Pelvic PT Rising

How Easy (and Cheap) It Really Is to Start a Cash Practice In school, you were probably told it would take $100K+ to start your own practice. And that’s true— if you’re building an insurance-based clinic. But in cash-based pelvic health, the reality is totally different. You can start lean, smart, and intentional—for less than $10K. In this episode, we break down: Why insurance-based clinics cost...

We’re back with another PelviCon 2025 Speaker Series interview — this time with the amazing Quiara Smith! Quiara is a pediatric OT and pelvic health expert who has specialized in autism, neurodivergence, and trauma-informed care for over 15 years. She brings an OT lens, sensory processing expertise, and a whole new perspective to pelvic health. In this episode we cover: Why pediatric pelvic health...

Can you hire a clinician as a 1099 contractor instead of a W-2 employee? Short answer: No. It’s illegal. And it’s one of the biggest risks you take as a business owner. In this episode, we break down: Why payroll taxes incentivize employers to call people “contractors.” The 10 IRS criteria that determine if someone is a W-2 or 1099 (hint: clinicians don’t qualify). Why paying someone as a contract...

What happens when you combine 45 years of experience , relentless curiosity, and a passion for mentoring others? You get Dr. Susan Clinton. In this PelviCon Speaker Series episode, we sit down with Susan to talk about her path into pelvic health, her orthopedic manual specialty, and what she’s learned about clinical care, burnout, and resilience across decades in the field. We cover: How she trans...

Ever wondered if you’re treating too many patients — or not enough? In this episode, we walk through Nicole's own journey, from solopreneur to running a 7-clinician practice.  At each stage, her responsibilities and patient hours shifted.  We (painfully) discuss the mistakes we made, what we’d do differently, and the myths that can trip up business owners. We cover: The trade-offs of maxing o...

She’s a true legend. A trailblazer. And one of the people who made it possible for pelvic health to even exist as a specialty. In this PelviCon Speaker Series episode, we sit down with Holly Herman to reflect on her 50 years in pelvic health , the challenges of the early days, and the lessons she continues to teach the next generation of pelvic rehab providers. We cover: The fight for recognition...

Where are you wasting money in your business — and where are you not investing enough? In this episode, we break down the biggest money mistakes we see pelvic business owners make. Spoiler: it’s not about whether something feels “expensive,” it’s about Return on Investment (ROI). 👉 Things worth spending MORE on: Laundry service (buy back your time) A hi-lo table (protect your body) A real EMR (ho...

What does it take to build one of the largest pelvic health practices in the country, train medical colleagues, and tackle some of the toughest conditions in our field? In this PelviCon Speaker Series interview, we sit down with Stephanie Prendergast , co-founder of the Pelvic Health & Rehabilitation Center, to talk about her journey, her advocacy, and her upcoming PelviCon topics. In this epi...

Telehealth can be an incredible tool — when it’s done right. In this follow-up to our first telehealth episode, we’re diving into the best uses for virtual care, the worst abuses we’re seeing from big companies, and how to make sure we keep our patients’ best interests at the center. In this episode, we cover: The most valuable applications for telehealth, including: Postpartum appointments when l...

We’re talking all things real-time ultrasound in pelvic rehab with the brilliant Gráinne Donnelly! If you’ve been curious about using ultrasound as part of your pelvic health practice — or want to learn from one of the world’s leading experts — this is the episode for you. Grainne is a doctoral researcher, private clinic owner, co-creator of the Return to Run guidelines, Editor-in-Chief of the POG...

Is virtual therapy just as good as in-person care? In this episode, we tackle one of the most important — and controversial — conversations in pelvic health right now: the role of telehealth and virtual care in our specialty. What’s appropriate? Where is our field going? What do the therapists in the trenches think?  And what is actually best for our patients? We dive into: The difference between...

PelviCon Speaker Series: Bill Taylor on Male Pelvic Health, Sexual Dysfunction & the Evolution of a Clinician What’s it really like to specialize in male pelvic and sexual health? In this episode of the Pelvic PT Rising Podcast, we sit down with Bill Taylor —a leading global educator, founder of Taylor Physio, and longtime expert in male pelvic health. We dive into: How treating men differs fr...

It's been a minute, but we're back with another round of “Shit That Needs to Be Said.” No fluff. No sugar-coating. Just the real, raw truths about what’s actually holding pelvic health business owners back.  Lightning round format.  The things that are pissing us off. Here’s a taste of what we cover:  ⚠️ You can't out-hustle low pricing  ⚠️ Doing another social media post isn't...

