Finding Pelvic Sanity

Why do most specialty pelvic health clinics see patients for a full hour, 1:1 with the therapist?

Ultimately it’s so we have time to ‘find the why’ for actual relief.  If you aren’t working with a qualified pelvic PT to ‘find the why’, one of three things happens:

1. You don’t improve at all
2. You see little, temporary improvements that don't 'stick' 
3. Symptoms do improve, but end up cropping up somewhere else

For most patients in pelvic floor physical therapy, internal evaluation and treatment of the pelvic floor muscles is extremely important.  This takes time and can’t (or shouldn’t be) rushed.

Then we have to evaluate and treat the external contributing factors.  In fact, most of the time the ‘why’ is found outside the pelvic floor.  So we have to have time to treat externally in each session as well.  This could be treating the low back, mid-back, neck, hips, knees or ankles, depending on where the issue is coming from.

If your PT is only looking internally at the pelvic floor, or only looking externally at the orthopedic issues, they are missing half the picture.

The reason many physical therapy clinics don’t see you for a full hour is so they can make more money from the insurance company.  Financially, it doubles the clinic's revenue to have a PT seeing two (or more) patients per hour.  They do this by using aides, having someone watch you exercise or adding billable time with ice or e-stim at the end of your session.  

Most specialty clinics reject this model.  It might be helpful for simple orthopedic issues, but it certainly doesn’t benefit patients with complex pelvic floor dysfunction.  And even though it might be more lucrative to rush patients through the door every half hour, most experts aren’t willing to compromise on the quality of care.

So if you’ve been seen at a clinic for less than an hour, or had your PT seeing multiple patients at the same time, don’t give up on pelvic floor physical therapy!  

Local to Southern California?

If you're local to SoCal, give our team a call and let us help you find lasting relief!  And if you aren't, we offer a remote consultation program to get a second opinion on your case.

About Us

Dr. Nicole and Jesse Cozean are the founders of PelvicSanity Physical Therapy (www.pelvicsanity.com) in Southern California. The clinic has helped thousands of patients in the Orange County, CA area and hundreds from around the world with a remote consultation and Out of Town Program.

They co-authored The IC Solution and Nicole created The IC Roadmap online course to provide the most accurate, up-to-date information for those with interstitial cystitis. They run the Finding Pelvic Sanity Facebook group for a supportive online community for anyone dealing with pelvic health issues.

Nicole has also created courses and trained thousands of pelvic PTs to provide better care through her work with Pelvic PT Rising (www.pelvicptrising.com).

• Subscribe to the podcast
• Follow @pelvicsanity for great info!
• Join the Finding PelvicSanity support group
• Check out www.pelvicsanity.com for additional help!

And as always, we hope this has helped you find just a bit of pelvic sanity!

If you (or someone you know) has had a C-section, make sure to listen to this full 'sode!  

As anyone who has had one will attest, a C-section is a major surgery.  And in the US, almost 1 in 3 give birth via a C-section.  But we are so cavalier about recovery!

After every other major surgery you are immediately referred to physical therapy to aid in the recovery.  Make sure the wound heals correctly.  Ensure the scar moves smoothly.  Get back your range of motion and strength in the area.

Except for C-sections (and other pelvic and abdominal surgeries).  There we just tell you to try and 'take it easy' (while dealing with a newborn) until it heals and hope it does well.

A C-section scar can be a major driving factor of pelvic floor and abdominal issues.  

It sits right above the bladder; if your scar is 'stuck' or adhered, it can make filling the bladder more difficult and contribute to urinary urgency/frequency.   

The muscles of the abdomen are intricately connected to the pelvic floor and the low back.  A history of a C-section can drive low back pain and ultimately pelvic pain.

We believe every person who has a C-section should be seen by a pelvic floor physical therapist to ensure they have a full and complete recovery.

