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
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Offer Benefits To Appeal and Retain Your Team
Mar 1900:50:53Tap to summarizeMost smaller practice owners think they need to be “bigger” before they can offer real benefits.But that’s not actually true.In this episode, we break down what providing benefits as an employer really looks like — especially for small, growing pelvic health practices.Because benefits aren’t just about checking boxes.They’re about attracting the right people… and keeping them.We talk about the biggest misconception owners have — that benefits need to be expensive or complicated to matter.They don’t.In fact, some of the most meaningful benefits have very little to do with money.We also dive into:• What employees actually value (hint: it’s not always what you think) • Why benefits are really a retention strategy, not just a hiring tool • How to think about flexibility, growth, and mentorship as benefits • Why you don’t need to offer everything — just a few things done really well • How your benefits reflect what you truly value as a businessAt the end of the day, your benefits send a signal.To your team.To future hires.And to the kind of business you’re building.If you’re an owner trying to grow your team — this episode will help you think about benefits in a completely different way.Free Training - Should I Be Running Ads?Join us for our quarterly free training all about Google, Instagram and Facebook Ads. Learn about ads from people you aren't trying to sell you ads!www.pelvicptrising.com/adsAbout 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 →Advocate for Yourself and Stop Accepting These 3 Things in Our Field
Mar 1600:25:29Tap to summarizeWhy do so many pelvic rehab clinicians love treating patients… but feel frustrated with their jobs?In this episode we dig into the results from our State of Pelvic Rehab Survey and talk about three things every pelvic PT and OT employee should be advocating for in their workplace.The data was eye-opening.67% of clinicians are doing unpaid documentation.That means many rehab providers are literally working for free so their employer can be reimbursed by insurance.We also found that 79% of clinicians don’t have a regular clinical mentor, and 74% receive no paid mentorship time in their job.At the same time, most clinicians also report very small continuing education budgets.You can’t grow without support — which means you should have either strong mentorship or a meaningful con-ed budget.And then there’s raises.The average raise reported in our survey was just 1.8%.Nearly 81% of clinicians received raises of 3% or less, which means many pelvic rehab providers are effectively taking a pay cut every year after inflation.In this episode we break down three things every employee deserves — and give scripts you can use to advocate for yourself professionally and respectfully.Pick one.Start the conversation.And see what kind of workplace you’re really in.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 →The Power of Your Circle: How Lauryn Beecher Built Her Practice
Mar 1200:42:56Tap to summarizeSome practices grow into something incredible.Others burn the owner out along the way.What makes the difference?In this episode we sit down with Lauryn Beecher, owner of Pelvic Health and Wellness, to talk about the real journey of building a pelvic health practice that actually aligns with your values.Lauryn didn’t start with a big clinic.She started by renting a treatment room two days a week, juggling multiple jobs and slowly building something of her own.Today she runs a thriving multi-clinician practice serving one of the most diverse pelvic health populations we see anywhere — men, women, kids, fertility patients, and the trans community.But the real secret behind what she’s built?Intentionality.Lauryn shares why she’s incredibly intentional about the people around her — her team, referral partners, mentors, and even the patients she works with.Because the people in your circle shape your business far more than most owners realize.We also dive into:• Why certifications alone don’t bring patients in the door • The myth of the “magic number” before starting a practice • How adaptability becomes a business superpower • The overlooked skill every business owner should developYou can learn more about Lauryn and her practice at www.pelvichealthandwellness.com Instagram: @pelvichealthandwellnessBusiness Accelerator ProgramIf you're a business owner looking to grow your practice, we are currently accepting applications for the Pelvic PT Rising Business Accelerator Program.We've helped 900+ business owners build practices aligned with their mission.Learn more at: 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 →6 Surprising Results from Our State of Pelvic Rehab Survey
