Nicole Cozean, PT, DPT, WCS & Jesse Cozean
Pelvic PT Rising
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...
Author
Nicole Cozean, PT, DPT, WCS & Jesse Cozean
Category
Podcast website
Latest episode
Jul 9, 2026
Where to listen?
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Episodes
Limiting Clinical Beliefs: What's Holding You Back? 07.06.2021 31:17
If we don't understand our limiting beliefs they can be holding us back from providing the best patient care without us even knowing! As individuals and as a profession we have a series of beliefs that may not be true. I've seen this in my own employees, in the Huddle and as I teach. A few examples? I have to get more experience to be 'good' I need more ortho experience befo...
What Are Your Limiting Business Beliefs? 03.06.2021 24:54
For nearly 70 years the world of runners looked at the 4-minute mile as an insurmountable barrier. Runners came close but could never break that barrier. Then Roger Bannister in 1954 broke the illusive "4-Minute Mile" and within a few months others shattered his world record. Why? Because he had broken through a limiting beliefs. So what are the beliefs limiting our careers or busines...
5 Lessons from Working with Remote Patients 31.05.2021 29:49
What are the most common mistakes we see with complex pelvic pain patients? We work with more than 100 remote consultations and out-of-town patients every year. We start to see patterns with these patients, and wanted to share some of the biggest ones in this 'sode! The biggest takeaways we see include: Encouragement and Validation Big Picture Thinking Establishing a Timeline Treating the Pe...
How To Take Vacation: Unplug or Getaway? 27.05.2021 23:55
Never let anyone make you feel guilty for how you recharge! In this 'sode we discuss taking vacation as an entrepreneur. Should you unplug or is it enough to just get away? We've done a lot of work on vacations over the years. Writing the IC Solution by a pool in Cabo Getting away for planning vacations at least once a year Interviewing candidates for PelvicSanity while hiking by an alp...
Feedback is Not Failure: A Conversation with Laurel of Fem Unfolding (Part 2) 24.05.2021 41:00
In Part 2 of this amazing conversation with Laurel Proulx we explore her clinical Ethos, the rise of her business, selling an online course and doing telehealth. She's had an amazing career already and is crafting her perfect situation in pelvic PT between patient care, teaching, learning and researching. She's a major advocate for pelvic physical therapy and educates patients on her In...
Is The Curse of Expertise Sabotaging Your Business or Clinical Practice? 20.05.2021 34:39
Have you heard of the curse of expertise? It's one of the most common cognitive biases and is responsible for a lot of our trouble communicating with patients and a lot of heartache in business. In this 'sode we talk about why the curse of expertise makes it hard to communicate with our patients in the treatment room and sabotages our marketing efforts. The heart of the matter is we can&...
What Research Should We Care About? Interview with Laurel of FEM Unfolding (Part 1) 17.05.2021 46:47
We dive into all the nerdy things with Dr. Laurel Proulx of Fem Unfolding; research, clinical Ethos, and more. In Part 1 we take a deep dive into Laurel's background and research. She's spent much of the last few years working on her PhD and doing extensive research into the actual mechanisms of what we're doing in pelvic PT - the actual foundations of our profession! We hear why c...
5 Business Lessons from a Random Surfer 13.05.2021 23:56
In this 'sode we pass on some business inspiration we found in a local San Clemente surfer. We probably watched him (in a totally non-creepy way) for about 15 minutes. He looked completely different than every other surfer out in the water. It led us to discuss what was so different and how we could apply those lessons to business. So here they are - lessons from a surfer. Business Mentorin...
Patients or Insurance Companies: Who Do You Really Work For? 10.05.2021 44:39
In this 'sode, we get fired up about the state of our industry and discuss what we 1) do for patients and 2) do for insurance companies. When we really think about it, we'll be shocked by how much of our day-to-day is dictated by insurance companies and not what is best for patients. We can't serve two masters. We start with recognizing and saying out loud that insurance companies...
How Much Risk Can You Handle? 06.05.2021 21:48
In this 'sode we go over what it really means to be an entrepreneur - to "bear risk." This should inform how we think of owning our own business, our responsibility to employees and our respect for anyone who has started their own business. Whether you are an entrepreneur, considering it, or extremely happy to NOT bear all the risk, this 'sode has something for you! Business Me...
The Research You Should Be Doing Every Single Day 03.05.2021 38:51
How do we think about research? This is a hugely important question, and one with a lot of misconceptions and traps for us to fall into. How do we balance "individualized treatment" with "evidence-based" care (which always involves a protocol)? How to we look at research through the lens of our own clinical experience? And how do we make that experience meaningful? These are t...
Dealing with Physicians in a Cash Practice 29.04.2021 24:57
For those in a cash practice (or thinking about one), tough love: it's extremely rare for physicians to be onboard with cash PT. But we can't ever let this derail our own judgment! So often we start doubting ourselves because a physician - who literally knows less than nothing about pelvic PT - questions our business model. We have several physicians who have never sent us a single pati...
