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 broken patient experience. You can’t build a team without systems. And you can’t grow a sustainable business without getting the right people in the door.

We talk about what goes into each pillar, common mistakes we see, and how to build a business you’re proud of that actually works for your life.

🎯 Ready to level up your business?
The next round of our 6-month Business Accelerator opens in June for our July cohort. Apply now at www.pelvicptrising.com/accelerator and we’ll make sure you’re a great fit!

About Us

Nicole and Jesse Cozean founded Pelvic PT Rising to provide clinical and business resources to physical therapists to change the way we treat pelvic health.   PelvicSanity Physical Therapy (www.pelvicsanity.com) together in 2016.  It grew quickly into one of the largest cash-based physical therapy practices in the country.

Through Pelvic PT Rising, Nicole has created clinical courses (www.pelvicptrising.com/clinical) to help pelvic health providers gain confidence in their skills and provide frameworks to get better patient outcomes.  Together, Jesse and Nicole have helped 600+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them! 

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email ([email protected]).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

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 vessels that impact function and pain.

Here’s why it matters:
 👉 Many male pelvic pain patients have tenderness, inflammation, or tightness in the spermatic cord.
👉 Focusing only on the pelvic floor misses a key component of the pain cycle.
👉 Treating the spermatic cord early can lead to faster symptom resolution.

If you're treating penile, testicular, or scrotal pain, this is something you should be assessing and treating within the first few visits.

Tune in to learn why this critical structure could be the missing link in male pelvic pain treatment!

About Us

Nicole and Jesse Cozean founded Pelvic PT Rising to provide clinical and business resources to physical therapists to change the way we treat pelvic health.   PelvicSanity Physical Therapy (www.pelvicsanity.com) together in 2016.  It grew quickly into one of the largest cash-based physical therapy practices in the country.

Through Pelvic PT Rising, Nicole has created clinical courses (www.pelvicptrising.com/clinical) to help pelvic health providers gain confidence in their skills and provide frameworks to get better patient outcomes.  Together, Jesse and Nicole have helped 600+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them! 

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email ([email protected]).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

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 involvement
 👉 Lumbar referral patterns
 👉 Hip referrals

But one consistent missing piece? The perineal fascia.

With nearly every presentation of vulvodynia, it’s almost impossible for the perineal fascia not to be involved—so why aren’t we evaluating and treating it earlier in the process?

In this episode, we break down:
 ✅ Why vulvodynia isn’t a single diagnosis—it’s a symptom.
✅ How perineal fascia dysfunction contributes to pain.
✅ Why this should be a priority in your initial evaluation.

If you’re working with vulvodynia patients and not assessing the perineal fascia, you’re missing a key component of their treatment.

About Us

Nicole and Jesse Cozean founded Pelvic PT Rising to provide clinical and business resources to physical therapists to change the way we treat pelvic health.   PelvicSanity Physical Therapy (www.pelvicsanity.com) together in 2016.  It grew quickly into one of the largest cash-based physical therapy practices in the country.

Through Pelvic PT Rising, Nicole has created clinical courses (www.pelvicptrising.com/clinical) to help pelvic health providers gain confidence in their skills and provide frameworks to get better patient outcomes.  Together, Jesse and Nicole have helped 600+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them! 

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email ([email protected]).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

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 outside the practice: family, hobbies, freedom.
2️⃣ The Hustler – The high-performing solopreneur working long hours, maximizing revenue, and riding the edge of burnout.
3️⃣ The Accidental Boss – A multi-clinician owner who hired help, but hasn’t stepped fully into a leadership role.
4️⃣ The True CEO – A purpose-driven leader building a scalable, impactful clinic and investing in their team.

We talk about the pros and cons of each, mistakes to avoid, and how to optimize for your goals—because these categories aren’t fixed. They evolve.

Level up with the Business Accelerator

🎯 And if you’re ready to level up, the Business Accelerator Program opens again in June for our July cohort. It’s the path from overwhelmed to intentional CEO.

Apply here: www.pelvicptrising.com/accelerator

About Us

Nicole and Jesse Cozean founded Pelvic PT Rising to provide clinical and business resources to physical therapists to change the way we treat pelvic health.   PelvicSanity Physical Therapy (www.pelvicsanity.com) together in 2016.  It grew quickly into one of the largest cash-based physical therapy practices in the country.

Through Pelvic PT Rising, Nicole has created clinical courses (www.pelvicptrising.com/clinical) to help pelvic health providers gain confidence in their skills and provide frameworks to get better patient outcomes.  Together, Jesse and Nicole have helped 600+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them! 

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email ([email protected]).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

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, but the reality is:
👉 It’s almost impossible for pudendal neuralgia to only involve the pudendal nerve.
👉 This is why nerve blocks often fail to relieve all symptoms.
👉 This is why symptoms frequently extend beyond the pudendal nerve’s pathway.

If we don’t consider the posterior cutaneous femoral nerve, we may be missing a major driver of symptoms—and limiting our ability to help these complex patients.

Tune in to hear why broadening your focus beyond the pudendal nerve is key to successful pudendal neuralgia treatment!

About Us

Nicole and Jesse Cozean founded Pelvic PT Rising to provide clinical and business resources to physical therapists to change the way we treat pelvic health.   PelvicSanity Physical Therapy (www.pelvicsanity.com) together in 2016.  It grew quickly into one of the largest cash-based physical therapy practices in the country.

Through Pelvic PT Rising, Nicole has created clinical courses (www.pelvicptrising.com/clinical) to help pelvic health providers gain confidence in their skills and provide frameworks to get better patient outcomes.  Together, Jesse and Nicole have helped 600+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them! 

