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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

Why Is Prolapse So Hard to Treat?

April 20, 2026

0:00 | 34:56

Prolapse should be simple… right?

Strengthen the pelvic floor, support the organs, and move on.

Except that’s not what actually happens.

In this episode, we break down why prolapse is one of the most complex conditions we treat — and why so many clinicians feel stuck.

We cover:

Why prolapse is often taught incorrectly from the beginning
The disconnect between symptoms and anatomical findings
Why you can’t “Kegel your way out” of structural defects
How the nervous system, identity, and fear all play a role
The impact of hormones, birth trauma, and connective tissue
And why prolapse is really a multi-system condition, not just a pelvic floor issue

This isn’t about doing more.

It’s about understanding the full picture — and knowing when pelvic PT is just one piece of the solution.

Want to Go Deeper? PelviCon Symposium

This is exactly why we created the PelviCon Prolapse Symposium — bringing together PTs, surgeons, researchers, and mental health experts to actually connect all the dots.

👉 Get on the waitlist:
www.pelvicon.com/symposium

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 900+ 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!