By Nicole Cozean, PT, DPT, WCS & Jesse Cozean
4.9
166166 ratings
The podcast currently has 468 episodes available.
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!
Should you be 'bonusing' your employees?
Generally you'll find bonuses in other fields - lawyers, salespeople, etc. And they can make sense. You're trying to incentivize an employee to work longer or harder with a bonus.
But that doesn't really track in pelvic health. Do any of us believe a clinician is going to provide better clinical care because they get a bonus?
Clinicians provide better care when we provide clinical mentorship, onboarding, training, guide their con-ed and spend time with them as mentors. Throwing money at them in the form of a bonus is never going to improve their clinical outcomes or buy-in.
And bonuses often create resentment if a clinician doesn't earn one, or the amount isn't as high as it was last year. They can be a major profit leak; many business owners who give bonuses don't even know how much their employees are actually making per hour!
You have to implement metrics that really track performance and then be willing to not give the bonus if your people don't hit it - which is a difficult conversation!
And it just complicates the whole thing.
So if you aren't giving bonuses, it's not something we recommend.
If you are, then decide if it's working! Calculate out what you're actually paying on a per-hour or annual basis including all the bonuses. Decide if it's worth changing in your business right now. If so, it's going to be a difficult conversation, but it might need to happen for the long-term health of the business.
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!
This 'sode is all about surviving this turbulent political season. It's based on training we give our staff at PelvicSanity about how to navigate an election and patients who are passionate/anxious/fired up about the political environment.
Let's start with this - talking politics with your patients is never going to go well.
Even if you're on the 'same team', going back and forth about what the 'other side' is doing is only going to rile both of you up.
And if you have political disagreements, you aren't going to change anyone's mind. Especially not while your finger is up their butt!
But with only a handful of days left until an election, it seems almost impossible to avoid this conversations. So how do we navigate them?
1) Be curious. If your patient brings up politics, be curious. Ask more about whether their family agrees with them. How much political TV or news they are taking in. Whether it's helping or hurting their symptoms or issues.
2) Have a 'no politics' policy. You can also just be a little more firm with a 'no politics' boundary. You could say something like: "totally respect your opinion, but with things so polarized I think it's best to steer away from politics and focus on your pelvic health. How have your symptoms been this week?"
3) Shut it down. If your patient says something you feel you can't just let slide - we give an example in the 'sode - it's shutting the conversation down in 1-2 sentences and then immediately redirecting back to them and their care.
We hope this helps navigate these conversations until the election! Remember, it's not about you - while it's great to hold strong beliefs of your own, people on the 'other side' (whatever that is) deserve great care as well.
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.
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!
In this 4-part series, we're doing a deep dive into how to pay your employees. There's a lot of confusion here, and frankly a lot of bad advice. So we're going to dive in over the next month to clear things up!
In this 'sode we talk about some things we shouldn't be doing:
But the biggest thing we cover is the pros and cons of paying your employees a salary versus paying per patient.
Salary is most appreciated by our employees. It provides steady income and reduces the number of conversations we have about money. It's also very dangerous for a business that isn't 'full' - there's a huge issue if you're paying a clinician when they aren't working!
Paying per patient is safer for the business owner. If the clinician isn't working, they aren't making money. But it's more stressful for the clinician with a lot of fluctuation in their weekly schedule (and weekly pay).
There's a hybrid model as well, which we call "Base +". This guarantees a 'base' per week while still paying per patient. It can help protect the business while also providing more stability for your employees.
We also talk about the 3 most common mistakes we see and how to avoid them. We hope it helps!
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!
The podcast currently has 468 episodes available.
1,353 Listeners
770 Listeners
84 Listeners
118 Listeners
760 Listeners
4,722 Listeners
1,385 Listeners
777 Listeners
484 Listeners
76 Listeners
4,251 Listeners
1,013 Listeners
53 Listeners
6 Listeners
15 Listeners