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email ([email protected]).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

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 core muscles.

But diastasis recti is often a symptom of a system problem—and that problem frequently starts in the back.

In this episode, we break down:
 ✅ Why checking the obliques, paraspinals, and fascia of the back is critical
✅ How weakness or dysfunction in the back contributes to diastasis recti
✅ Why many patients can’t “stack their ribcage over their pelvis” (even if we tell them to!)
✅ How treating the back first often leads to better outcomes

If we truly want to heal diastasis recti, we have to stop waiting until treatment isn’t working to assess the back—it should be part of the initial evaluation.

About Us

Nicole and Jesse Cozean founded Pelvic PT Rising to provide clinical and business resources to physical therapists to change the way we treat pelvic health.   PelvicSanity Physical Therapy (www.pelvicsanity.com) together in 2016.  It grew quickly into one of the largest cash-based physical therapy practices in the country.

Through Pelvic PT Rising, Nicole has created clinical courses (www.pelvicptrising.com/clinical) to help pelvic health providers gain confidence in their skills and provide frameworks to get better patient outcomes.  Together, Jesse and Nicole have helped 600+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them! 

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email ([email protected]).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

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 career work financially, you’re not alone.

We dive into: 

✅ Why school costs have skyrocketed, leaving us with massive debt
✅ How insurance reimbursement has dropped, shrinking wages across the board
✅ Why we get bad financial advice from parents, financial advisors, and even the internet

This isn’t just about numbers—it’s about the stress, anxiety, and shame so many clinicians carry about money. We’re here to change that.

🎓 We’re also announcing our completely free financial training created just for pelvic rehab clinicians—packed with everything we wish Nicole had known 20 years ago.

We’ll cover:
✔️ How to evaluate your financial health with our Clinician Scorecard
✔️ How to make a real plan for retirement
✔️ How to ease the constant money anxiety so many of us carry

💸 Sign up now at www.pelvicptrising.com/financial-foundations

About Us

Nicole and Jesse Cozean founded Pelvic PT Rising to provide clinical and business resources to physical therapists to change the way we treat pelvic health.   PelvicSanity Physical Therapy (www.pelvicsanity.com) together in 2016.  It grew quickly into one of the largest cash-based physical therapy practices in the country.

Through Pelvic PT Rising, Nicole has created clinical courses (www.pelvicptrising.com/clinical) to help pelvic health providers gain confidence in their skills and provide frameworks to get better patient outcomes.  Together, Jesse and Nicole have helped 600+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them! 

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email ([email protected]).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

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, would we evaluate them only sitting or lying down? Of course not!

But that’s exactly what happens with prolapse patients when we don’t assess them in the position where they experience symptoms.

In this episode, we cover:
 ✅ Why a standing prolapse assessment is critical for better treatment
✅ The common hesitations about performing one (and how to overcome them)
✅ How to integrate standing assessments into your practice

If you’re not routinely assessing prolapse in standing and movement, you’re missing a key part of the puzzle. Let’s fix that!

About Us

Nicole and Jesse Cozean founded Pelvic PT Rising to provide clinical and business resources to physical therapists to change the way we treat pelvic health.   PelvicSanity Physical Therapy (www.pelvicsanity.com) together in 2016.  It grew quickly into one of the largest cash-based physical therapy practices in the country.

Through Pelvic PT Rising, Nicole has created clinical courses (www.pelvicptrising.com/clinical) to help pelvic health providers gain confidence in their skills and provide frameworks to get better patient outcomes.  Together, Jesse and Nicole have helped 600+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them! 

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email ([email protected]).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

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 “done.”
👉 Our days get broken into small, unfocused chunks.
👉 We’re unsure what to prioritize in business.

The good news? You can train productivity just like any other skill—with the right mindset and tools.

We dive into 3 actionable ways to get more done, stay focused, and stop feeling like you're spinning your wheels.

If this hits home, it’s exactly what we emphasize in the Pelvic PT Rising Accelerator Program —because being productive on your own is a whole new ballgame.

Business Accelerator Program

Looking to level up your business (and as a business owner)?  Make sure to sign up for the Business Accelerator Program!  

Next cohort starting in July, it's our six-month coaching intensive to fill the schedule, create great systems and build clinical excellence in your practice.  All the details and application at www.pelvicptrising.com/accelerator!

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email ([email protected]).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

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 pelvic floor strength first—but here’s the problem:
👉 Pelvic floor strength isn’t correlated with incontinence.
👉 A patient can test weak and have no symptoms at all.
👉 A patient can test strong and still have massive incontinence issues.

So instead of focusing on isolated strength, we need to ask:
 ✅ What task are they struggling with?
✅ When does the pelvic floor fail to meet the demand?
✅ How does the pelvic floor function in real-world situations?

This means prioritizing standing and dynamic assessments—not just lying-down muscle testing. (For a deep dive into this, check out Not Your Mama’s Kegels at www.pelvicptrising.com/kegels).

If you're loving this Missing Piece series, please consider leaving a 5-star review—we love hearing your feedback and how the podcast has helped you!

About Us

Nicole and Jesse Cozean founded Pelvic PT Rising to provide clinical and business resources to physical therapists to change the way we treat pelvic health.   PelvicSanity Physical Therapy (www.pelvicsanity.com) together in 2016.  It grew quickly into one of the largest cash-based physical therapy practices in the country.

Through Pelvic PT Rising, Nicole has created clinical courses (www.pelvicptrising.com/clinical) to help pelvic health providers gain confidence in their skills and provide frameworks to get better patient outcomes.  Together, Jesse and Nicole have helped 600+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them! 

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email ([email protected]).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!