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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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The Unreal Results podcast helps physical therapists and certified athletic trainers feel confident and get better outcomes for their clients by teaching about the influence of the viscera organs and the nervous system on human movement, pain, and injury. Explore how a visceral and neural-based lens of view can provide a new perspective to performance-based physical therapy, athletic training, and sports medicine.
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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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In this week’s episode of the Unreal Results podcast, I reflect on the LTAP Level 1 course that I taught in Washington, D.C. this past weekend. If you didn’t know, the LTAP is a paradigm assessment that I created over my 20 years of practice that helps you shift your focus from more of a traditional orthopedic approach to a whole-organism approach.…
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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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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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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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In this week's episode of the Unreal Results podcast, I explore the anatomy and physiology of the liver and how it is an integral area of the body to treat to support overall health and wellness. A key organ especially for swelling and the lymphatic system as well as a driver for many musculoskeletal issues including right shoulder pain, neck pain,…
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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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In this episode of the Unreal Results Podcast, I tackle one of the biggest questions that I get from healthcare providers and athletes and that is how to deal with anterior knee pain. I of course talk about using the LTAP (Locator Test Assessment Protocol) to help pinpoint the root cause of anterior knee pain. I also talk about evaluating knee biom…
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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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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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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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In this episode of the Unreal Results podcast, I talk about my personal journey dealing with GERD and eosinophilic esophagitis. I discuss the surprising visceral connections related to these conditions including the esophagus and the ligament of Treitz and the various symptoms including referred musculoskeletal pain, dysphagia, and chest pain. I al…
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Is where you work working for you? If it is, we need to celebrate it. If not, it might be time to look for another position. Let's start with this - no position is perfect. The best setting, time with patients, flexibility scheduling, reduced documentation, stress, quality of management, job responsibilities, fun coworkers, nice treatment rooms, gr…
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In the third trimester the ‘sixpack’ abdominal muscles separate to allow room for the baby to grow. Within the first three months postpartum, in about half of women these muscles come back together properly. In the other half a separation remains, known as a diastasis recti. We hear about this often as an aesthetic issue. It can create a ‘mommy poo…
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We hear it from PT schools, insurance-based practices and even worry about this as cash-based business owners - are we 'decreasing access to care' by not contracting with insurance companies? The rise of cash practices has dramatically INCREASED access to care over the last 5-10 years. It's driven the rapid growth of our specialty and field. It's n…
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Continuing our series on 'Happier at Work', we have 3 easy tips to improve your work experience. If we decide work can be a source of fulfillment, growth and purpose then it's incumbent on us to do the little things to make it as good as possible! Here are three suggestions from this 'sode to get your mind working... Take the initiative and plan so…
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The answer will surprise you! The myth that acidity in the body or bladder is responsible for IC symptoms is one of the most harmful out there. In this 'sode we go through why the pH of urine has no effect on symptoms, how 'acid in' does not equal 'acid out', and what we should be doing instead. We hope this 'sode helps to free you from 'food jail'…
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We dive into community workshops, a CEO mindset, leading a team and integrating your past experience into your Clinical Ethos in this 'sode! You won't want to miss this conversation with Hannah! Hannah is a member of the CEO Boardroom Program and a Rising Coach for other business owners - in this 'sode, you'll hear why her experience is so valuable…
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There's a wide variety of expertise when it comes to pelvic floor physical therapy. Unfortunately many patients have to go to several different ones before finding a true expert. You might think that finding a pelvic PT who has a lot of experience means you'll be getting great care. But that's not necessarily the case. In this 'sode we discuss why …
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In this episode of the Unreal Results podcast, I’m talking about a topic that’s been on my mind as of late: the connection between the menstrual cycle and ACL tears. First & foremost, I truly believe that everyone, including non-healthcare providers & men, should understand the menstrual cycle and how it affects the body’s hormones. I challenge the…
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Is the term 'work-life balance' actually making us unhappier? This 'sode explores how to be happier at work and build actual balance into your life. The assumption when we use the phrase 'work-life balance' is that work takes away from 'life.' Every minute spent working subtracts from your happiness. The only way to be happier is to work less. Exce…
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Can you become a successful solopreneur, prioritize your family and create a business that truly works for you...all while enjoying the process? In this 'sode you'll hear from Kat Terrian, Rising coach and founder of Rythm Pelvic Health. She made the deliberate choice to stay as a solopreneur (even when she could have easily continued to grow) beca…
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Incontinence is certainly common. More than half of people have incontinence after a baby, it can accompany pelvic pain, prolapse, low back pain or following a surgery. But it’s never normal, and never something you have to live with. Sometimes this is normalized - we joke about it with friends, or hear about it from our mothers. But we often don’t…
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This 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 a…
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Fascinating conversation with Rising business coach and CEO Boardroom member Brittaney Sargent! A leader in the OT space, she's built a multi-site, 5-clinician, multi-disciplinary practice in just the last three years. And all coming off maternity leave with three little ones at home! We discuss her clinical philosophy, why she works with 'clients'…
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In this episode of the Unreal Results podcast, I talk about the connection of the thoracic cavity, most notably the lungs, and its impact on athletic performance, particularly during allergy season. I specifically talk about a case study with an athlete of mine who was dealing with foot pain and how the LTAP lead me to treating his lungs, ultimatel…
