What are the things you should be looking for if you're considering a business coach? We've been thinking about this a lot as we design our new program (and as we see more and more new coaches coming onto the scene). The first question we address is do you need one at all? But in this 'sode we give you some questions to be asking to make sure you find the person and program that's right for you to expedite your growth and help you enjoy the process along the way! Pelvic Business Accelerator! Mor...
May 18, 2023•36 min
Happy Mother's Day! In this special Mother's Day 'sode - our first as new parents! - we wanted to discuss some of the changes we've made at PelvicSanity as the result of our own experiences. Some of those are in our thinking. Others in the physical layout of the space. How we signal to our patients that 'we get it.' And another is building more resiliency - check out the full 'sode! Clinical Courses All of the Rising clinical courses are designed to challenge the way you think and make you more ...
May 15, 2023•27 min
Starting a mobile practice can be an attractive option. Many new business owners use this as a side hustle as they continue to work, or build a 'concierge' practice as they grow. In this 'sode (prompted by a listener question!) we dive into the Pros and Cons of a Mobile practice. Many of our mentees in the Rising Family have started this way - many have switched over to a brick & mortar practice, while others are thriving in the mobile model. We'll talk about what you should do as you start,...
May 11, 2023•36 min
For interstitial cystitis, a common 'missing piece' is neural tension of the sciatic nerve. It's a testament to how difficult IC is to treat we considered a few other 'missing pieces.' We thought about highlighting the 'IC Diet', superficial pelvic floor muscles, constipation, urachus, inner thighs, calves or ischiorectal fascia. But we kept coming back to the sciatic nerve and the major role it plays in urinary urgency, frequency and/ or interstitial cystitis. In this 'sode we discuss the evalu...
May 08, 2023•25 min
We're taking an honest look at the pros and cons of working in a cash practice. As most of you know, PelvicSanity is a cash practice and we've been working without interacting with insurance companies for more than 7 years. But that might not be the right decision for everyone. So we want to lay out the pros and cons. Whether you're a 'wannabe' considering your options or an already established business wanting to make sure you got it right, this should help! Clinical - Cash Cash practice gets i...
May 04, 2023•31 min
When it comes to diastasis recti, a missing piece is often the back. We're often focused on the front....because, well, that's where the diastasis is! We'll engage the transversus abdominus and strengthen the core muscles. Many times we'll focus on the front until and unless things aren't going well, before finally looking for other contributing factors. But the diastasis is often a result of a problem in the system, and originating in the back. We can even ask patients to do things (ie: stack t...
May 01, 2023•23 min
How can we stop driving ourselves crazy by comparing to our competitors? Worrying about what they are doing? Feeling like they are 'taking our patients?' It's not easy. We're competitive. We care. But ultimately we need to cultivate an abundance mindset or drive ourselves crazy with comparison. Here are five ideas that might help when it comes to cultivating an abundance mindset: Do the math! There are so many more people with pelvic health issues than we'll ever be able to see. Even in a small ...
Apr 27, 2023•29 min
One thing we often miss when treating prolapse is a functional/standing assessment. If an orthopedic patient came in complaining of pain with walking and running, would we do our entire examination with them sitting or laying down? Absolutely not! And yet, isn't that exactly what we're doing for our patients with prolapse if we aren't doing a standing assessment? It's entirely possible a patient with prolapse will never be evaluated - by their OB or their pelvic rehab provider - in the position ...
Apr 24, 2023•25 min
How do we help our patients past their limiting or incorrect beliefs? This is always a challenging conversation. Maybe they're drinking a ton of water. Or been told about the 'IC diet'. Or believe they have nerve damage. Or have heard some other fear-based narrative. This topic comes out of a recent PelvicSanity 'Clinical Collective' training. The first thing is to assess just how firmly held the belief is. We often assume it's something they strongly believe, when many times it's just the only ...
Apr 20, 2023•30 min
One thing we often miss with stress urinary incontinence is a focus on the task and timing of our patient's issues. Often we jump right to voluntary pelvic floor strength. After all, that's what we're taught in our introductory pelvic health courses. But pelvic health strength isn't really correlated with urinary incontinence. A patient can have a pelvic floor that tests as weak but not have any symptoms. A patient can have an pelvic floor testing as strong with massive urinary incontinence prob...
