Pelvic PT Rising - podcast cover

Pelvic PT Rising

Nicole Cozean, PT, DPT, WCS & Jesse Cozeanwww.buzzsprout.com
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 the way!
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Episodes

Problems of a Busy Solopreneur

While many solopreneurs are struggling to fill their schedule, there is also a problem of being 'too busy.' Remember, we are never out of problems as entrepreneurs. Instead, we're just trading one problem for a better one! So if you're a busy solopreneur, you're often feeling overwhelmed by the demand for your services. Worried you aren't providing the best patient care because you can't offer regular appointments. And dealing with a long wait list for people to get in to see you. You're probabl...

Nov 07, 202432 min

Being Happier as a Small Business Owner

Building an outwardly successful business doesn't mean much if we don't enjoy the journey! In this 'sode we dive into how we can be more content and happy as business owners. What we all get wrong is thinking we'll be happier in our business when we reach the next milestone. The ideal amount of patients. The next big revenue number. When we hire. We just keep chasing the next thing. We certainly hit this in building PelvicSanity. In 2019 we had grown from just Nicole to 5 full-time clinicians in...

Nov 04, 202424 min

Paying Your People (Part 4): 10 Mistakes We See Owners Making

Here's the finale to our series on "Paying Your People", where we go over the 10 most common mistakes we see business owners making. We've already gone over salary vs hourly pay, raises, bonus structure and other tips - make sure to check those out if you haven't already! Make sure you aren't making some of these mistakes in your practice. Accelerator - January Cohort! If you're looking to grow as a business owner in 2025, you don't have to go it alone! Our next cohort of the Business Accelerato...

Oct 31, 202417 min

How to ACTUALLY Implement after a Course or Conference

How can you make sure what you learn makes it into your clinical practice? We've all fallen victim to taking a course or hearing something new, but not implementing it with our patients. On the heels of PelviCon and after coming back from a business conference, we were thinking of exactly how we implement to make sure we put the ideas into practice. After all, if we just learn but don't implement, what have we gain? Or, put another way....everyone knows, nobody does. Hope you enjoy the 'sode! Fr...

Oct 28, 202419 min

Paying Your People (Part 3): Raises

Should we be giving raises? How often? And how much? In Part 3 of the series, we dive into all your questions. From our annual State of Pelvic Rehab survey, we found the following: 41% of employees did not get a raise last year 34% received a raise between 0-3% So, what should we do as business owners about raises? We believe (and teach) they should be RTF - Regular, Transparent and Fair. Regular - We believe in an annual raise for your clinicians. If you were an employee and didn't receive one,...

Oct 24, 202418 min

3 Things We Got Wrong in The IC Solution Book!

Not necessarily a fun 'sode to do, but we wanted to revisit The IC Solution - written almost 10 years ago now - to see what we got wrong or would change if we wrote another edition. We talk about the book-writing process, how we wrote a good chunk of it in a oceanfront pool in Mexico, and what our goal was for patients. The book has been the best-seller in it's Amazon category and reached nearly 25,000 patients. And it's something we're incredibly proud of. A lot of things in the book changed op...

Oct 21, 202444 min

Paying Your People (Part 2): Bonuses and Profit Sharing

Should you be 'bonusing' your employees? Generally you'll find bonuses in other fields - lawyers, salespeople, etc. And they can make sense. You're trying to incentivize an employee to work longer or harder with a bonus. But that doesn't really track in pelvic health. Do any of us believe a clinician is going to provide better clinical care because they get a bonus? Clinicians provide better care when we provide clinical mentorship, onboarding, training, guide their con-ed and spend time with th...

Oct 17, 202425 min

When Your Patient Wants to Talk Politics....

This 'sode is all about surviving this turbulent political season. It's based on training we give our staff at PelvicSanity about how to navigate an election and patients who are passionate/anxious/fired up about the political environment. Let's start with this - talking politics with your patients is never going to go well. Even if you're on the 'same team', going back and forth about what the 'other side' is doing is only going to rile both of you up. And if you have political disagreements, y...

Oct 14, 202422 min

Paying Your People (Part 1): Salary vs Hourly for Employees

In this 4-part series, we're doing a deep dive into how to pay your employees. There's a lot of confusion here, and frankly a lot of bad advice. So we're going to dive in over the next month to clear things up! In this 'sode we talk about some things we shouldn't be doing: Paying clinicians as contractors instead of W2 employees Paying a percentage instead of a wage Having complex payment structures Not leaving enough margin for the business But the biggest thing we cover is the pros and cons of...

Oct 10, 202429 min

When Patients Don't Fill Out Paperwork

Ever found yourself frustrated with a patient who doesn't complete their intake forms? Or a little stressed you won't know what you're walking into? In this 'sode we hope to reframe your mindset to take out the frustration or anxiety from when you don't have their information prior to their appointment. We will talk about working upstream to reduce this as much as possible. If you have your own business, this is putting systems into place to ensure we get it as often as possible. If you're in a ...

