Shows
Pelvic PT RisingCoccydynia Symposium Recap: The 6 Biggest Clinical PearlsTop Takeaways from the Coccydynia Symposium (Flash Sale!)We just wrapped the Coccydynia Symposium, bringing together the world’s leading experts on persistent tailbone pain.In this episode, Nicole shares her biggest takeaways from each speaker, including:🦴 Dr. Patrick Foye: Why seated vs. standing x-rays matter—and how most radiology clinics can do them 💉 Dr. John Vogel: The 3 types of pain management procedures for coccydynia 🧠 Dr. Frank Feigenbaum: Understanding Tarlov cysts and their role in sacral and co...2025-07-2123 minPelvic PT RisingWe Hit 1 Million Downloads! 🎉 What We've Learned on the JourneyRising to the Occasion: Celebrating 1 Million DownloadsWe 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 healthWhat we’ve seen change in the field since launching R...2025-06-2332 minPelvic PT RisingPelvic Rehab & Your Money: The Talk We All Need To HaveYou 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, leavin...2025-05-0121 minPelvic PT RisingBiofeedback: Is It Worth Your Time?Is biofeedback really worth your time?Biofeedback has been a staple in pelvic therapy for years, but is it actually helping patients—or is it just another outdated tool that doesn’t deliver results?This is a replay of one of our most thought-provoking episodes! While I’m out on maternity leave, we’re bringing back some of the best conversations we’ve had over 500+ episodes.In this episode, Nicole shares her biggest frustrations with biofeedback, including:🚫 It focuses entirely on the pelvic floor and ignores the full-body...2025-04-071h 01Pelvic PT RisingBeing Happier as a Small Business OwnerBuilding an outwardly successful business doesn't mean much if we don't enjoy the journey! In this 'sode we dive into how we can be more content and happy as business owners.What we all get wrong is thinking we'll be happier in our business when we reach the next milestone. The ideal amount of patients. The next big revenue number. When we hire. We just keep chasing the next thing.We certainly hit this in building PelvicSanity. In 2019 we had grown from just Nicole to 5 full-time clinicians in just 3 years. We had an admin team and a m...2024-11-0423 minPelvic PT RisingFinding Your Tribe of Practitioners for Multi-Disciplinary CareOne thing the recent Vulvodynia Symposium did (and you can still grab the recording if you haven't already) was remind us of the amazing practitioners who are out there.We're often frustrated with physicians or other members of the medical profession for negative patient stories and interactions. And it's definitely valid to be frustrated when a patient reports being dismissed or brushed off!But this is a reminder there are some incredible, deeply thoughtful, caring and skilled specialists out there! In this 'sode we go through how to 'find your tribe' and create your own ne...2024-07-1524 minPelvic PT Rising20 of Nicole's Biggest Pet Peeves about InternalIn this 'sode, Nicole is challenged to give her 20 biggest pet peeves with internal treatment is done or taught in just 20 minutes!You'll have to check out the 'full sode for the list, but they include...Using too much lube.Gloving both hands.Constantly asking 'are you ok?' (there's a better way) Sitting at the end of the tableAnd giving 'Swirlies'Check it out, and see if she makes it!Business Accelerator Program - Doors Close Thursday (6/27)!Doors are now open for...2024-06-2423 minPelvic PT RisingHappier at Work: 3 Mental Habits for Better Work LifeThis month, we're going to be doing a series on 'Happier at Work.' Our rates of stress and burnout are high. If we want long, productive careers where we help the most people we have to be taking care of ourselves!In this 'sode we go through 3 mental habits Nicole has used to practice for nearly 20 years and that we try and cultivate in our team at PelvicSanity.First is being ready to receive your patient. If you're rushing into work at the last minute you can feel behind, rushed or frenetic all day. That...2024-05-0623 minPelvic PT Rising"We're the Cool Kids Now": An Interview with Dr. Carrie PaglianoCan't wait for you to hear this conversation with Carrie Pagliano, past Academy President, course creator and founder of Carrie Pagliano Physical Therapy. Clinical and business pearls abound in this conversation - enjoy!One of the most powerful points of this conversation was hearing from Carrie how she deliberately structures her business to support her time with family and her personal life. She is not willing to compromise time with her family for her business and is unapologetic about it. We also discuss Carrie's important work with the Academy of Pelvic Health, including being instrumental in...2024-04-151h 00Pelvic PT Rising5 Ways to Use the Cozean Screening ProtocolWe created the Cozean Screening Protocol because we wanted a way to help patients and other practitioners realize when pelvic floor dysfunction was causing symptoms.We first published this as a poster at IPPS. Using PelvicSanity as our site we reviewed patient intake forms and charts to see what symptoms or history were most predictive of pelvic floor dysfunction. And after running some cool statistics the Cozean Screening Protocol was created. Anyone answering 'yes' to 3 or more of the questions has more than a 90% chance of having pelvic floor dysfunction.You can absolutely download and use...2024-03-2521 minPelvic PT RisingFlying Solo at Your Clinic: An Employee's Guide to SuccessIn a recent survey we conducted on the State of Pelvic Rehab, we found almost half (49.7%) of you are the only pelvic rehab provider in your clinic. Nicole knows the feeling - as a new grad she was tapped to start and run a pelvic health program at a large hospital program.There are major challenges to being the only pelvic provider, for both you as the employee and for your practice. Your boss or manager is often initially supportive, but that may not last.Just think of some of the challenges to an ortho practice or...2024-01-2926 minPelvic PT Rising$#it That Needs To Be Said: Clinical EditionWe're back with a Clinical Edition of $#!t that needs to be said! Talking everything from techniques (don't "poke" your patient and you're probably doing skin rolling wrong) To philosophies (we're discharging too early, we need to get our patients up