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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

Complex Patients Need Simple Interventions

June 08, 2026 • Nicole Cozean, PT, DPT, WCS & Jesse Cozean

0:00 | 24:59

What if the answer for your most complex patient...was actually simpler than you think?

In this episode, we share a favorite clinical principle and one that we train on at PelvicSanity...

The more complex the patient, the simpler the intervention.

Because when someone has seen multiple providers, tried countless treatments, and feels completely overwhelmed by their symptoms...

The last thing they usually need is a more complicated plan.

We discuss:

✅ Why newer clinicians shouldn't be shielded from complex patients
✅ The foundational interventions most clinicians overlook
✅ How to choose treatment priorities with your patient
✅ Metaphors that help patients understand why you're starting simple
✅ Why patience is required—for both clinician and patient
✅ Why no patient is too complex to help

If you've ever felt intimidated by a long history, a thick intake packet, or a patient who's "tried everything"...

This episode is for you.

Downtraining Masterclass

Many complex patients don't need more exercises.

They need a nervous system that can actually accept change.

If you'd like a deeper dive into downtraining and nervous system-focused treatment, check out the Downtraining Masterclass.

👉 www.pelvicptrising.com/downtraining

At just $47, it's one of the most practical courses you'll use every week in the clinic.

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
👤 Founder – PelvicSanity clinic in Southern California
🎙️ Co-creator – PelviCon, the first-ever pelvic rehab conference
📚 Author – The IC Solution, helping 20,000+ patients worldwide
🎓 Clinical Educator – Trained 3,000+ pelvic PTs & OTs globally
💼 Business Coach – Guided 900+ pelvic rehab businesses to grow, thrive and enjoy their business

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!