This case report is from an Out of Town patient we saw at PelvicSanity.  She presented with a grade 2 cystocele and grade 2-3 rectocele and was having incredible difficulty with constipation, incomplete emptying and other bowel issues.

She came for a week of evaluation and treatment at PelvicSanity and what we found was really surprising.

We talk through her whole case and the three biggest takeaways from her presentation:

• Make sure you're doing a rectal assessment
• See if your patient matches your expectations or if it's a surprising presentation
• Be more direct in your communication

Hope you enjoy the 'sode!  Let us know if you have any clinical questions you'd like us to cover on the podcast.

On, and stay tuned for our next Masterclass in August!

Rectal Evaluation & Treatment Course

Integrating rectal evaluation and treatment into clinical practice to "find the why" for patients of all diagnoses - the online Rectal Evaluation & Treatment course.

Shout Out and Get in Touch!

If you're enjoying the podcast, please take a few seconds to take a screenshot and put it up in your Instagram Stories and tag Nicole (@nicolecozeandpt).  Or send us an email at [email protected] with your thoughts, questions or ideas.  We'd love to hear from you!

About Us

Nicole and Jesse Cozean founded PelvicSanity Physical Therapy together in 2016.  It grew quickly into one of the largest cash-based physical therapy practices in the country.  They also founded Pelvic PT Rising with both clinical online courses and business mentorship exclusively for pelvic PTs.

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Published: Jul. 19, 2021 @12AM Edit

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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!

Communicating with patients outside of their session can be tricky.

We want to be available, but not overwhelmed.  Most importantly we want to do what is best for our patients.

In this 'sode we discuss some of the challenges with communicating with patients outside of their session, how to protect your time and boundaries and make that communication as helpful as possible to our patients. 

Have you had a difficult communication story with a patient?  Let us know by shooting Nicole a DM (@nicolecozeandpt) or email!

Business Mentoring

If you'd like to learn more about our business mentoring and resources for cash-based pelvic PTs, you can find info and an application on our Business Mentorship page!

Shout Out and Get in Touch!

If you're enjoying the podcast, please take a few seconds to take a screenshot and put it up in your Instagram Stories and tag Nicole (@nicolecozeandpt).  Or send us an email at [email protected] with your thoughts, questions or ideas.  We'd love to hear from you!

About Us

Nicole and Jesse Cozean founded PelvicSanity Physical Therapy together in 2016.  It grew quickly into one of the largest cash-based physical therapy practices in the country.

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!

Do you dread the question: "So, how long is this going to take?"  Or "how long until I get better?"

It's one of the most difficult conversations we have with patients.  It can feel challenging or like the patient is questioning our expertise.  

We need to reframe this question and answer it in a way that builds trust and buy-in from our patients.  

I want all of us to be looking forward to answering this question instead of dreading it!

Pelvic PT Essentials

If you're interested in learning more about the Pelvic PT Essentials online continuing education course, register or learn more at www.pelvicptrising.com/essentials.

Shout Out and Get in Touch!

If you're enjoying the podcast, please take a few seconds to take a screenshot and put it up in your Instagram Stories and tag Nicole (@nicolecozeandpt).  Or send us an email at [email protected] with your thoughts, questions or ideas.  We'd love to hear from you!

About Us

Nicole and Jesse Cozean founded PelvicSanity Physical Therapy together in 2016.  It grew quickly into one of the largest cash-based physical therapy practices in the country.  They also founded Pelvic PT Rising with both clinical online courses and business mentorship exclusively for pelvic PTs.

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 pelvic PTs we have the challenge and responsibility of caring for others.  In order to do that we have to be taking care of ourselves!

One of the best ways to do this is breaking through the negativity bias.

This is a cognitive bias where we over-focus on the negative.  It's an evolutionary adaption - the more worried or negative we are, the more cautious and more likely to survive.  Except it's no longer serving us in today's world.

We disproportionately focus on negative actions.  Some things we might think:

• "My boss is always complaining about something"
• "All of my patients are cancelling on me"
• "I'm not good enough to get my patients better"

This 'sode dives into the negativity bias: what is is, how it affects us, and - most importantly - what we can do about it!