off the table)To some tough-love opinions (physicians aren't the bad guys, you don't have direct access, and what it means to be a pelvic rehab provider)This is the 'sode for you - check it out!And let us know which of these 14 things resonates most with you - s...2024-01-0832 minPelvic PT RisingHow Nicole Got Fired (And How to Leave a Job Gracefully)It's the story we've promised to tell, of how Nicole got fired! Well, not technically. Technically her resignation was accepted early, suddenly and without warning ;).But we tell you the story for a broader point on how to handle an employee transition. Whether you're an employee trying to leave on good terms and do everything right by your (former) employer and patients, or a clinic owner trying ensure you handle a transition with grace, this 'sode will have helpful strategies for you.We tackle the thorny topics of giving notice, managing patient care during the tra...2023-12-1150 minPelvic PT RisingYou're Not the Arbiter of Your Patient's When, Why or HowHave you ever felt frustrated your patient wasn't ready to make a change? Didn't prioritize what you thought was most important? Or ignored your recommendations for their plan of care?Continuing our 'You're Not the Arbiter' series, we discuss how we can take it personally when a patient isn't ready to do what we suggest or change according to our timeline.In this 'sode we share some of the most pivotal stories of Nicole's career and how to set aside our own judgment and ego when it comes to our patients so we can truly ho...2023-11-1632 minPelvic PT RisingMarketing Series (Part 3): Use Kindling for a Quick BurnIf you needed to get patients into your practice next week, how would you do it?Kindling is an important part of your marketing fire. It burns quickly (getting patients in the door). It gives us time to get the bigger 'logs' burning. And it's how most of us start out getting people in the door early in our business.In this 'sode we talk about some of the most common 'kindling' for getting the phone to ring:WorkshopsSocial MediaFree ScreeningsEmail MarketingHowever, if you build your entire fire out of kindling, you'll alw...2023-10-1921 minPelvic PT RisingPros and Cons of a Mobile PracticeStarting a mobile practice can be an attractive option. Many new business owners use this as a side hustle as they continue to work, or build a 'concierge' practice as they grow.In this 'sode (prompted by a listener question!) we dive into the Pros and Cons of a Mobile practice.Many of our mentees in the Rising Family have started this way - many have switched over to a brick & mortar practice, while others are thriving in the mobile model.We'll talk about what you should do as you start, the advantages o...2023-05-1136 minPelvic PT RisingFinding Confidence in Running a Business: An Interview with Paige Genova, Pelvic OTPaige has a unique perspective as a Pelvic OT and business owner. She's overcome limiting beliefs, found confidence in her business and created an incredible practice providing service to those in her local community.In this wide-ranging conversation we discuss her decision to start a business with young children and a husband with a demanding job, her training as an OT and how she sees the pelvic health landscape, and the confidence she's built as a business owner.In the last nine months Paige has grown her business from just her to multiple clinicians, an a...2023-03-2351 minPelvic PT RisingOur Journey of Grief and Hope: Supporting Patients Through Pregnancy LossIn another personal 'sode we share our own challenges with pregnancy loss and how it's changed Nicole's clinical practice and how we interact with those experiencing loss.(We do discuss our pregnancy loss in detail in this 'sode - if that may be triggering for you, please skip it or ignore it entirely)Our journey has included a second-trimester loss, a first-trimester loss and a failed IVF transfer. It's led to several medical procedures, two ER visits and a bout with sepsis.We hope our story can provide more clarity on how we i...2023-02-141h 03Pelvic PT RisingIntegrating Standing and Dynamic Assessments Into your PracticeOur patients don’t live on their backs….so we do we often treat them like they do?Nicole shares how she first started treating in standing positions – spoiler alert! She was nervous the first time she did – and why it’s so important to her clinical practice.You’ll be surprised, almost every time, how different what you feel in standing is from what you’ve felt in supine.One of our maxims is ‘assess, don’t guess’ – if you’re not assessing the pelvic floor in standing and in dynamic positions, you’re just guessing. 2023-01-3031 minPelvic PT RisingNegativity Up, Positivity OutHow can we take more control of our own happiness at work?We dive into how we can avoid negativity, have more honest conversations and enjoy work more.When negativity goes upward - to your boss or someone who can make a change - instead of out to your colleagues or patients, it creates a better culture and environment for everyone.PelviCon Recording Now Available for Order!If you weren't able to get tickets to PelviCon or make it to Atlanta this year, we've got you covered! We're going t...2022-10-0622 minPelvic PT RisingBehind the Scenes Story of PelviCon!We were absolutely blown away by the energy, excitement and inspiration at PelviCon 2022!In this 'sode we give a behind-the-scenes look at running the conference, stories about our speakers, the biggest 'oh, shit!' moments and more!We're joined by our partners in PelviCon crime, Jessica & Andrew Reale, for this 'sode, and answer a lot of your questions about the conference. Check it out!PelviCon Recording Now Available for Order!If you weren't able to get tickets to PelviCon or make it to Atlanta this year, we've got you c...2022-10-0344 minPelvic PT RisingJessica Reale: All Things PelviConThe behind-the-scenes stories, history and evolution of the first-ever conference both BY and FOR Pelvic Health - PelviCon!Talking with co-founder Jessica Reale about three weeks before the start of PelviCon 2022. Hear her thoughts on the speaker lineup, what she's most excited for and the inside story of how everything came together!The in-person conference itself sold out in less than four minutes, and so excited to meet many of you in person in just a few weeks! If you