Nicole Cozean, PT, DPT, WCS & Jesse Cozean

Pelvic PT Rising

Health EN ↓ 622 episodes

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

Health

Podcast website

www.buzzsprout.com

Latest episode

Jul 9, 2026

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Episodes

How to Actually Pay Yourself from Your Business 12.06.2025

"Pay Yourself First." It’s become a buzzword in business…but what does it really mean? In this week’s episode, we’re diving into one of the biggest sources of financial stress for business owners – paying yourself. Most of us weren’t taught how to handle business finances, and it creates a ton of anxiety. Am I saving enough? Doing it right? Transferring money properly? We get into: What...

Please...Don't Poke Your Patient! 09.06.2025

“Don’t poke your patient.” It’s something we say all the time, but it’s how almost all of us were taught in pelvic health. Poking—pressing around internally to assess the pelvic floor—isn’t just ineffective, it’s also the wrong way to treat. In this episode, we break down: Why the “poke-and-see” method doesn’t work How it’s completely different from how we assess any other muscle group Why it caus...

Why Burnout Hits Business Owners Harder (And How to Fight It) 05.06.2025

Burnout hits pelvic rehab business owners twice as hard. First, there’s the emotional and mental weight of treating patients with chronic and complex issues—something all clinicians face. But then there’s a second, heavier layer: the unique stress and responsibility of owning a business . You’re wearing all the hats. Managing a team. Marketing. Making financial decisions. Juggling it all—and still...

Interstitial Cystitis: A Missing Piece 02.06.2025

Interstitial cystitis is one of the most complex conditions we treat—so what’s the missing piece? In this Missing Piece episode from the Rising Vault , we’re breaking down one of the most overlooked contributors to IC: 💡 Neural tension of the sciatic nerve. With interstitial cystitis, there are so many possible contributing factors—superficial pelvic floor muscles, constipation, urachus, inner th...

The 3 Pillars of a Successful Cash Practice 29.05.2025

What actually makes a pelvic health business thrive? In this episode, we break down the Three Pillars of Business we teach inside the Business Accelerator: 1️⃣ Marketing + Sales 2️⃣ Business Systems 3️⃣ Clinical Excellence (getting buy-in and taking patients through their full plan of care) Most practices feel stuck because one (or more!) of these pillars is missing or weak. You can’t out-market a...

Male Pelvic Pain: A Missing Piece 26.05.2025

Male pelvic pain is complex - there so many different areas to evaluate and clear.  Often it can be overwhelming and we jump straight to breathing and the pelvic floor. In this Missing Piece episode from the Rising Vault , we’re highlighting a commonly overlooked factor in male pelvic pain: 💡 The spermatic cord. This structure runs along the inguinal canal , carrying essential nerves and blood ve...

Vulvodynia: A Missing Piece 19.05.2025

Vulvodynia is as non-specific as ‘low back pain.’ So why are we treating it like one condition? In this Missing Piece episode from the Rising Vault , we’re diving into one of the most overlooked areas when it comes to vulvodynia treatment: 💡 The perineal fascia. Vulvodynia can be complex and multi-factorial, with contributing factors like:  👉 Rectal dysfunction  👉 Urachus and belly button invol...

The 4 Business Owner Archetypes (And How to Level Up) 15.05.2025

Not all business owners are the same—and that’s the point. In this episode, we break down the 4 types of pelvic health business owners we’ve seen after working with hundreds of practices. Each type has its own strengths, challenges, and opportunities to grow— if you’re honest about where you are and what you want. We dive into:  1️⃣ The Lifestyle Business – The solopreneur optimizing for life outs...

Pudendal Neuralgia: A Missing Piece 12.05.2025

Pudendal neuralgia is one of the most intimidating diagnoses we treat. It’s complex, frustrating, and often misunderstood—even among pelvic health providers. In this Missing Piece episode from the Rising Vault , we’re breaking down a key factor that’s often overlooked in pudendal neuralgia treatment: 💡 The posterior cutaneous femoral nerve. It’s easy to hyperfocus on the pudendal nerve itself , b...

Diastasis Recti: A Missing Piece 05.05.2025

When treating diastasis recti, are we missing the real problem? In this Missing Piece episode from the Rising Vault , we’re tackling one of the biggest oversights in diastasis recti treatment: 💡 The back is often the missing piece. It’s easy to focus on the front —after all, that’s where the diastasis is! Most treatment plans go straight to engaging the transversus abdominus and strengthening the...

Pelvic Rehab & Your Money: The Talk We All Need To Have 01.05.2025

You can do everything ‘right’… and still struggle financially. In this episode, we’re sharing Nicole’s financial story —going to a top PT school, graduating at the top of her class, landing a prestigious job, getting promoted… and still barely able to pay off student loans, accumulating credit card debt, and feeling lost about retirement. If you’ve ever wondered how we’re supposed to make this car...

Prolapse: A Missing Piece 28.04.2025

Are we assessing prolapse in the position where symptoms actually occur? Welcome back to another episode from the Rising Vault , where we revisit some of our most impactful episodes. In this Missing Piece episode, we’re breaking down a major oversight in prolapse treatment: 💡 The lack of a standing, functional assessment. Think about it—if an orthopedic patient came in with pain while running, wo...

