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© 2026 Pelvic 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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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, ...
We dive into one of the most overlooked clinical skills in pelvic rehab: 👉 helping patients make sense of their own story. Patients often arrive with narratives that are fragmented, confusing, or shaped by years of mixed messages. When clinicians accidentally adopt that narrative, both the patient and the plan of care end up lost. We explore: Why so many patients lack a cohesive understanding of their conditionHow unclear stories lead to frustration, fear, and chasing answersOur role in...
🎙️ Why 90% of Pelvic Health Business Owners Aren’t Hitting Their Financial Goals We break down exactly why so many pelvic health business owners struggle financially — and what to do about it. This episode is based on data from our community and our experience working with more than 800+ pelvic rehab business owners. And the truth? Most owners aren’t missing their financial goals because 'people are afraid of spending money' or 'it just isn't working in my town or they’re “bad at business.”...
🎙️ How to Choose the Right Pelvic Health Job + PelviCon Sold Out in 4 Minutes PelviCon 2026 sold out (again!) in just 4 minutes — which is both incredible and challenging. We wish everyone who showed up at 9:00am could have gotten an in-person spot. And TODAY is the last day to get the lowest possible price on the PelviCon Live Virtual + Recording pass! 💼 Now… let’s talk about HIRING. Whether you’re job-hunting now or planning ahead, this episode walks you through the four things you sh...
Got questions about PelviCon 2026? We’ve got answers! 🙌 In this episode, we run through the most common questions we’ve been getting about the 2026 event — from logistics and travel tips to how Live Virtual works and what to expect at the conference itself. We’ll cover: What’s included with your in-person or Live Virtual ticketTravel dates and hotel infoThe difference between the In-Person and Live Virtual + Recording experienceHow to make the most of your PelviCon weekend experience🎟️ ...
We’re giving you the inside scoop on the PelviCon 2026 speaker lineup! 🎤 In this episode, we share how this year’s roster of world-class pelvic health experts came together — and what makes the 2026 event the most diverse, practical, and forward-thinking lineup yet. You’ll hear about: How the speaker selection process works behind the scenesThe new voices and international experts joining PelviCon 2026Returning favorites and what new topics they’ll be tacklingThe overall theme for 2026 and ho...
“Work-life balance” gets thrown around a lot — but most conversations just blame work. In this episode, we talk about what real balance actually looks like — and how to create it in a way that matches your values, your season of life, and what you’re optimizing for right now. We cover: 🌿 The real question — what are you optimizing for? Profit, time, impact, energy? 🌀 The seasons of business and life (maternity leaves, caregiving, growth spurts) 🎯 Why business goals shouldn’t exist in ...
We all have “soundtracks” — those repetitive thoughts that quietly shape how we act in business. Some are harmless, but others drag us down, create guilt, and keep us stuck. In this episode, we unpack some of the most dangerous soundtracks we hear from clinicians and business owners — and how to rewrite them. We cover: 🧠 The hidden money soundtracks (like “I’m so expensive” or “They’ll think I’m greedy”) 💬 The confidence soundtracks (“I’m not good at business” or “I just want to t...
When we’re hiring at PelvicSanity (and we are right now 👀), we always get asked what we’re looking for — and honestly, it’s not what most people expect. Experience is great…but it’s not everything. In pelvic rehab, years on a résumé don’t necessarily translate to better outcomes, better patient care, or better fit. In this episode, we’re diving into: Why “experience” in other specialties doesn’t mean much in pelvic healthHow quantity (number of patients treated) and quality (mentorship, envir...
Trying to be everything to everyone is one of the fastest ways to burn out as a business owner. In this episode, we talk about what it really means to narrow your focus and set boundaries — in your pricing, your location, your specialty, and even your patient personality fit. We cover: Why saying no is one of the healthiest business decisions you can makeHow to stop feeling guilty about your rates or not taking insuranceWhy having a waitlist isn’t a bad thing — it’s a sign your business is wo...
This week’s Nicole’s Nudge is all about appreciation. It’s easy to think positive thoughts about our colleagues, mentors, or peers in the pelvic health field—but how often do we actually tell them? Expressing gratitude not only lifts them up, but it activates the gratitude centers in our own brains as well. Nicole’s Nudges are quick, actionable challenges designed to strengthen both your clinical practice and your connection to the pelvic health community. Your challenge: Pick a pel...
It’s spooky season — and there’s nothing scarier than running a business sometimes. In this Halloween-themed episode, we break down what should actually scare you in business (and what’s just a fake jump scare). We cover: 👻 The “fake” fears — bad reviews, competition, scary letters, and other harmless haunts 🩸 The real monsters — bad onboarding, toxic employees, moving goalposts, and losing alignment 🎃 How to face your business fears with clarity and confidence 🎯 Ready to st...
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