Whether you're working as an employee or have your own business, financial confidence is truly rare.

We contrast this with 'financial security', which means you're able to pay the bills.

But are you anxious about money?  Worried about student loan debt?  About whether you're saving enough for retirement?

These concerns are completely natural, but they also cause us to make poor decisions in our careers or our business.  In this 'sode we talk about the difficult road to gaining true, lasting financial confidence!

Business Resources

Are you a pelvic health business owner or a 'wannabe'?  Make sure to complete the online Business Entrepreneur Survey at www.pelvicptrising.com/business to find resources to start or grow your practice that have helped 200+ pelvic rehab professionals!

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 nearly 200 pelvic practices start and grow through the Pelvic PT Rising Mentorship Program (www.pelvicptrising.com/business) and business courses to change the way pelvic health is administered.

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 we do with a patient who is challenging, edgy, or with a 'chip on their shoulder'?

In this 'sode we dive into how we can put our own ego aside and help those who are difficult or contrarian during a treatment session.

How do we get these patients to form an alliance with us for their benefit?

And we go into the 'break in case of emergency' options we have during a session.

If you've dealt with challenging patients, make sure to catch this 'sode!

Clinical Courses

All of the Rising clinical courses are designed to challenge the way you think and make you more confident in your clinical practice.  All online and go-at-your-own pace, you'll have lifetime access to the lectures and handouts.  Check out all the clinical courses we offer (www.pelvicptrising.com/clinical).

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 nearly 200 pelvic practices start and grow through the Pelvic PT Rising Mentorship Program (www.pelvicptrising.com/business) and business courses to change the way pelvic health is administered.

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 we take more control of our own happiness at work?

We dive into how we can avoid negativity, have more honest conversations and enjoy work more.

When negativity goes upward - to your boss or someone who can make a change - instead of out to your colleagues or patients, it creates a better culture and environment for everyone.

PelviCon Recording Now Available for Order!

If you weren't able to get tickets to PelviCon or make it to Atlanta this year, we've got you covered!  We're going to have recordings of the conference - all 17 talks, 10 speakers and 12+ hours - available.  Catch talks from Michelle Lyons, Heather Jeffcoat, Sarah Duvall, Sara Reardon, Juan Martin, Krystyna Holland, Amber Brown, Jessica Reale and Nicole Cozean!

You won't want to miss this all-time speaker lineup!  Order before doors close on Friday (October 7th) at 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 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 nearly 200 pelvic practices start and grow through the Pelvic PT Rising Mentorship Program (www.pelvicptrising.com/business) and business courses to change the way pelvic health is administered.

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 were absolutely blown away by the energy, excitement and inspiration at PelviCon 2022!

In this 'sode we give a behind-the-scenes look at running the conference, stories about our speakers, the biggest 'oh, shit!' moments and more!

We're joined by our partners in PelviCon crime, Jessica & Andrew Reale, for this 'sode, and answer a lot of your questions about the conference.  Check it out!

PelviCon Recording Now Available for Order!

If you weren't able to get tickets to PelviCon or make it to Atlanta this year, we've got you covered!  We're going to have recordings of the conference - all 17 talks, 10 speakers and 12+ hours - available.  Catch talks from Michelle Lyons, Heather Jeffcoat, Sarah Duvall, Sara Reardon, Juan Martin, Krystyna Holland, Amber Brown, Jessica Reale and Nicole Cozean!

You won't want to miss this all-time speaker lineup!  Order before doors close on Friday (October 7th) at www.pelvicon.com/recording!

PelviCon 2023 Wait List

Excited about PelviCon 2023!  Join the wait list (www.pelvicon.com/2023) now to be first to get all the details and register when tickets are 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 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 nearly 200 pelvic practices start and grow through the Pelvic PT Rising Mentorship Program (www.pelvicptrising.com/business) and business courses to change the way pelvic health is administered.

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!