The good news is that no matter how long it's been you can still get help!  If you have other symptoms, make sure your pelvic PT is checking your C-section scar.  It should move and feel almost identical to the tissue around it.  It shouldn't be painful to touch or move or numb.  And if you have an aversion to touching it (or even looking at it), definitely a sign to see a pelvic PT and get it moving freely again!

Remote Consultation

If you're struggling to get answers from your local practitioners or aren't sure what's next, PelvicSanity offers remote consultations to give you a concrete action plan going forward.  Our expert team will evaluate your entire case and give you our honest, clear recommendations going forward.  Check out our Remote Consultation program (www.pelvicsanity.com/remote) for all the details!

About Us

Dr. Nicole and Jesse Cozean are the founders of PelvicSanity Physical Therapy (www.pelvicsanity.com) in Southern California. The clinic has helped thousands of patients in the Orange County, CA area and hundreds from around the world with a remote consultation and Out of Town Program.

They co-authored The IC Solution and Nicole created The IC Roadmap online course to provide the most accurate, up-to-date information for those with interstitial cystitis. They run the Finding Pelvic Sanity Facebook group for a supportive online community for anyone dealing with pelvic health issues.

Nicole has also created courses and trained thousands of pelvic PTs to provide better care through her work with Pelvic PT Rising (www.pelvicptrising.com).

• Subscribe to the podcast
• Follow @pelvicsanity for great info!
• Join the Finding PelvicSanity support group
• Check out www.pelvicsanity.com for additional help!

And as always, we hope this has helped you find just a bit of pelvic sanity!

With recent evidence Elmiron can cause long-term eye damage, many people with IC are reconsidering their use of the drug.  In this ‘sode we dive into the evidence for Elmiron’s efficacy and safety to help you make an informed decision.

Elmiron remains the only FDA-approved oral medication specifically for IC and many urologists prescribe it automatically because of this.

However, it’s unclear how much of a positive effect Elmiron has.  There have been five randomized, controlled trials with Elmiron.

• Two showed a slight benefit (a 25% improvement) for a small percentage of patients (between 15-16% compared to placebo)
• Three showed no benefit at all compared to a placebo and the largest trial wsa stopped early because the drug wasn’t shown to be effective.

From the data, we have to conclude either Elmiron has no benefit at all, or at best has a slight benefit from about 15% of people.  And we are left to weigh whether that upside is worth the risk.

Researchers have discovered Elmiron use is linked to eye damage (though it doesn’t happen for everyone on the drug).  This link gets stronger the longer you’ve taken the drug and the more of it you’ve taken.  The FDA has put a warning label on the drug and the company is being sued over it.  If you are on Elmiron, make sure to be getting your eyes examined by a retinal specialist.

Other side effects of Elmiron have been called ‘mild’, but for many patients are anything but.  Significant hair loss is common, as is GI upset and other issues.  

With questionable efficacy in question and significant safety concerns, it would be hard to recommend anyone starting Elmiron with what we know today.  

If you have been on the drug and find it helpful it’s often a more difficult decision and one to make in consultation with your physician.  As with any change in medication, always make sure you discuss thoroughly with your physician.

Remote Consultation

If you're struggling to get answers from your local practitioners or aren't sure what's next, PelvicSanity offers remote consultations to give you a concrete action plan going forward.  Our expert team will evaluate your entire case and give you our honest, clear recommendations going forward.  Check out our Remote Consultation program (www.pelvicsanity.com/remote) for all the details!

About Us

Dr. Nicole and Jesse Cozean are the founders of PelvicSanity Physical Therapy (www.pelvicsanity.com) in Southern California. The clinic has helped thousands of patients in the Orange County, CA area and hundreds from around the world with a remote consultation and Out of Town Program.

They co-authored The IC Solution and Nicole created The IC Roadmap online course to provide the most accurate, up-to-date information for those with interstitial cystitis. They run the Finding Pelvic Sanity Facebook group for a supportive online community for anyone dealing with pelvic health issues.

