By Nicole Cozean, PT, DPT, WCS & Jesse Cozean
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The podcast currently has 471 episodes available.
If you're like us, you might have a negative perception of a 'mission statement'. We certainly thought it was dumb for us as a small company.
We had both sat through long meetings to create, or explain, or pontificate about a mission statement before. Usually something created by HR and long, boring and pointless.
But we were wrong to throw away the idea just because the execution is so bad in big companies!
Clarifying your message and mission can help you create content around what you really believe. If you are clear on what you stand for, you'll never have trouble finding topics to talk about! A lot of our struggles to make IG posts, newsletters, or other content come down to not being clear on this.
In this 'sode we talk about how we came to our missions statement for Rising:
"We coach entrepreneurs in authentically creating impactful patient care while building financial confidence and lifestyle freedom."
Each word is carefully chosen and means something to us (and communicates it to those thinking about working with us.
Hope you enjoy this 'sode on how we changed our mind about a mission statement and how important it has been for us going forwrd!
Accelerator - January Cohort!
If you're looking to grow as a business owner in 2025, you don't have to go it alone! Our next cohort of the Business Accelerator Program is starting in January.
We've taken more than 300 pelvic health businesses through this program. They've increased revenue, grown in confidence and begun to enjoy the journey more.
Whether you're a brand-new business owner or a veteran with multiple employees, this is the program for you! Check it out and apply at www.pelvicptrising.com/accelerator!
We review every application and get back to you, so we'll answer questions and make sure it's the right 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!
This is something I've heard when teaching and training about how to treat interstitial cystitis (IC): "I don't think they really have IC."
What we usually mean by this is we feel their symptoms are stemming from pelvic floor dysfunction and central sensitization.
The AUA Definition of IC is simply: "An unpleasant sensation (pain, pressure, discomfort) perceived to be related to the urinary bladder, associated with lower urinary tract symptoms of more than six weeks duration, in the absence of infection or other identifiable causes."
So this is really a description of symptoms. If they have any kind of pelvic pain and urinary urgency/frequency without an infection or other medical cause, it is - by definition - correct to call it IC.
This is similar to how someone can have pudendal neuralgia....caused by pelvic floor dysfunction.
Vulvodynia....caused by pelvic floor dysfunction.
Coccydynia....caused by pelvic floor dysfunction.
Many of the diagnoses we treat are really just descriptors of the condition. So just because pelvic floor dysfunction is the underlying cause, it doesn't mean they don't have the diagnosis!
Now, how you present this to your patient depends on their history with their symptoms and how they perceive the diagnosis.
But if they have those symptoms, among ourselves, we need to stop saying "I don't think this patient really has IC".
PelviCon 2025 - Wait List Open
The PelviCon 2025 wait list is now open! For those who want more info (or know they are coming and want priority registration on Black Friday), make sure you head to www.pelvicon.com and sign up for the wait list!
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!
We get really honest about the challenges and growing pains in a multi-clinician practice in this 'sode. And we'll make sure to have some advice on how to mitigate them!
But you can really boil down the big challenges into three categories.
Time - You're going to have a huge increase in the demands on your time. You'll be doing more admin work. More marketing. More leadership. More logistics. More training and onboarding. All while still dealing with your own caseload.
Role - The moment you hire, your role in the business changes forever. But it can take time to recognize and assume your new role. You're responsible for filling schedules, training and building systems. Leading a team and providing mentorship. And - as with any new role - we're usually not very good at it right out of the gate!
Financial - Many business owners are surprised when adding staff doesn't increase what they make in the business. We've worked with many business owners who have employees making more than they do! Your profit margin drops, and we often feel we're not making income commensurate with the extra time and patient volume the practice is seeing.
Especially when you're growing, you have a new business every six months. What got you here won't get you to the next mountaintop. We hope this 'sode helps you know you're not alone, and gives you some practical tips as you grow your business!
Accelerator - January Cohort!
If you're looking to grow as a business owner in 2025, you don't have to go it alone! Our next cohort of the Business Accelerator Program is starting in January.
We've taken more than 300 pelvic health businesses through this program. They've increased revenue, grown in confidence and begun to enjoy the journey more.
Whether you're a brand-new business owner or a veteran with multiple employees, this is the program for you! Check it out and apply at www.pelvicptrising.com/accelerator!
