Podcast
Pelvic PT Rising
Hosted by Nicole Cozean, PT, DPT, WCS & Jesse Cozean · EN
Helping pelvic physical therapists improve as clinicians, in their careers or business, and their lives. Hosted by Dr. Nicole Cozean and Jesse Cozean, the founders of PelvicSanity physical therapy and the Pelvic PT Huddle, the podcast explores all aspects of pelvic physical therapy. You'll find the clinical pearls that Dr. Nicole teaches in her continuing education courses, the business and career advice that catapulted PelvicSanity into one of the largest cash-based physical therapy practices in the country, and living life as business owners and pelvic health advocates. And we'll be keeping it 100% real - and having some fun - along the way!
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Episodes
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What's Changing in Endo Care? An Interview with Amy Stein
5d ago00:43:28Tap to summarizePelviCon '26 speaker Amy Stein has been one of the pioneers of modern pelvic health.She founded Beyond Basics Physical Therapy, one of the largest cash-based pelvic health practices in the country, authored the groundbreaking books Heal Pelvic Pain and Beating Endo, and has spent more than two decades helping shape the future of pelvic rehabilitation. In this conversation, we talk about how far our profession has come—from a time when there were only a handful of pelvic health courses available to today, where thousands of clinicians are entering the field every year.We also dive into:✅ How Amy built Beyond Basics into one of the country's premier pelvic health practices✅ Why collaboration—not competition—is the future of pelvic health✅ What's changing in our understanding of endometriosis✅ Why every patient deserves a multidisciplinary team✅ The importance of mentorship and lifelong learningAmy will also be joining us at PelviCon 2026 to present two incredible sessions:📍 Endometriosis Decoded: What's New, What's Changing & What Matters Most📍 Rehab After Excision SurgeryIf you treat patients with endometriosis—or simply want to provide better pelvic health care—you won't want to miss these talks.🎟️ Join Amy (and 7 other incredible speakers) at PelviCon 2026Get your Live Virtual + Lifetime Recording Ticket and learn from the brightest minds in pelvic health from anywhere in the world.📅 September 25–26, 2026🎟️ Register now at www.pelvicon.comAbout Amy SteinAmy Stein, PT is the founder of Beyond Basics Physical Therapy, one of the nation's leading pelvic health practices. She is an entrepreneur, educator, author of Heal Pelvic Pain and Beating Endo, past President of the International Pelvic Pain Society, and one of the pioneers who helped shape modern pelvic rehabilitation. Learn more at https://beyondbasicsphysicaltherapy.com/ or follow her on Instagram @beyondbasicspt.About Nicole & Jesse CozeanPelvic health is hard. We want everyone in this field to have a joyful, impactful career—and for business owners to build something that truly works for them.🎙️ Pelvic PT Rising Podcast — 1M+ downloads and one of the world's leading pelvic health podcasts.🏥 Founders of PelvicSanity — One of the largest cash-based pelvic health practices in the country.🎤 Co-Creators of PelviCon — Bringing together the brightest minds in pelvic health.📚 Authors — The Interstitial Cystitis Solution, helping 20,000+ patients worldwide.🎓 Clinical Educators — Training thousands of pelvic PTs & OTs around the world.💼 Business Coaches — Helping more than 1,000 pelvic health business owners build thriving practices.Get in Touch!Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!
Transcribe →The 5 Levels of Care in Pelvic Health: What Is The Gold Standard?
