Pelvic PT Rising
Helping pelvic physical therapists improve as clinicians, in their careers or business, and their lives. Hosted by Dr. Nicole Cozean and Jesse Cozean, the founders of PelvicSanity physical therapy and the Pelvic PT Huddle, the podcast explores all aspects of pelvic physical therapy. You'll find the clinical pearls that Dr. Nicole teaches in her continuing education courses, the business and career advice that catapulted PelvicSanity into one of the largest cash-based physical therapy practices in the country, and living life as business owners and pelvic health advocates. And we'll be keeping it 100% real - and having some fun - along...
You Can't Be All Things to All People
Trying to be everything to everyone is one of the fastest ways to burn out as a business owner.
In this episode, we talk about what it really means to narrow your focus and set boundaries â in your pricing, your location, your specialty, and even your patient personality fit.
We cover:
Why saying no is one of the healthiest business decisions you can makeHow to stop feeling guilty about your rates or not taking insuranceWhy having a waitlist isnât a bad thing â itâs a sign your business is workingHow to decide what (and who...Nicole's Nudge #6 - Share Some Gratitude
This weekâs Nicoleâs Nudge is all about appreciation. Itâs easy to think positive thoughts about our colleagues, mentors, or peers in the pelvic health fieldâbut how often do we actually tell them?
Expressing gratitude not only lifts them up, but it activates the gratitude centers in our own brains as well.
Â
Nicoleâs Nudges are quick, actionable challenges designed to strengthen both your clinical practice and your connection to the pelvic health community.
Your challenge: Pick a pelvic PT or OTâsomeone you work with, someone onlin...
Spooky Things in Business: What Should (and Shouldnât) Scare You as a Practice Owner
Itâs spooky season â and thereâs nothing scarier than running a business sometimes.
In this Halloween-themed episode, we break down what should actually scare you in business (and whatâs just a fake jump scare).
We cover:
 đť The âfakeâ fears â bad reviews, competition, scary letters, and other harmless haunts
 𩸠The real monsters â bad onboarding, toxic employees, moving goalposts, and losing alignment
 đ How to face your business fears with clarity and confidence
đŻ Ready to stop fighting imaginary monsters and tackle what really matters?
 Join the Business Accelerator â our 6-month pr...
Nicole's Nudge #5 - Nervous System First
In this Nicoleâs Nudge, weâre focusing on the nervous systemâand why it should be part of every evaluation and treatment plan.Â
There isn't a single pelvic health condition the nervous system doesnât influence.Â
Weâll discuss different ways to introduce nervous system concepts depending on your patientâs personality type, how to make this clinically relevant, and why consistency is key.
Nicoleâs Nudges are short, practical episodes designed to help you refine your skills and return to the core principles of pelvic health care.
Your Challenge...
The 3 Types of Failing Businesses
The 3 Types of Failing Businesses (And Which One You Might Be In)
When we think about business failure, most of us imagine closing the doors for good. But in reality, there are three different types of failure we see in pelvic health businesses â and two of them are much more common, but rarely talked about.
In this episode, we cover:
Why some practices close completely (and how often it happens nationally)The âBusiness Purgatory" owners that limp along but never grow or provide freedomThe "Gilded Cage" and most tragic failure: financial success but...Nicole's Nudge #4 - Dig Into the Foundations of Pelvic Health
This weekâs Nudge challenges you to choose one foundational aspect of pelvic healthâsleep, movement, nutrition, or stress managementâand ask every single one of your patients about it.
These lifestyle factors are often overlooked but play a huge role in long-term outcomes.
We discuss how to weave these questions into your sessions, what to look for in patient responses, and how to make foundations an integral part of your care plan.
Â
Nicoleâs Nudges are short, bite-sized challenges that help you focus on the basics that matter most in patient c...
How Your Schedule (Should) Change as a Multi-Clinician Owner
Time Management for Multi-Clinician Owners: From Clinician to CEO
When you move from solopreneur to leading a team, your time priorities must shift. But most owners struggle to make this changeâstuck treating too many patients and never carving out time for leadership work.