We review every application and get back to you, so we'll answer questions and make sure it's the right 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!
Why do we start teaching perineal massage (and all of our birth prep) earlier than most at PelvicSanity? There are a few reasons.
The first is simple - 37 weeks is considered full term. No one will try and stop it if you go into labor. So we plan to have all of our birth prep complete by then. Any time we get after 37 weeks is just a bonus. We're keeping our people comfortable or reminding them of things we've already covered in those final weeks.
Next, most of our pregnant folks are coming in with other symptoms. So if we're planning to wait until 34 or 35 weeks, our plan to teach perineal massage might get blown up if they have a flare-up of back pain or need other help.
As they get closer to delivery, our people (naturally) get more focused on the baby as well. They are going to more OB appointments, which might get in the way of our plan of care. They're trying to prepare for the arrival of the new addition, and have other stresses as they plan for delivery and bringing the new one home.
Finally, I think we usually oversimply perineal massage. It's not that easy! It's a difficult area to reach. The tissue is often tender and needs to be worked on by us prior to teaching them to do it themselves. They may not want a partner to help or might feel self-conscious about doing this. Remember, not everyone is as excited about the pelvic floor as we are!
And speaking from personal experience, I'm guessing even many of us - as pelvic rehab providers - don't do much for our own perineal massage. So if we're going to emphasize it to patients, we need to give ourselves time to do it!
PelviCon 2025 - Wait List Open
The PelviCon 2025 wait list is now open! For those who want more info (or know they are coming and want priority registration on Black Friday), make sure you head to www.pelvicon.com and sign up for the wait list!
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!
While many solopreneurs are struggling to fill their schedule, there is also a problem of being 'too busy.' Remember, we are never out of problems as entrepreneurs. Instead, we're just trading one problem for a better one!
So if you're a busy solopreneur, you're often feeling overwhelmed by the demand for your services. Worried you aren't providing the best patient care because you can't offer regular appointments. And dealing with a long wait list for people to get in to see you. You're probably feeling guilty about not being able to provide the care you want for your people.
Remember, the answer isn't to 'panic hire'! Sometimes you might want to stay a busy solopreneur.
And if you do (or you can't find someone to hire), here are some suggestions to make life better:
We would love everyone listening to settle into 'Happy as a Little Clam', but it's difficult to do!
And if you're looking to get more settled and grow as a business owner, would love to work with you in the Business Accelerator Program in January!
Accelerator - January Cohort!
If you're looking to grow as a business owner in 2025, you don't have to go it alone! Our next cohort of the Business Accelerator Program is starting in January.
We've taken more than 300 pelvic health businesses through this program. They've increased revenue, grown in confidence and begun to enjoy the journey more.
Whether you're a brand-new business owner or a veteran with multiple employees, this is the program for you! Check it out and apply at www.pelvicptrising.com/accelerator!
We review every application and get back to you, so we'll answer questions and make sure it's the right 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!
Building an outwardly successful business doesn't mean much if we don't enjoy the journey! In this 'sode we dive into how we can be more content and happy as business owners.
What we all get wrong is thinking we'll be happier in our business when we reach the next milestone. The ideal amount of patients. The next big revenue number. When we hire. We just keep chasing the next thing.
We certainly hit this in building PelvicSanity. In 2019 we had grown from just Nicole to 5 full-time clinicians in just 3 years. We had an admin team and a massage program. But despite all that outward success we were still working constantly, stressing over finances, frustrated with our team, forgoing vacations and time off, and not being true to why we had started the business in the first place.
After working on it ourselves and with 600+ other business owners, we've learned a few things about being happier in business.
1. Financial Confidence. This is more than just financial success or security. It's knowing your numbers. Paying yourself regularly. Setting aside money for taxes and building a buffer account for a rainy day in the business. And being confident your business can provide for you.
2. Time Freedom. Many of us started our own business to have more time freedom. But find ourselves working late, miss pickups, don't take vacation or sacrifice time we'd rather spend with our families, working out, or with friends.
3. Crafting Our Job. We want you to be able to spend more of your time doing what you love in the business and less doing things you don't enjoy.
Accelerator - January Cohort!
If you're looking to grow as a business owner in 2025, you don't have to go it alone! Our next cohort of the Business Accelerator Program is starting in January.