1w ago01:13:10Tap to summarizeLet's cut through the noise....If someone you loved needed pelvic floor therapy tomorrow, where would you send them?🤔 Are there actually different levels of pelvic health care?We believe the answer is yes.The interesting part? Most pelvic therapists already act as though these different levels exist—we've just never had a common language to describe them.Think about it...If your spouse, your parent, or your child developed pelvic floor dysfunction tomorrow, who would you recommend?Most of us wouldn't say:❌ "Just find any ortho PT."❌ "Start with telehealth or try an online program."❌ "Here's a great Instagram account."We'd recommend a pelvic floor specialist. Someone who is trained and able to perform both an internal and external evaluation and hands-on treatment.That instinct reveals something important: we already recognize that different models of care have different capabilities.In this episode, we introduce what we're calling the Five Levels of Pelvic Health Care—a framework for thinking about the different therapeutic ceilings of pelvic health, from free educational resources all the way to the current gold standard of in-person pelvic floor specialists.In this episode, we discuss:✅ Why different models of care have different capabilities✅ What we mean by a model's therapeutic ceiling✅ The Five Levels of Pelvic Health Care✅ Why every level has value—and expands access in different ways✅ Why preserving the gold standard matters while thoughtfully increasing accessThis isn't about ranking clinicians or criticizing different models of care.Every level has passionate clinicians doing their absolute best for patients.Every level has an important role to play.But patients deserve honesty about what each model can—and cannot—provide so they can make informed decisions about their care.If you've been following this series, this episode brings everything together and introduces a framework we hope helps move the conversation around standards of care forward.There's only two big requirements for us:Be honest about your therapeutic ceiling.Don't present your level as though it replaces—or is equivalent or superior to—a higher level.Be exceptional within the level you've chosen. No matter what setting you've chosen to practice in, strive to learn, grow and provide incredible care.About Nicole & Jesse CozeanPelvic health is hard. We want everyone in this field to have a joyful, impactful career. And for business owners to build something that truly works for them.🎙️ Rising Podcast – Leading pelvic health podcast with 1M+ downloads👤 Founders – PelvicSanity, one of the nation's leading cash-based pelvic health practices🎙️ Co-creators – PelviCon, the first-ever pelvic rehab conference📚 Clinical educators who have trained more than 3,000 pelvic PTs & OTs worldwide💼 Business coaches who have guided more than 1,000 pelvic rehab business ownersGet in Touch!Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!
Transcribe →What Do We Actually Gain From an Internal Pelvic Floor Evaluation?
2w ago01:13:46Tap to summarizeTo be honest, we never imagined we'd need to explain this. Fair warning: this episode gets a little nerdy.Over the last two episodes, we've talked about why we believe internal pelvic floor evaluation remains the gold standard in pelvic rehabilitation. This week, we're answering the obvious follow-up question:What do we actually gain from performing one?For those of us who were trained to perform internal evaluations—and who use them every day in practice—the value seems almost self-evident. It's become such a fundamental part of how we think, reason, and treat that we rarely stop to ask why. It's also where our profession has focused its education, research, and clinical training for more than 40 years.But recent conversations in our field have challenged us to step back and articulate something we've largely taken for granted.So that's exactly what we do in this episode.We break down the first principles of an internal pelvic floor evaluation: How it reduces uncertaintyImproves diagnostic accuracyHelps individualize treatmentIdentifies findings that might otherwise be missedGives patients understanding and validationThis is why the ability and willingness to perform an internal evaluation - when clinically relevant and with informed consent - has remained the gold standard in pelvic rehabilitation for decades.If you've ever struggled to explain why internal evaluation matters—or simply want to think more deeply about one of the defining skills of our profession—this episode is for you.International Continence Society PaperIn the episode we mention a paper from the ICS that was extremely helpful in listing out many of the areas where we gain information, specificity or new information. You can review the article in full here: https://mail.google.com/mail/u/3/?ui=2&ik=c052c6fa3f&attid=0.1&permmsgid=msg-a:r7722291455026827186&th=19f9addb07427973&view=att&zw&disp=inline&acrobatPromotionSource=gmail_chrome-listGet in Touch!Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!