aren't joining us in Atlanta, make sure to pre-order the recording (available before Friday for a...2022-08-2930 minPelvic PT RisingCase Report: Dealing with Skeptical or Challenging PatientsWhat do you do when you have a patient who doesn't believe you can help?Many times these are the patients we end up thinking about when we go home at night. Or over our lunch break. Or even during our next patient.They can make us feel inadequate, sap our energy or cause us to replay conversations in our heads."What do I say in order to convince them I can help?"Many of these patients have very valid reasons to be skeptical. Their emotions can range from anger to dep...2022-08-2522 minPelvic PT RisingMichelle Lyons: That Pelvis Is Attached To A Whole PersonHow do we treat more holistically? Recognizing the pelvic floor - while incredibly important - is still just a part of a whole person.An example: pain is both a sensory and emotional issue. If we ignore either aspect, we can't treat the whole person.In this incredible interview with Michelle Lyons we talk about her clinical philosophy, how to have a more holistic view of our patients, why anatomy is the 'map' to guide your care, and more clinical pearls.And we announce her PelviCon topics! So excited to have Michelle teaching abo...2022-08-221h 07Pelvic PT RisingAre You Missing Out on the Best Job of Your Life?What if you're missing out on the best job for you?You know we're biased, but we really believe more pelvic rehab practitioners should be actively seeking to work at cash-based clinics. Some benefits include:Hour-long treatment timesWay less documentation for insuranceMotivated clientsWellness servicesNo insurance company dictating your careOf course, there are always pros and cons to any position. So in this 'sode we look at what it's like to work at a cash-based physical therapy clinic. The good, the bad and the ugly.We debunk a few myths and assumptions that mig...2022-08-1827 minPelvic PT RisingHeather Jeffcoat: Female Sexual Function and DysfunctionIn order to treat sexual dysfunction, we have to have a clear understanding of sexual function.If we shift our thinking from just resolving symptoms to truly empowering our patients to improve their sex lives we can have a much greater impact.This is just one of the topics we dive into with Heather Jeffcoat, founder of Femina Physical Therapy, author of Sex Without Pain, current APTA Academy of Pelvic Health President and PelviCon speaker!We discuss how active Heather has been in the media, working to change the narrative around pelvic health...2022-08-1546 minPelvic PT RisingAre We Primary Care Providers?How do we take more responsibility for our patient outcomes and use our doctorate level education? We know we're uniquely qualified to see the big picture for our patients. Spend time with them. Understand their journey. Treat them holistically. Really use our doctorate-level education.Are we actually (or should we be) primary care providers for pelvic health issues?I believe we should be if we want to be providing the best possible care for our patients. That doesn't mean stepping outside our scope of practice. But it does mean helping guide our patients.2022-08-1126 minPelvic PT RisingAmber Brown: Appoint Your Personal Board of DirectorsWho is on your personal board of directors? Where do you get feedback you can trust from those who know and care about you?In this fascinating interview, we dive into the idea of the personal Board of Directors with Amber Brown, as well as her clinical philosophy, the intersection of pelvic PT and birthwork, her passion for financial literacy and spearheading the Diversity Panel at PelviCon.Along with fellow PelviCon speaker Juan Martin, Amber teaches pelvic health providers about doula work and how we can better help our patients prepare for birth.W...2022-08-081h 05Pelvic PT Rising4 Ways to Quarterback Your Patient's CareHow do we take responsibility for the success of our patients? Should we take responsibility?In this 'sode we discuss the unique position we have as pelvic healthcare providers to help our patients. We have the time to spend with them to really see and understand their situation. To watch them grow. To progress over time.This is time the traditional healthcare system doesn't give. Most physician appointments last less than 15 minutes. A patient is interrupted after an average of 11 seconds.We have the ability to be the 'quarterback' of our patient's care. To be t...2022-08-0425 minPelvic PT RisingHolly Tanner: Planting Seeds with Your PatientsHow can we help patients make realizations for themselves as we build trust with them? Even if they aren't ready to hear it yet?In this wide-ranging interview with Holly Tanner, we discuss her clinical philosophy, treatment techniques, her business pursuits and more!Holly has had such a unique career and exemplifies the different ways we can utilize our degrees. She's started her own clinic, taught, consulted for other companies and has created curriculum and taught for Herman & Wallace. Also so excited to announce her PelviCon topics on this 'sode. Can't wait to spen...2022-08-011h 00Pelvic PT RisingThe Three Types of DowntrainingAre you doing all three types of downtraining with your patient?We often have a hazy understanding of what 'downtraining' really is. Did you know there wasn't even a formal definition of it?In this 'sode we define downtraining and the three different types. By using them together (and knowing which one to prioritize) we can get our patients better, faster.And actually be speaking the same language when we talk about downtraining!Downtraining MasterclassIf you'd like to learn more about the 3 types of downtraining, which is...2022-07-2821 minPelvic PT RisingSara Reardon: Building an Authentic BrandAs The Vagina Whisperer, Sara has done an amazing job creating a personal brand, educating patients and advocating for our field. In this inspiring interview we dive into her clinical philosophy, her business journey and how she's managed to create an authentic personal brand that resonates.Love how passionate she is about helping moms in the early postpartum phase. There's so much more we can do to support our patients.One of the most inspiring things Sara shares is there is no magic formula. As she says “I'm just like, a struggling mom and b...2022-07-251h 