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

Stop Writing Blog Posts! Why SEO Has Changed & What to Do Instead

Still writing blog posts to grow your practice? Stop. For years, we were told that blogging was the way to rank on Google and get new patients. And after building one of the largest pelvic health blogs in the world (with 130,000 visitors per year!), we can tell you firsthand… it doesn’t work. Here’s why: 🚫 Google prioritizes local SEO – Your blog won’t really help you rank for local searches. 🚫 AI-generated content dominates search results – People aren’t even clicking blogs anymore. 🚫 The in...

Mar 06, 202529 min

The Great Kegel Debate (Part 2): The Case Against Kegels

Isolated pelvic floor strength isn’t the key to pelvic health. In Part 2 of the Great Kegel Debate , we dive deeper into why we come down firmly on the anti-Kegel side —and why we believe pelvic health is about so much more than isolated strength. The single biggest reason? Strength has no reliable correlation with symptoms. 👉 We’ve all seen patients with objectively weak pelvic floors who have no symptoms at all . 👉 And others with strong pelvic floors who are dealing with significant dysfunc...

Mar 03, 20251 hr 12 min

Should I Be Selling Packages in Pelvic Health?

Are packages really the best way to sell pelvic health services? At first glance, packages sound like a great idea. They give patients commitment, help cash flow, and make sales "easier," right? Not so fast. In this episode, we break down why we’re opposed to selling packages in pelvic health and the major issues that come with them: ❌ Unrealistic patient expectations – Patients assume they’ll be “done” when the package ends (even if they’re not). ❌ You’re putting limits on care – We hated when ...

Feb 27, 202540 min

The Great Kegel Debate (Part 1): What Do We Actually Disagree About?

The Kegel debate is heating up… but what are we really disagreeing about? Over the past few years, the conversation around Kegels has shifted big time . We’ve seen an explosion of “no-Kegel” content, frustration from those pushing back, and even research articles challenging each other in the literature. In this episode, we break down the three major camps in the Kegel conversation: 🔥 Pro-Kegel – Kegels are the most researched pelvic health tool and should be used for almost everyone. 🔥 Anti-K...

Feb 24, 20251 hr 11 min

If You've Broken Up with Insurance Companies....Why Are You Still Taking Their Calls?

If you’ve gone cash-based, why are you still acting like you work for insurance? Too many practice owners break up with insurance companies… but then keep trying to keep them happy . It’s like staying in touch with a toxic ex—you don’t owe them anything! In this episode, we’re putting a stop to the madness. Here’s what we cover: 🚫 No more calling insurance companies —Not for denials, pre-auths, or patient questions. That’s not your job anymore. 🚫 No more fighting on their behalf —If a patient ...

Feb 20, 202521 min

Are We Setting Patients Up for Failure?

Are you setting your patients up for success—or failure? Too often, we focus so much on challenging our patients that we forget the power of easy wins. When patients struggle with an exercise or intervention, they don’t feel excited to come back and report a failure. Instead, we need to stack small wins to build confidence, buy-in, and momentum. In this episode, we dive into: ✅ Why early successes matter – Patients need to feel like they’re making progress now , not just months from now. ✅ How t...

Feb 17, 202538 min

The Busy Entrepreneur’s Guide to Getting More Done

Are you just busy, or actually productive? As a business owner, it’s easy to feel like you’re constantly working but never making real progress. The truth? You don’t need more productivity hacks—you need to get the big picture right. In this episode, we break down how to focus your time where it matters most so you’re not just working hard, but actually moving your business forward. Here’s what we cover: ✅ Prioritizing the right things – Not all tasks are created equal! Learn how to identify the...

Feb 13, 202523 min

How Do I Handle a Patient Plateau?

Your patient’s progress has stalled… but is it actually a problem? We expect healing to happen in a straight line, but the reality? Plateaus are completely normal. No one improves at the same steady rate throughout their entire recovery. So when a patient isn’t progressing as fast as you (or they) think they should, it’s time to step back and assess: 🔍 Is the patient actually struggling with this, or is it YOUR anxiety creeping in? 🔍 Are your expectations and timeline realistic based on their ...

Feb 10, 202533 min

So You Want to Hit $1M in Revenue...What It Really Takes

Hitting $1M in revenue sounds amazing… but do you actually want it? Everyone talks about the magic $1M mark, but what does it really take to get there? And is it even the right goal for you ? In this episode, we break down the real numbers behind a $1M practice —including 100+ visits per week, 700+ evaluations per year, and a team of 5+ clinicians supported by a solid admin staff. Here’s what you need in place to scale: ✅ A massive lead pipeline – You’ll need more than 1,000 leads per year to ke...

Feb 06, 202537 min

3 Big Things from the Rising Business Retreat

In this episode, we share 3 Big Things from our recent Pelvic PT Rising business retreat. These are the foundational principles for creating a practice you love and a business that thrives. First, we dive into clinical excellence —why it’s the backbone of your practice. Treating according to your ethos, keeping patients engaged, and creating superfans who rave about your services will set you apart and make the biggest impact for your patients. Next, we tackle time management . As business owner...

