“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• How mentorship and advanced training can help you move past this outdated approach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!

What actually makes a pelvic health business thrive?

In this episode, we break down the Three Pillars of Business we teach inside the Business Accelerator:
1️⃣ Marketing + Sales
2️⃣ Business Systems
3️⃣ Clinical Excellence (getting buy-in and taking patients through their full plan of care)

Most practices feel stuck because one (or more!) of these pillars is missing or weak. You can’t out-market a broken patient experience. You can’t build a team without systems. And you can’t grow a sustainable business without getting the right people in the door.

We talk about what goes into each pillar, common mistakes we see, and how to build a business you’re proud of that actually works for your life.

🎯 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!

Male pelvic pain is complex - there so many different areas to evaluate and clear. Often it can be overwhelming and we jump straight to breathing and the pelvic floor.

In this Missing Piece episode from the Rising Vault, we’re highlighting a commonly overlooked factor in male pelvic pain:

💡 The spermatic cord.

This structure runs along the inguinal canal, carrying essential nerves and blood vessels that impact function and pain.

Here’s why it matters:
👉 Many male pelvic pain patients have tenderness, inflammation, or tightness in the spermatic cord.
👉 Focusing only on the pelvic floor misses a key component of the pain cycle.
👉 Treating the spermatic cord early can lead to faster symptom resolution.

If you're treating penile, testicular, or scrotal pain, this is something you should be assessing and treating within the first few visits.

Tune in to learn why this critical structure could be the missing link in male pelvic pain 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!

Vulvodynia is as non-specific as ‘low back pain.’ So why are we treating it like one condition?

In this Missing Piece episode from the Rising Vault, we’re diving into one of the most overlooked areas when it comes to vulvodynia treatment:

💡 The perineal fascia.

Vulvodynia can be complex and multi-factorial, with contributing factors like:
👉 Rectal dysfunction
👉 Urachus and belly button involvement
👉 Lumbar referral patterns
👉 Hip referrals

But one consistent missing piece? The perineal fascia.

With nearly every presentation of vulvodynia, it’s almost impossible for the perineal fascia not to be involved—so why aren’t we evaluating and treating it earlier in the process?

In this episode, we break down:
✅ Why vulvodynia isn’t a single diagnosis—it’s a symptom.
✅ How perineal fascia dysfunction contributes to pain.
✅ Why this should be a priority in your initial evaluation.

If you’re working with vulvodynia patients and not assessing the perineal fascia, you’re missing a key component of their 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!

Not all business owners are the same—and that’s the point.

In this episode, we break down the 4 types of pelvic health business owners we’ve seen after working with hundreds of practices. Each type has its own strengths, challenges, and opportunities to grow—if you’re honest about where you are and what you want.

We dive into:
1️⃣ The Lifestyle Business – The solopreneur optimizing for life outside the practice: family, hobbies, freedom.
2️⃣ The Hustler – The high-performing solopreneur working long hours, maximizing revenue, and riding the edge of burnout.
3️⃣ The Accidental Boss – A multi-clinician owner who hired help, but hasn’t stepped fully into a leadership role.
4️⃣ The True CEO – A purpose-driven leader building a scalable, impactful clinic and investing in their team.

We talk about the pros and cons of each, mistakes to avoid, and how to optimize for your goals—because these categories aren’t fixed. They evolve.

Level up with the Business Accelerator

🎯 And if you’re ready to level up, the Business Accelerator Program opens again in June for our July cohort. It’s the path from overwhelmed to intentional CEO.

Apply here: 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!

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!