Nicole has also created courses and trained thousands of pelvic PTs to provide better care through her work with Pelvic PT Rising (www.pelvicptrising.com).

• Subscribe to the podcast
• Follow @pelvicsanity for great info!
• Join the Finding PelvicSanity support group
• Check out www.pelvicsanity.com for additional help!

And as always, we hope this has helped you find just a bit of pelvic sanity!

In pelvic physical therapy you’re dealing with dysfunctional tissue, reduced blood flow, increased inflammation and in an area the body is wired to pay close attention to.  

But pelvic physical therapy should never hurt.  We can’t treat pain with more pain.  And the idea of ‘no pain, no gain’ not only isn’t true, it’s actively harmful.

Now, it can be uncomfortable, but there’s a major distinction.  You shouldn’t be trying to ‘bear’ treatment.  The discomfort should ease during the session as the PT works on the tissue.  And your pelvic PT should be checking in to see how you’re doing if they’re working on a tender area.

In this ‘sode we discuss how to communicate with your pelvic physical therapist if things are hurting or if you need to seek a second (or third) opinion.  Because there is a lot your physical therapist should be able to do if you are having pain in one area.

• They can just work somewhere else (there’s plenty to do!).
• They can relax your nervous system first.
• They can use a different technique.
• They can postpone working on that area until a different day.
• They can help you find medical management to decrease pain before working there.

You should never be in pain during pelvic floor physical therapy.  It’s counterproductive and harmful to the overall process.  If you are, make sure you say something to your pelvic PT.  And be prepared to get a second opinion if necessary!

Remote Consultations

If you're struggling to get answers from your local practitioners or aren't sure what's next, PelvicSanity offers remote consultations to give you a concrete action plan going forward.  Our expert team will evaluate your entire case and give you our honest, clear recommendations going forward.  Check out our Remote Consultation program (www.pelvicsanity.com/remote) for all the details!

About Us

Dr. Nicole and Jesse Cozean are the founders of PelvicSanity Physical Therapy (www.pelvicsanity.com) in Southern California. The clinic has helped thousands of patients in the Orange County, CA area and hundreds from around the world with a remote consultation and Out of Town Program.

They co-authored The IC Solution and Nicole created The IC Roadmap online course to provide the most accurate, up-to-date information for those with interstitial cystitis. They run the Finding Pelvic Sanity Facebook group for a supportive online community for anyone dealing with pelvic health issues.

Nicole has also created courses and trained thousands of pelvic PTs to provide better care through her work with Pelvic PT Rising (www.pelvicptrising.com).

• Subscribe to the podcast
• Follow @pelvicsanity for great info!
• Join the Finding PelvicSanity support group
• Check out www.pelvicsanity.com for additional help!

And as always, we hope this has helped you find just a bit of pelvic sanity!

In short, yes!  There's a reason every other surgery - foot, ankle, knee, hip, shoulder, back, elbow, hand, and many more - automatically results in you going to physical therapy to recover.

Physical therapists are the experts in guiding recovery.  Making sure you continue to move well.  Guiding your body's healing response.  Ensuring scar tissue doesn't stick or 'adhere' and create problems.

And with the exception of pelvic and abdominal surgeries, you'll automatically be referred to physical therapy to get post-surgical help.  Except in the areas where your most essential bodily functions happen!

These surgeries are huge risk factors for later instances of pelvic pain, urinary issues, bowel and constipation problems, painful intercourse, and more.  

The good news - no matter how long it's been, seeing a pelvic floor physical therapist can help you get back your proper motion, clear up scar tissue and relieve symptoms.

Here is a partial list of the surgeries pelvic PT can (and should!) help with.  Also, if you're considering a surgery, make sure you 'pre-hab' with a pelvic PT.  Often we can help you avoid the surgery entirely, but if not we can set you up for success and ensure you get the best possible outcome!

