Pudendal neuralgia is one of the most intimidating diagnoses we treat.

It’s complex, frustrating, and often misunderstood—even among pelvic health providers.

In this Missing Piece episode from the Rising Vault, we’re breaking down a key factor that’s often overlooked in pudendal neuralgia treatment:

💡 The posterior cutaneous femoral nerve.

It’s easy to hyperfocus on the pudendal nerve itself, but the reality is:
👉 It’s almost impossible for pudendal neuralgia to only involve the pudendal nerve.
👉 This is why nerve blocks often fail to relieve all symptoms.
👉 This is why symptoms frequently extend beyond the pudendal nerve’s pathway.

If we don’t consider the posterior cutaneous femoral nerve, we may be missing a major driver of symptoms—and limiting our ability to help these complex patients.

Tune in to hear why broadening your focus beyond the pudendal nerve is key to successful pudendal neuralgia treatment!

About Us

Nicole 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!

When treating diastasis recti, are we missing the real problem?

In this Missing Piece episode from the Rising Vault, we’re tackling one of the biggest oversights in diastasis recti treatment:

💡 The back is often the missing piece.

It’s easy to focus on the front—after all, that’s where the diastasis is! Most treatment plans go straight to engaging the transversus abdominus and strengthening the core muscles.

But diastasis recti is often a symptom of a system problem—and that problem frequently starts in the back.

In this episode, we break down:
✅ Why checking the obliques, paraspinals, and fascia of the back is critical
✅ How weakness or dysfunction in the back contributes to diastasis recti
✅ Why many patients can’t “stack their ribcage over their pelvis” (even if we tell them to!)
✅ How treating the back first often leads to better outcomes

If we truly want to heal diastasis recti, we have to stop waiting until treatment isn’t working to assess the back—it should be part of the initial evaluation.

About Us

Nicole 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!

You can do everything ‘right’… and still struggle financially.

In this episode, we’re sharing Nicole’s financial story—going to a top PT school, graduating at the top of her class, landing a prestigious job, getting promoted… and still barely able to pay off student loans, accumulating credit card debt, and feeling lost about retirement.

If you’ve ever wondered how we’re supposed to make this career work financially, you’re not alone.

We dive into:

✅ Why school costs have skyrocketed, leaving us with massive debt
✅ How insurance reimbursement has dropped, shrinking wages across the board
✅ Why we get bad financial advice from parents, financial advisors, and even the internet

This isn’t just about numbers—it’s about the stress, anxiety, and shame so many clinicians carry about money. We’re here to change that.

🎓 We’re also announcing our completely free financial training created just for pelvic rehab clinicians—packed with everything we wish Nicole had known 20 years ago.

We’ll cover:
✔️ How to evaluate your financial health with our Clinician Scorecard
✔️ How to make a real plan for retirement
✔️ How to ease the constant money anxiety so many of us carry

💸 Sign up now at www.pelvicptrising.com/financial-foundations

About Us

Nicole 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!