01Pelvic PT RisingJuan Michelle Martin Interview: Birth is Not a Disease ProcessHow can we make birth better for our pregnant patients? And deal better with post-partum care?In this interview with Juan Michelle Martin, founder of JMM Solutions and PelviCon speaker, we discuss how our medical system treats birth as a disease process.With her background as both a pelvic PT and as a doula, Juan is passionate about changing the way we treat patients as they prepare for pregnancy and immediately after delivery. We're so excited for Juan to bring her expertise to PelviCon, and we're announcing her topics below!Therapeutic Considerations fo...2022-07-1854 minPelvic PT RisingKrystyna Holland Interview: What Do We Mean by "Trauma-Informed Care"?What does 'trauma informed care' mean in actual practice?It's a buzzword that we've all heard, but difficult to actually implement in practice. In this interview with Dr. Krystyna Holland, founder of Inclusive Care and PelviCon speaker, we discuss what it actually means to 'do no harm' for our patients and always be improving.Trauma informed and inclusive care are more a process than a final result. We can always be better, and it starts with checking our egos at the door!We also introduce Krystyna's topics for PelviCon in this interview as we...2022-07-1158 minPelvic PT RisingSarah Duvall Interview: Creating Change That LastsHow can we create lasting change for patients?That's just one of the topics we explore with Sarah Duvall, our guest on today's podcast and PelviCon speaker!We introduce the topics she'll be speaking about this year, talk about her journey in pelvic health, share some clinical pearls and listen to her journey in business.Sarah is a major force in our field, working to make sure we're incorporating our orthopedic training and skills into our pelvic health practice. So excited to have her as a speaker at PelviCon and for this conversation!2022-06-2755 minPelvic PT RisingGetting More Practical with Your PatientsHow can we get more practical with our patients?Are you ever guilty of using 'PT language' with your patients? Overprescribing on your home exercise programs? Getting excited about the anatomy and 'education' until you sometimes see a blank look on their face?In this 'sode we go into how to make things more practical for your patients, in meetings with other practitioners and in your community!PelviCon Recording Now Available for Order!If you weren't able to get tickets to PelviCon or make it to Atlanta this year, we...2022-06-2325 minPelvic PT RisingNo Such Thing as a Perfect JobAs both an employee and employer, it's important to realize there's no such thing as a perfect job. We want everyone working in pelvic health to be happy and content in their job!A good match between a position and employee requires 1) self-awareness and 2) open communication. Usually this breaks down when either party doesn't truly understand what they value in a position. These can include:CompensationManagementWork EnvironmentPatient PopulationTreatment TimesDocumentation TimeGrowth and MentorshipMedical Benefits401(k) or Retirement PlansIt's important to understand which of these are most important to you when selecting a job, and realizing a c...2022-06-0227 minPelvic PT RisingThe Courage To ChangeHow do we have the courage to change our minds, our techniques and our clinical practice? Because it does take major courage!We've been thinking about this because we're so excited to have the Essential Pelvic Strengthening (www.pelvicptrising.com/kegels) now open for registration!Nicole discusses some of her major shifts and changes in clinical practice over her career and how important it is to continue to grow.We know how hard it can be to change and get out of your comfort zone. There will be a new learning curve. Growth is...2022-03-1741 minPelvic PT Rising5 Ways the Pelvic Floor is DifferentWe're back! Fresh off a two-week vacation, coming back to talk to you about the pelvic floor and the ways it is different than any other muscle group.Check out the full 'sode to see why we need to be treating the pelvic floor differently - and talking about it differently to our patients!PelvicSanity Hiring!The PelvicSanity expansion project is almost complete, which means we now have the room to hire additional team members! Send a resume and cover letter to Nicole@PelvicSanity.com to be considered or check out th...2022-01-1730 minPelvic PT RisingYear in Review, Christmas Jokes and Top 'Sodes of 2021Can Jesse make Nicole laugh with Christmas jokes? What were the biggest hits of 2021? The best 'sodes of the year? Will we reach 100 reviews in 2021? So many questions to answer!We reflect on everything that's happened - positive and negative - in 2021 and get ready to head into the holiday season and new year.Please take the End of Year Survey here!New Resources in '21Rectal: Evaluation & Treatment courseDowntraining Masterclass: Understand and Integrating DowntrainingTop 'Sodes from '21Don't be a Pelvic Floor Isolationist: An I...2021-12-2329 minPelvic PT RisingNever Settle for a Single AnswerDo you ever settle for a simple answer when you ask your patient a question?This is especially a challenge for newer PTs. When we first start out we're often just 'checking the box.'Do you have constipation? No? Good. But without asking open-ended follow-up questions we'll never learn the information we truly need to best help our patients and provide individualized care.This week you're getting a challenge - follow-up every question you ask with three additional questions. You'll be amazed at how much deeper your conversations will go and h...2021-12-0620 minPelvic PT RisingThanksgiving: Actually Making Gratitude WorkWe all know the benefits being grateful can have. On our mindset. Our happiness. Even our health.So what holds us back from feeling more grateful than we do? Cognitive Bias!You know how excited we get in talking about cognitive bias. These are unconscious and often hardwired mental habits.Two that prevent us from more happiness? The Negativity Bias and the Frequency Illusion.The Negativity Bias means we focus more on negative events than positive.And the Frequency Illusion means we see more of the things we focus on.2021-11-2521 minPelvic PT RisingPelviCon 2022 Speakers Revealed with Jessica RealeSo excited to have Jessica Reale, PelviCon