We've taken more than 300 pelvic health businesses through this program. They've increased revenue, grown in confidence and begun to enjoy the journey more. Whether you're a brand-new business owner or a veteran with multiple employees, this is the program for you! Check it out and apply at 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!
Here's the finale to our series on "Paying Your People", where we go over the 10 most common mistakes we see business owners making.
We've already gone over salary vs hourly pay, raises, bonus structure and other tips - make sure to check those out if you haven't already!
Make sure you aren't making some of these mistakes in your practice.
Accelerator - January Cohort!
If you're looking to grow as a business owner in 2025, you don't have to go it alone! Our next cohort of the Business Accelerator Program is starting in January.
We've taken more than 300 pelvic health businesses through this program. They've increased revenue, grown in confidence and begun to enjoy the journey more.
Whether you're a brand-new business owner or a veteran with multiple employees, this is the program for you! Check it out and apply at www.pelvicptrising.com/accelerator!
We review every application and get back to you, so we'll answer questions and make sure it's the right 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!
How can you make sure what you learn makes it into your clinical practice? We've all fallen victim to taking a course or hearing something new, but not implementing it with our patients.
On the heels of PelviCon and after coming back from a business conference, we were thinking of exactly how we implement to make sure we put the ideas into practice. After all, if we just learn but don't implement, what have we gain?
Or, put another way....everyone knows, nobody does.
Hope you enjoy the 'sode!
Free Training - Saving Money on Taxes "The Right Way"
Last chance to join us for our free fall training this Wednesday (10/30)! We're helping business owners save money on taxes in an ethical, legal and savvy way.
Register at www.pelvicptrising.com/taxes to join us (a replay will also be available!
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!
Should we be giving raises? How often? And how much? In Part 3 of the series, we dive into all your questions.
From our annual State of Pelvic Rehab survey, we found the following:
So, what should we do as business owners about raises? We believe (and teach) they should be RTF - Regular, Transparent and Fair.
Regular - We believe in an annual raise for your clinicians. If you were an employee and didn't receive one, it was likely frustrating and a negative experience. Importantly, we only discuss these at our annual review. This means we aren't talking about it the other 364 days each year!
Transparent - Your people should know how it's done! We start this conversation in our interviews, and then in our onboarding, 3-month and 6-month reviews. There are no surprises.
Fair - We have the annual raise be a combination of cost-of-living increase (which everyone gets) and a performance-based raise. Especially as your team grows, you want to make sure these raises are fair to each team member.
Remember, the 'raise' can include extra benefits you're giving that year as well! Paid time off, 401k, health stipend, etc.!
We hope this 'sode eliminates some of the uncertainty when it comes time for an annual performance review and raise!
Accelerator - January Cohort!
If you're a business owner looking to take things to the next level in 2025, you don't have to go it alone! Our next cohort of the Business Accelerator Program is starting in January.
We've taken more than 300 pelvic health businesses through this program. They've increased revenue, grown in confidence and begun to enjoy the journey more.
Whether you're a brand-new business owner or a veteran with multiple employees, this is the program for you! Check it out and apply at www.pelvicptrising.com/accelerator!
We review every application and get back to you, so we'll answer questions and make sure it's the right 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!
Not necessarily a fun 'sode to do, but we wanted to revisit The IC Solution - written almost 10 years ago now - to see what we got wrong or would change if we wrote another edition.
We talk about the book-writing process, how we wrote a good chunk of it in a oceanfront pool in Mexico, and what our goal was for patients.
The book has been the best-seller in it's Amazon category and reached nearly 25,000 patients. And it's something we're incredibly proud of.
A lot of things in the book changed opinions or have aged really well. The American Urological Association added our 'no kegels' rule for treating patients with IC to their 2022 Guidelines.
We showed in the book the evidence for Elmiron helping patients was very weak and almost certainly didn't outweigh the side effects.
There was a major emphasis in the book on 'nervous system upregulation', which we would now call more 'central sensitization', even before much of that research came out.
But three things we got wrong (or would do differently if we wrote it today):
Hope this has been helpful to see how opinions evolve and change. Anything you put out into the world won't be perfect in 10 years - just put it out!
PelviCon Recordings - 1 Day Flash Sale
If you missed the PelviCon recordings, we're doing a 1-day flash sale with a portion of the proceeds benefitting Hurricane Helene relief. You have less than 24 hours - here's the link! www.pelvicon.com/recording
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!
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