Mar 900:43:56Tap to summarizeWe recently wrapped up our State of Pelvic Rehab Survey, with hundreds of responses from pelvic therapists working as employees.And a few things stood out.First, the paradox.Despite a number of structural challenges in these jobs, most pelvic therapists report being pretty happy. Nearly 70% rated their job satisfaction a 4 or 5 out of 5.We (generally) love the work.But when you dig into the details of how these jobs are structured… the numbers get interesting.In this episode, we walk through six of the most surprising findings from the survey, including:Why mentorship still hasn’t improved in the past five years (and why nearly 80% of clinicians still report having none)Why most pelvic therapists are not treating anywhere close to 40 hours per week anymoreHow documentation is still largely unpaid — with 63% of clinicians reporting they aren’t fully compensated for itWhy raises across the field remain extremely small, with 80% of clinicians receiving 3% or less last yearWhy continuing education budgets are surprisingly low — with nearly 60% of clinicians receiving less than $1,000 per year, despite the lack of in-house mentorshipAnd what clinicians say is actually driving burnout in pelvic rehab (spoiler: it’s mostly administrative)The survey paints a fascinating picture of the field right now.Experienced clinicians.Complex patients.A specialty people genuinely love.But also a lot of clinics still figuring out how to structure these jobs in a way that actually supports the clinicians doing the work.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 →9 Secrets of Success After Working with 900 Business Owners
Mar 500:31:05Tap to summarizeAfter working directly with more than 900 business owners through the Pelvic PT Rising mentorship programs and Kickstart, we’ve had a front-row seat to what actually leads to success in private practice.We’ve seen thriving practices in 45 states and 5 different countries, including places with universal healthcare. The pelvic health field is growing rapidly, and there has never been more opportunity.In this episode, we break down the nine biggest patterns of success we’ve seen from clinicians who start and grow successful practices.The 9 Secrets of Success1️⃣ External factors matter less than you think. We’ve seen successful practices in all types of communities and markets.2️⃣ There is no single path to success. Different owners succeed with very different strategies.3️⃣ Define what success means to you. Time, impact, freedom, and income can all be valid measures of success.4️⃣ Authenticity wins. Build a practice that reflects who you are and how you want to work.5️⃣ Boundaries are essential. Without them, people-pleasing can quickly lead to burnout.6️⃣ Strong systems beat relying on great employees.7️⃣ You’ll mess up the first pancake. Mistakes are part of learning to run a business.8️⃣ Fun matters. Consistency is much easier when you enjoy the process.9️⃣ Success = clear direction × effort.Business Accelerator ProgramIf you're looking to hire, make sure you have the foundations in place. Whether you are thinking about hiring in the future or already have a team, we'd love to work with you in the Business Accelerator Program - now accepting applications for June 2026!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 →How to Get Hired (And Actually Stand Out)
Mar 200:26:05Tap to summarizeIf you’re looking for your dream job, this episode is for you.We walk through exactly how to position yourself — authentically — to land the role you actually want.The through-line? Be genuinely you.We cover:✉️ Why your cover letter matters more than your resume📖 Using your resume to tell a story of growth and passion🧠 Showing how your interest in pelvic health began — and how it’s evolved👗 What to wear⏰ When to show up💬 How to rock the interview conversation👐 Preparing for a hands-on interview❓ Asking thoughtful, researched questionsEmployers aren’t looking for perfection.They’re looking for:AuthenticityCoachabilityPassionAlignmentWe want you to get your dream job — not just any job.And in this golden era of pelvic health, you absolutely can.Looking for a Position?Looking for a position aligned with your passion? Browse our Hiring Directory:👉 www.pelvicptrising.com/mapIf you see a mentorship program practice listed, you know they share our ethos around patient care and workplace culture.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 →The Tactical Guide to Hiring the Right Clinician
Feb 2600:26:15Tap to summarizeHiring is one of the most important decisions a business owner will make.And one of the riskiest.In this episode, we walk business owners step-by-step through our hiring process — the exact framework we’ve refined over years of building PelvicSanity and teaching those in our Rising Mentorship programs.We cover:📄 Resume review (what matters and what doesn’t)✉️ Why the cover letter often matters more📞 The 15-minute informal screening call🤝 Structuring your in-person interview👐 Conducting a hands-on evaluation🎯 Presenting your offer clearly and transparently🔍 Avoiding common hiring mistakesWe emphasize:Fit > timingTransparency builds trustSkills can be taught — personality and ethos cannotThe goal isn’t just to fill a position.It’s to find the right human to join your mission.Looking for aligned candidates?Post your listing in our Hiring Directory:👉 www.pelvicptrising.com/mapBusiness Accelerator ProgramIf you're looking to hire, make sure you have the foundations in place. Whether you are thinking about hiring in the future or already have a team, we'd love to work with you in the Business Accelerator Program - now accepting applications for June 2026!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 →Finding Your Dream Job in the Golden Age of Pelvic Health
