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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The Great Kegel Debate (Part 3): With Michelle Lyons
2d ago01:12:23Tap to summarizeShould we be anti-Kegel? Has the pendulum swung too far?We brought on the one and only Michelle Lyons to continue the conversation. It deserved a Part 3, and there's no one else we'd rather deep dive into the topic with than Michelle. We cover:Why Kegels and pelvic floor muscle training are NOT the same thing The history of Dr. Kegel (and why we may have misunderstood him) Why pelvic floor rehab is far more sophisticated than "squeeze and lift" The role of strength, timing, coordination, endurance, and movement Why social media has made this debate more confusing How to become a more evidence-informed clinician If you've followed Parts 1 and 2 of the Great Kegel Debate, this episode brings everything together with one of the sharpest minds in pelvic health.Michelle LyonsMichelle Lyons is an internationally recognized pelvic health physiotherapist, educator, author, and speaker. She has taught clinicians around the world on pelvic health, hormones, oncology, GI dysfunction, and women's health rehabilitation.Learn more: 🌐 https://celebratemuliebrity.comFollow Michelle: 📸 https://www.instagram.com/michellelyons_muliebrityDowntraining MasterclassWant to better understand the role of pelvic floor relaxation, coordination, and function?Check out Nicole's Downtraining Masterclass: 👉 www.pelvicptrising.com/downtrainingAt just $47, it's one of the most practical and immediately applicable trainings we offer.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 →How to Unlock the Hidden Potential in Your Business
5d ago00:23:00Tap to summarizeMany of us have the feeling there’s more potential in the business…we just don't know how to unlock it. What got us to this level of success isn't enough to take us to the next.We start to feel stuck, or wonder 'is this it?'Working harder than ever. Stressing about the business. Trying to do 'all the right things'.And yet: You’re not hitting your financial goals You don’t feel the freedom you expected And you know your business could be doing moreThat's what we tackle in this episode.Free Training - How to Unlock The Hidden PotentialIf you're a pelvic PT/OT business owner, make sure you've signed up for our free training on June 3rd (replay available for a limited time).www.pelvicptrising.com/potentialAnd our newest cohort of the Accelerator Program starts in just a few weeks - check it out 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 →Birth Prep Isn't Birth Education: An Interview with Gina Conley of Mamaste Fit
1w ago01:10:01Tap to summarizeAre we trying to do too much as pelvic rehab providers?That might be an uncomfortable question.Because when it comes to birth prep, many of us genuinely want to help our patients have the best experience possible.But where does our expertise end?And where does someone else's begin?In this episode, Nicole sits down with Gina Conley of MamasteFit—perinatal fitness provider, birth doula, educator, and someone who has attended hundreds of births—to talk about the role pelvic PTs actually play in pregnancy and birth preparation. This conversation challenges a lot of assumptions and asks us to reflect on how we're showing up for our pregnant patients.We dive into:👉 The difference between being a perinatal professional and a birth professional 👉 Why pelvic PTs bring huge value in birth preparation—but may not need to be teaching full childbirth education classes 👉 The difference between rehabilitation exercises and true fitness programming 👉 Why "never push on your back" and "never hold your breath" may be oversimplifications 👉 Birth plans vs birth preferences 👉 Why collaboration across professions leads to better care 👉 How our own experiences and biases can unintentionally shape how we treat patientsOne of the biggest takeaways:Birth prep isn't about controlling outcomes.It's about helping patients feel informed, adaptable, confident, and supported.And the more we collaborate instead of compete…the better care we're going to provide.About Gina ConleyGina Conley is co-founder of MamasteFit, a prenatal and postpartum fitness company that blends perinatal fitness, birth preparation, postpartum recovery, and professional education. Gina has a master's degree in exercise science, is a birth doula who has attended hundreds of births, and specializes in helping families and professionals better understand movement, birth preparation, and postpartum recovery. Follow Gina here: 📸 @mamastefit InstagramAbout 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 →When the Dream of Time Freedom Turns to a Nightmare
2w ago00:30:44Tap to summarizeOne of the biggest reasons people start a business…is freedom. Freedom to: Work the hours you want Pick your kids up from school Travel Control your schedule But somewhere along the way…the dream turns into a nightmare.You started the business for freedom, but... 👉 You’re working constantly 👉 Thinking about the business all the time 👉 Feeling trapped by your schedule 👉 And wondering why you somehow have less freedom than beforeBecause you cannot truly feel successful if you don’t control your time.The Business Accelerator helps you create the systems, workflows, and structure that actually lead to freedom.👉 Learn more here: 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 →Endometriosis, Fertility & Surgery: An Interview with Dr. Sadikah Behbehani
