**Breaking News** We dive into the controversy this week over whether or not vaginal dilators require a prescription.

We've spent the better part of this week gathering facts, asking questions and helping us all understand the regulatory requirements around vaginal dilators.   We need to understand what's true so we can make sure patients are well informed.

Fun fact - this is actually Jesse's wheelhouse.  He spent almost 10 years working as a consultant for companies in dealings with the FDA.  He's worked with both medical devices and drugs, designed clinical trials and received approvals and clearances for companies working with the FDA. 

We hope this provides clarity around this murky situation.

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 500+ 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 do we stay productive and motivated without feeling burned out and overwhelmed?  After running PelvicSanity for 8 years and working with 500+ business owners, we've seen all of the challenges.  We wanted to bring you the idea of the Chaos Zone and Comfort Zone - it's really helped our thinking and how we coach!

Based on a great framework from Jon Acuff in his book (All It Takes is a Goal), we've found business owners (and, really, all of us!) often fall into one of these categories.

Either we're stuck in our Comfort Zone.  It's easy, we're coasting, we're not making changes or pushing forward in our business.  To be honest, most of us business owners don't get stuck here.

Instead, we're far more likely to fall into the Chaos Zone. 

We're trying to see all the patients + marketing + administrative tasks + payroll + SEO + faxing referrals + cleaning rooms + doing laundry + also being there for our family + working out + becoming a better clinician + finishing con-ed + also making sure we have time to relax.  Whew!

In this 'sode we talk about how to split the difference between these to be in an area Jon calls the 'productivity zone.'  He gives a fantastic description: "Steady, joyful progress on a handful of goals you care about."

IC Course - Cohort #2

Today's the final day to join us for the IC Course - you'll get $50 off, a LIVE Q&A and a whole lot more confidence in treating patients with IC!

Accelerator Program

If you'd like help spending more time in that 'steady, joyful progress' we'd love to work with you in the next cohort of the Business Accelerator Program!  You can find all the details and get on the wait list 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 500+ 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!

It's finally here - Cohort #2 of the IC course is now open!  Can't wait for you to level up your treatment of patients with IC with all the information you need.  Understand the role of a cystoscopy and bladder instillations in the medical management of IC patients is just one of the important things to know about the condition.

As rehab providers, we're on the front lines with our patients.  We're the ones they spend an hour each week with.  We hear about their ups and downs and we have the best perspective on the entirety of their care.

But that means we have to know our stuff!

In this 'sode we discuss the procedures themselves, the risks and benefits and how to counsel your patients when they ask you questions.  We believe you should be the quarterback of their IC team and understanding their medical options is critical for this.

IC Course - Cohort #2

If you want to level up your treatment of patients with IC, make sure to join us for Cohort #2 of the IC Course (now open today - doors close on Thursday!).  We go through everything you need to know about the condition to provide the best care for your patients.

We also get really practical.  There's hands-on demonstrations on both a model and live patient showing the specific techniques we recommend.

And for this cohort, you'll get $50 off the course and a LIVE Q&A to get any questions answered!  Register before Thursday (2/22) to join us!

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 500+ 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 you trying to 'save' your way to success?  We dive into the entrepreneur mindset on money in this 'sode.

We've now worked with 500+ business owners.  ALL OF US have money mindset issues with our business.  Being a good business owner doesn't mean checking your bank account every day.  It doesn't mean counting pennies on your supplies.  Going without an EMR to save costs.  Asking your clients to pay with cash or Zelle to avoid transaction fees.

What we don't see is the opportunity cost of taking all this time on cost-cutting rather than focusing on growth.

As business owners, we realize increasing revenue is always more powerful than trying to decrease costs.   Now, that doesn't mean we should be frivolous with our money.  But that's not usually our problem.

Can't wait for you to dive into this episode on money mindset and how to focus more on growth instead of cost!

Business Accelerator

If you're a business owner interested in going to the next level, make sure to get on the wait list for our next cohort of the Business Accelerator Program!  We've now taken 200 business owners through this six-month coaching intensive and seen how transformative it can be in your business.  On average, participants added $53,000 to their business in the first year!

Check it out and get on the wait list (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 500+ 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!

Treating patients diagnosed with IC is always a challenge.  They often have a complicated history.  They usually have a lot of misconceptions about the condition.  We get dragged in to discussing medical management.  But there are also areas of our evaluation I often see overlooked in patients with IC.

So when doing your evaluation, make sure you don't miss this five areas: 

1. Evaluate vulvar and urethral tissues for estrogenization
2. Check sciatic nerve tension
3. Evaluate the Urachus and bladder mobility
4. Check the pudendal nerve
5. Evaluate the inner thigh and ischiorectal fossa

Check out the full 'sode for why this is so important, what percentage of patients with IC have dysfunction in these areas, and more!

IC Course - Cohort #2

If you want to level up your treatment of patients with IC, make sure to join us for Cohort #2 of the IC Course (opening in one week, on Feb 19th).  We go through everything you need to know about the condition to provide the best care for your patients.

We also get really practical.  There's hands-on demonstrations on both a model and live patient showing the specific techniques we recommend.

And for this cohort, you'll get $50 off the course and a LIVE Q&A to get any questions answered!  Find more details and get on the wait list at www.pelvicptrising.com/ic

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 500+ 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're going to completely change the way you think of interstitial cystitis.  IC is a pelvic pain condition with bladder symptoms, NOT a bladder condition.  This mindset shift completely changes how we approach our patients.  

