than his professors and eventually dropping out to focus on building businesses full-time. Preston is celebrated for his innovative approach to business, emphasizing automation and optimization to create sustainable growth. He has mentored hundreds of CEOs and entrepreneurs, helping them scale their companies profitably. In addition to his business achievements, Preston is a sought-after speaker and mentor, sharing insights on entrepreneurship, personal growth, and community impact. In this insight-packed interview, Preston outlines his problem-solving framework and shares the seven stages of entrepreneurship, explaining that each requires different solutions and automation strategies. Tune in! — Key Takeaways: 00:00:00 Intro 00:02:20 What 7-figure entrepreneurs are doing wrong 00:05:38 Managing multiple businesses 00:15:40 Automating business processes 00:31:41 Seven stages of entrepreneurship 00:45:00 Focusing on big problems 00:53:23 Preston's problem-solving framework 01:06:39 Private jets and lifestyle 01:24:07 Outro — Additional Resources:
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:
In this week's episode of Leadership is Feminine, Kris Plachy discusses the ever-important topic of money and how it influences the concept of being a "well-resourced woman." Kris doesn't just scratch the surface; she opens up about her personal experience and tackles the complex relationship many women have with money. Kris argues for seeing money as an entity we have a relationship with, rather than just a tool. How does your money view its relationship with you? Is it feeling loved and cared for, or neglected and misunderstood? A strong relationship with money, she suggests, is crucial for women, especially those running multimillion-dollar businesses. She also candidly shares her own journey of financial missteps and lessons learned. The heart of the episode is a call for women to take charge of their money's narrative in their lives. She emphasizes the need for women to build financial acumen, handling their own assets rather than handing them off to husbands or other advisors who may not have their best interests in mind. "The smartest person in the room when it comes to your money should be you," she asserts. Whether it's discussing investment fears or the need to learn the ins and outs of selling a business, Kris underscores the importance of knowledge and empowerment. Tune in for a refreshing take on money matters that just might reshape how you see that dollar in your pocket. Key Takeaways From This Episode Money as a Resource for Women: Common perceptions of money in the context of abundance. Normalizing Conversations About Money: The complex relationship women often have with money. Financial Acumen and Responsibility: Encouragement for women to claim control over financial matters. Business and Money Management: The gap in financial management skills among business owners. Future Financial Literacy and Growth: Steps to improve financial acumen and understanding personal investments. Contact Information and Recommended Resources Have questions? Want more details about the ways we support women Visionary Founders? Visit www.thevisionary.ceo. Linkedin Instagram Facebook Pinterest
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.
In this episode, Dan Rochon dives deep into a topic that sabotages far too many agents: inconsistent lead generation. He guides his students through a strategic referral system built on intentional outreach—not randomness. You'll hear real conversations about cold calling, referral partnerships, and the trap of working with clients at the expense of future business. This is your wake-up call to get disciplined, consistent, and focused on building a real lead machine. Whether you're just starting or scaling up, this episode gives you the tactical mindset and habits to stop riding the commission rollercoaster.What you'll learn on this episodeThe 3 types of referral partners you should target (and which ones to avoid expecting too much from)Why “How can I help you?” is the most powerful line in building referral pipelinesThe 8-week warm-up period for new relationships—and how to structure your follow-upHow one conversation made Dan over $1M (and how you can do the same)The danger of only working with current clients and ignoring lead generationA framework for asking clients for powerful video testimonialsWhy 5 days of consistent prospecting beats a once-a-week sprintThe “90-Day Paycheck Rule” every agent needs to understandWhy 20 minutes of daily prospecting can save your future businessResources mentioned in this episodeCPI Community – A network designed to give real estate agents the support, training, and accountability they need to grow To find out more about Dan Rochon and the CPI Community, you can check these links:Website: No Broke MonthsPodcast: No Broke Months for Salespeople PodcastInstagram: @donrochonxFacebook: Dan RochonLinkedIn: Dan Rochon
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.