In this episode, we cover:
Why âwhat got you here wonât get you thereâThe new #1 priority as a multi-clinician owner (hint: itâs not seeing patients)Carving out time for staff training, hiring, and systems creationHow to consolidate your patient care and protect CEO timeWhy you are the bi...Nicole's Nudge #3 - What's Your Reset Ritual?
Do you have a reset ritual between patients? In this Nicoleâs Nudge, we talk about the importance of letting go of the last session and preparing yourself mentally, physically, and emotionally for the next.
Whether itâs hand washing, a deep breath, or a mantra, the key is having a consistent practice to reset your nervous system.
Weâll explore why reset rituals are so critical, examples of what they can look like, and how to evaluate whether yours is working effectively.
Â
Nicoleâs Nudges are short, actionable trainings designed to bring...
Building Your Ideal Week as a Solopreneur
Time Management for Solopreneurs: Building a Schedule That Works
Most solopreneurs donât have a real scheduleâtheyâre just reacting. Between patients, documentation, marketing, admin, and even social media, the day feels scattered and exhausting. No wonder burnout is so common.
In this episode, we break down how to build a schedule that actually works for YOU, including:
Why your highest-value task is seeing patients (and how to structure it)How to use the Green/Yellow/Red system for your calendarBuilding in daily admin time so it doesnât creep into evenings...Nicole's Nudge #2 - Don't Forget the Feet
This weekâs Nicoleâs Nudge is a reminder not to overlook the feet.Â
Our patientsâ mechanics are influenced both from the top down and the bottom up. By assessing the foot, mid-foot, and rearfoot, we can uncover important contributors to pelvic floor dysfunctionâor confidently check them off as not contributing to the issue.
Â
Nicoleâs Nudges are short, focused trainings designed to help you sharpen your skills and get back to the basics. Each one gives you a simple challenge you can apply directly with patients in your practice.
Your Chall...
The 8 Pricing Mistakes Killing Your Profit
These Pricing Mistakes That Are Killing Your Practice
Pricing is the single biggest lever in whether your business thrivesâor keeps you stuck. And hereâs the truth: in working with over 800 practice owners, weâve never told anyone they were overpriced. Ever.
In this episode, we share:
The most common pricing mistakes that cost practice owners thousands (sometimes millions!)Why packages are hurting your practice more than you realizeThe fallacy of waiting for the âperfect timeâ to raise pricesWhy being busyâor even having a waitlistâmeans itâs time to charge m...Nicole's Nudge #1 - Ask Better Evaluation Questions
In this first Nicoleâs Nudge episode, weâre diving into two powerful questions you can use to unlock your patientâs true goals during their evaluation.Â
Too often, we get caught up in the symptoms without uncovering what really scares our patientsâor how their life would change if those symptoms disappeared. These questions can shift the entire course of care and strengthen the therapeutic alliance right from the start.
Listen in as we share the exact phrasing for these questions, why they matter, and how you can implement them with patients this week.Â
Ni...
How a Patient's First Impressions Make (or Break) Your Practice
How We Onboard New Patients (And Why It Matters So Much)
When new patients call your clinic, theyâre often nervous, skeptical, and unsure. Many have never heard of pelvic PTâand nearly all have had negative healthcare experiences in the past.
Onboarding isnât just logisticsâitâs your first chance to show them youâre different. Done well, it builds comfort, trust, and confidence before they ever step into the treatment room.
In this episode, we share:
Why onboarding is so important in pelvic healthHow to handle the initial phon...From Manual Therapy to Menstrual Cycles - PelviCon Speaker Series with Michelle Lyons
Weâre back with another PelviCon 2025 Speaker Series interview â and this time weâre joined by the incomparable Michelle Lyons.
Michelle has been a leader in pelvic health for decades, combining clinical practice, teaching, and research translation in ways that have shaped the field worldwide. In this conversation, she dives deep into one of her greatest passions: menstrual health.
