How many of your patients might have endometriosis… and no one has said it out loud yet?

Because that’s happening. A lot.

In this episode, Nicole sits down with one of the only physicians in the country trained in both endometriosis excision surgery and reproductive endocrinology—Dr. Sadikah Behbehani.

And this conversation pulls back the curtain on what’s really happening with endo, fertility, and patient care.

We cover:
👉 Why endometriosis is still massively underdiagnosed (and often missed—even in fertility clinics)
👉 The difference between suspecting endo vs actually confirming it
👉 Why surgery is still the gold standard—and when it matters most
👉 The role pelvic PT plays (before AND after surgery)
👉 What REIs are often missing—and why
👉 How endometriosis impacts fertility, miscarriage risk, and pregnancy outcomes
👉 When conservative care is helpful… and when it’s delaying necessary treatment

Because as pelvic rehab providers…

👉 We’re often the first ones to connect the dots
👉 The first ones to say the word “endometriosis”
👉 And the first chance patients have to get the right care

About Dr. Sadikah Behbehani

Dr. Sadikah Behbehani is a double board-certified OB/GYN and reproductive endocrinology and infertility specialist with additional fellowship training in minimally invasive gynecologic surgery.

She is one of only a handful of physicians in the U.S. with expertise in both fertility treatment and advanced endometriosis excision surgery.

She practices at Endometriosis & Fertility Center, where she focuses on complex endometriosis care, fertility preservation, and helping patients build their families.

👉 Website: https://endometriosis-fertility.com/

👉 Instagram: https://www.instagram.com/dr.sadikahbehbehani/

Downtraining Masterclass

If you want to be able to better help your pelvic pain patients, you need to be working on the nervous system. And if you don't know the three different types of downtraining....make sure you've taken the Downtraining Masterclass ($47).

👉 www.pelvicptrising.com/downtraining

About Nicole & Jesse Cozean

Pelvic health is hard. We want everyone in this field to have a joyful, impactful career. And for business owners to build something that truly works for them.

🎙️ Rising Podcast – Leading pelvic health podcast with 1M+ downloads
👤 Founder – PelvicSanity clinic in Southern California
🎙️ Co-creator – PelviCon, the first-ever pelvic rehab conference
📚 Author – The IC Solution, helping 20,000+ patients worldwide
🎓 Clinical Educator – Trained 3,000+ pelvic PTs & OTs globally
💼 Business Coach – Guided 900+ pelvic rehab businesses to grow, thrive and enjoy their business

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!

Revenue is vanity. Profit is reality.

And most business owners are focused on the wrong number.

In this episode, we break down one of the biggest mindset shifts in business:

👉 Revenue is how much money your business brings in
👉 Profit is how much actually ends up in your pocket

And the difference between those two numbers determines everything about your life.

This conversation started after a high-level business conference in Vegas where someone asked:

“How do you improve profitability in an insurance-based business?”

The answer?

“If you can’t control your pricing… there’s only one game to play:
you have to ruthlessly cut costs.”

And honestly?

That’s not a business most of us want to run.

We break down:

• Why profit margin is the metric serious business owners actually care about
• The huge mistake most people make when trying to improve profitability
• Why you cannot save your way to a successful business
• The difference between finite expense cuts and uncapped revenue growth
• How small increases in patient volume massively outperform tiny cost savings
• Why business model determines lifestyle more than almost anything else

And then we get into the contrast that changes everything:

🏥 Insurance-based model
~10% margins
~42 visits/day to make $100k

💰 Cash-based model
~66% margins
~3 visits/day to make $100k

Same income.

Completely different life.

This episode is about more than money.

It’s about:
👉 Burnout
👉 Freedom
👉 Control
👉 And building a business that actually works for your life

If you're ready to build a business with stronger systems, better margins, and more freedom…

The Business Accelerator is where we help pelvic rehab business owners grow intentionally—without burning themselves out.

