What’s It Costing You to Not Grow?

In this episode, we open up about one of the biggest mistakes we made in the early days of PelvicSanity—waiting years to invest in coaching. We thought we were saving money by doing it all ourselves...but it ended up costing us big time.

💸 Lost revenue.
⏳ Wasted time.
😣 Burnout, skipped vacations and overwork.
👥 Losing great people because we couldn't manage them well.
📉 Missed opportunities.

We break down the real cost of staying where you are and share why we’ll never run a business again without coaching.

You don’t drift into success. You build it—intentionally.

If your business isn’t supporting your lifestyle, passion, or financial goals, it’s time to make a change.

🚀 Registration is now open for Cohort #5 of the Business Accelerator!
Get the tools, mentorship, and systems to create the business you actually want.
👉 www.pelvicptrising.com/accelerator

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!

Rising to the Occasion: Celebrating 1 Million Downloads

We made it – 1 MILLION downloads of the Pelvic PT Rising podcast! 🎉

In this very special episode, we (Nicole & Jesse) take a step back and reflect on what this milestone means – and what we’ve learned after 500+ episodes of sharing our thoughts, rants, and reflections with this incredible community.

We talk about:

• How the podcast got started (and the cringe factor of early episodes)
• Why mentorship and community are so crucial in pelvic health
• What we’ve seen change in the field since launching Rising
• Why staying true to our ethos has mattered more than ever
• The topics that sparked the most growth…and the most controversy!

Plus – we’re celebrating with a 24-hour FLASH SALE 🎁
30% off all clinical courses and masterclasses – through Tuesday 6/24 only!
Everything comes with lifetime access, so if you’ve been eyeing a course, now’s the time to grab it.

🛒 Check out the sale now (https://www.pelvicptrising.com/clinical) and use the code '1Million' to get 30% off anything that's been on your wishlist!

Thank you for listening, supporting, and helping create this amazing, thoughtful, and growing pelvic health community. We’re so excited for what’s next – and so grateful you’re along for the ride.

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!

Are you constantly feeling like you need more leads to grow your practice?

We get it. The marketing world tells us to run paid ads, boost our SEO, post more on social, do (another) workshop. Basically, just keep doing more.

But here’s the truth:
If you can’t convert the leads you’re already getting, more leads won’t help.

In this episode, we challenge the “lead chase” mentality and dive into:

• Why practices feel stuck in a marketing hamster wheel
• The 3 keys to great conversion: website, system, and phone
• What a good conversion rate actually is (hint: 70%+)
• How to optimize for the leads you already have

Before you spend another dollar on marketing, ask yourself:
🛠 Is my website actually pre-framing and building trust?
📞 Am I confident and clear on the phone—or hesitant and hoping they don’t ask about money?
📋 Am I following up in a way that gives people a chance to say yes?

🚀 Ready to stop chasing and start converting?

Inside our Business Accelerator, we give you the exact phone script we’ve used with more than 8,000 patients at PelvicSanity. It’s been tested and refined by 650+ pelvic rehab business owners to confidently handle objections and book patients with ease.

Registration is open now for Cohort #5! Learn more at www.pelvicptrising.com/accelerator

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!

Gloving for External Treatment – What’s Actually Best for Our Patients?

In this episode, we're diving into a surprisingly controversial topic in pelvic rehab: gloving for external treatment.

Our informal poll showed a nearly 50/50 split:

• 58% of pelvic rehab professionals always glove with both hands for external work
• 42% reported they don’t

But why the discrepancy?

We take a closer look at:

• How gloves can interfere with our palpation skills and clinical sensitivity
• The potential message gloving sends to patients (especially when not medically necessary)
• Why external treatment in ortho, massage, and chiro doesn’t involve gloves – and what that means for us
• Whether your habits around gloving are intentional or just what you’ve always done

At PelvicSanity, we have a clear philosophy about when we glove (and when we don’t) – and we share that in this episode.

This isn’t about telling you what to do, but challenging you to examine your approach and make sure it aligns with your values and what’s best for your patients.

✨ Business Owners - Want to take your business to the next level? Our Business Accelerator is now open again - Cohort #5 begins in July. Check out all the information and register now if you'd like to build a business that truly works for you. www.pelvicptrising.com/accelerator

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!

