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Pelvic PT Rising

Nicole Cozean, PT, DPT, WCS & Jesse Cozean

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Helping pelvic physical therapists improve as clinicians, in their careers or business, and their lives. Hosted by Dr. Nicole Cozean and Jesse Cozean, the founders of PelvicSanity physical therapy and the Pelvic PT Huddle, the podcast explores all aspects of pelvic physical therapy. You'll find the clinical pearls that Dr. Nicole teaches in her continuing education courses, the business and career advice that catapulted PelvicSanity into one of the largest cash-based physical therapy practic ...
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Why do we start teaching perineal massage (and all of our birth prep) earlier than most at PelvicSanity? There are a few reasons. The first is simple - 37 weeks is considered full term. No one will try and stop it if you go into labor. So we plan to have all of our birth prep complete by then. Any time we get after 37 weeks is just a bonus. We're k…
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While many solopreneurs are struggling to fill their schedule, there is also a problem of being 'too busy.' Remember, we are never out of problems as entrepreneurs. Instead, we're just trading one problem for a better one! So if you're a busy solopreneur, you're often feeling overwhelmed by the demand for your services. Worried you aren't providing…
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Building 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. W…
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Here's the finale to our series on "Paying Your People", where we go over the 10 most common mistakes we see business owners making. We've already gone over salary vs hourly pay, raises, bonus structure and other tips - make sure to check those out if you haven't already! Make sure you aren't making some of these mistakes in your practice. Accelera…
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How can you make sure what you learn makes it into your clinical practice? We've all fallen victim to taking a course or hearing something new, but not implementing it with our patients. On the heels of PelviCon and after coming back from a business conference, we were thinking of exactly how we implement to make sure we put the ideas into practice…
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Should we be giving raises? How often? And how much? In Part 3 of the series, we dive into all your questions. From our annual State of Pelvic Rehab survey, we found the following: 41% of employees did not get a raise last year 34% received a raise between 0-3% So, what should we do as business owners about raises? We believe (and teach) they shoul…
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Not necessarily a fun 'sode to do, but we wanted to revisit The IC Solution - written almost 10 years ago now - to see what we got wrong or would change if we wrote another edition. We talk about the book-writing process, how we wrote a good chunk of it in a oceanfront pool in Mexico, and what our goal was for patients. The book has been the best-s…
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Should you be 'bonusing' your employees? Generally you'll find bonuses in other fields - lawyers, salespeople, etc. And they can make sense. You're trying to incentivize an employee to work longer or harder with a bonus. But that doesn't really track in pelvic health. Do any of us believe a clinician is going to provide better clinical care because…
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This 'sode is all about surviving this turbulent political season. It's based on training we give our staff at PelvicSanity about how to navigate an election and patients who are passionate/anxious/fired up about the political environment. Let's start with this - talking politics with your patients is never going to go well. Even if you're on the '…
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In this 4-part series, we're doing a deep dive into how to pay your employees. There's a lot of confusion here, and frankly a lot of bad advice. So we're going to dive in over the next month to clear things up! In this 'sode we talk about some things we shouldn't be doing: Paying clinicians as contractors instead of W2 employees Paying a percentage…
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Ever found yourself frustrated with a patient who doesn't complete their intake forms? Or a little stressed you won't know what you're walking into? In this 'sode we hope to reframe your mindset to take out the frustration or anxiety from when you don't have their information prior to their appointment. We will talk about working upstream to reduce…
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Are you feeling like you're on the business 'rollercoaster'? A few good weeks or months, followed by a 'downturn' or a time when leads slow down? This is not only normal, it's to be expected! Why should business be perfectly consistent? Some of the best business advice we got early in PelvicSanity was from another business owner - "respect the ebb …
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Finding that patients aren't finishing the homework you give or aren't following through on what they said in your appointment? Try spending more time coaching them to overcome barriers. Our job isn't to just dispense advice, ideas and exercises! We need to make sure our patients can actually follow through and get them done. As as rehab providers,…
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With our negativity bias, it can be hard to talk about what we're proud about! We see this with clinicians at PelvicSanity and with those we mentor in their own businesses. So here we are, practicing what we preach! We'll talk about things like creating a 'Feeding & Family room' (which we hope becomes the norm at conferences and con-ed courses). Wh…
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Why do we - as pelvic rehab providers - deserve and need our own conference? As we close in on the start of PelviCon '24, we discuss why PelviCon started and what you'll be surprised to know about the conference. We're really about 3 things at PelviCon BY and FOR pelvic rehab. PelviCon was the first-ever conference both by and for pelvic rehab. All…
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Considering discovery calls, doing them now or thinking you might be missing out on them? Check out the full 'sode to better understand the conversion process! The first thing to recognize is where these 'discovery calls' - which are really sales calls - come from. They come from the 'ortho bro' model and selling big packages. Here's why we aren't …