Transcribe →What We're Getting Wrong About "Access to Care"
2w ago00:29:05Tap to summarize"Access to care" sounds like something everyone should support.So why do we think it's become one of the most misleading phrases in pelvic health?In this episode, we argue that we've been solving the wrong problem.Because the goal isn't access to care. The goal is access to quality care.We discuss: Why lowering the standard of care isn't the same as increasing access The difference between access and quality Why patients are still falling through the cracks despite having "access" The six biggest opportunities to improve pelvic healthcare Why raising standards—not lowering them—is how we truly help more people If our profession wants to serve more patients, the answer isn't diluting what makes pelvic health special.It's building more clinicians, better businesses, stronger education, and higher standards. About Nicole & Jesse CozeanPelvic health is hard. We want everyone in this field to have a joyful, impactful career. And for business owners to build something that truly works for them.🎙️ Rising Podcast – Leading pelvic health podcast with 1M+ downloads👤 Founders – PelvicSanity, one of the nation's leading cash-based pelvic health practices🎙️ Co-creators – PelviCon, the first-ever pelvic rehab conference📚 Clinical educators who have trained more than 3,000 pelvic PTs & OTs worldwide💼 Business coaches who have guided more than 1,000 pelvic rehab business ownersGet in Touch!Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!
Transcribe →Is Internal Evaluation + Treatment Still the Gold Standard?
3w ago00:57:14Tap to summarizeIs internal evaluation the gold standard in pelvic health? We believe the answer is yes.Lately, we've seen more clinicians claiming that internal pelvic floor evaluation isn't necessary—or isn't the gold standard of pelvic rehab. We don't think this is just another social media debate.We think it's one of the most important conversations our profession needs to have.We're going to be diving deep into this topic. But for Part 1, we discuss: Why this issue matters so much for the future of pelvic health What the pioneers of our profession fought to establish The strongest arguments against internal evaluation—and where we think they fall short Why "access to care" shouldn't mean lowering the standard of care Why extraordinary claims require extraordinary evidence (Also, the caveat we shouldn't need....Every internal evaluation should be clinically appropriate and performed only with informed patient consent. Of course.)Instead, this episode asks a bigger question: What should the gold standard actually be for pelvic rehab?About Nicole & Jesse CozeanPelvic health is hard. We want everyone in this field to have a joyful, impactful career. And for business owners to build something that truly works for them.🎙️ Rising Podcast – Leading pelvic health podcast with 1M+ downloads👤 Founders – PelvicSanity, one of the nation's leading cash-based pelvic health practices🎙️ Co-creators – PelviCon, the first-ever pelvic rehab conference📚 Clinical educators who have trained more than 3,000 pelvic PTs & OTs worldwide💼 Business coaches who have worked with more than 1,000 pelvic rehab business ownersGet in Touch!Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!
Transcribe →Is an Online Business Really the Future?
3w ago00:37:02Tap to summarize"Everyone" seems to be saying the future is online. Create a course. Sell a membership. Telehealth in your pajamas. Stop trading your time for money. Retire on a beach.As owners of both a thriving brick-and-mortar practice and a successful online business, we wanted to share a reality check.In this episode, we discuss:✅ Why most pelvic PTs are looking at online business for the wrong reasons✅ Why building an online business is often harder than building a local practice ✅ The biggest mistakes we see clinicians make before they ever get started ✅ Why content creation is a full-time job—not passive income ✅ How AI is changing the future of online education ✅ Why we still believe the greatest opportunity is delivering exceptional in-person careOne of our biggest takeaways:Don't chase what looks exciting online. Build the business you're actually passionate about.Business AcceleratorIf your goal is to build a thriving pelvic rehab business, we'd encourage you to double down on what you already know how to do: provide exceptional patient care.The Business Accelerator helps you build the marketing, systems, pricing, and confidence to grow a profitable brick-and-mortar practice—without chasing every new trend.Learn more about future cohorts:👉 www.pelvicptrising.com/acceleratorAbout Nicole & Jesse CozeanPelvic health is hard. We want everyone in this field to have a joyful, impactful career. And for business owners to build something that truly works for them.🎙️ Rising Podcast – Leading pelvic health podcast with 1M+ downloads 👤 Founder – PelvicSanity clinic in Southern California 🎙️ Co-creator – PelviCon, the first-ever pelvic rehab conference 📚 Author – The IC Solution, helping 20,000+ patients worldwide 🎓 Clinical Educator – Trained 3,000+ pelvic PTs & OTs globally 💼 Business Coach – Guided 1,000+ pelvic rehab businesses to grow, thrive and enjoy their businessGet in Touch!Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!