👉 Learn more here:
www.pelvicptrising.com/accelerator

About Nicole & Jesse Cozean

Pelvic health is hard. We want everyone in this field to have a joyful, impactful career. And for business owners to build something that truly works for them.

🎙️ Rising Podcast – Leading pelvic health podcast with 1M+ downloads
👤 Founder – PelvicSanity clinic in Southern California
🎙️ Co-creator – PelviCon, the first-ever pelvic rehab conference
📚 Author – The IC Solution, helping 20,000+ patients worldwide
🎓 Clinical Educator – Trained 3,000+ pelvic PTs & OTs globally
💼 Business Coach – Guided 900+ pelvic rehab businesses to grow, thrive and enjoy their business

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 truly practicing trauma-informed care… or just assuming you are?

Because there’s a big difference.

And most of us were never actually trained in it.

In this episode, Nicole sits down with pelvic PT, researcher, and educator Krystyna Holland to break down what trauma-informed care really looks like—and where our field is still falling short.

And this conversation goes deeper than you expect.

We’re not just talking about being empathetic or “good with patients.”

We’re talking about:
👉 The intentional choices that either build safety… or unintentionally cause harm
👉 Why “I’m a caring provider” isn’t the same as being trauma-informed
👉 The missing clinical frameworks that should have been part of our training
👉 How even well-meaning clinicians can get this wrong

Krystyna shares insights from her current research—including the development of actual, tangible guidelines for trauma-informed care in pelvic health.

Not theory.

Not buzzwords.

Real, actionable practices.

We also get into:

• Why ongoing consent matters (and how to actually do it)
• How intake forms can unintentionally create harm
• What to say when a patient discloses trauma
• The biggest mistakes clinicians make when trying to “protect” patients
• Why trauma-informed care applies to every interaction—not just internal exams
• The surprising gap between what patients want… and what providers think matters

This episode will likely challenge how you think about your care.

And that’s the point.

About Krystyna Holland

Krystyna Holland is a pelvic health physical therapist, trauma-informed care researcher, author, and founder of Inclusive Care LLC. She specializes in providing inclusive, affirming, and trauma-informed pelvic healthcare and is a leading voice in bringing evidence-based trauma-informed practices into the pelvic health space.

She has spoken at major conferences including PelviCon and is currently leading research to develop standardized clinical guidelines for trauma-informed care.

Follow her here: https://www.instagram.com/krystyna.holland/

If you want to feel more confident in how you communicate, assess, and treat patients…

Our clinical courses are designed to bridge the gap between what you know and how you actually show up in the room.

👉 Explore here:
www.pelvicptrising.com/clinical

About Nicole & Jesse Cozean

Pelvic health is hard. We want everyone in this field to have a joyful, impactful career. And for business owners to build something that truly works for them.

🎙️ Rising Podcast – Leading pelvic health podcast with 1M+ downloads
👤 Founder – PelvicSanity clinic in Southern California
🎙️ Co-creator – PelviCon, the first-ever pelvic rehab conference
📚 Author – The IC Solution, helping 20,000+ patients worldwide
🎓 Clinical Educator – Trained 3,000+ pelvic PTs & OTs globally
💼 Business Coach – Guided 900+ pelvic rehab businesses to grow, thrive and enjoy their business

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!

What if growing your business didn’t require one big leap…

…but a series of small, courageous ones?

Because that’s how most successful practices are actually built.

In this episode, Jesse sits down with Rising CEO coach and practice owner Kyle Hartman to talk about what it really looks like to grow—from a brand new pelvic PT during COVID… to running a 4-clinician practice.

And the story isn’t what you think.

There was no master plan. Just a willingness to take the next step.

We get into:

• Why confidence doesn’t come before action (it comes from it)
• How “low-risk” decisions can still lead to big outcomes
• The power of starting small—and staying consistent
• How to grow a practice without losing focus or chasing every opportunity
• What it actually takes to lead a team (and have hard conversations well)
• Why grit and courage matter more than experience early on

We also dive into how Kyle has intentionally expanded her practice:

• A quarterly labor prep seminar that serves the community and drives leads
• Her work in sex coaching and counseling, helping patients move beyond pain into pleasure
• Consulting with professional athletes on return-to-sport postpartum care

If you’ve been waiting until you feel “ready”…

This episode is your reminder:

You don’t need a perfect plan.
You just need the courage to take the next step.