"Pay Yourself First."
It’s become a buzzword in business…but what does it really mean?

In this week’s episode, we’re diving into one of the biggest sources of financial stress for business owners – paying yourself. Most of us weren’t taught how to handle business finances, and it creates a ton of anxiety. Am I saving enough? Doing it right? Transferring money properly?

We get into:

• What “paying yourself first” actually looks like in practice
• Why you can’t pay yourself with money the business isn’t making
• How consistency is key (just like rent or your EMR)
• Whether to use payroll or just transfer funds directly
• How to overcome the anxiety and confusion around business finances

At the end of the day, the most important thing you can do to pay yourself well is to make the business successful. There’s no revenue cap — so optimizing your caseload is the fastest way to give yourself a raise.

👉 Ready to take your business to the next level?
Cohort #5 of the Business Accelerator is now open for registration! This 6-month coaching intensive is designed to walk you step-by-step through the systems, marketing, and mindset shifts you need to grow a profitable, sustainable business.
Apply now at www.pelvicptrising.com/accelerator!

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!

“Don’t poke your patient.”
It’s something we say all the time, but it’s how almost all of us were taught in pelvic health.

Poking—pressing around internally to assess the pelvic floor—isn’t just ineffective, it’s also the wrong way to treat.

In this episode, we break down:

• Why the “poke-and-see” method doesn’t work
• How it’s completely different from how we assess any other muscle group
• Why it causes patients to tense, brace or withdraw
• What you should be doing instead to actually get helpful, functional information
• How mentorship and advanced training can help you move past this outdated approach

This isn’t just a clinical technique—it’s about making patients feel safe, understood, and better with every visit.

✨ Want to create a business that energizes you instead of draining you?
Join our FREE training: How to Create a ‘Hell Yes’ Experience from First Click to Final Visit

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!

Burnout hits pelvic rehab business owners twice as hard.

First, there’s the emotional and mental weight of treating patients with chronic and complex issues—something all clinicians face.

But then there’s a second, heavier layer: the unique stress and responsibility of owning a business.
You’re wearing all the hats. Managing a team. Marketing. Making financial decisions. Juggling it all—and still trying to be present in your actual life.

In this episode, we talk about:

• The two layers of burnout that hit business owners
• Why owning a business is a marathon, not a sprint
• How to recognize the early signs of burnout before it takes over
• Strategies we use (and teach!) to prevent burnout while running a business you’re proud of

✨ Want to create a business that energizes you instead of draining you?
Join our FREE training: How to Create a ‘Hell Yes’ Experience from First Click to Final Visit

This is one of the best ways to fill your schedule and reduce burnout—by creating patients who are bought in from the beginning. Register here: www.pelvicptrising.com/hellyes

🎯 Ready to level up your business?
The next round of our 6-month Business Accelerator opens in June for our July cohort. Apply now at www.pelvicptrising.com/accelerator and we’ll make sure you’re a great fit!

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!

Interstitial cystitis is one of the most complex conditions we treat—so what’s the missing piece?

In this Missing Piece episode from the Rising Vault, we’re breaking down one of the most overlooked contributors to IC:

💡 Neural tension of the sciatic nerve.

With interstitial cystitis, there are so many possible contributing factors—superficial pelvic floor muscles, constipation, urachus, inner thighs, ischiorectal fascia, even the calves.

But time and time again, we come back to the sciatic nerve and its major role in urinary urgency, frequency, and IC symptoms.

In this episode, we discuss:
✅ Why sciatic nerve tension can drive bladder symptoms
✅ How to evaluate neural tension in IC patients
✅ How addressing neural tension can transform your IC treatment approach

If you’re treating interstitial cystitis patients and not assessing neural tension, you could be missing a major factor in their symptoms.

Interstitial Cystitis: Holistic Evaluation & Treatment

If you're looking to learn more about how to treat IC and your complex patients, would love to have you join the IC: Holistic Evaluation & Treatment course. It will dive into both medical management and pelvic rehab techniques to make sure you're providing the most up-to-date care for your IC patients. Find more info and register at www.pelvicptrising.com/ic

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!