If there were a magic bullet in business, we’d all be using it.

And we’d all be successful.

But there isn’t.

As pelvic rehab providers, we get frustrated when patients come in looking for the one magic pill, surgery, technique, or device that will instantly fix everything. We know better. We know outcomes are about consistency, skill, time, and effort.

And then we turn around and do the exact same thing in our businesses.

In this episode, we talk honestly about the ways practice owners distract themselves chasing shortcuts instead of doing the work that actually grows a business.

We break down common “magic bullet” traps:

• Facebook or Instagram ads will fix everything
• Selling a course will create passive income
• Telehealth will magically expand your reach
• Buying expensive equipment (Shockwave, RTUS, Emsella, red light therapy) will generate leads
• Renting space from a physician who will “definitely” refer patients
• Getting another certification that patients aren’t asking about

None of these are inherently bad.

But none of them are magic.

At the end of the day, business success is a simple formula:

Clear direction × Hard work

You have to know where you’re going.
You have to know what actually matters.
And you have to be willing to put in the work.

If you do that, you’ll build something meaningful.
If you keep chasing shortcuts, you’ll stay stuck.

This episode is tough love — but it’s the kind that moves you forward.

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 800+ 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!

There’s been a recent flare-up in the pelvic rehab world around cash-based versus insurance-based care. And while emotions are running high, we wanted to pause the noise and add something that feels increasingly rare: context.

In this episode, we start with what we all agree on:

• Every pelvic PT and OT is doing their best for their patients
• We all want clinicians to be paid fairly and sustainably
• More practice models = more options for both clinicians and patients
• Patients benefit from having real choices
• We should be referring to one another, not competing against the field itself
• The current medical system requires both insurance and cash-based care — in every country we’ve seen

From there, we address the two biggest areas of disagreement head-on.

First, the claim that cash-based practices reduce access to care. We walk through the data around deductibles, waitlists, and real-world barriers to care — and why more options actually increase access, not reduce it.

Second, the idea that one model inherently produces better care. We’re very clear here: you can get excellent or poor care in any setting. But when you take the same caliber clinician, the environment matters — and we explain why time, autonomy, documentation burden, and feedback loops change outcomes.

This episode isn’t about picking sides.
It’s about understanding incentives.
And it’s about recognizing that the growth of pelvic rehab depends on all of us moving forward together.

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 800+ 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!

In this episode, we break patient outcomes down into a simple but powerful formula:

Patient Outcomes = Skill × Time

You need:

• The skill to understand what’s actually driving someone’s symptoms
• And the time for healing, behavior change, tissue adaptation, relationship-building, and clinical reasoning to unfold

Miss either one — and outcomes suffer.

We talk about:

• Why outcomes can’t be separated from both clinician skill and available time
• How testing your hypotheses requires both technical ability and space to observe change
• Why healing, strength, and behavior change don’t happen on insurance-driven timelines
• How different practice models dramatically affect the “time” variable

This conversation was sparked by recent rhetoric criticizing cash-based care — and instead of taking the bait, we zoomed out and asked a better question:

What actually creates great outcomes?

This episode sets the foundation for future discussions about systems, incentives, and why clinicians often feel frustrated despite doing their best work.

🎧 If you care about results — for patients and clinicians — this one matters.

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 800+ 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!