Pelvic PT Essentials

If you're interested in learning more about the Pelvic PT Essentials online continuing education course, register or learn more at www.pelvicptrising.com/essentials.

Shout Out and Get in Touch!

If you're enjoying the podcast, please take a few seconds to take a screenshot and put it up in your Instagram Stories and tag Nicole (@nicolecozeandpt).  Or send us an email at [email protected] with your thoughts, questions or ideas.  We'd love to hear from you!

About Us

Nicole and Jesse Cozean founded PelvicSanity Physical Therapy together in 2016.  It grew quickly into one of the largest cash-based physical therapy practices in the country.  They also founded Pelvic PT Rising with both clinical online courses and business mentorship exclusively for pelvic PTs.

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 lift each other up as pelvic PTs to create a more supportive, empowering community?  It's crucial, because it's how patients are able to find they can get the help the deserve!

We have a unique ability to reach patients directly and propel our field forward.  We need to be working together so every single person knows about pelvic PT.

In Part 1 and Part 2 of this series we talked about how so many pelvic PTs are afraid to post content for fear of the "Evidence Police."  In this 'sode we lay out a plan to build a more supportive, empowering community.

If you're with us and accept the challenge, then: 

• "Like" the work of other pelvic PTs
• "Comment" something positive on posts
• "Share" information that really resonates
• "Slide into the DMs" with a compliment!

Together we can build a better online community.  Let's rise together!

Pelvic PT Essentials

If you're interested in learning more about the Pelvic PT Essentials online continuing education course, register or learn more at www.pelvicptrising.com/essentials.

Shout Out and Get in Touch!

If you're enjoying the podcast, please take a few seconds to take a screenshot and put it up in your Instagram Stories and tag Nicole (@nicolecozeandpt).  Or send us an email at [email protected] with your thoughts, questions or ideas.  We'd love to hear from you!

About Us

Nicole and Jesse Cozean founded PelvicSanity Physical Therapy together in 2016.  It grew quickly into one of the largest cash-based physical therapy practices in the country.  They also founded Pelvic PT Rising with both clinical online courses and business mentorship exclusively for pelvic PTs.

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!

Alright, Part 2 of our crusade against the "Evidence Police' and in favor of creating a more supportive, empowering online pelvic PT community.

But why is the question "what's the evidence for that" so annoying? 

We dive into it in this 'sode, along with the right forums to have these conversations in our quixotic quest to create a better online presence for the pelvic PT field!

Pelvic PT Essentials

If you're interested in learning more about the Pelvic PT Essentials online continuing education course, register or learn more at www.pelvicptrising.com/essentials.
Shout Out and Get in Touch!

If you're enjoying the podcast, please take a few seconds to take a screenshot and put it up in your Instagram Stories and tag Nicole (@nicolecozeandpt).  Or send us an email at [email protected] with your thoughts, questions or ideas.  We'd love to hear from you!

About Us

Nicole and Jesse Cozean founded PelvicSanity Physical Therapy together in 2016.  It grew quickly into one of the largest cash-based physical therapy practices in the country.

They believe every pelvic physical therapist should find a position they love and feel confident in treating even the most complex patients.  They started Pelvic PT Rising to provide clinical and business resources to pelvic PTs to raise the level of our profession.

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!

Anyone else fear the "evidence police" when posting online? 

We've heard from hundreds of you on some recent posts - you're not alone!

Many of us are afraid of educating patients because our own colleagues might demand "what's the evidence for that" on one of our patient-focused posts.

So we're doing a 3-part series on this (it's that important)!  First up - understanding the problem.  Why does the "evidence police" have such a chilling effect on our field?

And how is this holding all of us back from Rising together?  Check it out!

Shout Out and Get in Touch!

If you're enjoying the podcast, please take a few seconds to take a screenshot and put it up in your Instagram Stories and tag Nicole (@nicolecozeandpt).  Or send us an email at [email protected] with your thoughts, questions or ideas.  We'd love to hear from you!

About Us

Nicole and Jesse Cozean founded PelvicSanity Physical Therapy together in 2016.  It grew quickly into one of the largest cash-based physical therapy practices in the country.

