The Biggest Mistake We Make with Downtraining

The Hardest Part of Hiring Your First Clinician

What if the first clinician you hire isn't as good as you? It's one of the biggest fears we hear from successful solopreneurs—and it's exactly what Nicole struggled with when we started growing PelvicSanity. Because hiring your first clinician isn't just adding another person to the schedule. It's changing your entire role. Suddenly, you have to trust someone else with your patients, your reputation, your culture and something you've worked incredibly hard to build. And yes...Nicole struggled with this enough that she eventually went to therapy to work through some of the control issues that came with becoming a leader. 😬 In this episode, we're talking about the mindset shifts required to successfully go from solopreneur to multi-clinician owner, including: 👉 Why being busy isn't a good enough reason to hire 👉 "No one will ever be as good as me" (and what to believe instead) 👉 Why your next clinician can actually enhance your reputation 👉 Raising the floor with great systems, onboarding and mentorship 👉 Raising the ceiling by helping your clinicians become incredible 👉 Why your clinicians don't need to be perfect on Day 1 👉 The fear that you'll invest in someone...and they'll eventually leave Ultimately, the traits that made you a successful solopreneur—control, high standards, personal responsibility—can become the exact things that prevent you from building a great team. Growing beyond yourself requires becoming a different kind of business owner. 🎧 Listen wherever you get your podcasts! Want to Grow as a Business Owner? Check out the Pelvic Business Accelerator - the 6-month program to jumpstart your business and get you to the next level.  More info at www.pelvicptrising.com/accelerator About Nicole & Jesse Cozean Pelvic health is hard. We want everyone in this field to have a joyful, impactful career. And for business owners to build something that truly works for them. 🎙️ Pelvic PT Rising Podcast — Over 1 million downloads. 🏥 Founders of PelvicSanity — One of the nation's leading cash-based pelvic health practices. 🎤 Co-Creators of PelviCon — Bringing together the brightest minds in pelvic health. 📚 Authors — The Interstitial Cystitis Solution. 🎓 Clinical Educators — Training thousands of pelvic PTs & OTs around the world. 💼 Business Coaches — Helping more than 1,000 pelvic health business owners build thriving practices. Get in Touch! Learn more at www.pelvicptrising.com [https://www.pelvicptrising.com], follow Nicole @nicolecozeandpt [https://www.instagram.com/nicolecozeandpt] (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com). Check out our Clinical Courses [https://www.pelvicptrising.com/clinical], Business Resources [https://www.pelvicptrising.com/business] and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

Rethinking Compression Garments & Diastasis: An Interview with Gráinne Donnelly

How do you challenge long-held beliefs in pelvic health?  You ask better questions. This week, we're joined by Gráinne Donnelly—pelvic health physiotherapist, researcher, educator, editor-in-chief of the Journal of Pelvic, Obstetric and Gynaecological Physiotherapy, and one of this year's featured PelviCon 2026 speakers.  Gráinne has built a career around asking questions that matter, from postpartum return to sport and diastasis recti to compression garments and pelvic floor function. In this conversation, she shares what she's learning through her PhD research, why clinical curiosity should drive research, and how our profession continues to evolve. In this episode, we discuss: 🔹 The story behind her new textbook, Sports Medicine and the Pelvic Floor: From Science to Practice 🔹 What her research is teaching us about compression garments 🔹 Why our understanding of diastasis recti continues to evolve 🔹 Bridging the gap between research and real-world clinical practice 🔹 How motherhood has shaped her as a clinician, researcher, and leader If you're passionate about evidence-based practice—and want to hear from someone helping shape the future of pelvic health—you'll love this conversation. 🎟️ Learn from Gráinne live at PelviCon 2026 Gráinne will be presenting two sessions at PelviCon 2026 (September 25–26): ✅ The Science of Pelvic Floor Support Garments ✅ Distilling Diastasis: Current Evidence for Assessment & Management Can't join us in Atlanta? Grab a Live Virtual + Lifetime Recording Ticket and you'll get access to both of Gráinne's presentations—and all 8 featured speakers—to watch live or anytime afterward. 🎟️ Register at www.pelvicon.com [http://www.pelvicon.com] About Gráinne Donnelly Gráinne Donnelly is a pelvic health physiotherapist, researcher, educator, and editor-in-chief of the Journal of Pelvic, Obstetric and Gynaecological Physiotherapy. She is currently completing her PhD while leading internationally recognized research on postpartum return to sport, compression garments, and diastasis recti. She is also the editor of the textbook Sports Medicine and the Pelvic Floor: From Science to Practice. 📍 Website: https://absolute.physio/ [https://absolute.physio/] 📸 Instagram: @grainnedonnelly_absolutephysio About Nicole & Jesse Cozean Pelvic health is hard. We want everyone in this field to have a joyful, impactful career—and for business owners to build something that truly works for them. 🎙️ Pelvic PT Rising Podcast — Over 1 million downloads and one of the world's leading pelvic health podcasts. 🏥 Founders of PelvicSanity — One of the nation's leading cash-based pelvic health practices. 🎤 Co-Creators of PelviCon — Bringing together the brightest minds in pelvic health. 📚 Authors — The Interstitial Cystitis Solution, helping more than 20,000 patients worldwide. 🎓 Clinical Educators — Training thousands of pelvic PTs & OTs around the world. 💼 Business Coaches — Helping more than 1,000 pelvic health business owners build thriving practices. Get in Touch! Learn more at www.pelvicptrising.com [https://www.pelvicptrising.com], follow Nicole @nicolecozeandpt [https://www.instagram.com/nicolecozeandpt] (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com). Check out our Clinical Courses [https://www.pelvicptrising.com/clinical], Business Resources [https://www.pelvicptrising.com/business] and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