Keeping our professional boundaries can be a real challenge in our profession.  We spend a lot of time with our patients.  They are often really cool people.  And we're discussing intimate topics about their lives they may only talk about with really close friends.

And we should certainly still have fun.  Laugh.  Make a connection with our patients.

But when they cross over into the 'friend zone' we often struggle to provide the same level of care.  It's a challenge for all of us, but we have to recognize when we're acting more like a friend than a clinician.

We can shy away from challenging patients we get too close too.  Break boundaries by communicating outside of our sessions.  Worry more about being liked than about providing the highest level of care.  Or even just allow the conversation to stray from clinical topics to more personal ones.

If you're struggling with a few patients who are closing in on the 'friend zone', make sure to check out this 'sode!

Clinical Courses

All of the Rising clinical courses are designed to challenge the way you think and make you more confident in your clinical practice.  All online and go-at-your-own pace, you'll have lifetime access to the lectures and handouts.  Check out all the clinical courses we offer (www.pelvicptrising.com/clinical).

Business Resources

We've now helped more than 200 cash-based pelvic health practices start and grow.  We want to make sure you're building a business that works for you (instead of vice-versa) and actually enjoy the process along the way!  See all the business resources we offer (www.pelvicptrising.com/business), tailored specifically to pelvic health!

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 nearly 200 pelvic practices start and grow through the Pelvic PT Rising Mentorship Program (www.pelvicptrising.com/business) and business courses to change the way pelvic health is administered.

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!

As we cross over 'sode 250, we look back on the 10 most 'controversial' things we've said on the podcast.

In retrospect, some don't look controversial anymore (which is awesome!).  And you don't have to agree with each of these, but we do hope they make you think and drive conversations in our field forward.  Do you have a favorite of these?  Let us k now!

1. Biofeedback is not the best use of your time
2. We are (or should be) primary care providers
3. Don't be the evidence police
4. Voluntary strength testing in your evaluation sends you down the wrong road
5. If we're not routinely doing rectal, we aren't thoroughly assessing the pelvic floor
6. You don't need more clinical skills, you need to better utilize the ones you have
7. The pelvic floor is more like a trampoline than a biceps
8. You can't always trust research
9. The isolationist strength approach (Kegels) is outdated
10. Cash physical therapy is the future of our specialty

Appreciate each and every one of you for listening!

Clinical Courses

All of the Rising clinical courses are designed to challenge the way you think and make you more confident in your clinical practice.  All online and go-at-your-own pace, you'll have lifetime access to the lectures and handouts.  Check out all the clinical courses we offer (www.pelvicptrising.com/clinical).

Business Resources

We've now helped more than 200 cash-based pelvic health practices start and grow.  We want to make sure you're building a business that works for you (instead of vice-versa) and actually enjoy the process along the way!  See all the business resources we offer (www.pelvicptrising.com/business), tailored specifically to pelvic health!

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 nearly 200 pelvic practices start and grow through the Pelvic PT Rising Mentorship Program (www.pelvicptrising.com/business) and business courses to change the way pelvic health is administered.

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!

Looking back over the last 250(!!) 'sodes of the Pelvic PT Rising podcast, we reflect on how small steps turn into big impact over time.

We talk about some of our (many) failures and decisions we didn't know would be important at the time.  But the underlying message is just to take action to move forward - no matter how small it might be.

When we put one foot in front of the other in our business or career, it may take years to see the progress but it will come. 

One of our favorite quotes is "we overestimate what we can do in a day, and underestimate what we can do in a year."  

So thankful for all of you who listen - whether you've heard all 250 'sodes or if this is your first one - and who comment, rate the podcast and let us know what you think.  Here's to another 250!

Clinical Courses

All of the Rising clinical courses are designed to challenge the way you think and make you more confident in your clinical practice.  All online and go-at-your-own pace, you'll have lifetime access to the lectures and handouts.  Check out all the clinical courses we offer (www.pelvicptrising.com/clinical).