Oct 07, 202423 min

The Natural Fluctuations of Business

Are you feeling like you're on the business 'rollercoaster'? A few good weeks or months, followed by a 'downturn' or a time when leads slow down? This is not only normal, it's to be expected! Why should business be perfectly consistent? Some of the best business advice we got early in PelvicSanity was from another business owner - "respect the ebb and flow". We're going to have fluctuations in the number of leads depending on hundreds of factors. We're going to have turnover and fluctuations in ...

Oct 03, 202420 min

Coaching Patients to Overcome Barriers

Finding that patients aren't finishing the homework you give or aren't following through on what they said in your appointment? Try spending more time coaching them to overcome barriers. Our job isn't to just dispense advice, ideas and exercises! We need to make sure our patients can actually follow through and get them done. As as rehab providers, we often don't realize how difficult the things we're asking our patients to do are FOR THEM. We talk through examples we've seen in training our sta...

Sep 30, 202424 min

5 Things We're Proud About: PelviCon Edition

With our negativity bias, it can be hard to talk about what we're proud about! We see this with clinicians at PelvicSanity and with those we mentor in their own businesses. So here we are, practicing what we preach! We'll talk about things like creating a 'Feeding & Family room' (which we hope becomes the norm at conferences and con-ed courses). Why we're so proud of speakers we've selected. How we create connection and community, and why the feel and intimacy of the event is more important ...

Sep 26, 202419 min

The Surprising History of PelviCon

Why do we - as pelvic rehab providers - deserve and need our own conference? As we close in on the start of PelviCon '24, we discuss why PelviCon started and what you'll be surprised to know about the conference. We're really about 3 things at PelviCon BY and FOR pelvic rehab. PelviCon was the first-ever conference both by and for pelvic rehab. All of the speakers are clinicians. It was the first conference to bring in both PTs and OTs under the 'pelvic rehab' banner. Our specialty deserves it's...

Sep 23, 202439 min

3 Major Problems with "Discovery Calls"

Considering discovery calls, doing them now or thinking you might be missing out on them? Check out the full 'sode to better understand the conversion process! The first thing to recognize is where these 'discovery calls' - which are really sales calls - come from. They come from the 'ortho bro' model and selling big packages. Here's why we aren't a fan: 1. It's inconvenient for patients You're creating an extra barrier for patients. Instead of just filling out a contact form, they have to find ...

Sep 19, 202424 min

Nervous About Seeing a Patient Who Has Been to Another Pelvic PT/OT

Ever feel a little worried or extra pressure when seeing a patient who has already been to another pelvic PT/OT? Here's the secret: We care a lot about the patient's experience, thoughts and what they feel like was beneficial. We don't care at all about what the other provider thought or was working on In fact, a lot of times these patients are easier because they know what has worked in the past and what they didn't like. They're literally telling you exactly what they're hoping for and expecti...

Sep 16, 202432 min

Pelvic Health Education: An Interview with Amanda Homen of PHS

Excited for this conversation about pelvic health education with Pelvic Health Solutions, the Title Sponsor of PelviCon 2024! We interview lead instructor Amanda Homen and have a wide-ranging conversation you won't want to miss. We discuss incorporating trauma-informed care into every level of pelvic education, pros and cons of online education, the challenges of creating entry-level pelvic health education, and more! Pelvic Health Solutions The title sponsor of PelviCon 2024 and a huge supporte...

Sep 12, 202444 min

What We Get Wrong about OAB: An Interview with Taryn Hallam

A dynamic speaker and teacher, Taryn has personally educated more clinicians in fitting pessaries than anyone else in the world! She's fresh off an 11-city US 'tour' where she taught hands-on pessary fitting this last year. And she's returning to PelviCon by popular demand! In this 'sode we discuss her PelviCon topic - overactive bladder (OAB) - and what all of us are getting wrong as we treat patients dealing with this syndrome. Another big theme of this conversation (and Taryn's sold-out Pre-C...

Sep 09, 20241 hr 7 min

Getting Confident as First-Line Providers: An Interview with Michelle Lyons

Leading educator, thinking and pioneer in our field, Michelle is the first 3-time PelviCon speaker and you won't want to miss this wide-ranging conversation! We take a deep dive into menopause, hormone replacement therapy and what we - as a pelvic rehab profession - are still getting wrong about menopause. Michelle talks about how to have a more collegial relationship with physicians and own our own areas of expertise. We need to have the knowledge and confidence if we want to truly be first-lin...

Sep 02, 20241 hr 5 min

Discouraged by How Much to Learn

We know it can feel daunting and discouraging (especially as a newer pelvic rehab provider) how much there is to learn! This 'sode came from a listener comment. She was expressing frustration with how her entry-level courses didn't really prepare her for the way clinicians actually treat. We talk about the challenges of doing an introductory course in pelvic health (it's certainly not easy). How it can lay a foundation, but we also shouldn't expect to be 'ready to go' after a single weekend cour...