Apr 17, 2023•22 min
After working together for almost a decade, Melanie and Noelle were tired, frustrated and burned out. They were always having to fight – the insurance companies, their employers, the system the worked in – for their patients. It became so bad Noelle was dealing with stress-related anxiety and medical issues and considering leaving the physical therapy profession! Then they started their own practice and everything changed. Founders of Empassion Pelvic Health and members of the Pelvic PT Rising F...
Apr 13, 2023•42 min
Are you prioritizing a thorough evaluation of the thoracic spine and rib cage in your post-partum patients? Often we get so excited we've got someone in post-partum we jump right to the pelvic floor. Maybe the abdominals to assess for diastasis. Looking at the hips and SI joint. But sometimes the missing piece can be the thoracic spine. It can be causing pain itself or contributing to pelvic floor issues. The ribs and diaphragm undergo major changes during pregnancy. Then, in post-partum, there ...
Apr 10, 2023•21 min
Whether you're in business for yourself or working for someone else, late cancellations and no-shows are always a challenging conversation. Many of us feel uncomfortable with enforcing a cancellation policy. But if we don't enforce one we're doing a disservice to ourselves, our staff, and our patients themselves. So why do we have a late cancellation fee? Fairness to other patients so they are able to get in Respect for our time Respect for the process Recouping lost costs to the business Notice...
Apr 06, 2023•30 min
There's some sass in today's 'sode! Maybe we've finally just gotten enough sleep, but we're bringing some thoughts we've had. These topics weren't enough to do a full 'sode about any one of them, but we came up with 10 things that really need to be said. Some are going to have you cheering, some are controversial, but we hope all make you think. We talk about CEUs, calling yourself a pelvic therapist, what experience really means, how to get the most out of mentorship, and work-life balance. Che...
Apr 03, 2023•29 min
So incredibly grateful for all who have listened and supported us through these first 300 'sodes! Today we go through some of our listener questions, reflect on our journey to this point and share a little more about the behind-the-scenes of the podcast. Hope you enjoy, and here's to 300 more! Clinical Courses All of the Rising clinical courses are designed to challenge the way you think and make you more confident in your clinical practice. All online and go-at-your-own pace, you'll have lifeti...
Mar 30, 2023•24 min
What are some daily habits to increase happiness at work, your longevity in the field and your work-life balance? Check out the full 'sode! Habits are just actions we perform automatically. Our brain makes them easy. So let's harness the power of these habits to make work better. Here are a few - any of these you struggle with? Let us know! Arrive 10 minutes early to review your day's schedule Drink water throughout the day Have a reset ritual between each patient Assess your position multiple t...
Mar 27, 2023•25 min
Paige has a unique perspective as a Pelvic OT and business owner. She's overcome limiting beliefs, found confidence in her business and created an incredible practice providing service to those in her local community. In this wide-ranging conversation we discuss her decision to start a business with young children and a husband with a demanding job, her training as an OT and how she sees the pelvic health landscape, and the confidence she's built as a business owner. In the last nine months Paig...
Mar 23, 2023•51 min
How much time and energy are you spending communicating with patients outside their session? This is one of the first things we train in our PelvicSanity onboarding process - email communication. If we don't have strict boundaries this can lead to burnout, frustration and the feeling like you're always working. And worse, it can be counter-productive for your patients! If you've ever gotten that dreaded 5-paragraph email from a patient, you know exactly what we're talking about. It's probably ta...
Mar 20, 2023•30 min
Are you starting off on the wrong foot with your patients? How we introduce ourselves is critical. It sets the tone for the relationship. It alleviates anxiety in our patients. And it creates trust and authority when we do it well, but uncertainty if we do it poorly. And it's even more important if you're new in pelvic health or if you look young! If you're getting questions about how old you are or how long you've done this, it often traces back to your introduction. Check out how we train our ...
Mar 16, 2023•31 min
In every other way we strengthen, our goal is to best mimic the real world challenge. We do this in ortho, in sports-specific training.....so why not pelvic health? When starting to take introductory pelvic health classes, one thing left me confused - when are we doing volitional contractions in real life? Sure, occasionally when we're really trying to hold back urine as we find a bathroom. But approaching pelvic health through an ortho lens, it never made sense to me why we wouldn't be trying t...
