Pelvic PT Rising

What does 26 years of treating complex pelvic pain teach you? And what happens when you decide it's time to step away from patient care? We're joined by Tracy Sher, founder and CEO of Pelvic Global (formerly Pelvic Guru), international educator, and one of the pioneers who helped shape how our field approaches complex pelvic pain. This conversation is packed with clinical pearls, honest...

What happens when you hit the financial goals…but realize you still can't slow down? This episode was sparked by a business owner who had been in practice for five years, was financially successful, but felt like she still couldn't step back, stop grinding or really enjoy what she'd built.   It got us thinking about the three very different seasons of PelvicSanity over the last 10 y...

The longer you own a business…the easier it should get, right? Well, Nicole and Jesse aren't so sure they agree. 😂 So we're debating it! 📈 On one hand, YOU get better every year. You know more. You've made mistakes. You've survived hard things. Problems that would have sent you spiraling five years ago barely register anymore. But… 🔥 Your problems get bigger. 😬 You fall int...

PelviCon is officially here! 🎉 Five years ago, PelviCon was basically an audacious idea: What if we built the pelvic health conference we always wished existed? Since then, we've sold out five years in a row, grown to more than 600 in-person attendees, built an incredible Live Virtual experience—and learned a LOT about business along the way. So we're pulling back the curtain on some of...

There’s no such thing as a simple pelvic health patient. Even the patient who walks in with “just a little stress incontinence” brings a history, a body, hormones, sleep, stress, previous injuries, bowel function, activity goals—and a whole lot more. And that's exactly why being a great pelvic health clinician requires so much more than memorizing protocols. We're joined by Michelle Lyon...

More revenue. More patients. More clinicians. More locations. We're constantly told that a "successful" business should always be getting bigger. But what if you don't actually want it to? 🤔 There are plenty of GREAT reasons not to grow. 👨‍👩‍👧‍👦 You're in a season where family needs more of you. ✈️ You want to travel or prioritize life outside the practice. 💰 You&apo...

Reading research and actually understanding what it means for the patient in front of you are two VERY different things. And there may be nobody in pelvic health better at bridging that gap than Taryn Hallam . Taryn has essentially made research translation her full-time job—reading the enormous amount of pelvic health research being published and asking: What does this actually mean in the clinic...

You can make great money. You can have control of your schedule. But… do you actually like the business you've created? 😬 In Part 3 of our Make the Business Work for You series, we're talking about the third major piece of upside you traded for when you became a business owner: satisfaction & impact. 🙌 Ideally, as your business grows, your role should get BETTER. ✨ More time doing...

We talk a lot about providing “whole-person care.” But are we actually doing it? And if we leave spirituality completely out of the conversation...can we really call our care whole-person? This is exactly the kind of question we love exploring with Dr. Sinéad Dufour . Sinéad is one of the researchers and educators we respect most because she's constantly willing to examine the evidence, chall...

You started your business for more freedom. So…why are you working more hours, answering messages on vacation, staying late for the one patient who "can only do 5pm," and feeling guilty anytime you need to change your schedule? 😬 In Part 2 of our Make the Business Work for You series, we're talking about TIME FREEDOM 🙌 ⏰ How much time does your business actually require from you?...

Dr. Rachel Rubin is changing the landscape of women’s health—and she’s not waiting around for permission. In this fiery conversation, we talk about why sexual medicine has been ignored for so long, the massive education gap around menopause and hormones, and Rachel’s work fighting to remove the FDA boxed warning from vaginal estrogen. We also get into why pelvic PTs and OTs need to own our role in...

When you leave a job to start your own practice, you're making a pretty massive trade: You're trading consistency for upside. Gone is the predictable paycheck, the regular schedule, the structure someone else created for you, and the relative certainty of knowing what you're going to make. In exchange? You get upside. And in this first episode of our Making Your Business Work for Yo...