We cover:
Why every pelvic health practitioner should understand the menstrual cycle as a vital signThe gulf between what clinicians should know and what most currently know about menstrual health...Building Better Pelvic Health Education - PelviCon Series with MJ Forget
Mentorship, Models, and the Future of Pelvic Health â with MJ Forget
With 30 years of clinical and teaching experience, MJ Forget has helped shape the pelvic health field through mentorship, innovative teaching tools, and her leadership at Pelvic Health Solutions.
In this episode, MJ shares:
Her journey into pelvic health and why it wasnât part of her original trainingThe development of her signature laminated 2D-to-3D anatomical modelsWhy mentorship and trauma-informed approaches are so essential in this fieldHow Pelvic Health Solutions continues to evolve its courses to stay alig...Surgery, Honest Prognosis and Lifelong Learning - Taryn Hallam in the PelviCon Speaker Series
Bridging the Gap: Taryn Hallam on Surgery, Pelvic PT, and Honest Prognosis
Few people in the pelvic health world have shaped the field like Taryn Hallam. With decades of experience as a clinician, educator, and researcher, she has a unique ability to bridge research and clinical practice.
In this episode, we cover:
How Tarynâs research background in Sydney shaped her pelvic PT lensWhy bridging the gap between surgeons and therapists matters for better outcomesThe importance of prognosticating honestly (and how imposter syndrome gets in the way)Her take on co...How to Start Your Pelvic Health Business for Under $10K
How Easy (and Cheap) It Really Is to Start a Cash Practice
In school, you were probably told it would take $100K+ to start your own practice. And thatâs trueâif youâre building an insurance-based clinic.
But in cash-based pelvic health, the reality is totally different. You can start lean, smart, and intentionalâfor less than $10K.
In this episode, we break down:
Why insurance-based clinics cost so much to launchThe three rent options and their pros/cons (mobile, room rental, leasing your own space)The essentia...Why Kids Arenât Just Small Adults - PelviCon Speaker Series with Quiara Smith
Weâre back with another PelviCon 2025 Speaker Series interview â this time with the amazing Quiara Smith!
Quiara is a pediatric OT and pelvic health expert who has specialized in autism, neurodivergence, and trauma-informed care for over 15 years. She brings an OT lens, sensory processing expertise, and a whole new perspective to pelvic health.
In this episode we cover:
Why pediatric pelvic health patients canât just be treated like small adultsThe role of sensory processing in bladder, bowel, and pelvic healthHow neurodivergence (au...W-2 or 1099? The Truth About Hiring Clinicians
Can you hire a clinician as a 1099 contractor instead of a W-2 employee?
Short answer: No. Itâs illegal. And itâs one of the biggest risks you take as a business owner.
In this episode, we break down:
Why payroll taxes incentivize employers to call people âcontractors.âThe 10 IRS criteria that determine if someone is a W-2 or 1099 (hint: clinicians donât qualify).Why paying someone as a contractor actually hurts your business, even if it were legal.The real risks of misclassification â IRS audits, state audits, or employee complaints.W...Curiosity, Collaboration & Clinical Wisdom - PelviCon Speaker Series with Susan Clinton
What happens when you combine 45 years of experience, relentless curiosity, and a passion for mentoring others? You get Dr. Susan Clinton.
In this PelviCon Speaker Series episode, we sit down with Susan to talk about her path into pelvic health, her orthopedic manual specialty, and what sheâs learned about clinical care, burnout, and resilience across decades in the field.
We cover:
How she transitioned from ICU + neuro rehab into pelvic healthWhy her orthopedic background has been so critical in treating the whole personAdvice for new therapists about st...Should You Decrease Your Patient Hours? The Truth at Each Stage
Ever wondered if youâre treating too many patients â 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 weâd 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 youâre the only clinician.How to reassess your hours as you bring...Trailblazer in Pelvic Health - PelviCon Speaker Series with Holly Herman
Sheâs 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 po...Big Ways You're Wasting Money in the Business (And Where to Invest Instead)
Where are you wasting money in your business â and where are you not investing enough?