Business Accelerator Program

If you're ready to build your business step-by-step (without guessing what comes next)…

The Business Accelerator is where we walk you through exactly what to focus on—at every stage.

👉 Learn more here:
www.pelvicptrising.com/accelerator

About Kyle Hartman

Kyle Hartman is a pelvic health physical therapist, Rising CEO coach, and owner of Monterey Pelvic Health—a thriving 4-clinician practice in California. Known for her intentional growth and strong team culture, Kyle has expanded her services beyond traditional pelvic PT to include labor prep education, sex counseling, and consulting for professional athletes navigating pregnancy and return to sport.

You can learn more at www.montereypelvichealth.com
and follow her on Instagram at @montereypelvichealth https://www.instagram.com/montereypelvichealth

About Nicole & Jesse Cozean

Pelvic health is hard. We want everyone in this field to have a joyful, impactful career. And for business owners to build something that truly works for them.

🎙️ Rising Podcast – Leading pelvic health podcast with 1M+ downloads
👤 Founder – PelvicSanity clinic in Southern California
🎙️ Co-creator – PelviCon, the first-ever pelvic rehab conference
📚 Author – The IC Solution, helping 20,000+ patients worldwide
🎓 Clinical Educator – Trained 3,000+ pelvic PTs & OTs globally
💼 Business Coach – Guided 900+ pelvic rehab businesses to grow, thrive and enjoy their business

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 actually treating the right thing… or just what’s obvious?

Because those are very different.

And if you’re missing the real driver of your patient’s symptoms…

No amount of exercises, techniques, or experience is going to fix it.

In this episode, Nicole sits down with athletic trainer and educator Anna Hartman to dive into a completely different way of thinking about assessment, treatment, and what it really means to be an effective clinician.

Anna brings a unique blend of:

• Orthopedic rehab
• Osteopathic and visceral approaches
• High-level work with professional athletes and Navy SEAL candidates

And the result is a perspective that challenges a lot of what we’ve been taught.

We cover:

• Why assessment—not treatment—is the most important skill you have
• The difference between treating symptoms vs finding the true driver
• Why “results in 1–3 visits” isn’t about shortcuts—it’s about precision
• How ego gets in the way of clinical progress (more than you think)
• What it actually means to “trust what you feel” as a clinician
• Why repetition—not information—is the key to real skill development

This conversation will push you.

It might even make you a little uncomfortable.

But if you’re willing to question your assumptions and level up your clinical thinking…

There’s a lot here.

Anna Hartman

A huge 'thank you' to Anna for being on the podcast and sharing her wisdom with all of us. Make sure you're following her @movementrev and find all her courses and resources at www.movementrev.com

If you’re looking to become more confident in your assessment, communication, and clinical reasoning…

Our Clinical Courses are designed to help you bridge the gap between what you know and what you actually do in the clinic.

👉 Explore all courses here:
www.pelvicptrising.com/clinical

About Nicole & Jesse Cozean

Pelvic health is hard. We want everyone in this field to have a joyful, impactful career. And for business owners to build something that truly works for them.

🎙️ Rising Podcast – Leading pelvic health podcast with 1M+ downloads
👤 Founder – PelvicSanity clinic in Southern California
🎙️ Co-creator – PelviCon, the first-ever pelvic rehab conference
📚 Author – The IC Solution, helping 20,000+ patients worldwide
🎓 Clinical Educator – Trained 3,000+ pelvic PTs & OTs globally
💼 Business Coach – Guided 900+ pelvic rehab businesses to grow, thrive and enjoy their business

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!

Is supply or demand the bigger problem in your business?

