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!
62episodes
Episodes
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Patient Outcomes = Skill x Time
Jan 2600:16:08Tap to summarizeIn this episode, we break patient outcomes down into a simple but powerful formula:Patient Outcomes = Skill × TimeYou need:The skill to understand what’s actually driving someone’s symptomsAnd the time for healing, behavior change, tissue adaptation, relationship-building, and clinical reasoning to unfoldMiss either one — and outcomes suffer.We talk about:Why outcomes can’t be separated from both clinician skill and available timeHow testing your hypotheses requires both technical ability and space to observe changeWhy healing, strength, and behavior change don’t happen on insurance-driven timelinesHow different practice models dramatically affect the “time” variableThis conversation was sparked by recent rhetoric criticizing cash-based care — and instead of taking the bait, we zoomed out and asked a better question:What actually creates great outcomes?This episode sets the foundation for future discussions about systems, incentives, and why clinicians often feel frustrated despite doing their best work.🎧 If you care about results — for patients and clinicians — this one matters.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 800+ 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 We Get Paid - Why Clinicians & Clinic Owners are Getting Squeezed by Insurance Companies
Jan 1900:43:10Tap to summarizeIn this episode, we break down how money actually moves in the insurance-based PT and OT world, why so many clinicians and clinic owners feel financially stuck, and how the landscape has quietly but dramatically changed over the last 20 years.We cover:How insurance companies make money — and why they’re incentivized to pay out as little as possibleThe reality of declining reimbursement and rising administrative costsWhy clinic owners feel squeezed from both sidesWhy clinicians deserve raises — and why insurance doesn’t support that realityHow this system unintentionally pushes clinics toward lower-quality care modelsMost importantly, we talk about why the rise of cash-based care isn’t a trend — it’s a correction.Cash-based models:Allow small, independent clinics to survive and thrive againCreate real earning upside for skilled cliniciansRestore transparency and accountability in careExist in every healthcare system — including countries with universal healthcareThis episode isn’t about villainizing anyone. It’s about understanding the system we’re operating in — so we can make better, more informed decisions about our careers, our clinics, and our patients.🎧 Whether you’re an employee, a practice owner, or somewhere in between, this is required context for the modern pelvic health landscape.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 800+ 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 →Red Light Therapy for Pelvic Rehab?: An Interview with Liz Frey of Fringe
Dec 23, 202400:39:40Tap to summarizeWondering about the science behind red light therapy and whether it's 'a thing' in pelvic rehab? So were we! So we brought Liz Frey on the podcast to answer all of our questions about photobiomodulation and it's uses in pelvic therapy.We'll talk about the basic science behind red light therapy and what the research says on how it can help. We'll also talk about the development of the Fringe Red Light Want, discuss how Liz uses red light therapy with her own pelvic patients and how they can be an adjunct to pelvic therapy.Can't wait for you to hear about the possibilities of this technology!Full Disclosure: I provided (unpaid) advice to Fringe as they were developing their red light pelvic wand to help make it more usable and approachable for patients. Fringe has also sponsored PelviCon and I have an affiliate link with them for anyone who orders their products (and also gets people 25% off when they order before the end of the year!).Fringe and Liz FreyFringe (https://fringeheals.com/ref/168/) is a health company focused on evidence-based use of red light therapy. They have a red-light wrap, a face mask and a pelvic wand all using the same technology.From now until the end of the year, you can get 25% off ANY Fringe product (even those out of stock!) using the code NICOLE25.Liz Frey is the Pelvic Health Medical Director at Fringe, as well as an educator and pelvic health clinic owner herself. We're glad to have her on the podcast and answering our questions about red light therapy!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 →What Are You Doing for Business Con-Ed?