They believe every pelvic physical therapist should find a position they love and feel confident in treating even the most complex patients.  They started Pelvic PT Rising to provide clinical and business resources to pelvic PTs to raise the level of our profession.

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 was inspired by this podcast hitting 100k downloads!  We're so excited about the milestone, but mostly because it means that so many of you are choosing to devote more time, effort and energy to being better.

We dive back into the reason we started the Pelvic PT Rising Podcast.  With so many pelvic PTs feeling overwhelmed, lacking mentorship and struggling with their confidence we need practical, positive, REAL, honest conversations!

So glad this podcast can be a great resources for so many of you.  Some great resources now out there for our field....and no more excuses for not improving every day!

Downtraining Masterclass

We mention the Downtraining Masterclass in the episode - it's all online, short and concise, and $47.  It covers the three categories of downtraining and how to develop a comprehensive plan for downtraining with your patients.  Check it out!  

Shout Out and Get in Touch!

If you're enjoying the podcast, please take a few seconds to take a screenshot and put it up in your Instagram Stories and tag Nicole (@nicolecozeandpt).  Or send us an email at [email protected] with your thoughts, questions or ideas.  We'd love to hear from you!

About Us

Nicole and Jesse Cozean founded PelvicSanity Physical Therapy together in 2016.  It grew quickly into one of the largest cash-based physical therapy practices in the country.

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 Part 2 of this interview with Julie (if you missed Part 1, make sure to check it out!) we take a deep dive into the evolution of her business. 

We discuss social media - why it's such a powerful tool and why it's so badly misused by many practitioners.  There's certainly a love-hate relationship with social media we explore.

And we discuss her career path and the lessons it holds for younger PTs!

So grateful for this time with Julie and for her inspirational example for everyone in the field.

Julie Wiebe, PT, DPT

Julie  has twenty-four years of clinical experience in Sports Medicine and Pelvic Health, specializing in pelvic/abdominal, pregnancy and postpartum health for fit and athletic females. Following her passion to revolutionize the way women recover from pregnancy and injury to return to high levels of fitness and performance, she has pioneered an integrative approach to promote women’s health in and through fitness.

Make sure to follow her on Instagram (@juliewiebept) and check out her courses at www.juliewiebept.com (use the code 'Rising20' for 20% off any of her courses, especially the foundational Piston Science course!).  Code expires July 5th.

Shout Out and Get in Touch!

If you're enjoying the podcast, please take a few seconds to take a screenshot and put it up in your Instagram Stories and tag Nicole (@nicolecozeandpt).  Or send us an email at [email protected] with your thoughts, questions or ideas.  We'd love to hear from you!

About Us

Nicole and Jesse Cozean founded PelvicSanity Physical Therapy together in 2016.  It grew quickly into one of the largest cash-based physical therapy practices in the country.

They believe every pelvic physical therapist should find a position they love and feel confident in treating even the most complex patients.  They started Pelvic PT Rising to provide clinical and business resources to pelvic PTs to raise the level of our profession.

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 (finally) have a new type of job in the pelvic PT field!

For years you were forced to choose between working an in-network job or starting your own cash-based practice.  

But now things are changing.

Multi-clinician cash practices are springing up and starting to hire.  In this 'sode we dive into the pros and cons of working at a cash-based practice.

The summary?  They can provide a lot of the benefits of starting your own business without the risk and having to deal with the business side!

And almost 20 members of the Pelvic PT Rising Business Mentorship group are now hiring!  Across the country cash-based jobs are opening up, giving us more options and creating new opportunities.  So exciting for our field!

Business Mentoring

If you'd like to get on the wait list for business mentoring for cash-based pelvic PTs, you can find info on our Business Mentorship page!

Shout Out and Get in Touch!

If you're enjoying the podcast, please take a few seconds to take a screenshot and put it up in your Instagram Stories and tag Nicole (@nicolecozeandpt).  Or send us an email at [email protected] with your thoughts, questions or ideas.  We'd love to hear from you!

About Us

Nicole and Jesse Cozean founded PelvicSanity Physical Therapy together in 2016.  It grew quickly into one of the largest cash-based physical therapy practices in the country.

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!