Because if you don’t know the answer to that…

You’re probably working on the wrong thing.

We see this all the time.
Business owners are busy, putting in effort, trying to grow…

…but focusing on an area that isn’t actually the bottleneck.

In this episode, we simplify everything down to one core concept: supply vs demand.

👉 Supply = how many patient visits you can actually provide
👉 Demand = how many people want to be on your schedule

Sounds basic. But most people never apply it to their own business.

We walk through:

• How to identify whether you're supply or demand limited
• Why you’ll always be limited on one side (and why that’s normal)
• What to do if you’re supply limited (efficiency, adding time, hiring, or raising prices)
• What to do if you’re demand limited (leads, conversion, or clinical buy-in)
• How focusing on the wrong side wastes time, energy, and money

If your business feels scattered or stuck…

This is the lens that brings clarity.

Business Accelerator Program

If you’re ready to stop guessing and start focusing on what actually moves your business forward…

The Business Accelerator is where we help you identify your biggest constraint—and fix it.

No more spinning your wheels on things that don’t matter.

👉 Learn more and apply here:
www.pelvicptrising.com/accelerator

About Nicole & Jesse Cozean

Pelvic health is hard. We want everyone in this field to have a joyful, impactful career. And for business owners to build something that truly works for them.

🎙️ Rising Podcast – Leading pelvic health podcast with 1M+ downloads
👤 Founder – PelvicSanity clinic in Southern California
🎙️ Co-creator – PelviCon, the first-ever pelvic rehab conference
📚 Author – The IC Solution, helping 20,000+ patients worldwide
🎓 Clinical Educator – Trained 3,000+ pelvic PTs & OTs globally
💼 Business Coach – Guided 900+ pelvic rehab businesses to grow, thrive and enjoy their business

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!

Prolapse is one of the most talked-about conditions in pelvic health right now.

And also one of the most misunderstood.

In this episode, we take you behind the scenes of the PelviCon Prolapse Symposium — why we created it, how it’s different, and why this topic needed a deeper dive.

Because the truth is:

Most of us were taught a one-size-fits-all approach to prolapse.

And it doesn’t work.

Prolapse is one of the fastest-evolving areas in pelvic rehab, with more research, more perspectives, and more complexity than ever before.

That’s exactly why we built this symposium differently.

Instead of staying within our silo…

We brought together:

Pelvic PTs and OTs
Surgeons
Researchers
Mental health professionals
And experts from around the world

To answer one question:

👉 What does it actually mean to treat prolapse well in 2026?

In this episode, we talk about:

The origin story of the symposium
Why prolapse was the obvious choice
What most clinicians are still getting wrong
And what you’ll actually learn from attending

If you’ve ever felt like prolapse treatment is more complicated than it “should” be…

You’re right.

Prolapse Symposium

Join us for the 2026 PelviCon Prolapse Symposium here: www.pelvicon.com/symposium

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 900+ 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!

Starting your own practice isn’t actually that hard.

But building one you actually want to run?

That’s where most people get it wrong.

In this episode, we walk through a high-level roadmap for starting your practice — based on the exact framework we’ve used to help hundreds of pelvic health businesses get off the ground.

The biggest mistake we see?

People jump straight into the checklist:

LLC.
Website.
Logo.
Bank account.

Before they ever decide what they’re building.

And that’s how you end up with:

• A schedule you don’t want
• Patients you don’t enjoy treating
• A business that feels like another job

We cover:

• Why pre-start planning is the most important step
• How to define your ideal patient, schedule, and financial goals
• How to choose the right business model
• What you actually need to get started (and what you don’t)
• And the biggest mistakes that slow people down early

If you’re thinking about starting your own practice — or want to fix one that doesn’t feel right — this is the roadmap.

Ready to Start Your Practice?

If you want the full step-by-step process, that’s exactly what we walk through in the Business Kickstart Program.

👉 www.pelvicptrising.com/kickstart

Right now it’s $100 off (just $297).

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 900+ 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!