Aug 29, 202427 min

The Courage to Have an Opinion: An Interview with Gráinne Donnelly

Probably best known for creating the first 'Return to Run' protocol, Gráinne is a clinic owner, clinician, researcher, podcaster and editor of a peer-reviewed journal. We can't wait to have her join us at PelviCon! In this 'sode we discuss how she had the courage to post her ideas about returning to running for post-partum moms, what she's learned about research from publishing herself and being the editor of a journal, and balancing a successful career and parenthood. We take a detour into an a...

Aug 26, 202458 min

Do I Need to Market to Physicians?

The short answer? No! You don't need to market to physicians to have a thriving practice. The full answer is a lot more nuanced. If you don't market to physicians, you're leaving a lot on the table. And it is possible to get past the gatekeepers and form great relationships as colleagues. If you're struggling to market to physicians but know you want it to be part of your practice, make sure to check out this 'sode. We will talk about making sure you're not buying lunch, how to answer the questi...

Aug 22, 202426 min

It's Not 'Weak vs. Tight' Pelvic Floor: An Interview with Sinéad Dufour

Leading researcher, educator and clinician, Sinéad Dufour discusses how to avoid the false dichotomy of 'weak vs tight' pelvic floor. Perhaps best known for her seminal research on the link between low back pain and pelvic floor dysfunction, Sinéad goes through the origin of her research and what we still get wrong when we interpret her results. She discusses how we can both present a 'menu of options' for patients while still recognizing that 1:1 care with an internal exam is the gold standard ...

Aug 19, 202458 min

Secrets of Delegation

Anyone else have a hard time with delegating to others? Learning to lead a team is a whole new skill. In fact, many of the traits that bring success as a solopreneur - a touch of perfectionism, wanting control over the business, being 'in the weeds' on every aspect of what you do - actually make growing beyond yourself more difficult! What got you here won't get you there. But this is a skill set that you can learn - it doesn't have to be trial and error. And if you want to grow, you'll have to ...

Aug 15, 202426 min

It's Not Pain Science vs. Manual Therapy: An Interview with Bill Taylor

From his early days with Riverdance to the Scottish Ballet to his own practice and teaching all over the world, you won't want to miss this conversation with PelviCon speaker Bill Taylor! For us pelvic health nerds, this conversation is absolutely gold! We talk about how long a plan of care needs to be ("it takes until it's done"), treating to redundancy, and how we are all blessed to work in pelvic health. Bill shares how his background working with hypermobile dancers and athletes has informed...

Aug 12, 202457 min

Should I Be Taxed as an S-Corp?

Business owners (or wannabes) - we're getting tactical today! Don't skip this 'sode just because it doesn't sound sexy...it might save you tens of thousands of dollars in your business over the next few years. As business owners, we actually get a ton of tax benefits that a regular employee does not. One of those is the ability to choose how we are taxed. This is all about the payroll taxes (~15%) we are all required to pay. When you were an employee, your employer contributed half of those (7.5...

Aug 08, 202422 min

Post-Prostatectomy, Peyronie's Disease, and Men's Health: An Interview with Jo Milios

One of the most influential thinkers and voices in men's pelvic health, Jo Milios is sharing her research and treatment techniques at PelviCon this year! In this fantastic conversation we discuss what it's really like to treat men in the clinic, apprehensions about working in men's pelvic health, collaborating with urologists and surgeons, how to 'pre-hab' for prostatectomy surgery, treating Peyrnonie's disease and much more! You'll also hear about Jo's research and some of her initiatives that ...

Aug 05, 202450 min

Consolidate Your Schedule and Work the Hours You Want!

One of the reasons many of us started a business was time flexibility. But how many of us are really taking advantage of it? Maybe you're starting earlier than you want, or working later, because patients 'need' those time slots. Or you're spending 30 hours a week at the office but only seeing 12 patients. Or working straight through your lunch. Or adding patients at times you would rather be home with your family. We've all been there! But it's ok to be a little selfish in your business! In thi...

Aug 01, 202427 min

Trust Your Clinical Intuition: An Interview with Yeni Abraham

A trailblazer in pelvic rehab for supporting patients during their fertility journey, Yeni is going to be a 2-time PelviCon speaker and back by popular demand! She brought the house down last year, and can't wait for you to hear about her PelviCon 2024 topics. Just like last year, they are areas where we often feel uncomfortable and need more information to best serve our patients. In this dynamic conversation we talk about Yeni's teaching in fertility, challenges with reproductive rights in our...

Jul 29, 202448 min

Why IG & FB Ads Don't Work in Pelvic Health

We're told (ironically, often in paid ads!) paid advertising is the 'magic bullet' to getting the phone to ring in our clinics. But is that true? In this 'sode we dive into the challenges with IG and FB ads. The fundamental problem? No one is going on social media hoping to be hit with an ad to fix their incontinence! And especially for a high-ticket item like a ~$200 initial evaluation. So that leads to two options for ads. One is the 'Group-On' model, where you offer an absurdly low initial ev...

Jul 25, 202428 min
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