Abdominal Surgeries:

• Gall bladder
• Hernia repair
• Appendectomy
• Bowel resection
• Tummy tuck
• Breast augmentation
• Abdominal wall repair
• Any surgery that leaves a scar on the abdomen or goes in through the belly button (even if it's just a small incision)

Delivery Surgeries and Wounds

• C-Section
• Episiotomy
• Tearing with delivery (any grade)

Pelvic/Gynecologic Surgeries

• Hysterectomy
• Endo surgeries
• Prolapse repair
• Bladder slings
• Urethral surgeries
• Any pelvic cancer surgeries
• Prostatectomy 
• Fibroids and cysts
• Gender affirming surgery
• And anything else done 'down there!'

While it's frustrating you likely weren't told about pelvic PT to help prevent or recover from these surgeries, it's never too late!

About Us

Dr. Nicole and Jesse Cozean are the founders of PelvicSanity Physical Therapy (www.pelvicsanity.com) in Southern California. The clinic has helped thousands of patients in the Orange County, CA area and hundreds from around the world with a remote consultation and Out of Town Program.

They co-authored The IC Solution and Nicole created The IC Roadmap online course to provide the most accurate, up-to-date information for those with interstitial cystitis. They run the Finding Pelvic Sanity Facebook group for a supportive online community for anyone dealing with pelvic health issues.

Nicole has also created courses and trained thousands of pelvic PTs to provide better care through her work with Pelvic PT Rising (www.pelvicptrising.com).

• Subscribe to the podcast
• Follow @pelvicsanity for great info!
• Join the Finding PelvicSanity support group
• Check out www.pelvicsanity.com for additional help!

And as always, we hope this has helped you find just a bit of pelvic sanity!

Not everyone with IC experiences the same condition.  Symptoms vary.  The way they manifest is different.  Some people respond to certain medications while others don’t.

This led researchers to propose several different types of systems to break IC into sub-categories called ‘phenotypes’.  The entire point of a phenotype is it needs to be 1) easily identifiable and 2) able to guide your treatment options.

Early attempts to phenotype IC failed these criteria.  There remain other proposed phenotyping systems out there but they remain unproven, and frankly unhelpful and confusing.

In it’s most recent IC Guidelines, the American Urological Association (AUA) simplified this into three distinct IC sub-types:

• Hunner’s Lesions: These are patients with discernable damage (Hunner’s lesions) to the bladder lining.  This represents less than 10% of all people diagnosed with IC.  If you’ve had a cystoscopy and they did not find Hunner’s lesions (even if they said it was ‘a little red’ or ‘angry’), you don’t have this subtype.  
• Pelvic Floor:  These are people with pelvic floor dysfunction either contributing to or driving their symptoms.  This is found in 85-90% of people diagnosed with IC, so is by far the most common and likely issue.  Pelvic floor dysfunction can be diagnosed with a pelvic floor examination by a pelvic floor physical therapist (not necessarily your urologist or OB-GYN).  
• Widespread Pain / Central Sensitization:  This sub-type occurs when the condition has been going on long enough to cause the nervous system to go into ‘overdrive’ and turn up the volume.  This phenotype is characterized by symptoms of IC plus pain outside the pelvis, sensitivity to light, tough, or pressure, a history of anxiety, depression, trauma or PTSD and other associated issues.  

Of the phenotypes there is a lot of overlap in how they should be treated.  Pelvic floor physical therapy should be recommended for all different phenotypes.  Those with Hunner’s lesions need to have those medically managed, and those with central sensitization need to both stop the pain signals from the pelvis (through pelvic floor physical therapy) and also work to relax the upregulated nervous system causing additional issues through the body.

Remember to focus less on the label and more on finding the practitioner(s) who can help you find relief!

About Us

Dr. Nicole and Jesse Cozean are the founders of PelvicSanity Physical Therapy (www.pelvicsanity.com) in Southern California. The clinic has helped thousands of patients in the Orange County, CA area and hundreds from around the world with a remote consultation and Out of Town Program.