In this episode, we break down the biggest money mistakes we see pelvic business owners make. Spoiler: itâs not about whether something feels âexpensive,â itâs about Return on Investment (ROI).
đ Things worth spending MORE on:
Laundry service (buy back your time)A hi-lo table (protect your body)A real EMR (hours saved every week)A real phone system (no missed patients)Renting a space if youâre still mobileHiring admin help to free your brainCoach...Manual Therapy, Pain Science & PGAD - PelviCon Speaker Series with Stephanie Prendergast
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:
 ⨠Stephanieâs early career struggles and mentorship with Dr. Jerome Weiss
 ⨠How she built a multi-location practice treating complex pelvic pain
 ⨠Her recent experience...
Telehealth (Pt 2): Virtual Care Done Right (and How Itâs Going Wrong)
Telehealth can be an incredible tool â when itâs done right.
In this follow-up to our first telehealth episode, weâre diving into the best uses for virtual care, the worst abuses weâre seeing from big companies, and how to make sure we keep our patientsâ 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 lo...Real-Time Ultrasound in Pelvic Health - PelviCon Speaker Series with GrĂĄinne Donnelly
Weâre talking all things real-time ultrasound in pelvic rehab with the brilliant GrĂĄinne Donnelly!
If youâve been curious about using ultrasound as part of your pelvic health practice â or want to learn from one of the worldâs leading experts â 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. Sheâs bringing her expertise to PelviCon 2025 with a Pre-Con add-on session all about real-time ultrasound â from the basics to advanced cli...
Telehealth (Pt 1): What is the Gold Standard in Pelvic Health?
Is virtual therapy just as good as in-person care?
In this episode, we tackle one of the most important â and controversial â conversations in pelvic health right now: the role of telehealth and virtual care in our specialty. Whatâs 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 models<...Male Pelvic Health & Sexual Dysfunction - PelviCon Speaker Series with Bill Taylor
PelviCon Speaker Series: Bill Taylor on Male Pelvic Health, Sexual Dysfunction & the Evolution of a Clinician
Whatâs 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 Taylorâa 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 heâs still learning as a clinician and educatorThe clinical hill h...$#!t That Needs to Be Said (Business Edition, Part 2)
It's been a minute, but we're back with another round of âShit That Needs to Be Said.â
No fluff. No sugar-coating. Just the real, raw truths about whatâs actually holding pelvic health business owners back. Lightning round format. The things that are pissing us off.
Hereâs a taste of what we cover:
 â ď¸ You can't out-hustle low pricing
 â ď¸ Doing another social media post isn't 'marketing'
 â ď¸ No, youâre not going to make money from your online course.
 â ď¸ No one cares about the letters after your name (or your fancy equipment)
 â ď¸ Please...
From Australia to PelviCon: Fiona Rogers on Chronic Pelvic Pain & Clinical Evolution
PelviCon Speaker Series: Fiona Rogers on Chronic Pelvic Pain, Modalities & 40+ Years in the Field
Weâre kicking off our PelviCon Speaker Interview Series with none other than Fiona Rogersâa 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:
đš Her journey in pelvic health (from Australia to international recognition)
 đš The clinical hill sheâd die on
đš Her evolving vie...
Your Business Is Built in the Hard Times
What You Do in the Hard Times Builds Your Business
Itâs easy to show up when things are going greatâwhen the schedule is full, the numbers are up, and youâre fired up. But thatâs not what builds a sustainable, successful business.
The truth? Itâs what you do in the slow timesâthe unmotivated days, the flat revenue months, the âwhy am I even doing this?â momentsâthat actually matters most.
In this episode, weâre talking about:
How to stay focused when business feels hardSystems that help you show u...Coccydynia Symposium Recap: The 6 Biggest Clinical Pearls
Top Takeaways from the Coccydynia Symposium (Flash Sale!)
We just wrapped the Coccydynia Symposium, bringing together the worldâs leading experts on persistent tailbone pain.