Dec 19, 202400:30:57Tap to summarizeWhy do we expect to be great business owners without any training at all? We don't think that way about our clinical skills.In fact, we all spent 7+ years in school, countless clinical con-ed hours and often hundreds of thousands of dollars to become good clinicians. And yet, most of us have never invested anything in ourselves as business owners. Yet we expect to have immediate success - no wonder 90% of us aren't happy with what we're making financially in business! There's a 'compound interest' in becoming a better business owner. A small improvement or investment now grows and grows over the years and decades we own our practice.If we develop a front desk script now, we might use it for thousands of patients. Our call logs, budget templates, 'last 5' for clinical buy-in - all of these skills or habits will last for years.These investments in the business will pay off over the life of your practice. Yet we don't approach business with the same dedication we do our clinical practice.As we said in a recent podcast 'sode, "If we invested 1% of the time and money in business ownership that we did to become great clinicians, 90% of us wouldn't be unhappy with what we make in the practice!Business Accelerator Program - Closes Friday!Registration for the January Cohort of the Accelerator Program closes on Friday (12/20)!! If you're a business owner looking to take things to the next level in 2025, make sure to check it out and get on the wait list here: www.pelvicptrising.com/acceleratorSee how business owners increased their revenue, boosted their confidence and reduced the overwhelm of building a business!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 →Floored: An Interview with Sara Reardon
Dec 16, 202400:40:58Tap to summarizeSara is one of the most impactful advocates for pelvic health we have. As The Vagina Whisperer she has an audience of over 600,000 people. She's done a TED talk, she's been a PelviCon speaker, and now she is going to be a published author!We discuss how to communicate with patients in their own language, shifting our mindset to helping patients through their entire lifespan and what we can learn from the dental model - yes, dentists - of providing care. Sara's new book Floored is available for pre-order now. Learn about the process of writing a book and how Sarah sold her practice to her employees to give herself more time for what she is passionate about, advocating for pelvic health for all.Can't wait for you to hear it - a fun conversations with twists, turns, rants and tangents!Dr. Sara ReardonSara is a clinician, educator, pelvic health advocate and now a published author! Her book Floored: A Woman's Guide to Pelvic Floor Health at Every Age and Stage is available for pre-order now (https://amzn.to/4gEJKiN) - order it to help increase reach and get into more stores! You can always follow Sara @the.vagina.whisperer on IG for all her info and updates! Business Accelerator Program - Closes riday!Registration for the January Cohort of the Accelerator Program closes on Friday (12/20)!! If you're a business owner looking to take things to the next level in 2025, make sure to check it out and get on the wait list here: www.pelvicptrising.com/acceleratorSee how business owners increased their revenue, boosted their confidence and reduced the overwhelm of building a business!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 →Why 90% of Business Owners Aren't Happy With What They Make
Dec 12, 202400:27:54Tap to summarizeIf you aren't feeling satisfied with your income, you aren't alone. More than 9 in 10 business owners say they aren't happy with what they are making from the business.....but why?That's what today's 'sode is all about. We may have heard how 'easy' it is. Or think everyone is successful because that's what we see online. But we're going to lay out the truth for you when it comes to business finance!1) Expectations - A lot of business owners 'just do the math'. If they saw the same number of patients they were seeing elsewhere, but kept all the money....not taking into account the challenges of marketing, administration, and fulfillment. They don't know their minimums and keep moving goalposts.2) Such Hard Work - Many business owners feel like what they make isn't commensurate with the work, stress and hours they are putting into the practice.3) Aren't Making Money - Some business owners really are struggling with revenue. The phones aren't ringing, they aren't able to convert the leads they get, and the patients who do come in tend to drop off or space our visits.4) They Aren't Getting Help! - These numbers change dramatically for those getting help! We've all spent multiple years and hundreds of thousands of dollars to become excellent clinically, but haven't invested in ourselves as business owners.Business Accelerator Program - Now Open!Registration for the January Cohort of the Accelerator Program is now open! If you want things to be different in your business, you need to make changes. Check it out and get on the wait list here: www.pelvicptrising.com/acceleratorSee how business owners increased their revenue, boosted their confidence and reduced the overwhelm of building a business!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 →A Standing Assessment is Critical!: An Interview with Christina Prevett