Feb 2300:38:05Tap to summarizeWe are living in a golden age of pelvic health.There are more job opportunities, more practice models, and more flexibility than ever before.But with more options comes a harder question:👉 What does your dream job actually look like?In this episode, we challenge you to zoom out beyond compensation and think holistically about what makes a job fulfilling.Because once a position pays a fair wage, optimizing purely for money often leads to the wrong decision.We dive into:💰 Compensation (salary, bonus structure, benefits)⏳ Time spent with patients (30 min? 60 min? Double-booked?)📚 Mentorship (real structure vs vague promises)🏥 Practice setting (hospital? private practice? cash-based?)🧠 Clinical ethos (are you aligned philosophically?)👩⚕️ Patient population🕒 Schedule flexibility and lifestyle design🌱 Long-term growth potentialYour career is too important to leave to chance.When you get clear on what matters most, you stop chasing the next offer and start intentionally building your future.Looking for your dream job — or your dream hire?Check out our Pelvic PT Rising Hiring Directory:👉 www.pelvicptrising.com/mapBusiness owners in our Rising Mentorship Program are hiring - and they share our Ethos about creating an amazing position for anyone who works there.Business owners can also post paid listings to connect with passionate, engaged pelvic rehab providers.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 →5 Financial Advantages Every Business Owner Should Be Using
Feb 1900:21:18Tap to summarizeMost pelvic rehab business owners work incredibly hard… and then accidentally leave money sitting on the table.In this episode, we walk through five financial advantages that smart business owners use to build stability, reduce taxes, and create long-term wealth — without doing anything risky or complicated.This isn’t about fancy investing strategies or crypto speculation. It’s about boring, high-leverage fundamentals that add up dramatically over time.💰 1. High-Yield Savings Accounts (Stop Giving Away 3%)If you’re letting large amounts of money sit in your business or personal checking account, you’re losing out.We break down:Why your checking account should only hold operational cashHow high-yield savings accounts can earn 3–5% instead of ~0%Why we use Ally (and other strong options)How to create “buckets” for taxes, vacations, payroll buffer, and big expensesWhy there is no meaningful difference between business and personal finance at this level🏥 2. Health Savings Accounts (HSA)If you’re eligible for an HSA, you should understand how powerful it is.We discuss:2026 contribution limitsWhy HSAs allow tax-free healthcare spendingHow to use it as a financial bufferWhy this is not just a retirement accountHow business owners can strategically use high-deductible plans🏦 3. Retirement Accounts (IRAs, SEP, SIMPLE, 401k)We give a clear breakdown of:IRA vs SEP IRA vs SIMPLE IRA vs Solo 401kContribution limitsWho each option is best forHow business structure affects your optionsWhy many owners underutilize these dramaticallyIf you’re not deliberately funding retirement as a business owner, you’re missing one of the biggest long-term advantages of entrepreneurship.🏠 4. Business Use of Home DeductionIn today’s world, nearly every business owner qualifies.We cover:What qualifies as a dedicated spaceHow to calculate itWhy this can be a meaningful annual tax breakCommon misconceptions that prevent people from using it🧾 5. S-Corp Election (When It Makes Sense)If your profit exceeds ~$75,000 per year, you should at least explore this.We explain:How S-Corp status reduces payroll taxWhy this is one of the biggest structural tax advantagesWhen it makes sense (and when it doesn’t)Why you need a good CPA involved🚀 The Bigger ThemeBusiness ownership gives you more than income.It gives you financial tools that W-2 employees don’t have.But simply owning an LLC doesn’t automatically create freedom. You have to use the advantages available to you.These five strategies:Increase your returnLower your taxesImprove cash flowBuild long-term wealthCreate true financial confidenceIf you’re building a business, you should be building wealth alongside it.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 '6-8 Visit' Lie
Feb 1600:33:48Tap to summarizeThere’s a unspoken soundtrack running in pelvic rehab:“Patients should be better in 6–8 visits.”Most of us don’t say it out loud.But it shapes how we plan care, how we discharge patients, and how we judge ourselves.In this episode, we break down:Where this belief actually comes from (hint: insurance, not biology)Why it doesn’t hold up under scrutinyHow it quietly contributes to burnoutAnd how it impacts patient outcomesWe ask three important questions:Is it true?Is it helpful?Is it kind?When you look at how other specialties practice.....or how long research studies are conducted for....or tissue healing timelines, motor learning, scar remodeling, behavior change, and nervous system regulation… none of them peak at visit 6. The soundtrack isn't true.And it's certainly not helpful. Not for your patients. Not for yourself with the extra pressure it creates. And not for our field.Lastly, it certainly isn't kind. You would never tell another therapist they aren't any good because they couldn't get a complex patient better in 6-8 visits - yet we're telling ourselves that all the time.So we need to retire this broken soundtrack (as Jon Acuff would say).We also give you three ways to check whether you’ve actually internalized this — or whether the soundtrack is still running the show:Review your last 50 plans of careNotice how you feel at visit 4 if someone isn’t dramatically betterPay attention to your response when someone asks, “How long until I get better?”This episode kicks off a deeper exploration of time in pelvic rehab — because patient outcomes aren’t just about skill.They’re about skill × time.And if we artificially limit the time we spend, we cap the results for our patients.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 →