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!
64episodes
Episodes
Newest firstAll episodes
The Real Reason We Created the Prolapse Symposium
Apr 2700:22:23Tap to summarizeProlapse is one of the most talked-about conditions in pelvic health right now.And also one of the most misunderstood.In this episode, we take you behind the scenes of the PelviCon Prolapse Symposium — why we created it, how it’s different, and why this topic needed a deeper dive.Because the truth is:Most of us were taught a one-size-fits-all approach to prolapse.And it doesn’t work.Prolapse is one of the fastest-evolving areas in pelvic rehab, with more research, more perspectives, and more complexity than ever before.That’s exactly why we built this symposium differently.Instead of staying within our silo…We brought together:Pelvic PTs and OTs Surgeons Researchers Mental health professionals And experts from around the worldTo answer one question:👉 What does it actually mean to treat prolapse well in 2026?In this episode, we talk about:The origin story of the symposium Why prolapse was the obvious choice What most clinicians are still getting wrong And what you’ll actually learn from attendingIf you’ve ever felt like prolapse treatment is more complicated than it “should” be…You’re right.Prolapse SymposiumJoin us for the 2026 PelviCon Prolapse Symposium here: www.pelvicon.com/symposiumAbout UsNicole 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 (www.pelvicsanity.com) 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 900+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them!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 →Starting Your Practice the Right Way
Apr 2300:30:54Tap to summarizeStarting your own practice isn’t actually that hard.But building one you actually want to run?That’s where most people get it wrong.In this episode, we walk through a high-level roadmap for starting your practice — based on the exact framework we’ve used to help hundreds of pelvic health businesses get off the ground.The biggest mistake we see?People jump straight into the checklist:LLC.Website.Logo.Bank account.Before they ever decide what they’re building.And that’s how you end up with: A schedule you don’t want Patients you don’t enjoy treating A business that feels like another job We cover:Why pre-start planning is the most important stepHow to define your ideal patient, schedule, and financial goalsHow to choose the right business modelWhat you actually need to get started (and what you don’t)And the biggest mistakes that slow people down earlyIf you’re thinking about starting your own practice — or want to fix one that doesn’t feel right — this is the roadmap.Ready to Start Your Practice?If you want the full step-by-step process, that’s exactly what we walk through in the Business Kickstart Program.👉 www.pelvicptrising.com/kickstartRight now it’s $100 off (just $297).About UsNicole 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 (www.pelvicsanity.com) 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 900+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them!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 →Why Is Prolapse So Hard to Treat?
Apr 2000:34:56Tap to summarizeProlapse should be simple… right?Strengthen the pelvic floor, support the organs, and move on.Except that’s not what actually happens.In this episode, we break down why prolapse is one of the most complex conditions we treat — and why so many clinicians feel stuck.We cover:Why prolapse is often taught incorrectly from the beginningThe disconnect between symptoms and anatomical findings Why you can’t “Kegel your way out” of structural defectsHow the nervous system, identity, and fear all play a roleThe impact of hormones, birth trauma, and connective tissueAnd why prolapse is really a multi-system condition, not just a pelvic floor issueThis isn’t about doing more.It’s about understanding the full picture — and knowing when pelvic PT is just one piece of the solution.Want to Go Deeper? PelviCon SymposiumThis is exactly why we created the PelviCon Prolapse Symposium — bringing together PTs, surgeons, researchers, and mental health experts to actually connect all the dots.👉 Get on the waitlist: www.pelvicon.com/symposiumAbout UsNicole 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 (www.pelvicsanity.com) 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 900+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them!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 →7 Reasons Nicole Never Wanted to Start a Business
