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!

All Episodes

Pelvic PT Rising

Patient Outcomes = Skill x Time

January 26, 2026

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!