Pelvic PT Rising

A lot of times with male pelvic pain - particularly pain in the testicals, scrotum, or penile pain - we'll jump right to breathing and/or treating the pelvic floor. But a missing piece for these patients is the spermatic cord. Running along the inguinal canal, the spermatic cord carries nerves and blood vessels integral to the system.  Often this area is tender, inflamed or tight when dealing...

In a recent survey we conducted, almost 9 in 10 business owners said they weren't hitting their financials goals or needs with the business.   In fact - thanks so much to nearly 200 of you who filled it out! - we found the following: 86.4% of business owners aren't meeting their financial goals 85% believe they could have a larger impact 69% aren't comfortable taking a vacation 67%...

What's something we overlook or miss when it comes to treating tailbone pain? Remember that tailbone pain is a non-specific diagnosis.  It's just as description of symptoms! So it's up to us to do a true differential diagnosis and understand the 'why' of what is going on. But something I think we miss is treating rectally in quadruped.  Why quadruped?  Well, it's the...

How can we keep track of all the things in our business that are crucial....without being overwhelmed? That's the challenge.  And too often, it's easier to just bury our head in the sand instead of routinely checking in on the business. The things you track need to be both important and actionable.  In this 'sode, we give you our top 7 things to track. How many of them do you know r...

What's something we often overlook or miss when it comes to vulvodynia? Well, first it's important to recognize vulvodynia is just as non-specific as 'low back pain.'  It literally just means 'pain in the vulva.' We could have gone a few different ways with a missing piece - rectal treatment, looking at the urachus and belly button, lumbar referral patterns, hip refer...

Many of us start our own practice - at least in part - to treat the way we believe. But are we actually practicing what we preach?  Getting clinical buy-in from our patients is incredibly important but often overlooked.  Most business coaches won't even mention the clinical side of the practice. But for us, clinical excellence and buy-in is one of the three pillars of a thriving business (alo...

What's something that's misunderstood or overlooked when treating complex patients with pudendal neuralgia?   This is often one of the most intimidating diagnoses we work with. It's easy to hyperfocus on the path of the pudendal nerve, but a missing piece is actually the posterior cutaneous femoral nerve. In fact, it's almost impossible for 'pudendal neuralgia' to onl...

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&apo...

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...

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 &am...

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 s...

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 o...

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...

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 m...

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...

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 ass...

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 we...

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 pract...

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 pelv...

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...

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 ab...

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 thin...

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...

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...

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 e...