2w ago00:57:42Tap to summarizeHow many of your patients might have endometriosis… and no one has said it out loud yet?Because that’s happening. A lot.In this episode, Nicole sits down with one of the only physicians in the country trained in both endometriosis excision surgery and reproductive endocrinology—Dr. Sadikah Behbehani.And this conversation pulls back the curtain on what’s really happening with endo, fertility, and patient care.We cover: 👉 Why endometriosis is still massively underdiagnosed (and often missed—even in fertility clinics) 👉 The difference between suspecting endo vs actually confirming it 👉 Why surgery is still the gold standard—and when it matters most 👉 The role pelvic PT plays (before AND after surgery) 👉 What REIs are often missing—and why 👉 How endometriosis impacts fertility, miscarriage risk, and pregnancy outcomes 👉 When conservative care is helpful… and when it’s delaying necessary treatmentBecause as pelvic rehab providers…👉 We’re often the first ones to connect the dots 👉 The first ones to say the word “endometriosis” 👉 And the first chance patients have to get the right careAbout Dr. Sadikah BehbehaniDr. Sadikah Behbehani is a double board-certified OB/GYN and reproductive endocrinology and infertility specialist with additional fellowship training in minimally invasive gynecologic surgery.She is one of only a handful of physicians in the U.S. with expertise in both fertility treatment and advanced endometriosis excision surgery.She practices at Endometriosis & Fertility Center, where she focuses on complex endometriosis care, fertility preservation, and helping patients build their families.👉 Website: https://endometriosis-fertility.com/ 👉 Instagram: https://www.instagram.com/dr.sadikahbehbehani/Downtraining MasterclassIf you want to be able to better help your pelvic pain patients, you need to be working on the nervous system. And if you don't know the three different types of downtraining....make sure you've taken the Downtraining Masterclass ($47). 👉 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 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 →Revenue vs Profit - Where you Need to Be
3w ago00:23:13Tap to summarizeRevenue is vanity. Profit is reality.And most business owners are focused on the wrong number.In this episode, we break down one of the biggest mindset shifts in business:👉 Revenue is how much money your business brings in👉 Profit is how much actually ends up in your pocketAnd the difference between those two numbers determines everything about your life.This conversation started after a high-level business conference in Vegas where someone asked:“How do you improve profitability in an insurance-based business?”The answer?“If you can’t control your pricing… there’s only one game to play: you have to ruthlessly cut costs.”And honestly?That’s not a business most of us want to run.We break down: Why profit margin is the metric serious business owners actually care about The huge mistake most people make when trying to improve profitability Why you cannot save your way to a successful business The difference between finite expense cuts and uncapped revenue growth How small increases in patient volume massively outperform tiny cost savings Why business model determines lifestyle more than almost anything else And then we get into the contrast that changes everything:🏥 Insurance-based model ~10% margins ~42 visits/day to make $100k💰 Cash-based model ~66% margins ~3 visits/day to make $100kSame income.Completely different life.This episode is about more than money.It’s about: 👉 Burnout 👉 Freedom 👉 Control 👉 And building a business that actually works for your lifeIf you're ready to build a business with stronger systems, better margins, and more freedom…The Business Accelerator is where we help pelvic rehab business owners grow intentionally—without burning themselves out.👉 Learn more here: 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 →What Trauma-Informed Care Really Means: An Interview with Krystyna Holland
3w ago01:01:42Tap to summarizeAre you truly practicing trauma-informed care… or just assuming you are?Because there’s a big difference.And most of us were never actually trained in it.In this episode, Nicole sits down with pelvic PT, researcher, and educator Krystyna Holland to break down what trauma-informed care really looks like—and where our field is still falling short.And this conversation goes deeper than you expect.We’re not just talking about being empathetic or “good with patients.”We’re talking about: 👉 The intentional choices that either build safety… or unintentionally cause harm 👉 Why “I’m a caring provider” isn’t the same as being trauma-informed 👉 The missing clinical frameworks that should have been part of our training 👉 How even well-meaning clinicians can get this wrongKrystyna shares insights from her current research—including the development of actual, tangible guidelines for trauma-informed care in pelvic health.Not theory.Not buzzwords.Real, actionable practices.We also get into: Why ongoing consent matters (and how to actually do it) How intake forms can unintentionally create harm What to say when a patient discloses trauma The biggest mistakes clinicians make when trying to “protect” patients Why trauma-informed care applies to every interaction—not just internal exams The surprising gap between what patients want… and what providers think matters This episode will likely challenge how you think about your care.And that’s the point.About Krystyna HollandKrystyna Holland is a pelvic health physical therapist, trauma-informed care researcher, author, and founder of Inclusive Care LLC. She specializes in providing inclusive, affirming, and trauma-informed pelvic healthcare and is a leading voice in bringing evidence-based trauma-informed practices into the pelvic health space.She has spoken at major conferences including PelviCon and is currently leading research to develop standardized clinical guidelines for trauma-informed care.Follow her here: https://www.instagram.com/krystyna.holland/If you want to feel more confident in how you communicate, assess, and treat patients…Our clinical courses are designed to bridge the gap between what you know and how you actually show up in the room.👉 Explore here: www.pelvicptrising.com/clinicalAbout 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 →The Courage of Little Leaps: An Interview with Kyle Hartman