Dec 9, 202400:56:50Tap to summarizeCan't wait for you to hear this interview! We discuss why a standing assessment is so critical, the limitations of a supine exam and the PERF, how to 'stack the deck' for our pregnant patients and what we know - and don't know! - about exercise during pregnancy.We talk about the power and limitations of research. And we dive into Christina's mission to remove as much fear as possible from pregnancy and post-partum.Discover what Christina learned from her own pregnancy, diving into research, and conducting her own. This will change your mindset on helping your pregnant patients!Dr. Christina PrevettChristina is a pelvic physio, researcher, 'clinician-scientist' and post-doctoral fellow. Her research focus is high-load weight training during pregnancy and she's passionate about removing the fear from the pregnancy and post-partum journey. She's the founder of the Barbell Mamas (https://thebarbellmamas.com/), and make sure you're following her amazing content @dr.christina_prevettBusiness Accelerator Program - New Cohort Open Thursday!Registration for the January Cohort of the Accelerator Program opens on Thursday! If you're a business owner looking to take things to the next level in 2025, make sure to check it out and get on the wait list here: www.pelvicptrising.com/acceleratorSee how business owners increased their revenue, boosted their confidence and reduced the overwhelm of building a business!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 3 Pillars of Business for Sustained Success
Dec 5, 202400:25:10Tap to summarizeWhy is it so important to get all three of these pillars - Marketing & Sales, Business Systems, and Clinical Excellence - right for a well-running business?In this 'sode we discuss the three main pillars of business. If only one or two of these are working well, the business is going to take a lot of effort and always feel precarious.Marketing & Sales - If you don't have a consistent source of leads and are always worried about getting the phone to ring, marketing your practice is vital. We need a systematic plan for marketing to avoid dips and the 'rollercoaster' of business.Business Systems - If you're feeling overwhelmed or burned out, it's usually because you're lacking systems. We often make up for poor systems with more work and late nights, but that's not sustainable.Clinical Excellence - If you're having patients drop off, space out their visits, or stop coming in because 'it's expensive', we aren't getting the clinical buy-in necessary.When all three of these are working well, the business gets much easier to run, grows faster and is actually fun to work in!Accelerator Program - Registration Opens Dec 12th!If you know one - or more - of these areas needs work, consider joining us for the January cohort of the Business Accelerator Program! We've helped 300+ business owners grow their practice and build a business that truly works for them. You can see all the details and real-world results at www.pelvicptrising.com/accelerator.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 →More Inclusive Care: A Conversation with Ken McGee
Dec 2, 202400:50:42Tap to summarizeCan't wait for you to hear this conversation with Dr. Ken McGee of B3 Physical Therapy. They have a diverse practice featuring mobile, telehealth and in-office visits.We discuss a major mindset shift in postpartum care that will change your perspective, supporting parents with feeding, how to make your intake forms more inclusive, the importance of more open-ended questions, and more.Can't wait for you to learn from Ken on providing better care for people of all genders!Dr. Ken McGee - B3 Physical TherapyKen McGee, PT, DPT, (they/he) is a white queer transmasculine pelvic health physical therapist based in Seattle who owns B3 Physical Therapy. Their mission is to bring greater awareness to the pelvic health needs of the LGBTQIA2S+ community. They enjoy mentoring other rehabilitation professionals to better care for people of all genders and you can follow them @b3ptco for great info!PelviCon 2025 - Sold Out in 29 Minutes!We're so excited and grateful to announce PelviCon 2025 sold out in just 29 minutes on Black Friday! For those who are coming, we can't wait to take over a hotel with you and enjoy these incredible speakers together.If you weren't able to come, there's a wait list on PelviCon right now for both any in-person or virtual options we have - make sure to get your name on that wait list so you don't miss out (www.PelviCon.com).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 Pelvis Moves!": An Interview with Lynn Schulte
Nov 25, 202400:55:26Tap to summarizeIn this practical and wide-ranging conversation we discuss why Lynn believes we overlook the bones of the pelvis, the common patterns she sees in post-partum patients and which pelvic floor muscle she pays the most attention to in her evaluation.We also hear some great questions you should be asking your post-partum patients and discuss the impact of birth trauma.Can't wait for you to hear this conversation with Lynn Schulte!Lynn Schulte - Institute of Birth HealingLynn is the founder of the Institute for Birth Healing, has her own podcast and clinic. Make sure you're following her @InstituteforBirthHealing. If you're interested in learning more, Lynn has a free online course on Sacral Mobility you can find here.PelviCon 2025: Black Friday is Almost Here!If you want to hear the leaders of pelvic health - Michelle Lyons, Taryn Hallam, Sudan Clinton, Fiona Rogers, Stephanie Prendergast, Quiara Smith, Bill Taylor, Grainne Donnelly - speak, make sure you're looking into PelviCon 2025: Elevate!You can find all the details and get on the wait list at www.PelviCon.com. Tickets go on sale (and typically sell out!) on Black Friday, so don't miss out.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!
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