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. 💸 Lost revenue. ⏳ Wasted time. 😣 Burnout, skipped vacations and overwork. 👥 Losing great people because we couldn't manage them well. 📉 Missed opportunities. We break down the real cost of staying where you are and share w...
Jun 26, 2025•30 min
Rising to the Occasion: Celebrating 1 Million Downloads We made it – 1 MILLION downloads of the Pelvic PT Rising podcast! 🎉 In this very special episode, we (Nicole & Jesse) take a step back and reflect on what this milestone means – and what we’ve 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...
Jun 23, 2025•32 min
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 wheel The 3 keys to great conversion: website, system, a...
Jun 19, 2025•18 min
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 work 42% reported they don’t But why the discrepancy? We take a closer look at: How gloves can interfere with our palpation skills and clinical sensitivity The potential message gloving...
Jun 16, 2025•52 min
"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 practice Why you can’t pay yourself with money the business isn...
Jun 12, 2025•25 min
“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 work How it’s completely different from how we assess any other muscle group Why it causes patients to tense, brace or withdraw What you should be doing instead to actually get helpful, fu...
Jun 09, 2025•27 min
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...
Jun 05, 2025•24 min
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: 💡 Neural tension of the sciatic nerve. With interstitial cystitis, there are so many possible contributing factors—superficial pelvic floor muscles, constipation, urachus, inner thighs, ischiorectal fascia, even the calves. But time and time again, we come back to the sciatic ner...
Jun 02, 2025•24 min
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...
May 29, 2025•29 min
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: 💡 The spermatic cord. This structure runs along the inguinal canal , carrying essential nerves and blood vessels that impact function and pain. Here’s why it matters: 👉 Many male pelvic pain patients have te...
May 26, 2025•25 min
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: 💡 The perineal fascia. Vulvodynia can be complex and multi-factorial, with contributing factors like: 👉 Rectal dysfunction 👉 Urachus and belly button involvement 👉 Lumbar referral patterns 👉 Hip referrals But one consistent missing piece? The perineal fas...
May 19, 2025•21 min
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...
May 15, 2025•30 min
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: 💡 The posterior cutaneous femoral nerve. It’s easy to hyperfocus on the pudendal nerve itself , but the reality is: 👉 It’s almost impossible for pudendal neuralgia to only involve the pudendal ner...
May 12, 2025•24 min
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: 💡 The back is often the missing piece. It’s easy to focus on the front —after all, that’s where the diastasis is! Most treatment plans go straight to engaging the transversus abdominus and strengthening the core muscles . But diastasis recti is often a symptom of a system problem —and that problem frequen...
May 05, 2025•22 min
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...
May 01, 2025•22 min
Are we assessing prolapse in the position where symptoms actually occur? Welcome back to another episode from the Rising Vault , where we revisit some of our most impactful episodes. In this Missing Piece episode, we’re breaking down a major oversight in prolapse treatment: 💡 The lack of a standing, functional assessment. Think about it—if an orthopedic patient came in with pain while running, would we evaluate them only sitting or lying down ? Of course not! But that’s exactly what happens wit...
Apr 28, 2025•24 min
In this Rising Vault episode, we’re sharing 3 practical tips to help you become more productive—especially when you’re running or starting your own practice. Productivity is a skill , not something you're magically born with. And for many pelvic health professionals, it’s a big adjustment: 👉 We’re used to being told what to do in structured jobs. 👉 Perfectionism keeps us from calling things “done.” 👉 Our days get broken into small, unfocused chunks. 👉 We’re unsure what to prioritize in busin...
Apr 24, 2025•34 min
Strength isn’t the key to fixing urinary incontinence. Welcome back to another episode from the Rising Vault —where we bring back some of our most impactful episodes to highlight The Missing Piece in common pelvic health conditions. Today, we’re tackling urinary incontinence —and the one thing that’s often overlooked: 🟢 The focus on task and timing. Most of us were taught to assess voluntary pelvic floor strength first —but here’s the problem: 👉 Pelvic floor strength isn’t correlated with inco...
Apr 21, 2025•21 min
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 ...
Apr 17, 2025•28 min
🚨 Are you using all three types of downtraining in your practice? 🚨 We often talk about "downtraining" without fully defining what it is—or recognizing that there are actually three distinct types . If you’re not considering all three, you’re missing key ways to help your patients. We’re bringing back one of our most popular episodes! While I’m out on maternity leave, we’re replaying some of the most impactful conversations we’ve had on the podcast over the years. In this episode, we break dow...
Apr 14, 2025•23 min
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 th...
Apr 10, 2025•32 min
Is biofeedback really worth your time? Biofeedback has been a staple in pelvic therapy for years, but is it actually helping patients—or is it just another outdated tool that doesn’t deliver results? This is a replay of one of our most thought-provoking episodes! While I’m out on maternity leave, we’re bringing back some of the best conversations we’ve had over 500+ episodes. In this episode, Nicole shares her biggest frustrations with biofeedback , including: 🚫 It focuses entirely on the pelvi...
Apr 07, 2025•1 hr 1 min
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 pr...
Apr 03, 2025•41 min
📋 Documentation is the bane of every pelvic therapist's existence. None of us went to PT school because we loved paperwork, and yet documentation takes up a huge portion of our time and energy. For many, it’s the #1 cause of burnout, frustration, and conflict —whether you’re in a cash-based or insurance-based model. But what if you could cut your documentation time significantly and reclaim hours of your life? We’re bringing back one of our most impactful episodes! While I’m out on maternity le...
Mar 31, 2025•30 min
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...
Mar 27, 2025•32 min
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 inn...
Mar 24, 2025•22 min
Hiring a front desk admin? You don’t have time to waste. One of the biggest challenges in hiring an admin is sorting through a flood of applications and avoiding interviews with people who aren’t actually qualified or interested (just looking for a paycheck!). In this episode (Part 2 of our Front Desk Series), we walk through the exact 5-step hiring process we use at PelvicSanity to find the best admin—without spending hours on bad interviews. Here’s how it works: 📌 Step 1: Post the job (Indeed...
Mar 20, 2025•26 min
🚨 Are we still using the biceps analogy for the pelvic floor? It’s time for an upgrade. When explaining pelvic floor strength , many of us were taught to compare it to a bicep—contracting, strengthening, and controlling movement in a straightforward way. But this analogy doesn’t quite capture the full picture. This is one of our favorite episodes from the past 500+ we’ve recorded! While I’m out on maternity leave, we’re replaying some of the most impactful conversations we’ve had on the podcast...
Mar 17, 2025•23 min
Are you holding your business back by NOT hiring an admin? We were way too late in hiring a front desk team at PelvicSanity, and it’s one of the biggest mistakes we see practice owners make. If you’re unsure whether you need an admin, ask yourself: 👉 What aren’t you able to do for your business because you don’t have time? If you have answers to that question, it’s time to start looking for help. In this episode, we break down: ✅ Why an admin is necessary if you want to grow beyond yourself ✅ H...
Mar 13, 2025•22 min
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...
Mar 10, 2025•50 min