4w ago00:38:08Tap to summarizeWhat if growing your business didn’t require one big leap……but a series of small, courageous ones?Because that’s how most successful practices are actually built.In this episode, Jesse sits down with Rising CEO coach and practice owner Kyle Hartman to talk about what it really looks like to grow—from a brand new pelvic PT during COVID… to running a 4-clinician practice.And the story isn’t what you think.There was no master plan. Just a willingness to take the next step.We get into: Why confidence doesn’t come before action (it comes from it) How “low-risk” decisions can still lead to big outcomes The power of starting small—and staying consistent How to grow a practice without losing focus or chasing every opportunity What it actually takes to lead a team (and have hard conversations well) Why grit and courage matter more than experience early on We also dive into how Kyle has intentionally expanded her practice: A quarterly labor prep seminar that serves the community and drives leads Her work in sex coaching and counseling, helping patients move beyond pain into pleasure Consulting with professional athletes on return-to-sport postpartum careIf you’ve been waiting until you feel “ready”…This episode is your reminder:You don’t need a perfect plan. You just need the courage to take the next step.Business Accelerator ProgramIf you're ready to build your business step-by-step (without guessing what comes next)…The Business Accelerator is where we walk you through exactly what to focus on—at every stage.👉 Learn more here: www.pelvicptrising.com/acceleratorAbout Kyle HartmanKyle Hartman is a pelvic health physical therapist, Rising CEO coach, and owner of Monterey Pelvic Health—a thriving 4-clinician practice in California. Known for her intentional growth and strong team culture, Kyle has expanded her services beyond traditional pelvic PT to include labor prep education, sex counseling, and consulting for professional athletes navigating pregnancy and return to sport.You can learn more at www.montereypelvichealth.comand follow her on Instagram at @montereypelvichealth https://www.instagram.com/montereypelvichealthAbout 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 →Beyond the Obvious: An Interview with Anna Hartman
May 401:09:27Tap to summarizeAre you actually treating the right thing… or just what’s obvious?Because those are very different.And if you’re missing the real driver of your patient’s symptoms…No amount of exercises, techniques, or experience is going to fix it.In this episode, Nicole sits down with athletic trainer and educator Anna Hartman to dive into a completely different way of thinking about assessment, treatment, and what it really means to be an effective clinician.Anna brings a unique blend of: Orthopedic rehab Osteopathic and visceral approaches High-level work with professional athletes and Navy SEAL candidates And the result is a perspective that challenges a lot of what we’ve been taught.We cover: Why assessment—not treatment—is the most important skill you have The difference between treating symptoms vs finding the true driver Why “results in 1–3 visits” isn’t about shortcuts—it’s about precision How ego gets in the way of clinical progress (more than you think) What it actually means to “trust what you feel” as a clinician Why repetition—not information—is the key to real skill development This conversation will push you.It might even make you a little uncomfortable.But if you’re willing to question your assumptions and level up your clinical thinking…There’s a lot here.Anna HartmanA huge 'thank you' to Anna for being on the podcast and sharing her wisdom with all of us. Make sure you're following her @movementrev and find all her courses and resources at www.movementrev.comIf you’re looking to become more confident in your assessment, communication, and clinical reasoning…Our Clinical Courses are designed to help you bridge the gap between what you know and what you actually do in the clinic.👉 Explore all courses here: www.pelvicptrising.com/clinicalAbout 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 →Is Your Problem Supply or Demand?
Apr 3000:21:53Tap to summarizeIs supply or demand the bigger problem in your business?Because if you don’t know the answer to that…You’re probably working on the wrong thing.We see this all the time. Business owners are busy, putting in effort, trying to grow……but focusing on an area that isn’t actually the bottleneck.In this episode, we simplify everything down to one core concept: supply vs demand.👉 Supply = how many patient visits you can actually provide 👉 Demand = how many people want to be on your scheduleSounds basic. But most people never apply it to their own business.We walk through: How to identify whether you're supply or demand limited Why you’ll always be limited on one side (and why that’s normal) What to do if you’re supply limited (efficiency, adding time, hiring, or raising prices) What to do if you’re demand limited (leads, conversion, or clinical buy-in) How focusing on the wrong side wastes time, energy, and money If your business feels scattered or stuck…This is the lens that brings clarity.Business Accelerator ProgramIf you’re ready to stop guessing and start focusing on what actually moves your business forward…The Business Accelerator is where we help you identify your biggest constraint—and fix it.No more spinning your wheels on things that don’t matter.👉 Learn more and apply here: 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 →