They co-authored The IC Solution and Nicole created The IC Roadmap online course to provide the most accurate, up-to-date information for those with interstitial cystitis. They run the Finding Pelvic Sanity Facebook group for a supportive online community for anyone dealing with pelvic health issues.

Nicole has also created courses and trained thousands of pelvic PTs to provide better care through her work with Pelvic PT Rising (www.pelvicptrising.com).

• Subscribe to the podcast
• Follow @pelvicsanity for great info!
• Join the Finding PelvicSanity support group
• Check out www.pelvicsanity.com for additional help!

And as always, we hope this has helped you find just a bit of pelvic sanity!

In short, our answer is ‘yes’.  With all of the physical challenges of pregnancy, delivery and the early post-partum period, we believe everyone should get pelvic floor physical therapy.  But let’s dive into why that is!

First, let’s recognize in America we are significantly behind the rest of the world with this.  In many places in the developed world pelvic floor physical therapy is automatically prescribed to every single person after having a baby.

Here’s why this is so important: 

1. Pregnancy is nine months of body changes.  Things seem like they’re changing every day.  You move differently.  Your center of balance changes.  You’re likely dealing with some discomfort or pain (especially if you aren’t going to a pelvic PT during pregnancy).  You have increased demand on your pelvic floor for nine months.  These are massive changes to the body!

2.  Delivery (no matter how you delivered) is a major trauma.  Giving birth vaginally is a marathon event.  The body is taxed to it’s outer limits - and beyond - for anywhere from 4 hours to 2 days.  And a C-Section is a major surgery!  

3.  Postpartum has it’s own challenges.  Once baby is here, your daily life changes overnight.  You’re lifting and carrying.  You’re holding the baby to your chest to breastfeed.  You are hoisting car seats and carriers.  This often creates issues not just in the pelvic floor but in your back, hands, feet or other areas.

The vast majority of people who delivery a baby have post-partum issues like:

• Low back pain (77%)
• Incontinence (50%)
• Diastasis recti (50%)
• Prolapse (30-40%)
• Painful Intercourse (40%)
• C-Section Scar Healing (25-30%)
• General Pelvic Pain (10-20%)

Like anything else, these symptoms don’t get easier to treat the longer they are ignored.  We want to make sure we’re able to resolve these before they get worse or start impacting other areas.

No matter how long it’s been since your delivery, pelvic floor physical therapy can help.  You don’t have to live with post-partum issues or feel disconnected from your body!

Local to Southern California?

If you're local to Southern California, make sure to give our office at PelvicSanity (www.pelvicsanity.com) a call.  

About Us

Dr. Nicole and Jesse Cozean are the founders of PelvicSanity Physical Therapy (www.pelvicsanity.com) in Southern California. The clinic has helped thousands of patients in the Orange County, CA area and hundreds from around the world with a remote consultation and Out of Town Program.

They co-authored The IC Solution and Nicole created The IC Roadmap online course to provide the most accurate, up-to-date information for those with interstitial cystitis. They run the Finding Pelvic Sanity Facebook group for a supportive online community for anyone dealing with pelvic health issues.

Nicole has also created courses and trained thousands of pelvic PTs to provide better care through her work with Pelvic PT Rising (www.pelvicptrising.com).

• Subscribe to the podcast
• Follow @pelvicsanity for great info!
• Join the Finding PelvicSanity support group
• Check out www.pelvicsanity.com for additional help!

And as always, we hope this has helped you find just a bit of pelvic sanity!

It’s a question we get asked at PelvicSanity all the time - ‘how long before I’m better?’

The answer?  It depends.  But let’s dive deeper and discuss some of the factors that make pelvic floor physical therapy so complex and what you can expect.  We’ll also give you some takeaways to think about when you’re in pelvic PT.