3 Ways to Fight Procrastination and Be More Productive 24.04.2025

In this Rising Vault episode, we’re sharing 3 practical tips to help you become more productive—especially when you’re running or starting your own practice. Productivity is a skill , not something you're magically born with. And for many pelvic health professionals, it’s a big adjustment: 👉 We’re used to being told what to do in structured jobs. 👉 Perfectionism keeps us from calling things...

Stress Urinary Incontinence: A Missing Piece 21.04.2025

Strength isn’t the key to fixing urinary incontinence. Welcome back to another episode from the Rising Vault —where we bring back some of our most impactful episodes to highlight The Missing Piece in common pelvic health conditions. Today, we’re tackling urinary incontinence —and the one thing that’s often overlooked: 🟢 The focus on task and timing. Most of us were taught to assess voluntary pelv...

5 Myths About Starting a Business 17.04.2025

Thinking about starting a business—or already in it? Let’s bust some myths. In this episode from the Rising Vault , we’re diving into the 5 most common misconceptions we hear about starting a pelvic health business. These myths cause real harm—leading business owners to overspend, second-guess themselves, or build a practice that doesn’t align with their goals. We’re clearing up the confusion arou...

The Three Types of Downtraining (And Why They Matter) 14.04.2025

🚨 Are you using all three types of downtraining in your practice? 🚨 We often talk about "downtraining" without fully defining what it is—or recognizing that there are actually three distinct types . If you’re not considering all three, you’re missing key ways to help your patients. We’re bringing back one of our most popular episodes! While I’m out on maternity leave, we’re replaying s...

Naysayers Gonna Nay: Confidence in Your Cash-Based Model 10.04.2025

Not everyone will understand your cash-based practice. That’s okay. In this episode, we’re talking about how to handle the naysayers, critics, and confused looks that come with running a cash-based pelvic health practice. Whether it’s a skeptical practitioner, a price-sensitive patient, or your uncle who still doesn’t really get what you do—we want you feeling confident in the model you’ve chosen....

Biofeedback: Is It Worth Your Time? 07.04.2025

Is biofeedback really worth your time? Biofeedback has been a staple in pelvic therapy for years, but is it actually helping patients—or is it just another outdated tool that doesn’t deliver results? This is a replay of one of our most thought-provoking episodes! While I’m out on maternity leave, we’re bringing back some of the best conversations we’ve had over 500+ episodes. In this episode, Nico...

Pros, Cons & Challenges of a Cash-Based Practice 03.04.2025

Thinking about going cash-based—or already there but questioning it? Let’s break it all down. In this episode, we’re talking through the pros and cons of being in a cash-based practice . We break it down into three major categories: ✅ Clinical – The biggest win. You get to treat patients how you actually want—no insurance companies dictating your plan of care or cutting off treatment early. You’r...

Documentation: Taking Back Our Time 31.03.2025

📋 Documentation is the bane of every pelvic therapist's existence. None of us went to PT school because we loved paperwork, and yet documentation takes up a huge portion of our time and energy. For many, it’s the #1 cause of burnout, frustration, and conflict —whether you’re in a cash-based or insurance-based model. But what if you could cut your documentation time significantly and reclaim...

Train Your Front Desk for Success (Front Desk Series – Part 3) 27.03.2025

Hiring a great admin is just the first step—how you onboard them is what really matters. The first few weeks are critical in making sure your new front desk hire becomes a high-performing, confident part of your team. If you don’t set them up for success, you’ll find yourself micromanaging, frustrated, or even worse—back at square one looking for someone new. In this final part of our Front Desk S...

5 Ways the Pelvic Floor is Different 24.03.2025

The pelvic floor isn’t just another muscle—so why do we treat it like one? The pelvic floor is different from every other muscle or area in the body, and if we don’t acknowledge that, we won’t get the best results for our patients. This is a replay of one of our most thought-provoking episodes! While I’m out on maternity leave, we’re bringing back some of the best conversations we’ve had over 500+...

Interview and Hire an Amazing Front Desk Team (Front Desk Series – Part 2) 20.03.2025

Hiring a front desk admin? You don’t have time to waste. One of the biggest challenges in hiring an admin is sorting through a flood of applications and avoiding interviews with people who aren’t actually qualified or interested (just looking for a paycheck!). In this episode (Part 2 of our Front Desk Series), we walk through the exact 5-step hiring process we use at PelvicSanity to find the best...

The Pelvic Floor is a Trampoline, Not a Biceps - A Better Analogy 17.03.2025

🚨 Are we still using the biceps analogy for the pelvic floor? It’s time for an upgrade. When explaining pelvic floor strength , many of us were taught to compare it to a bicep—contracting, strengthening, and controlling movement in a straightforward way. But this analogy doesn’t quite capture the full picture. This is one of our favorite episodes from the past 500+ we’ve recorded! While I’m out o...

Do You Really Need an Admin? (Front Desk Series – Part 1) 13.03.2025

Are you holding your business back by NOT hiring an admin? We were way too late in hiring a front desk team at PelvicSanity, and it’s one of the biggest mistakes we see practice owners make. If you’re unsure whether you need an admin, ask yourself: 👉 What aren’t you able to do for your business because you don’t have time? If you have answers to that question, it’s time to start looking for help....

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