How do we know IC is not a bladder condition?

• The definition of IC is pain or pressure perceived to be related to the bladder, along with urinary urgency/frequency, in the absence of any other explanation.  It's a diagnosis of exclusion.
• More than 90% of people diagnosed with IC have no discernable issues with their bladder lining.
• Many of the common symptoms of IC - low back pain, painful intercourse, hip pain, suprapubic pain, etc. - have nothing to do with the bladder.
• Pelvic floor physical therapy is the most proven treatment for IC (given an evidence grade of 'A'), while most bladder-focused treatments are relatively ineffective.

In this 'sode we go through the evidence and get practical with how you can talk about this with your patients.  We can't continue to perpetuate the myth IC is a bladder condition.  It leads to invasive procedures, ineffective bladder-focused treatments and years of unnecessary suffering for our patients.

We hope this makes you more confident with these complex patients in both treating their pelvic floor issues but also managing their case so they can get help!

IC Course - Cohort #2

If you're looking to provide better, more comprehensive care for your patients with IC - the IC: Holistic Evaluation & Treatment course is opening in just a few weeks!  This second cohort will get you access to all of the information, technique demonstrations (on both a model and real patient) and more.  You'll also get $50 off and access to a LIVE Q&A to answer any questions and implement!

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 500+ 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!

So excited to share our conversation with performance cash-based OG and business coach Danny Matta!  In this wide-ranging discussion we touch on keys to success in business, working with a spouse, using the business to create a better life, and much more.

Danny is a fantastic interview - thoughtful and passionate about helping business owners.  It's also great to hear the convergent evolution of what really works in business.  Though it's funny to hear his retreats feature early wake up calls and running on the beach, while ours feature wine tasting on a boat and a sound bath on the beach.

Can't wait for you to get to enjoy this one!

About Danny

Danny is a pioneer in the performance cash-based, space, author of the book F*ck Insurance and owner of PT Biz.  He started, built and later sold a cash-based practice Athlete's Potential in Atlanta.  You can find him on Instagram (@dannymattapt) and online at www.physicaltherapybiz.com.

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 500+ 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!

What do you do for clinical growth as a business owner?  We get a lot of questions around this topic, and hardly anyone feels good about where they're at - we want to validate there are seasons in the business and in your clinical career!

Often business owners think clinical education is going to translate to business success.  "Someone dropped off - I need to get more skills"
"If I get this certificate, I'll get more patients"
"If I can better treat pelvic pain patients I'll get more of them calling"

In fact, your clinical skills have almost nothing to do with patient buy-in and their ultimate success!  We've seen this as we teach 'Clinical Excellence' to business owners in the Accelerator Program - they often see a dramatic difference in the average number of visits, patients finishing their plan of care and patient outcomes....without any other clinical skills!

On the other side of the coin, you might not be doing any con-ed at all for pelvic right now and feeling guilty about it.  There's a time to invest (both in dollars and time) in the business and grow the practice.  So don't feel guilty if you can't focus on both business and clinical growth right now.

Ultimately there are seasons in the business - you may have times when the business takes your full attention.  Other times when things are running smoothly and you can invest more on the clinical side. 

Hiring Directory

If you're a business owner and hiring, you know how challenging finding a great candidate can be!  It's why we've created an inexpensive Hiring Directory exclusively for pelvic rehab providers.  Check it and register here (www.pelvicptrising.com/map) and if you're looking for a new position, it's a great place to check! 

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 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 500+ 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!

• Having to provide a private (and hopefully well-appointed) treatment room
• Dealing with a very different patient population
• Not working (hopefully) with aides and giving you more time with patients than your coworkers are receiving
• Dealing with complex patients means longer plans of care and more issues with insurance denials and appeals
• They have to change the paperwork for you.  And the website.  Market to new physicians and in the community.  And provide new training to the front desk.
• And somehow give mentoring and training for you, which they can't provide because you're the only one!

1. What do pelvic patients deserve, and are they getting that?
2. And what do I (as the employee) deserve, and am I getting that?

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 sometimes need to be a little more selfish as business owners.  I know the word is loaded, but hear us out!

When we work as clinicians, our employer often takes care of the 'selfish' parts - setting our hours, having documentation policies, etc.  But when we transition to business owners, we need to get more comfortable saying 'does this work for me?'  We'll have so many more decisions to make.

It's definitely been an area of growth for us as we've gotten more experience in business.  It's also easy to see in other people when we coach!

This can show up in a lot of different ways.  Maybe you're...

• Treating patients on days and times that aren't great for you because you feel obligated to offer those times to patients.
• Responding to patients outside of regular hours or doing a bunch of extra work for them between appointments.
• Working with a contractor (CPA, biller, cleaner, etc.) when the business relationship isn't really working for you.
• Saying 'yes' to everything - talks, 'collabs', renting space from another practitioner - instead of saying 'not right now' or 'no' if it doesn't work for your business.
• Allowing employees to work days or times that don't really work for the practice.

So get really clear on your goals and where you want to go.  Once you do, it makes many of these decisions a lot easier.  A lot of practical advice and our own mistakes and examples in this 'sode - check it out!

Practitioner Map

If you haven't already, make sure you've added yourself to the Rising Practitioner Map (www.pelvicptrising.com/map) to make sure you can be found by patients!

If you're a business owner, we also have an affordable ($25/mth!) hiring directory specifically for those interested in pelvic rehab!

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 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 500+ 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!