One of the reasons we don’t know is there are so many variables that affect how long it takes to improve with pelvic floor dysfunction.  These include both what’s going on with your body and what’s going on with you as an individual. 

These include (but aren’t limited to):

• The severity of your current symptoms
• How long your current symptoms have been present
• How long pelvic floor dysfunction has been ‘brewing’ in your history
• How much your nervous system is involved
• Your willingness to make lifestyle changes
• Your capacity to commit to treatment and your support system
• Whether you have a history of trauma
• Your baseline health and age
• What other practitioners you’re working with
• The skill of your pelvic PT (they aren’t all created equal!)

With that, it’s very difficult to know how long things will take until we really start working with you and seeing how your body responds.  However, a few takeaways for you:

1. This will be variable, but you should have great communication with your pelvic PT.  They should answer your questions, not be defensive and not blame you for not improving….but they also likely won’t give you an exact answer to a question that isn’t knowable upfront.
2. See a difference in 3-5 visits.  This isn’t necessarily even an improvement or a wholesale change, but certainly a difference in your body, how you’re feeling or at least some of your symptoms.
3. It’s likely longer than you’re expecting/hoping.  Most patients are discharged too early, before they’ve truly found lasting relief of symptoms.  We need to ‘find the why’ and make sure symptoms go away, stay away and that you can manage on your own.  That process takes time - but when you go through it, the changes last!

Finding Pelvic Sanity Group

If you're struggling with pelvic floor issues, make sure to join Finding Pelvic Sanity, the free and supportive group moderated by the PelvicSanity team!

About Us

Dr. Nicole and Jesse Cozean are the founders of PelvicSanity Physical Therapy (www.pelvicsanity.com) in Southern California. The clinic has helped thousands of patients in the Orange County, CA area and hundreds from around the world with a remote consultation and Out of Town Program.

They co-authored The IC Solution and Nicole created The IC Roadmap online course to provide the most accurate, up-to-date information for those with interstitial cystitis. They run the Finding Pelvic Sanity Facebook group for a supportive online community for anyone dealing with pelvic health issues.

Nicole has also created courses and trained thousands of pelvic PTs to provide better care through her work with Pelvic PT Rising (www.pelvicptrising.com).

• Subscribe to the podcast
• Follow @pelvicsanity for great info!
• Join the Finding PelvicSanity support group
• Check out www.pelvicsanity.com for additional help!

And as always, we hope this has helped you find just a bit of pelvic sanity!

Pelvic floor dysfunction can cause a wide range of symptoms, include many types of pain, bowel issues, urinary/bladder issues and sexual dysfunction.

Many times patients feel like there’s so many different things wrong, when in reality it’s all stemming from the pelvic floor.  By addressing and treating the underlying problem, we can make a substantial difference in these symptoms.  Issues the pelvic floor can cause include:

1. Pelvic Pain, including pain in the genitals, deep groin pain, pain in the glutes or piriformis and tailbone
2. Pelvic Girdle Pain, which includes low back pain, SI joint pain, hip pain, and pain in the inner thighs or down the legs (including sciatica)
3. Sexual Pain in both genders, which includes pain with intercourse, insertion, arousal, post-orgasmic pain, pain with ejaculation or erection, and a flare of symptoms after sexual activity.
4. Bowel Symptoms include constipation, pain with bowel movements, incomplete emptying, having to strain, hemorrhoids, fecal incontinence or fecal smearing
5. Urinary Issues include incontinence, urinary urgency, urinary frequency, incomplete emptying, a slow or hesitant stream, having to go at night (nocturia), and recurring UTIs.
6. Sexual Symptoms include a lack of arousal, under-stimulation or over-stimulation, inability to orgasm erectile dysfunction and premature ejaculation
7. Other Symptoms include prolapse, feelings of heaviness or pressure, diastasis recti (often in post-partum) and issues during pregnancy.

That’s a huge list!  The pelvic floor is complex, it sits at the crossroads of the body, it has a huge number of nerves running through it and it controls massively important bodily functions!