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Ever feel a little worried or extra pressure when seeing a patient who has already been to another pelvic PT/OT? Here's the secret: We care a lot about the patient's experience, thoughts and what they feel like was beneficial. We don't care at all about what the other provider thought or was working on In fact, a lot of times these patients are eas…
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Excited for this conversation about pelvic health education with Pelvic Health Solutions, the Title Sponsor of PelviCon 2024! We interview lead instructor Amanda Homen and have a wide-ranging conversation you won't want to miss. We discuss incorporating trauma-informed care into every level of pelvic education, pros and cons of online education, th…
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A dynamic speaker and teacher, Taryn has personally educated more clinicians in fitting pessaries than anyone else in the world! She's fresh off an 11-city US 'tour' where she taught hands-on pessary fitting this last year. And she's returning to PelviCon by popular demand! In this 'sode we discuss her PelviCon topic - overactive bladder (OAB) - an…
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Leading educator, thinking and pioneer in our field, Michelle is the first 3-time PelviCon speaker and you won't want to miss this wide-ranging conversation! We take a deep dive into menopause, hormone replacement therapy and what we - as a pelvic rehab profession - are still getting wrong about menopause. Michelle talks about how to have a more co…
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We know it can feel daunting and discouraging (especially as a newer pelvic rehab provider) how much there is to learn! This 'sode came from a listener comment. She was expressing frustration with how her entry-level courses didn't really prepare her for the way clinicians actually treat. We talk about the challenges of doing an introductory course…
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Probably best known for creating the first 'Return to Run' protocol, Gráinne is a clinic owner, clinician, researcher, podcaster and editor of a peer-reviewed journal. We can't wait to have her join us at PelviCon! In this 'sode we discuss how she had the courage to post her ideas about returning to running for post-partum moms, what she's learned …
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The short answer? No! You don't need to market to physicians to have a thriving practice. The full answer is a lot more nuanced. If you don't market to physicians, you're leaving a lot on the table. And it is possible to get past the gatekeepers and form great relationships as colleagues. If you're struggling to market to physicians but know you wa…
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Leading researcher, educator and clinician, Sinéad Dufour discusses how to avoid the false dichotomy of 'weak vs tight' pelvic floor. Perhaps best known for her seminal research on the link between low back pain and pelvic floor dysfunction, Sinéad goes through the origin of her research and what we still get wrong when we interpret her results. Sh…
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Anyone else have a hard time with delegating to others? Learning to lead a team is a whole new skill. In fact, many of the traits that bring success as a solopreneur - a touch of perfectionism, wanting control over the business, being 'in the weeds' on every aspect of what you do - actually make growing beyond yourself more difficult! What got you …
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From his early days with Riverdance to the Scottish Ballet to his own practice and teaching all over the world, you won't want to miss this conversation with PelviCon speaker Bill Taylor! For us pelvic health nerds, this conversation is absolutely gold! We talk about how long a plan of care needs to be ("it takes until it's done"), treating to redu…
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Business owners (or wannabes) - we're getting tactical today! Don't skip this 'sode just because it doesn't sound sexy...it might save you tens of thousands of dollars in your business over the next few years. As business owners, we actually get a ton of tax benefits that a regular employee does not. One of those is the ability to choose how we are…
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One of the most influential thinkers and voices in men's pelvic health, Jo Milios is sharing her research and treatment techniques at PelviCon this year! In this fantastic conversation we discuss what it's really like to treat men in the clinic, apprehensions about working in men's pelvic health, collaborating with urologists and surgeons, how to '…
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One of the reasons many of us started a business was time flexibility. But how many of us are really taking advantage of it? Maybe you're starting earlier than you want, or working later, because patients 'need' those time slots. Or you're spending 30 hours a week at the office but only seeing 12 patients. Or working straight through your lunch. Or…
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A trailblazer in pelvic rehab for supporting patients during their fertility journey, Yeni is going to be a 2-time PelviCon speaker and back by popular demand! She brought the house down last year, and can't wait for you to hear about her PelviCon 2024 topics. Just like last year, they are areas where we often feel uncomfortable and need more infor…
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We're told (ironically, often in paid ads!) paid advertising is the 'magic bullet' to getting the phone to ring in our clinics. But is that true? In this 'sode we dive into the challenges with IG and FB ads. The fundamental problem? No one is going on social media hoping to be hit with an ad to fix their incontinence! And especially for a high-tick…
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Incredible conversation with PelviCon speaker Alex Hill! She might be the only person in the country double-board certified in both oncology and pelvic health. We introduce her PelviCon topics, what every rehab provider needs to know about oncology care, how to better help the trans population, and Alex shares her clinical superpower! Don't miss th…