Co-Founder, on the podcast to talk all things PelviCon and introduce our incredible speaker lineup!More than 850 of you have already signed up for the Wait List!! We're keeping the event small and intimate, so it is capped at the first 200 registrants.If you haven't yet, get on the Wait List for first priority at registration and all the details! And set your alarms for Black Friday.Follow @Pelvicon_Official for all the latest updates on IG.You're going to be blown away by th...2021-11-2232 minPelvic PT RisingPelviCon 2022: Are you In?We're so excited to announce PelviCon 2022!We had asked the question 'what would the perfect pelvic health conference look like?'Well, this is our answer! The first in-person conference by pelvic rehab practitioners, for pelvic rehab practitioners. In partnership with Jessica Reale (Southern Pelvic Health) - you know it's going to be epic!Jessica is going to come on the podcast next week to share the speaker lineup, but it's absolutely incredible. Here's the details you need to know.Tickets go on sale on Black Friday (with a Black Friday discount)! Make...2021-11-1821 minPelvic PT RisingSee a Problem, Fix a ProblemTaking a trip down memory lane! This is the last 'sode we're recording from the house where the Pelvic PT Rising Podcast began.If you're an 'OG' listener this will be a trip down memory lane (with some new stories!). If you're newer to the podcast it's a great introduction to who we are and what we do.Starting with writing the IC Solution and founding PelvicSanity Physical Therapy (which started in five days), we take a look back at how far we've come.In each case, we saw a problem and did ou...2021-10-041h 03Pelvic PT RisingCommunicating with Patients: Calls, Texts & EmailsCommunicating with patients outside of their session can be tricky.We want to be available, but not overwhelmed. Most importantly we want to do what is best for our patients.In this 'sode we discuss some of the challenges with communicating with patients outside of their session, how to protect your time and boundaries and make that communication as helpful as possible to our patients. Have you had a difficult communication story with a patient? Let us know by shooting Nicole a DM (@nicolecozeandpt) or email!Business MentoringI...2021-07-2227 minPelvic PT RisingDon't Be a Pelvic Floor Isolationist: An Interview with Julie Wiebe (Part 1)How do we keep from being pelvic floor isolationists?We're so excited for this conversation with Julie Wiebe! She has such a unique perspective and has done an amazing job forcing the pelvic PT field (sometimes kicking and screaming) to recognize how important looking beyond the pelvic floor is.In this interview Julie and Nicole discuss clinical reasoning and philosophy, finding the why, looking outside the pelvic floor and practical ways to assess from an orthopedic perspective.Don't miss it - in Part 2 of this interview we discuss Julie's love-hate relationship with social m...2021-06-2146 minPelvic PT RisingCommunicating with Patients: The Four TendenciesWondered how to get more buy-in from patients? Have patients who just 'don't get it' or who are 'non-compliant?'One of our favorite frameworks comes from Gretchin Rubin, who developed the Four Tendencies. They're all about how we all respond to both internal and external expectations.We discuss this in greater detail in the Communications module of the Pelvic PT Essentials, but how you communicate with your patients is hugely important. This framework is a good way to evaluate how you're changing your style to suit each patient. Because...it's not about us!...2020-11-3028 minPelvic PT RisingCoronavirus Blessings - Thanksgiving 'Sode2020 has been a tough year for so many, but we wanted to look back at some of the "Coronavirus Blessings" that many of us also experienced. We've also talked to many pelvic PTs across the country who have used this 'great pause' as motivation to do something different....starting your own business, beginning a side hustle, growing in your current role, or something new entirely!In this 'sode we pop some Thanksgiving champagne, talk about some (really!) random gratitudes and discuss some of the science behind gratitude.Whatever your holidays look like this y...2020-11-2628 minPelvic PT RisingCase Report: Find the "Real" OnsetOften we'll have a patient come in and tell us right when their symptoms started. Sometimes they'll even have an exact date! But is this really accurate?In this 'sode we dive into how to get to the 'real' onset of your patient's pelvic floor issues and help them realize there may be a lot more going on than they realize!This helps you get better buy-in and establishes credibility and helps them (and you!) realize this might not be a 'quick-fix!'Pelvic PT EssentialsIf you're interested in...2020-11-2336 minPelvic PT RisingWhat Are You Taking for Business Con-Ed?We've all invested hundreds of thousands of dollars and years of our lives becoming great clinicians. But what have we invested in ourselves as business owners?In this 'sode we discuss the four roles of a pelvic PT business (hint: you're only trained for 1 of them!) and discuss ways to invest in your business success the same way you have your clinical abilities.Whether it's working with us in our mentorship program, taking a course, or finding another course to take, make sure you're investing in your business success!Business Mentoring Application2020-11-1924 minPelvic PT RisingAnatomy is Evidence!In Part 2 of our series on 'What's the Evidence for That' we discuss how our best evidence for a lot of interventions is Anatomy!Working at the neck to calm the nervous system? Anatomy.Treating at the thoracic spine for a pelvic organ prolapse? AnatomyAddressing the Urachus for bladder pain? AnatomyAnd you're actually doing the Scientific Method with each patient! Observe. Ask a Question. Form a Hypothesis. Make a Predication. Test your Prediction. Revise your Hypothesis!This is the heart of what we teach in Pelvic PT Essential...2020-11-1635 minPelvic PT RisingHow to Get More Done in Your Week!Whether you own your own business or just trying to juggle work, family and life, we could all use the ability to get more done!In this podcast we dive into one of our favorite productivity hacks; time-blocking and batching. Find out how we just knocked out 7 Instagram Posts