PelviCon Speaker Series: Fiona Rogers on Chronic Pelvic Pain, Modalities & 40+ Years in the Field We’re kicking off our PelviCon Speaker Interview Series with none other than Fiona Rogers —a legend in the field of pelvic health! With more than 40 years of experience as a physiotherapist, Fiona has spoken all over the world and helped shape how we treat pelvic pain today. In this episode, we di...

What You Do in the Hard Times Builds Your Business It’s easy to show up when things are going great—when the schedule is full, the numbers are up, and you’re fired up. But that’s not what builds a sustainable, successful business. The truth? It’s what you do in the slow times—the unmotivated days, the flat revenue months, the “why am I even doing this?” moments—that actually matters most. In this...

Top Takeaways from the Coccydynia Symposium (Flash Sale!) We just wrapped the Coccydynia Symposium , bringing together the world’s leading experts on persistent tailbone pain. In this episode, Nicole shares her biggest takeaways from each speaker , including: 🦴 Dr. Patrick Foye : Why seated vs. standing x-rays matter—and how most radiology clinics can do them 💉 Dr. John Vogel : The 3 types of pa...

The Truth About Selling Your Practice: It Won’t Make You Rich We all have this fantasy at some point as practice owners: “One day, I’ll sell this thing and cash out.” But here’s the truth—especially in cash-based pelvic health—that’s probably not happening. In this episode, we’re breaking down: Why there’s no market of buyers lining up for small, niche, owner-dependent clinics The 5 real exit opti...

5 Things You’re Missing with Your Coccydynia Patients Coccydynia (persistent tailbone pain) is one of the most challenging diagnoses we see in pelvic health. And it’s often not just about the tailbone. In this episode, we’re diving into 5 things you might be missing when treating these complex patients, including: 1️⃣ Transrectal Evaluation & Treatment – It matters, and many providers skip it....

Whether you're a clinic owner trying to create a great work environment or a team member wondering where the line is between support and overstepping...this episode is for you. We’re diving into one of the biggest mindset shifts in leadership: 👉 You are not responsible for your employees’ happiness.  👉 You are not your boss’s emotional support system.  👉 You can care without carrying the e...

Coccydynia: The Pain in the Butt We Need to Understand Tailbone pain (coccydynia) is one of the most misunderstood—and under-treated—diagnoses in pelvic health. There’s no one go-to expert for these patients, which means they’re often left suffering with little direction or hope. In this episode, we’re sharing exciting news about the upcoming Online Symposium for Coccydynia on July 19th ! This onl...

Partner + Family Support: What It Really Takes to Grow Your Business Behind every successful business is a support system—but that support doesn’t always look like what you think. In this episode, we’re digging into the five types of partner and family support, how to move someone along the support spectrum, and why comparing your growth to someone else's (without knowing their behind-the-sce...

What’s It Costing You to Not Grow? In this episode, we open up about one of the biggest mistakes we made in the early days of PelvicSanity— waiting years to invest in coaching. We thought we were saving money by doing it all ourselves...but it ended up costing us big time. 💸 Lost revenue.  ⏳ Wasted time.  😣 Burnout, skipped vacations and overwork.  👥 Losing great people because we couldn'...

Rising to the Occasion: Celebrating 1 Million Downloads We made it – 1 MILLION downloads of the Pelvic PT Rising podcast! 🎉 In this very special episode, we (Nicole & Jesse) take a step back and reflect on what this milestone means – and what we’ve learned after 500+ episodes of sharing our thoughts, rants, and reflections with this incredible community. We talk about: How the podcast got sta...

Are you constantly feeling like you need more leads to grow your practice? We get it. The marketing world tells us to run paid ads, boost our SEO, post more on social, do (another) workshop.  Basically, just keep doing more.   But here’s the truth:   If you can’t convert the leads you’re already getting, more leads won’t help. In this episode, we challenge the “lead chase” mentality and dive into:...

Gloving for External Treatment – What’s Actually Best for Our Patients? In this episode, we're diving into a surprisingly controversial topic in pelvic rehab: gloving for external treatment . Our informal poll showed a nearly 50/50 split: 58% of pelvic rehab professionals always glove with both hands for external work 42% reported they don’t But why the discrepancy? We take a closer look at:...