If you've ever felt like you've "tried downtraining" and your patient still isn't getting better... this episode is for you.

We're also wrapping up our recent series on internal exams, the gold standard, and access to quality care before shifting back into one of our favorite clinical topics: downtraining.

The biggest mistake we see?

Thinking of downtraining as a single intervention.

In this episode, we introduce the updated framework from our completely re-recorded Downtraining Masterclass, including the three different "levers" of downtraining and how they help you identify why someone's pelvic floor is overactive—not just that it is.

In this episode we discuss:

✅ A quick recap of our recent series on internal exams & the gold standard

✅ Why "I've tried downtraining" usually isn't true

✅ The 3 Downtraining Levers:

Pelvic Floor Direct
Pelvic Floor Indirect
Nervous System

✅ How to choose the right intervention for the right patient

✅ When to stay the course... and when it's time to pivot

If you treat patients with pelvic pain, overactivity, urinary urgency, constipation, or other pelvic floor dysfunction, this framework will immediately change how you think about treatment.

🎓 Ready to Go Deeper?

The Downtraining Masterclass has been completely re-recorded and updated with:

✨ Our brand-new 3-Lever Downtraining Framework

✨ Five in-depth case studies

✨ Practitioner-led & home program intervention guides

✨ Patient communication scripts

✨ AI clinical reasoning prompts

✨ Lifetime access to all future updates

👉 Learn more at:

www.pelvicptrising.com/downtraining

About Nicole & Jesse Cozean

Pelvic 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 — Over 1 million downloads and one of the world's leading pelvic health podcasts.

🏥 Founders of PelvicSanity — One of the nation's leading cash-based pelvic health practices.

🎤 Co-Creators of PelviCon — Bringing together the brightest minds in pelvic health.

📚 Authors — The Interstitial Cystitis Solution, helping more than 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!