The good news is working with a great pelvic PT can address the common denominator of these symptoms and help you find lasting relief!

Finding Pelvic Sanity

If you're local to Southern California (or could come out for an Out of Town Program), we'd love to work with you at PelvicSanity!  If you haven't yet, make sure you've joined our supportive Finding Pelvic Sanity online community - moderated by the PelvicSanity team, it's full of practical, positive information and 5,000+ supporting members!

About Us

Dr. Nicole and Jesse Cozean are the founders of PelvicSanity Physical Therapy (www.pelvicsanity.com) in Southern California. The clinic has helped thousands of patients in the Orange County, CA area and hundreds from around the world with a remote consultation and Out of Town Program.

They co-authored The IC Solution and Nicole created The IC Roadmap online course to provide the most accurate, up-to-date information for those with interstitial cystitis. They run the Finding Pelvic Sanity Facebook group for a supportive online community for anyone dealing with pelvic health issues.

Nicole has also created courses and trained thousands of pelvic PTs to provide better care through her work with Pelvic PT Rising (www.pelvicptrising.com).

• Subscribe to the podcast
• Follow @pelvicsanity for great info!
• Join the Finding PelvicSanity support group
• Check out www.pelvicsanity.com for additional help!

And as always, we hope this has helped you find just a bit of pelvic sanity!

One of the most common questions we get asked is whether your symptoms are truly IC or are they pelvic floor dysfunction.  

It’s important to know that ‘IC’ is a description of symptoms.  It just means you’re experiencing pain you perceive to be coming from the bladder and urinary urgency/frequency.  But it tells us nothing about the ‘why’ of your symptoms or what treatments to try.

It’s also important to realize that IC is not a bladder condition.  It’s a pelvic pain condition.  More than 90% of people diagnosed with IC have no discernable problem with their bladder.  Even those who do have Hunner’s lesions are not ‘cured’ when those are removed.  

Among those diagnosed with IC, nearly 90% have confirmed pelvic floor dysfunction.  And at PelvicSanity, we’ve literally never seen someone with IC symptoms who didn’t have a pelvic floor component.

It’s often down to your physician whether you get an IC diagnosis.  Some urologists don’t like saying ‘IC’ to patients because it leads them down the bladder-centric road of Elmiron, instillations and focusing on the ‘IC diet’.  

Others are more liberal with the diagnosis and use it for any patient who has the symptoms that qualify.

Ultimately, if you’re diagnosed with IC many - if not all - of your symptoms are likely coming from the pelvic floor.  So there’s a huge overlap between these terms.  It makes sense to focus less on the label and more on finding the practitioners who can help!

IC Roadmap Course

If you've been diagnosed with IC (or suspect you may have it), we have a full-length online course with all of the information you need to understand the diagnosis and formulate your plan for recovery.  You can find The IC Roadmap course here (www.pelvicsanity.com/icroadmap)!

And if you haven't already, make sure you join the Finding Pelvic Sanity online community!

About Us

Dr. Nicole and Jesse Cozean are the founders of PelvicSanity Physical Therapy (www.pelvicsanity.com) in Southern California. The clinic has helped thousands of patients in the Orange County, CA area and hundreds from around the world with a remote consultation and Out of Town Program.

They co-authored The IC Solution and Nicole created The IC Roadmap online course to provide the most accurate, up-to-date information for those with interstitial cystitis. They run the Finding Pelvic Sanity Facebook group for a supportive online community for anyone dealing with pelvic health issues.

Nicole has also created courses and trained thousands of pelvic PTs to provide better care through her work with Pelvic PT Rising (www.pelvicptrising.com).

• Subscribe to the podcast
• Follow @pelvicsanity for great info!
• Join the Finding PelvicSanity support group
• Check out www.pelvicsanity.com for additional help!

And as always, we hope this has helped you find just a bit of pelvic sanity!