5 Biggest Mistakes PTs Make Working with IC Patients 26.04.2021 33:06
"Pelvic PT didn't work for me." Those six words are perhaps the most heartbreaking we see online, and unfortunately we see them frequently. Patients who have educated themselves and found pelvic PT, only to come away believing it couldn't help them (and being unwilling to give another PT a try). Because we haven't yet found a patient with an IC diagnosis (or bladder pain...
Are your "Benefits" Really Benefits? 22.04.2021 23:21
In this 'sode we dive into how pelvic PTs actually get paid. Often one of the first questions asked at interviews is "what are the benefits you offer", but when pressed most pelvic PTs don't really even know what these are! We often think "benefits" are something 'added in' on top of our hourly wage - in fact, the opposite is true! Benefits are subtracted...
IC or PFD: What Does Your Patient Really Have? 19.04.2021 26:53
In this 'sode we dive into one of the most common questions we get from patients - do I even have IC, or is it just pelvic floor dysfunction? This question often stumps us as physical therapists as well! They've had a long history of dealing with "IC"; how does this change how we treat them? What about the person who comes in with bladder pain and urinary urgency, but hasn&ap...
5 Tax Day Tips for Pelvic PTs 15.04.2021 22:37
Do you feel intimidated by taxes? Are they a source of frustration or fear, or something holding you back from starting your own business? If so, make sure to check out this 'sode! In it we dive into 5 tips that all pelvic PTs - whether you own your own business or work for someone else - need to know as we hit tax season. While they can be confusing, taxes don't have to be intimidati...
Building Your Vision: Part 2 - Interview with Jessica & Andrew Reale 12.04.2021 43:20
Diving into both clinical and business considerations, Part 2 of our interview with the Reales dives into how they built their vision of how pelvic PT should be practiced. How to provide the absolute highest level of care for patients? How to build a place where people want to work? How to truly realize your vision They've done an amazing job of this at Southern Pelvic Health and have experie...
What's the (Metaphorical) Paper on Your Patient's Ass Cheeks? 08.04.2021 28:45
This is meant as a metaphor, but can be taken literally too! Have you sat on the gynecological paper on a table and had the sensation of it sticking to your ass? In this 'sode we're asking how we can improve the customer experience for our patients. What are the small irritations? How can we improve their overall satisfaction with our practice (whether we're a staff PT or an own...
Building Your Vision - Interview with Jessica & Andrew Reale 05.04.2021 40:33
A fantastic conversation with Jessica & Andrew Reale, founders of Southern Pelvic Health. In this wide-ranging conversation we hear about Jessica's growth in the field, from her first interest in pelvic health to starting her own practice. Her belief in the importance of mentorship began early in her career. With her love of teaching, Jessica now helps develop curriculum and teaches for...
Clinical Beats Business Considerations, Every Time 01.04.2021 23:53
Wondered as a business owner how to make the right decisions? Or as a clinician if you're working in the right place? From the founding of PelvicSanity we've always agreed - and seen it work for our mentees - that clinical trumps business considerations, every time. It's what led us to running a cash-based practice (so we could provide hour-long treatment sessions and wellness to...
The Best of Pelvic PT Essentials - 'Sode 100! 29.03.2021 37:11
We just hit 'sode 100! Thanks so much for listening along with us - make sure to subscribe and rate the podcast if you're enjoying it! In this 'sode we go over the history of the Pelvic PT Rising Podcast - why we started it, why we believe it's so important, and our favorite 'sodes so far. Make sure check them out! Biofeedback: Is it the Best Use of our Time (#98) You&a...
Empathy & Authority: Importance of the Front Desk 25.03.2021 13:34
The patient experience doesn't begin at the initial evaluation. Not by a long shot. Before then, the patient has already reviewed your website and - critically - spoken with your front desk. We can't overstate the importance of this interaction, but far too often it's overlooked and forgotten. Whether you work for someone else, are answering your own phones or employing your own f...
Is Biofeedback Worth Your Time? 22.03.2021 1:01:30
In this 'sode we take a deep dive into the merits and struggles of biofeedback in pelvic PT. We ask the ultimate question - is biofeedback worth your time? We discuss the known and effective limitations of biofeedback, arguments for and against, and present our conclusion. As always, we examine the best form of the argument for and against the routine use of biofeedback. Agree? Disagree? ...
Define Success For Yourself! 18.03.2021 24:46
How do you define success? It seems like a simple question, but it's actually a cornerstone of a happy career or business. For many of us, finances are a primary scoreboard when it comes to our job or running our own clinic. But is this really how we choose to define success - or is it just easy? In this 'sode we talk about the importance of defining success for ourselves and not lettin...
Should Your Evaluations be Consistent from Patient to Patient? 15.03.2021 27:53
Should you have a consistent evaluation process or should it vary significantly depending on your patient? We've been training a new member of our team, which always leads to some great questions. One that came up this week was: "How much should your evaluation change depending on the patient?" In this 'sode we dive into what your evaluation should look like. What kind of fra...
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