Claim OwnershipPelvic PT Rising
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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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Why 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...
Some 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 mu...
We 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 th...
After 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 clinicia...
If 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-...
Hiring 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 ...
We 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 (s...
Most 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 Account...
There’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...
If there were a magic bullet in business, we’d all be using it. And we’d all be successful. But there isn’t. As pelvic rehab providers, we get frustrated when patients come in looking for the one magic pill, surgery, technique, or device that will instantly fix everything. We know better. We know outcomes are about consistency, skill, time, and effort. And then we turn around and do the exact same thing in our businesses. In this episode, we talk honestly about the ways practice owners distra...
There’s been a recent flare-up in the pelvic rehab world around cash-based versus insurance-based care. And while emotions are running high, we wanted to pause the noise and add something that feels increasingly rare: context. In this episode, we start with what we all agree on: Every pelvic PT and OT is doing their best for their patientsWe all want clinicians to be paid fairly and sustainablyMore practice models = more options for both clinicians and patientsPatients benefit from having rea...
In this episode, we break patient outcomes down into a simple but powerful formula: Patient Outcomes = Skill × Time You 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 abilit...
In 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 raise...
Long waitlists are incredibly common in pelvic rehab — and they’re only becoming more common as awareness of pelvic health grows. But a long waitlist isn’t automatically a good thing… or a bad thing. It’s a decision point. In this episode, we break down what it actually means to have a long waitlist and how to think about it strategically and tactically, whether you own a practice or work for someone else. We discuss: Why waitlists longer than ~3 weeks lead to significant patient drop-offThe ...
Most goal-setting focuses on one or two areas of life — usually work and maybe health — and then we wonder why things feel off balance by February. In this first episode of 2026, we’re sharing the framework we teach every year in our business programs, but one that applies just as much if you work for someone else: Diversify your goal-setting portfolio. Before you set career or business goals, we walk through other areas that matter just as much — and often get overlooked: RelationshipsFun an...
As the year wraps up, it’s tempting to jump straight into planning what’s next — without ever stopping to reflect on what just happened. In this episode, we talk about why crafting a clear narrative for your year is one of the most powerful (and overlooked) tools for preventing burnout, building perspective, and entering the next season grounded instead of reactive. We explore: Why high performers default to focusing on what didn’t go wellHow negativity bias distorts your view of the yearThe ...
Binary questions are easy — and often misleading. In this episode, we break down one of the most powerful (and underused) communication tools in pelvic health, leadership, and life: the 0–10 scale. Instead of asking questions that are heavily influenced by power dynamics, assumptions, or people-pleasing (“Are you okay with this?”), the 0–10 scale opens the door to nuance, curiosity, and honesty. We discuss: Why yes/no questions shut conversations downHow a 0–10 scale creates psychological saf...
A lot of pelvic health business owners are just surviving. They’re working hard. Seeing patients. Paying the rent and bills, with maybe a bit left over for themselves. But surviving isn’t why most people started a practice. In this episode, we talk about what it actually means to thrive as a business owner—and why the success you want is often on the other side of the work you’ve been avoiding. We walk through the five core areas we see in truly thriving practices: Financia...
Mentorship has become a buzzword in pelvic PT and OT — but most conversations around it are incomplete. In this episode, we break down the four distinct types of mentorship that actually shape clinical confidence, patient outcomes, and long-term career satisfaction. Most clinicians receive some mentorship — but very few receive all four. We unpack: Hard Skills Hands-on techniques, assessments, and interventions — what most people think of as “mentorship,” and what many con-ed courses focus o...
In this rapid-fire episode, we’re celebrating Cohort #6 of the Pelvic PT Rising Business Accelerator 🎉 To mark the milestone of 400+ graduates and 800+ practices mentored, we’re pulling back the curtain and breaking down the entire Accelerator curriculum… in 18 minutes. You’ll walk away with quick insights from each of the 18 modules, organized across the Three Pillars of a Thriving Practice: 🟦 Pillar 1: Marketing & Sales How to attract patients consistently, increase conversions, ...
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