Mar 13, 2023•27 min
After feeling burnt out at two different jobs, Donna realized it was time for a change. Even though the jobs were great, they left her feeling like she could be doing more. Continuing to change jobs to combat burnout just wasn’t a sustainable plan. She jumped into starting Foundations Pelvic Health during the pandemic and never looked back. She’s now filled her schedule, hired a front desk position, built out a space and hired another clinician – and she’s not done yet. One of her major emphases...
Mar 09, 2023•45 min
Looking to make more at your current job? We give you the inside scoop on what your employer cares about. (And, if you own your practice, this is how you want to evaluate your staff!). The short answer to increasing your earning potential is to provide more value to your employer. The right lens for thinking about increases in pay is value. How can I provide more value to the company? If you do (and if your employer is fair) you should be able to increase your earning potential. What (likely) wo...
Mar 06, 2023•32 min
Not only has she grown her practice significantly, Tiffany now has more time. How? Boundaries. In this interview with Tiffany, founder of GOAL Physical Therapy, we reflect on her business growth. Originally a mobile practice, Tiffany pivoted to a brick & mortar practice. Along the way she had to overcome some major money mindset issues, time sucking nonsense (TSN) and other challenges in the business. Along the way she's created a six-figure business for herself, while still giving herslef t...
Mar 02, 2023•43 min
We share our birth story and the lessons learned for how we work with our patients as they prepare for delivery. Clay's birth was pretty incredible. It was just five hours from start of contractions until he arrived, with just two spent at the hospital. Very different than what we were expecting! And it caused us to re-evaluate a lot of how we teach patients to prepare for delivery and how we - as a pelvic rehab profession - can better help our pregnant patients. A few lessons that we took away ...
Feb 27, 2023•53 min
Megan’s career in physical therapy seems to be about pushing outside her comfort zone. She made the leap into pelvic health. Then into starting a pelvic health program. And finally into her own business. In this honest and powerful interview, Megan shares how she’s managed to make peace with being uncomfortable, started to love connecting on the phone with patients, and found her stride as a business owner. And her results have been outstanding – she’s crated a six-figure business, hired a front...
Feb 23, 2023•36 min
We use our own personal pregnancy journey to discuss ways we can better support our patients through the process. We want to be the trusted resource for them when - not if, but when! - issues arise. Those can be pelvic health related, or completely independent. Throughout my pregnancy I had recurring foot pain and leg swelling; I went to my team at PelvicSanity for help! We hope our journey gives you a different perspective on working with our pregnant patients and some things to consider in you...
Feb 20, 2023•41 min
There's been a lot of confusion and concern over a recent release from the APTA on the use of chaperones in pelvic health. This new document surprised a lot of us when it came out in January. Among some important changes in the document were: Redefining chaperone as 'a member of the health care team' and specifically excludes family members or friends from acting as chaperones Recommending asking the patient if they would like a medical chaperone at each visit and documenting their answer The in...
Feb 16, 2023•34 min
In another personal 'sode we share our own challenges with pregnancy loss and how it's changed Nicole's clinical practice and how we interact with those experiencing loss. (We do discuss our pregnancy loss in detail in this 'sode - if that may be triggering for you, please skip it or ignore it entirely) Our journey has included a second-trimester loss, a first-trimester loss and a failed IVF transfer. It's led to several medical procedures, two ER visits and a bout with sepsis. We hope our story...
Feb 14, 2023•1 hr 3 min
What happens when a dreamer puts action to her goals? Roxi Roberts is a perfect example. With Good Life Pelvic Health in a rural community in Kansas, Roxi has shed the expectations of others and limiting beliefs. One of her big limiting beliefs? You can’t build a cash-based pelvic health practice in a rural community. But even as she had her doubts, Roxi rolled up her sleeves and got to work. As she said, “this dream won’t make itself happen.” Since making the decision to start, she’s put one fo...
Feb 09, 2023•41 min
We get personal in this 'sode, talking about our own IVF journey, challenges and (ultimately) a healthy baby boy (Clay!). We learned so much from going through it ourselves, and feel there is so much our profession can do to support those going through fertility challenges. Hear our first-hand account of the IVF process and how it changed our clinical practice and our policies at PelvicSanity! Clinical Courses All of the Rising clinical courses are designed to challenge the way you think and mak...
Feb 06, 2023•1 hr 3 min
