Interstitial Cystitis: 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

Interstitial Cystitis: A Missing Piece

June 02, 2025

Interstitial cystitis is one of the most complex conditions we treat—so what’s the missing piece?

In this Missing Piece episode from the Rising Vault, we’re breaking down one of the most overlooked contributors to IC:

💡 Neural tension of the sciatic nerve.

With interstitial cystitis, there are so many possible contributing factors—superficial pelvic floor muscles, constipation, urachus, inner thighs, ischiorectal fascia, even the calves.

But time and time again, we come back to the sciatic nerve and its major role in urinary urgency, frequency, and IC symptoms.

In this episode, we discuss:
✅ Why sciatic nerve tension can drive bladder symptoms
✅ How to evaluate neural tension in IC patients
✅ How addressing neural tension can transform your IC treatment approach

If you’re treating interstitial cystitis patients and not assessing neural tension, you could be missing a major factor in their symptoms.

Interstitial Cystitis: Holistic Evaluation & Treatment

If you're looking to learn more about how to treat IC and your complex patients, would love to have you join the IC: Holistic Evaluation & Treatment course. It will dive into both medical management and pelvic rehab techniques to make sure you're providing the most up-to-date care for your IC patients. Find more info and register at www.pelvicptrising.com/ic

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!