Nicole Cozean, PT, DPT, WCS & Jesse Cozean public
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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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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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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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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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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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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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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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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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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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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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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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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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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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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 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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