in less than an hour!Business Mentoring ApplicationWe're currently accepting applications again for business mentoring - if you'd like to be considered or learn more, you can start by filling out the Mentoring Application here!Shout O...2020-11-1222 minPelvic PT RisingWhat is "Evidence-Based", Really?"What's the evidence for that?"While we can strive as a profession to be evidence-based, there's major limitations to what we know (and can know). In physical therapy in general, and especially in our specialty, Would we actually want to live in a world where everything we did was truly "evidence based?" That would completely change our profession....and likely not for the better!Check out our thoughts on what "evidenced based" really means and why we need to dig deeper than just those buzzwords!Pelvic PT Essentials...2020-11-0930 minPelvic PT RisingDealing with Cancellations and No-ShowsThe struggle with how to deal with late cancellations and no-shows is real!In this episode, we dive into practical tips for your cancellation policy and how to reframe your mindset around the issue.If you're struggling with creating or enforcing your cancellation policy, check it out!Shout Out and Get in Touch!If you're enjoying the podcast, please take a few seconds to take a screenshot and put it up in your Instagram Stories and tag Nicole (@nicolecozeandpt). Or send us an email at Nicole@PelvicSanity.com with y...2020-11-0536 minPelvic PT RisingThe Non-Negotiable Part of Your EvalWhat is your primary goal of an evaluation?How do you get a patient to buy-in and come back?It all comes down to the last ten minutes of your evaluation. In this episode, we discuss how to close your evaluation to summarize what you've done and prepare them for their next visit. This is based on a technique we go over in detail in the Pelvic PT Essentials course, outlining the most effective way to maximize your time with evaluations!Pelvic PT EssentialsIf you're interested i...2020-11-0228 minPelvic PT RisingBusiness Shorty - 10 Tools for Efficiency in Business (and Life!)Today we dive into tactics! These are some of our favorite tools to save you time and energy in your day - check them out!Shout Out and Get in Touch!If you're enjoying the podcast, please take a few seconds to take a screenshot and put it up in your Instagram Stories and tag Nicole (@nicolecozeandpt). Or send us an email at Nicole@PelvicSanity.com with your thoughts, questions or ideas. We'd love to hear from you!About UsNicole and Jesse Cozean founded PelvicSanity Physical The...2020-10-2913 minPelvic PT RisingConnecting with your Patient while Maintaining BoundariesIn this 'sode we dive into the dangers of over-connecting with patients.We want to establish a great connection, but without straying into the 'friend zone.'How much should you be talking in comparison with your patient?How do you keep authority, even when you really like someone?Use the 'Knowables' technique to get clear on what you do (and don't) share with patients.Pelvic PT EssentialsIf you're interested in learning more about the Pelvic PT Essentials online continuing education course, you can...2020-10-2628 minPelvic PT RisingThree Biggest Marketing Mistakes Pelvic PTs MakeIn building (and then re-building after Coronavirus) PelvicSanity, we ran into three big marketing mistakes. Once we started working with 1:1 business mentees across the country, we realized it wasn't just us! There's common ways we're wasting time and money, and reasons we aren't bringing in enough patients to fill our schedules.In this 'sode, we go through the most common marketing mistakes we see, and announce a really exciting new business course. What are you doing for your Business Continuing Education?Marketing for Pelvic PTs - Masterclass SeriesWe're so...2020-10-2225 minPelvic PT RisingDo you Have a Reset Ritual?How do you 'reset' between patients to avoid bringing the energy of your previous patient into your next session?Avoid burnout and provide the highest level of patient care to each patient by developing a ritual between patients to ensure they get your best!In this episode, we dive into the simple technique you can master to feel more confident, competent and in control during your day.Pelvic PT EssentialsIf you're interested in learning more about the Pelvic PT Essentials online continuing education course, you can always check...2020-10-1926 minPelvic PT RisingWork Upstream for Business and Patients!We work all day - for both patients and in business - solving problems.But we rarely take the time to prevent problems before they arise.In this podcast we challenge you clinically, in business and in life to think about how we can be proactive and 'move upstream'. This is a great 'sode, no matter where you are in your career - check it out!Shout Out and Get in Touch!If you're enjoying the podcast, please take a few seconds to take a screenshot and p...2020-10-1534 minPelvic PT RisingCase Report - Sticking with your PatientIn this case report, the patient presented with classic IC-like symptoms. Pelvic pain, urinary urgency/frequency and painful intercourse.In working with her over the course of several months, we resolved these issues. This is where many PTs would have automatically discharged her!But we wanted to get to the underlying 'why', and that's where her case report gets interesting. Check it out!Pelvic PT EssentialsIf you're interested in learning more about the Pelvic PT Essentials online continuing education course, you can always check it out at www.pel...2020-10-1243 minPelvic PT RisingEmployer vs Employee Attitude: Bridging the DivideWant a better relationship with the people you work with?We've been on both sides: the employer and the employee. It's like a coach and a ref - they're watching the same game but seeing completely different things. It's a different perspective - and that's ok!The first thing to really assess? "Is this person an asshole?"Not kidding! You might be working with an asshole; in that case the rules are different.But if you aren't, then we need to do a better job of understanding each other's perspectives and havi...2020-10-0837 minPelvic PT RisingDo I Have to do Internal to be a Pelvic PT?In this 'sode, we examine the arguments against routinely doing internal with patients who have pelvic floor symptoms and ask what it really means to be a "pelvic PT."Our baseline philosophy is that anyone who calls themselves a pelvic PT should be routinely evaluating and treating the pelvic floor internally.Of course, this doesn't apply to patients who don't give consent, children and any others who internal is not appropriate.But patients deserve to know what to expect from someone calling themselves a "Pelvic PT." Agree, disagree? Let us know!2020-10-0545 minPelvic PT RisingEnough with the "Lead Gens" Already!In this episode we dive into 'lead-gens"; what they are, how they work and how most pelvic PTs are making it HARDER to get new patients because of them!For those of you not familiar with this buzzword, lead generators are (usually) free pieces of content you give to potential customers in return for their contact information. These can be e-books, exclusive videos or anything else you can convince someone is valuable.They do have a place, but they are being chronically misused and misunderstood. And many pelvic PTs are driving AWAY traffic with their le...2020-10-0124 minPelvic PT RisingCase Report - Symptom Chasing with Pudendal PainIn this latest case report we work with a woman with genuine pudendal nerve entrapment (extremely rare!) who had been to three other pelvic PTs before seeing us at PelvicSanity.We discuss the challenges she faced, why she felt one of her PTs was just "chasing symptoms", and how we answer the tough question "How long until I get better?"Do your patients know their plan? Where they are in the Phases of Treatment?Pelvic PT EssentialsIf you're interested in learning more about the Pelvic PT Essentials online c...2020-09-2841 minPelvic PT RisingOh $#!t, I Got a Negative ReviewDo you live in fear of your first negative review? Or maybe you've already had one?We've all been there.How do you react to a negative review? How can you actually turn it into a positive?And, as a bonus - hear all the negative PelvicSanity reviews and how we responded!Pelvic PT EssentialsIf you're interested in learning more about the Pelvic PT Essentials online continuing education course, you can always check it out at www.pelvicptrising.com/essentials.Shout Out an...2020-09-2439 minPelvic PT RisingEpisode 50 Celebration and Q&A!We're so excited to hit 50 'sodes with you guys!In this episode, we pop a bottle of champagne - no, seriously! - and answer some of your fun questions!We talk about our favorite 'sodes so far, what Nicole's normal day looks like, our favorite holidays, things we're weirdly obsessed with, and more! Check it out!Pelvic PT EssentialsIf you're interested in learning more about the Pelvic PT Essentials online continuing education course, you can always check it out at www.pelvicptrising.com/essentials.Shout O...2020-09-2128 minPelvic PT RisingBusiness Shorty - Thinking About Creating an Online Course?The promise of "passive income." Being able to reach people beyond your own walls. The chance to diversify your income.There's a lot of reasons to like the idea of online courses....but are online courses more sizzle than steak?In this episode we go through pros and cons of making an online course, the challenges you'll run into, the reason everyone's online course looks so successful, and the questions to ask yourself before putting one together.Shout Out!If you're enjoying the podcast, please take a few seconds to...2020-09-1715 minPelvic PT RisingDo We Care About The Medical Diagnosis?I have a patient who has __________......IC. Endo. Vulvodynia. Pudendal Neuralgia. Vaginismus. Dyspareunia. Chronic Prostatitis.Why do all of our patient descriptions start off like this?Do we really care about their medical diagnosis? Do we treat patients any differently if they are diagnosed with IC or with vulvodynia?In this episode, we explore medical diagnoses and what they mean (and don't mean) for how we treat patients.Pelvic PT EssentialsIf you're interested in learning more about the Pelvic PT Essentials online continuing education course...2020-09-1425 minPelvic PT RisingIs Cash PT "Unethical"?Greedy. Elitist. Might be great for California, but could never work in my community. Unethical.Those in the model love it, but there's a lot of criticism in certain circles about "cash physical therapy."In this episode we explore the ethics behind cash-based and insurance-based physical therapy and address the most common criticisms.We live and work in a highly imperfect medical system. All of us - regardless of our model - have to somehow deal with those imperfects to try and provide the best possible care for our patients.So let...2020-09-1038 minPelvic PT RisingWould you Send Your Mom To Your Clinic?Would you send a family member or close friend to your clinic?Over the years, we've had several pelvic PTs and physicians send their family members to us - even if they'd never referred us another patient!So.....gut check time.If you work for someone else - are you confident enough in your skills and in the environment where you work you'd recommend someone you care about come in for treatment?If you run your own program or clinic, are you providing the type of care you would expect for...2020-09-0747 minPelvic PT RisingThe Pelvic PT Fashion Police - What to Wear?What you wear to work shouldn't matter. But it does.You'll be judged by your patient before you even open your mouth.We all want to be comfortable and express our own style. And we should be able to do that!But we also need to understand how our choices affect how our patients view us and whether it helps or hurts our ability to get them better.Trust me, I never thought I'd be playing the fashion police! But here are thoughts on dress codes (ugh!) and the different options we...2020-09-0337 minPelvic PT RisingPart 6 - You're Not the Arbiter of your Patient's Life ChoicesDo your patient's ever make life choices you disagree with?All. The. Time.Does that mean we can't help them get better?Absolutely not.We are not the arbiter of our patient's life choices. We've had avid bicyclists with pudendal nerve irritation who are adamant they won't stop riding. New mothers who want to get back to running before they are truly ready. Women with painful intercourse who feel they can't stop having intercourse with their partner.So what do you do if your patient is making life choices you d...2020-08-3136 minPelvic PT RisingBusiness Shorty - Data Security or HIPAA