Transcribe →Endometriosis Is a Team Sport: An Interview with Excision Specialist Dr. Stuparich
4w ago01:01:36Tap to summarizeEndometriosis care is about so much more than surgery.In this episode, Nicole sits down with endometriosis excision surgeon Dr. Mallory Stuparich for a wide-ranging conversation on what it really takes to care for patients living with endometriosis.We discuss: The role of pelvic PT before and after surgery Setting realistic expectations for recovery Central sensitization and persistent pain Imaging, inflammation, and recurrence Why multidisciplinary care leads to better outcomes But one message stood above everything else:Our first job is to rebuild trust.Many patients with endometriosis have spent years feeling dismissed, misunderstood, or told their symptoms were normal. Before we can guide them toward healing, we have to help them feel seen, heard, and believed.Whether you're part of the surgical team or the rehabilitation team, that trust is where recovery begins. About Dr. Mallory StuparichDr. Mallory Stuparich is a fellowship-trained gynecologic surgeon specializing in advanced endometriosis excision surgery, adenomyosis, and complex pelvic pain. She is passionate about collaborative care and helping patients navigate every stage of their treatment journey with compassion, education, and evidence-based care.Downtraining MasterclassHelping patients with persistent pelvic pain requires more than great hands-on skills.Our Downtraining Masterclass provides practical frameworks for treating high-tension, pain-dominant patients with more confidence.👉 www.pelvicptrising.com/downtrainingAbout Nicole & Jesse CozeanPelvic health is hard. We want everyone in this field to have a joyful, impactful career. And for business owners to build something that truly works for them.🎙️ Rising Podcast – Leading pelvic health podcast with 1M+ downloads 👤 Founder – PelvicSanity clinic in Southern California 🎙️ Co-creator – PelviCon, the first-ever pelvic rehab conference 📚 Author – The IC Solution, helping 20,000+ patients worldwide 🎓 Clinical Educator – Trained 3,000+ pelvic PTs & OTs globally 💼 Business Coach – Guided 1,000+ pelvic rehab businesses to grow, thrive and enjoy their businessGet in Touch!Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!
Transcribe →Building a Business That Stands for Something: An Interview with Joy Noble
4w ago00:42:44Tap to summarizeWhat if the biggest key to business success isn't strategy... but confidence?In this episode, we bring on Joy Noble, founder of Pelvic Pride, to talk about building a business with purpose, creating an incredible team culture, and having the courage to do things differently.A coach in our Rising Mentorship Program, Joy shares the journey from opening her practice just before the pandemic to growing into two locations, expanding her team, and creating one of the most recognizable brands in pelvic health.We discuss:✅ Why community is one of the greatest competitive advantages you can have ✅ The courage it took to rebrand to Pelvic Pride ✅ Building a practice around your values instead of trying to please everyone ✅ Growing from an anxious decision-maker into a confident leader ✅ The importance of mentorship, team culture, and saying "no" ✅ Joy's newest project supporting the mental health of pelvic therapistsOne of our favorite takeaways:Confidence isn't something you're born with. It's something you build by doing hard things.About Joy NobleJoy Noble is the founder of Pelvic Pride, a pelvic health practice dedicated to creating an inclusive, affirming environment where every patient feels seen, heard, and cared for. In addition to leading a rapidly growing multi-clinician practice, Joy is passionate about supporting the wellbeing of pelvic health providers through her newest initiative, The Reset Room.🌐 www.pelvicpride.com📸 Instagram: @pelvicprideBusiness AcceleratorIf you're building a pelvic rehab practice and want support from a community of business owners who understand exactly what you're going through, we'd love to have you join us in a future Accelerator cohort.Learn more at:👉 www.pelvicptrising.com/acceleratorAbout Nicole & Jesse CozeanPelvic health is hard. We want everyone in this field to have a joyful, impactful career. And for business owners to build something that truly works for them.🎙️ Rising Podcast – Leading pelvic health podcast with 1M+ downloads 👤 Founder – PelvicSanity clinic in Southern California 🎙️ Co-creator – PelviCon, the first-ever pelvic rehab conference 📚 Author – The IC Solution, helping 20,000+ patients worldwide 🎓 Clinical Educator – Trained 3,000+ pelvic PTs & OTs globally 💼 Business Coach – Guided 900+ pelvic rehab businesses to grow, thrive and enjoy their businessGet in Touch!Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!