Apr 1600:34:03Tap to summarizeStarting your own practice gets talked about a lot.But what doesn’t get talked about?👉 The reasons not to do it.In this episode, we break down the 7 reasons Nicole never wanted to start her own business — and why, for a long time, staying an employee was actually the better choice.We cover:What it looks like when a job gives you all the good (and shields you from the bad) The uncertainty and complexity of starting from scratch The role of loyalty — and when it matters Career growth without ownership Financial risk, student loans, and lack of safety net The appeal of a predictable schedule And the very real fear of failureThis is a nuanced conversation about business ownership — not everyone should do it, and that’s okay.But it’s also about what changes when those reasons start to fall apart.The Bigger TakeawayIf you’re thinking about starting a business…It needs to be for something bigger than just frustration with your current job.And if you’re a business owner…Your job is to create a place where it’s genuinely hard for great people to leave.Ready to Start Your Own Practice?If you’re serious about starting your own business the right way…👉 Check out the Business Kickstart Program (step-by-step guide): www.pelvicptrising.com/kickstartAbout UsNicole 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 (www.pelvicsanity.com) 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 900+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them!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 →Do You Dread Certain Patients? Let's Fix That
Apr 1300:30:30Tap to summarizeEver looked at your schedule and thought…“Ugh… that patient.”You’re not alone.Dreading certain patients is something almost every pelvic PT or OT experiences — but it’s not something we talk about enough.In this episode, we break down:The subtle signs you might be dreading certain patients (even if you don’t realize it)Why it happens — from tricky diagnoses to personality challenges to specific stages of careAnd what to actually do about itBecause it’s not about being a better “perfect” clinician.It’s about building the confidence to handle whatever walks through your door.The truth is:👉 You’re never going to have it all figured out.And the sooner you accept that……the more freedom (and enjoyment) you’ll have in treating your patients.Resources & Upcoming EventsPelviCon Prolapse Symposium Waitlist: www.pelvicon.com/SymposiumNicole’s Free Core Assessment Training (April 16): www.pelvicptrising.com/abdominalAbout UsNicole 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 (www.pelvicsanity.com) 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 900+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them!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 →Boundaries, Babies, and Business Growth with Katie Simmons
Apr 900:44:16Tap to summarizeStarting a practice is one thing.Building it into something that actually supports your life?That’s a completely different challenge.In this episode, Katie Simmons (ATL Pelvic Health) shares her journey from starting during COVID to building a thriving, multi-clinician practice — all while navigating two pregnancies, maternity leaves, and rapid growth. We talk about:Why decisiveness matters more than “perfect” planningHow to build a referral network that actually worksThe real truth about maternity leave as a business ownerWhy boundaries are the difference between burnout and sustainabilityAnd how to grow without losing sight of why you startedOne of the biggest takeaways:👉 The business should support your life — not the other way around.About Katie SimmonsKatie Simmons is the founder of ATL Pelvic Health, a thriving pelvic health practice in Atlanta, GA, and a coach in the Pelvic PT Rising programs. She specializes in pregnancy and postpartum care and is known for her community-building approach and leadership.Website: www.atlpelvichealth.com Instagram: https://www.instagram.com/atlpelvichealthWant Help Building Your Practice?If you're ready to build a business that actually works for your life…👉 Apply for the next Accelerator cohort (starting in July): www.pelvicptrising.com/acceleratorAbout UsNicole 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 (www.pelvicsanity.com) 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 900+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them!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 →Treating Men with Confidence with Susie Gronski
Apr 601:01:43Tap to summarizeTreating men in pelvic health can feel intimidating.What if something awkward happens?What if you say the wrong thing?What if you don’t know how to handle it?In this episode, Dr. Susie Gronski breaks down what it actually looks like to work with men — and why most of those fears don’t match reality.We cover:Why men’s pelvic health is one of the biggest gaps in our field How to build trust and communicate about sensitive topicsThe concept of a therapeutic relationship agreement (and why every clinician should have one)What to do if boundaries are tested — and how to handle it professionallyAnd why being human with your patients is the most important skill you haveThis episode will change how you think about treating men — and give you the confidence to start.About Dr. Susie GronskiDr. Susie Gronski is a pelvic health physical therapist specializing in men’s pelvic and sexual health, as well as a certified sexuality counselor and educator. She is known for her holistic, patient-centered approach and her work educating both clinicians and the public.Website: https://drsusieg.com/ Patreon: https://www.patreon.com/drsusieg YouTube: https://youtube.com/@drsusiegronski TikTok: https://www.tiktok.com/@drsusieg Instagram: https://www.instagram.com/dr.susiegAbout UsNicole 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 (www.pelvicsanity.com) 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 900+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them!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 →Be Decisive: How Jenn Perna Built a 2-Location Practice (With 4 Kids at Home)