Jan 30, 202523 min

Empowering Women and Understanding Research: An Interview with Jenny LaCross

How can your own story shape the way you practice? In this episode, we dive into Jenny’s personal ethos of helping women stay active throughout their lives. She reflects on how her experience as an athletic trainer still influences her approach to patient care and shares the lessons she’s learned from navigating her own hip dysplasia and surgery during PT school—experiences that have transformed how she tempers expectations with her patients. We also nerd out on research! Jenny breaks down two o...

Jan 27, 202549 min

Beyond Gut Feelings: How to Objectively Assess Your Patient Care

How do you really know if your patient care is effective? It’s easy to rely on gut feelings or anecdotes, but those can lead us astray. If you’re serious about improving your clinical outcomes and patient experience, it’s time to start tracking objective metrics. In this episode, we’re diving into the two essential metrics every clinician should track: Forfeit Rate – How many patients stop care after 3 or fewer visits? Appointment:Evaluation Ratio – How many visits, on average, are patients atte...

Jan 23, 202532 min

Decoding Patient Excuses: Taking Radical Responsibility

Why do patients say they’re too busy? Or that they can’t afford care? On the surface, these sound like perfectly reasonable excuses. But are they the real reasons—or just polite ways to avoid saying, “I don’t believe you can help me”? In this episode, we’re flipping the script and challenging ourselves to take radical responsibility for how patients perceive us and our ability to help them. Instead of accepting their excuses at face value, we’re asking the hard questions: Are we truly communicat...

Jan 20, 202523 min

The Secret to Smarter Scheduling for Busy Business Owners

Does your schedule control you—or do you control your schedule? Too many practice owners bend over backward to accommodate every patient request. Early mornings, late evenings, skipping lunch—it’s no wonder burnout is lurking around every corner! In this episode, we introduce the simple but powerful Red/Yellow/Green method to take back control of your schedule. It’s not just about managing time; it’s about protecting your energy, setting boundaries, and creating a practice that fits your life. H...

Jan 16, 202527 min

Are Online Programs Stealing Your Patients?

In this 'sode we dive into the growing presence of online programs and how they’re influencing the field of pelvic health. Many physical therapists worry that these programs are drawing patients away from in-person care, but is that really the case? We break down this common fear and take a closer look at how these programs fit into the larger pelvic health landscape. Instead of viewing online programs as competition, we explore how they can actually raise awareness about pelvic health issues. T...

Jan 13, 202522 min

Abundance in Action: Why Competition is a Myth in Pelvic Health

Worried about 'competitors' in your area? Struggling with keeping an abundance mindset? We've all been there - we want you feeling more confident and at-ease in your practice. A scarcity mindset is understandable for business owners. In fact, we all experience it to some degree at some point in the business. But it's not a fun place to be! A few signs you might be struggling with this: Following (maybe a little obsessively) competitors online or thinking about what they are doing Worried about w...

Jan 09, 202540 min

Set Goals for 2025 the Right Way (+ Word of the Year!)

We all have big hopes for 2025. But how do we make sure we make meaningful progress on the things that matter most? In this 'sode we go through a goal-setting exercise we use in the Rising coaching programs to make sure we're living a balanced, healthy life. We talk about setting goals in various areas, not just in the business or at our jobs. We share some of our goals from 2024 and why we are very happy to have 'only' achieved 70% of what we set out to accomplish at the beginning of the year. ...

Jan 06, 202533 min

What's Your 2024 Narrative? A Year In Review

Before we turn the page to focus on our goals for 2025, we have to review the year we're finishing. What was the story of your 2024? How does it fit into the context of where you've been and where you're going? For us, our word of 2024 was 'abundance.' It proved to be a helpful guide as we navigated a challenging year as business owners and parents. We provided free business trainings, allowed other businesses to use PelvicSanity rent-free, created a 'Student Symposium' for those interested in p...

Dec 30, 202424 min

Red Light Therapy for Pelvic Rehab?: An Interview with Liz Frey of Fringe

Wondering about the science behind red light therapy and whether it's 'a thing' in pelvic rehab? So were we! So we brought Liz Frey on the podcast to answer all of our questions about photobiomodulation and it's uses in pelvic therapy. We'll talk about the basic science behind red light therapy and what the research says on how it can help. We'll also talk about the development of the Fringe Red Light Want, discuss how Liz uses red light therapy with her own pelvic patients and how they can be a...

Dec 23, 202440 min

What Are You Doing for Business Con-Ed?

Why do we expect to be great business owners without any training at all? We don't think that way about our clinical skills. In fact, we all spent 7+ years in school, countless clinical con-ed hours and often hundreds of thousands of dollars to become good clinicians. And yet, most of us have never invested anything in ourselves as business owners. Yet we expect to have immediate success - no wonder 90% of us aren't happy with what we're making financially in business! There's a 'compound intere...