The Biggest Mistake We Make with Downtraining

If you've ever felt like you've "tried downtraining" and your patient still isn't getting better... this episode is for you. We're also wrapping up our recent series on internal exams, the gold standard, and access to quality care before shifting back into one of our favorite clinical topics: downtraining. The biggest mistake we see? Thinking of downtraining as a single intervention. In this episode, we introduce the updated framework from our completely re-recorded Downtraining Masterclass, including the three different "levers" of downtraining and how they help you identify why someone's pelvic floor is overactive—not just that it is. In this episode we discuss: ✅ A quick recap of our recent series on internal exams & the gold standard ✅ Why "I've tried downtraining" usually isn't true ✅ The 3 Downtraining Levers: *  Pelvic Floor Direct  *  Pelvic Floor Indirect  *  Nervous System  ✅ How to choose the right intervention for the right patient ✅ When to stay the course... and when it's time to pivot If you treat patients with pelvic pain, overactivity, urinary urgency, constipation, or other pelvic floor dysfunction, this framework will immediately change how you think about treatment. 🎓 Ready to Go Deeper? The Downtraining Masterclass has been completely re-recorded and updated with: ✨ Our brand-new 3-Lever Downtraining Framework ✨ Five in-depth case studies ✨ Practitioner-led & home program intervention guides ✨ Patient communication scripts ✨ AI clinical reasoning prompts ✨ Lifetime access to all future updates 👉 Learn more at: www.pelvicptrising.com/downtraining [http://www.pelvicptrising.com/downtraining] About Nicole & Jesse Cozean Pelvic health is hard. We want everyone in this field to have a joyful, impactful career—and for business owners to build something that truly works for them. 🎙️ Pelvic PT Rising Podcast — Over 1 million downloads and one of the world's leading pelvic health podcasts. 🏥 Founders of PelvicSanity — One of the nation's leading cash-based pelvic health practices. 🎤 Co-Creators of PelviCon — Bringing together the brightest minds in pelvic health. 📚 Authors — The Interstitial Cystitis Solution, helping more than 20,000 patients worldwide. 🎓 Clinical Educators — Training thousands of pelvic PTs & OTs around the world. 💼 Business Coaches — Helping more than 1,000 pelvic health business owners build thriving practices. Get in Touch! Learn more at www.pelvicptrising.com [https://www.pelvicptrising.com], follow Nicole @nicolecozeandpt [https://www.instagram.com/nicolecozeandpt] (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com). Check out our Clinical Courses [https://www.pelvicptrising.com/clinical], Business Resources [https://www.pelvicptrising.com/business] and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