Business Resources

We've now helped more than 200 cash-based pelvic health practices start and grow.  We want to make sure you're building a business that works for you (instead of vice-versa) and actually enjoy the process along the way!  See all the business resources we offer (www.pelvicptrising.com/business), tailored specifically to pelvic health!

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 nearly 200 pelvic practices start and grow through the Pelvic PT Rising Mentorship Program (www.pelvicptrising.com/business) and business courses to change the way pelvic health is administered.

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 much mental energy and stress go to the 2% of people who are the worst fit for our clinical practice or business?

In this 'sode we talk about how to identify those people who aren't a great fit.  We need to recognize when we're working with an outlier.  If we aren't careful we end up changing our practice, compromising our vision or bending over backwards for those who aren't a great fit.

Can you identify any outliers or '2 percenters' in your case load or practice?  Let us know!

Business Resources

Are you a pelvic health business owner or a 'wannabe'?  Make sure to complete the online Business Entrepreneur Survey at www.pelvicptrising.com/business to find resources to start or grow your practice that have helped 200+ pelvic rehab professionals!

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 nearly 200 pelvic practices start and grow through the Pelvic PT Rising Mentorship Program (www.pelvicptrising.com/business) and business courses to change the way pelvic health is administered.

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 a question we're inevitably asked.  One we're not trained in how to answer.  And one that - most times - I think most pelvic rehab practitioners get wrong.

"How long until I get better?"

First we think about what they are really asking.  It's more about "are you the right person to help me" or "what is working with you going to look like."

And we often do our patients a disservice when we try and guess.  Because the truth is - there's no way to know after just the first visit!

So how do we answer it instead?

1. Ask them back (flip it and reverse it)
2. "I'm actually not sure, BUT..."
3. Map out their plan of care and phases of treatment so they know where they are going

If you can do this well, and with confidence, 99% of patients will be satisfied and understand where they are going with treatment.

Had any challenges with this?  Let us know!  And feel free to drop a review or rating as well!

Pelvic PT Essentials

Looking to boost your clinical confidence?  If you'd like to get more confident in your initial evaluation and communication skills, check out the Pelvic PT Essentials course (www.pelvicptrising.com/essentials)!

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 nearly 200 pelvic practices start and grow through the Pelvic PT Rising Mentorship Program (www.pelvicptrising.com/business) and business courses to change the way pelvic health is administered.

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 case report from a male patient who scheduled a remote consultation, my biggest takeaway was the lack of functional assessment he had received.

He was dealing with pelvic pain, urinary urgency/frequency, post-void dribbling, incontinence during exercise and pain with sitting.

While he had been to two different pelvic PTs, and did have minor improvements, his life was still very different.  Normally an avid runner, he had cut running out completely (after usually doing 70-80 miles a week).  Sitting caused such pain he switched to a standing desk, without actually addressing his underlying issues.

In talking with him, together we saw five different areas where a more functional assessment and treatment could (and I would argue, should) have been done.  Hope you enjoy this case report!

PelviCon Recording Now Available for Order: Pre-Sale Ends Friday (9/2)!

It's an all-time speaker lineup you won't want to miss!  Make sure you're a part of the first-ever PelviCon.  Get $50 off when you pre-order now (for only $297) at www.pelvicon.com/recording!

Essential Pelvic Strengthening: Not Your Mama's Kegels

If you're looking into ways to treat more functionally, make sure you've checked out the "Essential Pelvic Strengthening: Not Your Mama's Kegels" course!  It's all about how to move from an isolated strength approach to treating in a system.  Nearly 300 of you have already been through it, helping create Pelvic PT 2.0!  (www.pelvicptrising.com/kegels)

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 nearly 200 pelvic practices start and grow through the Pelvic PT Rising Mentorship Program (www.pelvicptrising.com/business) and business courses to change the way pelvic health is administered.

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!