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What we're really looking for in a provider is the best value. And there are two different components to value - results and cost. After all, if we don't get the results we're looking for, it doesn't matter how low the cost is. Results in this context are about 1) getting better and 2) staying better. With pelvic rehab, we know what quality care lo…
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How much of our daily lives as rehab practitioners is dictated by insurance companies? Whether you're a current (or future) business owner or a clinician in an insurance-based world, it's important to realize how much insurance companies control. Those of us in the cash-based world talk a lot about how insurance dictates care. But what do we really…
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One 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 p…
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We've noticed the conversation around and between pelvic health PTs and OTs has devolved over time. The pelvic health rehab specialty is growing, and that's fantastic for all of us and our patients. But that also leads to growing pains. We hope this conversation provides some context, restores civility and gets to back to having productive conversa…
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How do we stay focused on what really matters in business? In this 'sode with Rising Coach Jenn Perna, we discuss how damaging 'shiny object syndrome' can be in the business. When we start to lose our focus on the reason we started the practice and look for 'easy' answers in business, we dilute our energy and end up going nowhere. You'll also hear …
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If you have less than 5 years of pelvic health experience, what should you be prioritizing? We got so many messages after last week's episode on '20 pet peeves' about internal. Many of you asked what courses to take or where we had learned these different techniques. So we wanted to put together a 'sode for all of you who are new(er) to pelvic heal…
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When we consider investing in something in PelvicSanity, we use three simple questions to help us make a decision and sort through all of the marketing 'buzz' out there. So here are the things to consider: 1) Is it financially safe? Can you actually afford the program or coaching? How would you break-even on the program? Often it's helpful to break…
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In 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 table And giving 'Swir…
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We pull back the curtain and talk about our love of business and helping others in their business journey in this 'sode. We know how hard it is to run a business. How much time it takes. How much mental energy. How much risk. How many evenings and nights and weekends thinking about the business. And we wanted to lighten the load for others who are …
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How can we get better buy-in from our patients, reduce self-discharges and help our people finish their full plan of care? Regardless of your work setting, getting clinical buy-in is critical to getting the outcomes our patients want. In this 'sode we go through the five biggest mistakes we see in that process of getting buy-in and keeping our pati…
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How do we build resilience in our body so symptoms not only can go away, but stay away? At PelvicSanity, we do this by addressing both the muscles of the pelvic floor, but also the 4 Foundations of pelvic health. The pelvis doesn't exist in isolation. It's affected by the rest of the body and other major symptoms. These often are major underlying c…
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Business systems streamline the practice, save you time, ensure a consistent product and a great experience for your patients. They keep you organized. They allow you to hire. They're also chronically overlooked! Systems are what people are talking about when they say "work ON your business, not IN your business". But how do we do that? It's a reas…
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Pelvic PTs are the pregnancy experts - we want to help you have a more comfortable pregnancy, a smoother delivery, and prevent postpartum issues after delivery! 1. Have a more comfortable pregnancy Working with a pelvic floor physical therapist throughout your pregnancy can reduce or eliminate issues like back pain, hand or foot pain, painful inter…
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Male patients are an awesome group to work with and chronically underserved by our system. But there's also a lot of concerns and misinformation about working with men. We go through the five most common questions we get about treating male patients! With how pelvic health education has been structured, many of us don't get training in treating mal…
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Marketing is the engine that drives the business. A steady flow of leads is critical (and can often cover a multitude of sins within the business). For a cash-based practice, marketing is often the limiting factor. So why do we consistently see people getting marketing so wrong? It's not your fault - there are so many misconceptions out there. Or t…
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Often there's a rosy picture painted of business ownership, but the hidden reality is entrepreneurship is hard, anxiety-producing, and definitely not for everyone. We firmly believe anyone listening to this podcast CAN start their own business, but just because you can doesn't mean you should. There's a myth that business owners have unlimited time…
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Tailbone pain is a common symptom and is integrally related to the pelvic floor. All muscles of the pelvic floor attach at the tailbone. When these are tight and irritated they can radiate or refer pain to the tailbone itself. The vast majority of the time there’s nothing wrong with the tailbone itself. It’s actually a pelvic floor issue masqueradi…
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We've been promising it for a while now, but here are 10 huge mistakes we've made as PelvicSanity business owners. As painful as many of these are to relive, we hope you learn from them. The reason we do business coaching is to create the resources and help we wish had been available for ourselves! There are always going to be mistakes in business …
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