Dec 19, 202431 min

Floored: An Interview with Sara Reardon

Sara is one of the most impactful advocates for pelvic health we have. As The Vagina Whisperer she has an audience of over 600,000 people. She's done a TED talk, she's been a PelviCon speaker, and now she is going to be a published author! We discuss how to communicate with patients in their own language, shifting our mindset to helping patients through their entire lifespan and what we can learn from the dental model - yes, dentists - of providing care. Sara's new book Floored is available for ...

Dec 16, 202441 min

Why 90% of Business Owners Aren't Happy With What They Make

If you aren't feeling satisfied with your income, you aren't alone. More than 9 in 10 business owners say they aren't happy with what they are making from the business.....but why? That's what today's 'sode is all about. We may have heard how 'easy' it is. Or think everyone is successful because that's what we see online. But we're going to lay out the truth for you when it comes to business finance! 1) Expectations - A lot of business owners 'just do the math'. If they saw the same number of pa...

Dec 12, 202428 min

A Standing Assessment is Critical!: An Interview with Christina Prevett

Can't wait for you to hear this interview! We discuss why a standing assessment is so critical, the limitations of a supine exam and the PERF, how to 'stack the deck' for our pregnant patients and what we know - and don't know! - about exercise during pregnancy. We talk about the power and limitations of research. And we dive into Christina's mission to remove as much fear as possible from pregnancy and post-partum. Discover what Christina learned from her own pregnancy, diving into research, an...

Dec 09, 202457 min

The 3 Pillars of Business for Sustained Success

Why is it so important to get all three of these pillars - Marketing & Sales, Business Systems, and Clinical Excellence - right for a well-running business? In this 'sode we discuss the three main pillars of business. If only one or two of these are working well, the business is going to take a lot of effort and always feel precarious. Marketing & Sales - If you don't have a consistent source of leads and are always worried about getting the phone to ring, marketing your practice is vita...

Dec 05, 202425 min

More Inclusive Care: A Conversation with Ken McGee

Can't wait for you to hear this conversation with Dr. Ken McGee of B3 Physical Therapy. They have a diverse practice featuring mobile, telehealth and in-office visits. We discuss a major mindset shift in postpartum care that will change your perspective, supporting parents with feeding, how to make your intake forms more inclusive, the importance of more open-ended questions, and more. Can't wait for you to learn from Ken on providing better care for people of all genders! Dr. Ken McGee - B3 Phy...

Dec 02, 202451 min

"The Pelvis Moves!": An Interview with Lynn Schulte

In this practical and wide-ranging conversation we discuss why Lynn believes we overlook the bones of the pelvis, the common patterns she sees in post-partum patients and which pelvic floor muscle she pays the most attention to in her evaluation. We also hear some great questions you should be asking your post-partum patients and discuss the impact of birth trauma. Can't wait for you to hear this conversation with Lynn Schulte! Lynn Schulte - Institute of Birth Healing Lynn is the founder of the...

Nov 25, 202455 min

We Were Wrong About Not Having a Mission Statement

If you're like us, you might have a negative perception of a 'mission statement'. We certainly thought it was dumb for us as a small company. We had both sat through long meetings to create, or explain, or pontificate about a mission statement before. Usually something created by HR and long, boring and pointless. But we were wrong to throw away the idea just because the execution is so bad in big companies! Clarifying your message and mission can help you create content around what you really b...

Nov 21, 202424 min

Does My Patient "Really" Have IC?

This is something I've heard when teaching and training about how to treat interstitial cystitis (IC): "I don't think they really have IC." What we usually mean by this is we feel their symptoms are stemming from pelvic floor dysfunction and central sensitization. The AUA Definition of IC is simply: "An unpleasant sensation (pain, pressure, discomfort) perceived to be related to the urinary bladder, associated with lower urinary tract symptoms of more than six weeks duration, in the absence of i...

Nov 18, 202419 min

Challenges of a Growing Multi-Clinician Practice

We get really honest about the challenges and growing pains in a multi-clinician practice in this 'sode. And we'll make sure to have some advice on how to mitigate them! But you can really boil down the big challenges into three categories. Time - You're going to have a huge increase in the demands on your time. You'll be doing more admin work. More marketing. More leadership. More logistics. More training and onboarding. All while still dealing with your own caseload. Role - The moment you hire...

Nov 14, 202428 min

Why I Start Teaching Perineal Massage Way Earlier Than the Research Says

Why do we start teaching perineal massage (and all of our birth prep) earlier than most at PelvicSanity? There are a few reasons. The first is simple - 37 weeks is considered full term. No one will try and stop it if you go into labor. So we plan to have all of our birth prep complete by then. Any time we get after 37 weeks is just a bonus. We're keeping our people comfortable or reminding them of things we've already covered in those final weeks. Next, most of our pregnant folks are coming in w...

Nov 11, 202422 min
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