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For many people (almost 90% of those diagnosed with IC) tight muscles in the pelvic floor irritate the nerves running through the area. One of the most important of these is the pudendal nerve. So what symptoms might be caused by pudendal nerve irritation? One is urethral burning or pain. One branch of the pudendal runs right to the urethra, so it …
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When many of think about nervous system downregulation and treatment, pelvic pain springs to mind. But this is something that is critical for all types of patients. Nervous system safety is a prerequisite to healing! Intellectually I think we would all agree with that, but often we jump into treating diagnoses like incontinence, prolapse, constipat…
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Can't wait for you to hear this conversation with Shante Cofield (aka The Movement Maestro)! In addition to being one of the most authentic people we know, Shante is an expert in all things Instagram and online business. We cover a ton of ground in this interview. We hear about Shante's journey from from patient care to teaching to online business.…
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This episode of the Unreal Results Podcast mainly focuses on the LTAP core beliefs that intertwine the significance of organ hierarchy, treatment sequence, and listening to the body in practice as allied health professionals. But also, I get real with you about my recent free course, Results Cheat Code, the difficulties in online course education, …
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Have you heard or been told you 'just need to Kegel'? Here's why that's never the answer to pelvic health issues. Kegels (or the voluntary squeezing of the pelvic floor muscles) are often one of the only areas of pelvic health we’ve heard about. It’s often surprising to people to learn Kegels are often ineffective, antiquated and can cause flares o…
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Where does your mind go when you have that complex patient. The one with pages of medical history. Who has a pre-written timeline for you. Or who is undergoing testing for multiple other conditions? One of my clinicians at PelvicSanity was asking me about a patient like this. And she was genuinely complex! I think often our assumption is a complex …
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What do you need in place before you're ready to hire another clinician? We always say the decision to hire - especially another clinician - is as big as the decision to start your practice. You want to make sure you're hiring because it's something you really want to do - not because you're busy, or you feel bad about a wait list, or because someo…
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This is a replay of the 2nd call of the Results Cheat Code- The Missing Link mini-course. It is a taster of the upcoming LTAP Level 1 course! Join the course early and get $100 OFF or $300 off the bundle! www.movementrev.com/ltap-level-1-results Considering the viscera as a source of musculoskeletal pain and dysfunction is a great way to ensure a m…
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In this episode of the Unreal Results podcast, I have an amazing conversation with my friend, Dr. Nicole Cozean. We talk about the significance of a comprehensive assessment & treatment strategy for pelvic floor patients, but really this approach is for every patient. Some highlights of our conversation include treating the whole organism vs whole …
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Why do most specialty pelvic health clinics see patients for a full hour, 1:1 with the therapist? Ultimately it’s so we have time to ‘find the why’ for actual relief. If you aren’t working with a qualified pelvic PT to ‘find the why’, one of three things happens: You don’t improve at all You see little, temporary improvements that don't 'stick' Sym…
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Can'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 supp…
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This is a replay of the kick off call to the Results Cheat Code- The Missing Link Mini-Course. One of the things I hear from sports healthcare professionals is that in their day to day, theylack the confidence to guarantee results for their clients. What most sports healthcare professionals miss is the ability to trust the wisdom of the body and be…
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This is a topic we've changed our perspective on over the years of coaching - when are you ready to hire an admin? And hiring is never something to be taken lightly. It's not as simple as 'just hire an admin' and life will be better. You have to create all the systems for them. Onboard them to get them up to speed. Continue to train them, manage th…
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Dive deep into movement, therapy, and holistic health with my favorite books packed with insights on manual therapy, the nervous system's role in movement, fascia, and more. I was going to pick just 5, but you’ll learn why that was nearly impossible! But more importantly, you’ll learn how and why these specific books have impacted my career and hav…
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If you (or someone you know) has had a C-section, make sure to listen to this full 'sode! As anyone who has had one will attest, a C-section is a major surgery. And in the US, almost 1 in 3 give birth via a C-section. But we are so cavalier about recovery! After every other major surgery you are immediately referred to physical therapy to aid in th…
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So excited to bring you this conversation with Dr. Jen Fraboni (aka @DocJenFit)! Jen has been a pioneer for physical therapists in the online space and finding new ways to connect and serve our people. We talk clinical philosophy, her journey from treating patients in the clinic to online mogul, the joys and challenges of motherhood while running a…
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Adding another revenue stream, 'diversifying', finding passive income, stop trading time for money....these are all becoming buzzwords in the entrepreneur world. But is the juice worth the squeeze? We dive in! There's really two different categories of possible additional revenue streams. One is to leverage your in-person business in another way. T…
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Where do I start treatment for an athlete complaining of Achilles tendon issues? The same place I start every evaluation - the LTAP (locator test assessment protocol). This directs me to where the body is protecting and what the underlying driver of changing the dynamic alignment, function, and pain is. I still look at the movement and orthopedics …
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With recent evidence Elmiron can cause long-term eye damage, many people with IC are reconsidering their use of the drug. In this ‘sode we dive into the evidence for Elmiron’s efficacy and safety to help you make an informed decision. Elmiron remains the only FDA-approved oral medication specifically for IC and many urologists prescribe it automati…
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Often breathing techniques are both the beginning and end of what we focus on when it comes to 'downtraining.' But there's so much more we can be doing, especially when it comes to the vagus nerve. Breathing techniques are fantastic and important, but they also have their challenges for patients. They take time to work. They are dependent on the pa…
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Today we go into the pros and cons of having your pricing on your website. Ultimately, putting prices on your website will reduce the number of people who call, but those who do call will be more likely to book. Whenever you field calls, there are three types of people: Those who are definitely going to book (regardless of the booking experience). …
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In this episode of the Unreal Results podcast, I dive deep into SI joint assessment. I talk about the gold standard of SI joint mobility tests, the March Test / Gillet's Test, and why the "limitations" around the test exist. I further talk about the intricate connection of the viscera and nervous system to the SI joint and why we as healthcare prac…
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