In this episode, Nicole shares her biggest takeaways from each speaker, including:
𦴠Dr. Patrick Foye: Why seated vs. standing x-rays matterâand how most radiology clinics can do them
đ Dr. John Vogel: The 3 types of pain management procedures for coccydynia
đ§ Dr. Frank Feigenbaum: Understanding Tarlov cysts and their role in sacral and co...
You Won't Sell Your Practice for a Pile of Cash....So What's a Realistic Exit Plan?
The Truth About Selling Your Practice: It Wonât Make You Rich
We all have this fantasy at some point as practice owners:
âOne day, Iâll sell this thing and cash out.â
But hereâs the truthâespecially in cash-based pelvic healthâthatâs probably not happening.
In this episode, weâre breaking down:
Why thereâs no market of buyers lining up for small, niche, owner-dependent clinicsThe 5 real exit options (and why most donât lead to a big payday)The real reason most owners thi...Beyond the Tailbone: 5 Keys to Better Coccydynia Care
5 Things Youâre Missing with Your Coccydynia Patients
Coccydynia (persistent tailbone pain) is one of the most challenging diagnoses we see in pelvic health. And itâs often not just about the tailbone.
In this episode, weâre diving into 5 things you might be missing when treating these complex patients, including:
1ď¸âŁ Transrectal Evaluation & Treatment â It matters, and many providers skip it.
2ď¸âŁ Internal Treatment in Functional Positions â Treatment isnât just about prone or side-lying.
3ď¸âŁ Weight-Bearing & Hip Angles â Tailbone symptoms are often positional and functional...
It's Not Your Boss' Job to Make You Happy
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.
Weâre diving into one of the biggest mindset shifts in leadership:
đ You are not responsible for your employeesâ happiness.
 đ You are not your bossâs emotional support system.
 đ You can care without carrying the emotional burden.
We break down:
â What leaders do owe their teamsâ Whatâs not their jobWhy emotional over-functioning leads to burnout for everyoneHow to crea...We Need To Be The Experts in Treating Tailbone Pain + Coccydynia Symposium!
Coccydynia: The Pain in the Butt We Need to Understand
Tailbone pain (coccydynia) is one of the most misunderstoodâand under-treatedâdiagnoses in pelvic health. Thereâs no one go-to expert for these patients, which means theyâre often left suffering with little direction or hope.
In this episode, weâre 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 rea...
Hidden Secret to Business? Your Support System!
Partner + Family Support: What It Really Takes to Grow Your Business
Behind every successful business is a support systemâbut that support doesnât always look like what you think. In this episode, weâre 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.
Weâre also sharing personal stories from our own journeyâwhat helped, what didnât, and what weâve seen in the 600+ busin...
Whatâs It Costing You to NOT Grow Your Business?
Whatâs 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 PelvicSanityâwaiting years to invest in coaching. We thought we were saving money by doing it all ourselves...but it ended up costing us big time.
đ¸ Lost revenue.
 ⳠWasted time.
 đŁ Burnout, skipped vacations and overwork.
 đĽ Losing great people because we couldn't manage them well.
 đ Missed opportunities.
We break down the real cost of staying where you are and share why weâl...
We Hit 1 Million Downloads! đ What We've Learned on the Journey
Rising to the Occasion: Celebrating 1 Million Downloads
We made it â 1 MILLION downloads of the Pelvic PT Rising podcast! đ
In this very special episode, we (Nicole & Jesse) take a step back and reflect on what this milestone means â and what weâve learned after 500+ episodes of sharing our thoughts, rants, and reflections with this incredible community.
We talk about:
How the podcast got started (and the cringe factor of early episodes)Why mentorship and community are so crucial in pelvic healthWhat weâve seen change in the field since launching R...Stop Chasing Leads: Fix Your Conversion First
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. Â
But hereâs the truth:
 If you canât convert the leads youâre already getting, more leads wonât help.
In this episode, we challenge the âlead chaseâ mentality and dive into:
Why practices feel stuck in a marketing hamster wheelThe 3 keys to great conversion: website, system, and phoneWhat a goo...