Apr 200:42:08Tap to summarizeMost business owners think they need more certainty before making big decisions.Jenn Perna built her practice by doing the opposite.She started with a mobile practice, transitioned to brick and mortar, opened a second location, and grew to a 7-clinician, 2-location cash practice.All while raising four young kids… and taking two maternity leaves along the way.In this episode, we talk about:Why being decisive matters more than being rightHow to trust yourself to handle whatever comes nextWhat it actually looks like to grow a practice as a parentAnd how to build a business that reflects exactly who you are — and who you’re forJenn is one of the most authentic business owners we know, a Rising coach, and someone we’re proud to call a friend.This is a powerful conversation about ownership — in business and in life.Vivid Women's HealthMake sure to follow and connect with Jenn at www.vividwomenshealth.com or on IG at https://www.instagram.com/vividwomenshealthAbout UsNicole 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 (www.pelvicsanity.com) 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 600+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them!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 →Tailbone Pain: What We’ve Been Getting Wrong with Dr. Patrick Foye
Mar 3001:04:09Tap to summarizeTailbone pain is one of the most misunderstood — and underdiagnosed — conditions we see.In this episode, we sit down with Dr. Patrick Foye, one of the leading experts in coccyx pain, to break down what clinicians are missing and how we can do better.We cover:Why tailbone pain is rarely a fracture (and what it usually is instead)The concept of dynamic instability — and why it’s often missed How to think about imaging (and why sit-to-stand X-rays matter) Red flags you actually need to worry about How injections and pelvic rehab can work together, not separately And why collaboration is the key to better outcomesThis is a must-listen if you’ve ever felt unsure treating coccyx pain — or if your patients aren’t getting better the way you’d expect.About Dr. Patrick FoyeDr. Patrick Foye is a leading expert in non-surgical treatment of tailbone pain and Director of the Coccyx Pain Center at Rutgers New Jersey Medical School. He is the author of Tailbone Pain Relief Now! and has published extensively while teaching and lecturing internationally.Website: https://www.tailbonedoctor.com/ YouTube: https://www.youtube.com/user/TailbonePainDoctor/ Book: https://a.co/d/04s0eU2gAbout UsNicole 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 (www.pelvicsanity.com) 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 600+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them!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 →Stop Chasing Letters - Certificates in Pelvic Health
Mar 2300:21:07Tap to summarizeWill getting another certification actually make you a better clinician?Or just give you more letters after your name?In this episode, we tackle one of the most common questions we hear — which certifications should I get?Because in pelvic health, there are a lot of options.And a lot of confusion.We break down what certifications really are… and what they’re not.At the end of the day, a certification is simply someone saying: “You’re certified.”That’s it.We also talk about the uncomfortable truth — that many certifications are primarily a marketing tool.They’re designed to package courses together, increase completion, and yes… sell more education.That doesn’t make them bad.But it does mean we need to think about them differently.We also dive into:• Why certifications don’t bring patients through the door• Why they won’t fix imposter syndrome• The difference between learning for growth vs. chasing letters • Why even the most recognized certifications don’t guarantee better clinical skills • How to actually choose the right con-ed for your careerAt the end of the day, the question isn’t:“What certification should I get?”It’s:“Would I take this if there were no letters attached?”About UsNicole 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 (www.pelvicsanity.com) 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 600+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them!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 →