You might not immediately recognize the name Paul Hodges. But we can almost guarantee you've been taught his work. And if you're attending PelviCon (either in-person or with our Live Virtual option) you'll get the chance to learn from him directly! If you've learned that... 👉 The pelvic floor and diaphragm work together 👉 The pelvic floor is part of a larger pressure-manageme...

When does a cash-based pelvic health practice actually need a fancy CRM? For most of us? Never. And yes—we've made this mistake ourselves. 😬 In this episode, we're breaking down what a CRM actually is, how it's different from your EMR and email platform, and why adding more technology often creates more problems instead of solving them.   We get into: 👉 Why you probably already ha...

How can we help save the lives of our pregnant and post-partum patients?  What about doing more than just resolving their reported symptoms? We can't wait for you to hear this conversation with Katherine Sylvester - she has spent her entire career challenging the status quo and pushing for better results for her patients.   After experiencing postpartum preeclampsia herself, Katherine began a...

What if the first clinician you hire isn't as good as you? It's one of the biggest fears we hear from successful solopreneurs—and it's exactly what Nicole struggled with when we started growing PelvicSanity. Because hiring your first clinician isn't just adding another person to the schedule. It's changing your entire role. Suddenly, you have to trust someone else with you...

How do you challenge long-held beliefs in pelvic health?  You ask better questions. This week, we're joined by Gráinne Donnelly —pelvic health physiotherapist, researcher, educator, editor-in-chief of the Journal of Pelvic, Obstetric and Gynaecological Physiotherapy , and one of this year's featured PelviCon 2026 speakers.  Gráinne has built a career around asking questions that matter,...

If you've ever felt like you've "tried downtraining" and your patient still isn't getting better... this episode is for you. We're also wrapping up our recent series on internal exams, the gold standard, and access to quality care before shifting back into one of our favorite clinical topics: downtraining. The biggest mistake we see? Thinking of downtraining as a sing...

PelviCon '26 speaker Amy Stein has been one of the pioneers of modern pelvic health. She founded Beyond Basics Physical Therapy , one of the largest cash-based pelvic health practices in the country, authored the groundbreaking books Heal Pelvic Pain and Beating Endo , and has spent more than two decades helping shape the future of pelvic rehabilitation.  In this conversation, we talk about h...

Let's cut through the noise....If someone you loved needed pelvic floor therapy tomorrow, where would you send them? 🤔 Are there actually different levels of pelvic health care? We believe the answer is yes. The interesting part? Most pelvic therapists already act as though these different levels exist—we've just never had a common language to describe them. Think about it... If your sp...

To be honest, we never imagined we'd need to explain this.  Fair warning: this episode gets a little nerdy. Over the last two episodes, we've talked about why we believe internal pelvic floor evaluation remains the gold standard in pelvic rehabilitation. This week, we're answering the obvious follow-up question: What do we actually gain from performing one? For those of us who were...

"Access to care" sounds like something everyone should support. So why do we think it's become one of the most misleading phrases in pelvic health? In this episode, we argue that we've been solving the wrong problem. Because the goal isn't access to care.  The goal is access to quality care. We discuss:  Why lowering the standard of care isn't the same as increasing a...

Is internal evaluation the gold standard in pelvic health?  We believe the answer is yes. Lately, we've seen more clinicians claiming that internal pelvic floor evaluation isn't necessary—or isn't the gold standard of pelvic rehab. We don't think this is just another social media debate. We think it's one of the most important conversations our profession needs to have. We...

" Everyone" seems to be saying the future is online.  Create a course.  Sell a membership.  Telehealth in your pajamas.   Stop trading your time for money.  Retire on a beach. As owners of both a thriving brick-and-mortar practice and a successful online business, we wanted to share a reality check. In this episode, we discuss: ✅ Why most pelvic PTs are looking at online business for th...

Endometriosis care is about so much more than surgery. In this episode, Nicole sits down with endometriosis excision surgeon Dr. Mallory Stuparich for a wide-ranging conversation on what it really takes to care for patients living with endometriosis. We discuss:  The role of pelvic PT before and after surgery   Setting realistic expectations for recovery   Central sensitization and persistent pain...