Stress Urinary Incontinence: A Missing Piece Artwork

Pelvic PT Rising

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 practices in the country, and living life as business owners and pelvic health advocates. And we'll be keeping it 100% real - and having some fun - along the way!

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Pelvic PT Rising

Stress Urinary Incontinence: A Missing Piece

April 21, 2025

Strength isn’t the key to fixing urinary incontinence.

Welcome back to another episode from the Rising Vault—where we bring back some of our most impactful episodes to highlight The Missing Piece in common pelvic health conditions.

Today, we’re tackling urinary incontinence—and the one thing that’s often overlooked:
🟢 The focus on task and timing.

Most of us were taught to assess voluntary pelvic floor strength first—but here’s the problem:
👉 Pelvic floor strength isn’t correlated with incontinence.
👉 A patient can test weak and have no symptoms at all.
👉 A patient can test strong and still have massive incontinence issues.

So instead of focusing on isolated strength, we need to ask:
✅ What task are they struggling with?
✅ When does the pelvic floor fail to meet the demand?
✅ How does the pelvic floor function in real-world situations?

This means prioritizing standing and dynamic assessments—not just lying-down muscle testing. (For a deep dive into this, check out Not Your Mama’s Kegels at www.pelvicptrising.com/kegels).

If you're loving this Missing Piece series, please consider leaving a 5-star review—we love hearing your feedback and how the podcast has helped you!

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 600+ 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!