Transcribe →Scaling Your Practice: An Interview with Hannah Strom
Jul 200:40:00Tap to summarizeWhat does it really take to grow from a single treatment room into a thriving multi-location practice?In this episode, we sit down with Hannah Strom, founder of Awake Pelvic Health, to talk about the mindset, leadership, and intentional decisions that fueled her incredible growth.Hannah shares how she started in a tiny room at the back of a yoga studio and, just five years later, has built a practice with ten clinicians. But this conversation isn't just about growth—it's about becoming the leader your business needs.We discuss: ✅ Why every stage of growth feels uncomfortable ✅ Building a culture centered on mentorship and curiosity ✅ The transition from clinician to business owner ✅ Balancing high standards with giving your team room to grow ✅ Why workshops have been a cornerstone of her marketing strategy ✅ Creating a business that supports your life—not just your scheduleOne of our favorite takeaways:Your business only grows as much as you're willing to grow.About Hannah StromHannah Strom is the founder of Awake Pelvic Health, a pelvic health practice with three locations built around whole-body care, mentorship, and clinical excellence.Learn more at www.awakepelvichealth.comFollow Hannah on Instagram: @awakepelvichealthBusiness AcceleratorIf you're looking to grow your practice with more confidence, better systems, and support from a community of like-minded pelvic rehab business owners, we'd love to have you in a future Business Accelerator cohort.Learn more at:👉 www.pelvicptrising.com/acceleratorAbout Nicole & Jesse CozeanPelvic health is hard. We want everyone in this field to have a joyful, impactful career. And for business owners to build something that truly works for them.🎙️ Rising Podcast – Leading pelvic health podcast with 1M+ downloads 👤 Founder – PelvicSanity clinic in Southern California 🎙️ Co-creator – PelviCon, the first-ever pelvic rehab conference 📚 Author – The IC Solution, helping 20,000+ patients worldwide 🎓 Clinical Educator – Trained 3,000+ pelvic PTs & OTs globally 💼 Business Coach – Guided 900+ pelvic rehab businesses to grow, thrive and enjoy their businessGet in Touch!Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!
Transcribe →Grace, Boundaries & Burnout - Real Story of Leaving a Job
Jun 2900:33:36Tap to summarizeLeaving a job is one of the trickiest moments in your career.Whether you're the employee or the employer, emotions run high, plans change quickly, and patients are caught in the middle.In this episode, we discuss a question that came up in the Pelvic PT Huddle and use it to explore what it really means to leave a position professionally and gracefully.We cover:✅ Why giving notice is so emotionally complex for both sides✅ The difference between a poor business decision and an unethical one✅ Why it's not your job to create the transition plan✅ How to advocate for your patients without taking on responsibility that isn't yours✅ Why pelvic rehab is incredibly important... but it isn't life-or-death careOne of our biggest takeaways:You can care deeply about your patients without carrying the weight of the entire system on your shoulders.About Nicole & Jesse CozeanPelvic health is hard. We want everyone in this field to have a joyful, impactful career. And for business owners to build something that truly works for them.🎙️ Rising Podcast – Leading pelvic health podcast with 1M+ downloads 👤 Founder – PelvicSanity clinic in Southern California 🎙️ Co-creator – PelviCon, the first-ever pelvic rehab conference 📚 Author – The IC Solution, helping 20,000+ patients worldwide 🎓 Clinical Educator – Trained 3,000+ pelvic PTs & OTs globally 💼 Business Coach – Guided 900+ pelvic rehab businesses to grow, thrive and enjoy their businessGet in Touch!Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!
Transcribe →