Concerns?There seems to be a lot of anxiety around data security, privacy and HIPAA - it's one of the questions we get asked a lot!You can spend hours or days getting sucked into online forums, articles and opinions.But what do you actually need to worry about?In this episode we go through data security, whether you even are covered by HIIPA (you may not be!) and what we really need to do in order to protect patient privacy.Business Resources Sign Up Here...2020-08-2712 minPelvic PT RisingPart 5 - You're Not the Arbiter of your Patient's "Compliance"Have you ever explained away a patient not getting better because they were 'non-compliant' with their home program?We've all been there - it's tempting, but I want us to get the negative, judgmental term of 'non-compliant' completely out of our vocabulary.If your patient isn't doing what you're asking, it's on US to take responsibility and get them better. They may not understand the importance of what you're asking. They may not understand how to do what you're asking. They may feel overwhelmed, or simply not have enough time. Or they may be relying on Y...2020-08-2438 minPelvic PT RisingFinding "Work-Life Balance"How do you find balance?Between work - whether you own your own place or are employed by someone else - and home life. How to maintain a social life, exercise and take time for everything we know we need.Sometimes it feels impossible. And that's ok!"Work-Life Balance" is an unachievable ideal. It's something we can strive for, but not a place we can stay. And sometimes even that idea makes us miserable.In this episode we dive into that idea of balance; how there are different seasons to life, bala...2020-08-2026 minPelvic PT RisingPart 4 - You're Not the Arbiter of Your Patient's "WHY"Ever have a patient who wasn't in for the 'right reasons?' (Yes, a Bachelor reference, y'all!).Maybe a patient who cared more about the appearance of their stomach than about the function of their core or pelvic floor with a diastasis?Or someone just wants to get off their medications? Or to be able to get back to riding a bike? Or wants to have pain-free anal sex? Those might not be our reasons, but we have to meet patients where they are.There's a ton of different reasons a patient might fina...2020-08-1727 minPelvic PT RisingThe Two Factors that Predict Business SuccessWhat predicts the success of a pelvic PT business?There's a TON of different factors that go into success. In a recent survey, we looked at the answers provided by more than 130 business owners to see the patterns.We saw the same struggles - challenges marketing, bringing patients in the door, feeling overwhelmed or knowing where to start.But we also saw two factors that were indicative of success. One that is in your control, and one that isn't!As promised, Sign Up Here for exclusive access to business re...2020-08-1338 minPelvic PT RisingPart 3 - You're Not the Arbiter of Your Patient's TimeEver found yourself worried about your patient's time?How much time they are spending each week, how far they are driving?What about how they spend their time at home doing their home program?This is another hang-up that can get in the way of providing the best possible care to our patients. In this episode we dive into some of the common ways we try and act as the guardian of our patient's time.....often to their detriment.Pelvic PT EssentialsIf you're interested in learning m...2020-08-1027 minPelvic PT RisingWhich of the 5 Phases of Business Are You In?Do you know what phase of business you're in?(Here's a hint: Most pelvic PT owners owners are stuck in Phase 2.)This is critical to know for your practice. Your goals, your role and your outcomes change depending on what Phase you're in. Understanding this both helps you grow faster but also removes some of the anxiety around "am I doing things right?"We dive into the different Phases of business in this episode. We discuss where you need to put your foot on the gas, and which phases you can just kind of...2020-08-0634 minPelvic PT RisingPart 2 - You're Not the Arbiter of Your Patient's FinancesHave you ever let your own assumptions or hang-ups about money affect your patient care?We aren't the arbiter of our patient's finances! It's our job to provide our honest clinical opinion.That doesn't mean we don't take their limitations into account. Of course we do! But we DON'T let our own assumptions get in the way.Learn how to remove your own biases about money from your conversations with patients and allow them to make informed decisions about their own health.Pelvic PT EssentialsIf you're int...2020-08-0336 minPelvic PT Rising6 Reasons You Should (Or Not!) Start Your Own BusinessNicole is always asking the next question....."why"?In this episode, we dive into the different reasons for starting your own business.We had sent out a business survey to all our members who are either have or are interested in starting their own practice. We asked why, and got a lot of great answers. Most of them fell squarely into one of six different reasons.When we looked at ourselves, we could see some of those same reasons that we started PelvicSanity four years ago.So get clear on your WH...2020-07-3036 minPelvic PT RisingPart 1 - You're Not the Arbiter of Your Patient's "When"Think of a patient who wasn't ready to do something. To come to PT, to take a medication, to commit to their own health.Just because they've committed to coming to physical therapy does not mean they're ready to do everything you say or make major life changes.In Part 1 of this series, we talk about how you aren't the arbiter of your patient's WHEN. We don't get to decide when they are ready. And we have to be ok with that. We can still give them our honest, direct clinical advi...2020-07-2732 minPelvic PT RisingDon't Get in the Way of Your Patient's Success!Are you getting in the way of your patient's success?Despite our best intentions, we do this ALL THE TIME.We need to understand how our own biases, experiences, and attitudes are impacting our patients.We got really excited about going through this - we're going to be spending the next 6 episodes talking about different ways we get in our own way, and how to break that cycle.We need to give our honest, direct clinical advice to the patient. If they can't follow those recommendations - for any o...2020-07-2031 min