What's Changing in Endo Care? An Interview with Amy Stein

PelviCon '26 speaker Amy Stein has been one of the pioneers of modern pelvic health. She founded Beyond Basics Physical Therapy, one of the largest cash-based pelvic health practices in the country, authored the groundbreaking books Heal Pelvic Pain and Beating Endo, and has spent more than two decades helping shape the future of pelvic rehabilitation.  In this conversation, we talk about how far our profession has come—from a time when there were only a handful of pelvic health courses available to today, where thousands of clinicians are entering the field every year. We also dive into: ✅ How Amy built Beyond Basics into one of the country's premier pelvic health practices ✅ Why collaboration—not competition—is the future of pelvic health ✅ What's changing in our understanding of endometriosis ✅ Why every patient deserves a multidisciplinary team ✅ The importance of mentorship and lifelong learning Amy will also be joining us at PelviCon 2026 to present two incredible sessions: 📍 Endometriosis Decoded: What's New, What's Changing & What Matters Most 📍 Rehab After Excision Surgery If you treat patients with endometriosis—or simply want to provide better pelvic health care—you won't want to miss these talks. 🎟️ Join Amy (and 7 other incredible speakers) at PelviCon 2026 Get your Live Virtual + Lifetime Recording Ticket and learn from the brightest minds in pelvic health from anywhere in the world. 📅 September 25–26, 2026 🎟️ Register now at www.pelvicon.com [http://www.pelvicon.com] About Amy Stein Amy Stein, PT is the founder of Beyond Basics Physical Therapy, one of the nation's leading pelvic health practices. She is an entrepreneur, educator, author of Heal Pelvic Pain and Beating Endo, past President of the International Pelvic Pain Society, and one of the pioneers who helped shape modern pelvic rehabilitation. Learn more at https://beyondbasicsphysicaltherapy.com/ [https://beyondbasicsphysicaltherapy.com/] or follow her on Instagram @beyondbasicspt. About Nicole & Jesse Cozean Pelvic health is hard. We want everyone in this field to have a joyful, impactful career—and for business owners to build something that truly works for them. 🎙️ Pelvic PT Rising Podcast — 1M+ downloads and one of the world's leading pelvic health podcasts. 🏥 Founders of PelvicSanity — One of the largest cash-based pelvic health practices in the country. 🎤 Co-Creators of PelviCon — Bringing together the brightest minds in pelvic health. 📚 Authors — The Interstitial Cystitis Solution, helping 20,000+ patients worldwide. 🎓 Clinical Educators — Training thousands of pelvic PTs & OTs around the world. 💼 Business Coaches — Helping more than 1,000 pelvic health business owners build thriving practices. Get in Touch! Learn more at www.pelvicptrising.com [https://www.pelvicptrising.com], follow Nicole @nicolecozeandpt [https://www.instagram.com/nicolecozeandpt] (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com). Check out our Clinical Courses [https://www.pelvicptrising.com/clinical], Business Resources [https://www.pelvicptrising.com/business] and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

The 5 Levels of Care in Pelvic Health: What Is The Gold Standard?

Let's cut through the noise....If someone you loved needed pelvic floor therapy tomorrow, where would you send them? 🤔 Are there actually different levels of pelvic health care? We believe the answer is yes. The interesting part? Most pelvic therapists already act as though these different levels exist—we've just never had a common language to describe them. Think about it... If your spouse, your parent, or your child developed pelvic floor dysfunction tomorrow, who would you recommend? Most of us wouldn't say: ❌ "Just find any ortho PT." ❌ "Start with telehealth or try an online program." ❌ "Here's a great Instagram account." We'd recommend a pelvic floor specialist.  Someone who is trained and able to perform both an internal and external evaluation and hands-on treatment. That instinct reveals something important: we already recognize that different models of care have different capabilities. In this episode, we introduce what we're calling the Five Levels of Pelvic Health Care—a framework for thinking about the different therapeutic ceilings of pelvic health, from free educational resources all the way to the current gold standard of in-person pelvic floor specialists. In this episode, we discuss: ✅ Why different models of care have different capabilities ✅ What we mean by a model's therapeutic ceiling ✅ The Five Levels of Pelvic Health Care ✅ Why every level has value—and expands access in different ways ✅ Why preserving the gold standard matters while thoughtfully increasing access This isn't about ranking clinicians or criticizing different models of care. Every level has passionate clinicians doing their absolute best for patients. Every level has an important role to play. But patients deserve honesty about what each model can—and cannot—provide so they can make informed decisions about their care. If you've been following this series, this episode brings everything together and introduces a framework we hope helps move the conversation around standards of care forward. There's only two big requirements for us: 1. Be honest about your therapeutic ceiling. Don't present your level as though it replaces—or is equivalent or superior to—a higher level. 2. Be exceptional within the level you've chosen.  No matter what setting you've chosen to practice in, strive to learn, grow and provide incredible care. About Nicole & Jesse Cozean Pelvic health is hard. We want everyone in this field to have a joyful, impactful career. And for business owners to build something that truly works for them. 🎙️ Rising Podcast – Leading pelvic health podcast with 1M+ downloads 👤 Founders – PelvicSanity, one of the nation's leading cash-based pelvic health practices 🎙️ Co-creators – PelviCon, the first-ever pelvic rehab conference 📚 Clinical educators who have trained more than 3,000 pelvic PTs & OTs worldwide 💼 Business coaches who have guided more than 1,000 pelvic rehab business owners Get in Touch! Learn more at www.pelvicptrising.com [https://www.pelvicptrising.com], follow Nicole @nicolecozeandpt [https://www.instagram.com/nicolecozeandpt] (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com). Check out our Clinical Courses [https://www.pelvicptrising.com/clinical], Business Resources [https://www.pelvicptrising.com/business] and learn more about us at Pelvic PT Rising...Let's Continue to Rise!