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!

In this episode, we break down how money actually moves in the insurance-based PT and OT world, why so many clinicians and clinic owners feel financially stuck, and how the landscape has quietly but dramatically changed over the last 20 years.

We cover:

• How insurance companies make money — and why they’re incentivized to pay out as little as possible
• The reality of declining reimbursement and rising administrative costs
• Why clinic owners feel squeezed from both sides
• Why clinicians deserve raises — and why insurance doesn’t support that reality
• How this system unintentionally pushes clinics toward lower-quality care models

Most importantly, we talk about why the rise of cash-based care isn’t a trend — it’s a correction.

Cash-based models:

• Allow small, independent clinics to survive and thrive again
• Create real earning upside for skilled clinicians
• Restore transparency and accountability in care
• Exist in every healthcare system — including countries with universal healthcare

This episode isn’t about villainizing anyone. It’s about understanding the system we’re operating in — so we can make better, more informed decisions about our careers, our clinics, and our patients.

🎧 Whether you’re an employee, a practice owner, or somewhere in between, this is required context for the modern pelvic health landscape.

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!

Long waitlists are incredibly common in pelvic rehab — and they’re only becoming more common as awareness of pelvic health grows.

But a long waitlist isn’t automatically a good thing… or a bad thing. It’s a decision point.

In this episode, we break down what it actually means to have a long waitlist and how to think about it strategically and tactically, whether you own a practice or work for someone else.

We discuss:

• Why waitlists longer than ~3 weeks lead to significant patient drop-off
• The three strategic paths when demand exceeds capacity:
  • Providing gold-standard care to fewer people
  • Seeing more people with lower intensity care
  • Expanding capacity through hiring or program growth
• Why a waitlist alone is not a reason to hire
• How solopreneurs and small practices should think about waitlists differently
• Tactical best practices to:
  • Improve fill rates
  • Reduce cancellations
  • Use your waitlist efficiently without burning out your team

If you’ve ever felt stressed, guilty, or stuck because your waitlist keeps growing — this episode will help you make intentional decisions instead of reactive ones.

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!

Most goal-setting focuses on one or two areas of life — usually work and maybe health — and then we wonder why things feel off balance by February.

In this first episode of 2026, we’re sharing the framework we teach every year in our business programs, but one that applies just as much if you work for someone else:

Diversify your goal-setting portfolio.

Before you set career or business goals, we walk through other areas that matter just as much — and often get overlooked:

• Relationships
• Fun and enjoyment
• Personal finances
• Health and wellness
• Career or business

We share real examples from our own lives — what we’re prioritizing, what we’re not prioritizing, and why sustainable goals matter more than aggressive ones that collapse by mid-January.

This episode is about creating goals that actually support the life you want — not just another list of things to chase.

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!

As the year wraps up, it’s tempting to jump straight into planning what’s next — without ever stopping to reflect on what just happened.

In this episode, we talk about why crafting a clear narrative for your year is one of the most powerful (and overlooked) tools for preventing burnout, building perspective, and entering the next season grounded instead of reactive.

We explore:

• Why high performers default to focusing on what didn’t go well
• How negativity bias distorts your view of the year
• The clinical parallel between helping patients make sense of their story — and doing the same for yourself
• Why even experienced CEOs struggle to give themselves credit
• Our one-sentence narrative for 2025, shaped by becoming a family of four while expanding our impact in pelvic health
• How reflection creates psychological closure and protects against burnout

We’ll walk you through a simple exercise to help you name your own one-sentence narrative for the year — before you start planning the next one.

If you’re feeling tired, behind, or like the year slipped by too fast, this episode is your invitation to pause, zoom out, and recognize what you’ve actually built.

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!

Binary questions are easy — and often misleading.

In this episode, we break down one of the most powerful (and underused) communication tools in pelvic health, leadership, and life: the 0–10 scale.

Instead of asking questions that are heavily influenced by power dynamics, assumptions, or people-pleasing (“Are you okay with this?”), the 0–10 scale opens the door to nuance, curiosity, and honesty.

We discuss:

• Why yes/no questions shut conversations down
• How a 0–10 scale creates psychological safety and intellectual humility
• How defining the ends of the scale matters just as much as the number
• Why the scale naturally leads to better follow-up questions
• How this tool keeps conversations collaborative instead of adversarial

We shares real-world examples of using the scale:

• Gaining consent for internal vaginal or rectal treatment
• Asking about comfort with students or shadowing
• Clarifying goals like returning to running or biking (and whether those are real goals)
• Interviewing clinicians and understanding true interest in patient populations
• Navigating employee requests without jumping straight into action

This simple shift turns communication into interaction — and helps you gather better information, build trust faster, and avoid unnecessary conflict.

🎓 48-Hour Clinical Course Sale
To celebrate this episode, we’re running a 48-hour flash sale on all Pelvic PT Rising clinical courses.

• Use code RISING26Lifetime access to all courses
• This is the only sale like this we’ve done all year

If you’ve been thinking about taking one of Nicole’s clinical courses, this is the time.

👉 Learn more and grab your course at
www.pelvicptrising.com/clinical

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!