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 practic ...
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Helping those with pelvic pain, pelvic floor dysfunction or pregnancy and post-partum issues find lasting relief.
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Getting Confident as First-Line Providers: An Interview with Michelle Lyons
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Leading educator, thinking and pioneer in our field, Michelle is the first 3-time PelviCon speaker and you won't want to miss this wide-ranging conversation! We take a deep dive into menopause, hormone replacement therapy and what we - as a pelvic rehab profession - are still getting wrong about menopause. Michelle talks about how to have a more co…
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Discouraged by How Much to Learn
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We know it can feel daunting and discouraging (especially as a newer pelvic rehab provider) how much there is to learn! This 'sode came from a listener comment. She was expressing frustration with how her entry-level courses didn't really prepare her for the way clinicians actually treat. We talk about the challenges of doing an introductory course…
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The Courage to Have an Opinion: An Interview with Gráinne Donnelly
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Probably best known for creating the first 'Return to Run' protocol, Gráinne is a clinic owner, clinician, researcher, podcaster and editor of a peer-reviewed journal. We can't wait to have her join us at PelviCon! In this 'sode we discuss how she had the courage to post her ideas about returning to running for post-partum moms, what she's learned …
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Do I Need to Market to Physicians?
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The short answer? No! You don't need to market to physicians to have a thriving practice. The full answer is a lot more nuanced. If you don't market to physicians, you're leaving a lot on the table. And it is possible to get past the gatekeepers and form great relationships as colleagues. If you're struggling to market to physicians but know you wa…
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It's Not 'Weak vs. Tight' Pelvic Floor: An Interview with Sinéad Dufour
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Leading researcher, educator and clinician, Sinéad Dufour discusses how to avoid the false dichotomy of 'weak vs tight' pelvic floor. Perhaps best known for her seminal research on the link between low back pain and pelvic floor dysfunction, Sinéad goes through the origin of her research and what we still get wrong when we interpret her results. Sh…
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Anyone else have a hard time with delegating to others? Learning to lead a team is a whole new skill. In fact, many of the traits that bring success as a solopreneur - a touch of perfectionism, wanting control over the business, being 'in the weeds' on every aspect of what you do - actually make growing beyond yourself more difficult! What got you …
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It's Not Pain Science vs. Manual Therapy: An Interview with Bill Taylor
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From his early days with Riverdance to the Scottish Ballet to his own practice and teaching all over the world, you won't want to miss this conversation with PelviCon speaker Bill Taylor! For us pelvic health nerds, this conversation is absolutely gold! We talk about how long a plan of care needs to be ("it takes until it's done"), treating to redu…
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Should I Be Taxed as an S-Corp?
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Business owners (or wannabes) - we're getting tactical today! Don't skip this 'sode just because it doesn't sound sexy...it might save you tens of thousands of dollars in your business over the next few years. As business owners, we actually get a ton of tax benefits that a regular employee does not. One of those is the ability to choose how we are…
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Post-Prostatectomy, Peyronie's Disease, and Men's Health: An Interview with Jo Milios
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One of the most influential thinkers and voices in men's pelvic health, Jo Milios is sharing her research and treatment techniques at PelviCon this year! In this fantastic conversation we discuss what it's really like to treat men in the clinic, apprehensions about working in men's pelvic health, collaborating with urologists and surgeons, how to '…
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Consolidate Your Schedule and Work the Hours You Want!
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26:56
One of the reasons many of us started a business was time flexibility. But how many of us are really taking advantage of it? Maybe you're starting earlier than you want, or working later, because patients 'need' those time slots. Or you're spending 30 hours a week at the office but only seeing 12 patients. Or working straight through your lunch. Or…
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Trust Your Clinical Intuition: An Interview with Yeni Abraham
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A trailblazer in pelvic rehab for supporting patients during their fertility journey, Yeni is going to be a 2-time PelviCon speaker and back by popular demand! She brought the house down last year, and can't wait for you to hear about her PelviCon 2024 topics. Just like last year, they are areas where we often feel uncomfortable and need more infor…
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Why IG & FB Ads Don't Work in Pelvic Health
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We're told (ironically, often in paid ads!) paid advertising is the 'magic bullet' to getting the phone to ring in our clinics. But is that true? In this 'sode we dive into the challenges with IG and FB ads. The fundamental problem? No one is going on social media hoping to be hit with an ad to fix their incontinence! And especially for a high-tick…
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Why is 'do you take my insurance' not the right question?
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What we're really looking for in a provider is the best value. And there are two different components to value - results and cost. After all, if we don't get the results we're looking for, it doesn't matter how low the cost is. Results in this context are about 1) getting better and 2) staying better. With pelvic rehab, we know what quality care lo…
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We Should All Be Oncology Rehab Providers: An Interview with Alex Hill
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Incredible conversation with PelviCon speaker Alex Hill! She might be the only person in the country double-board certified in both oncology and pelvic health. We introduce her PelviCon topics, what every rehab provider needs to know about oncology care, how to better help the trans population, and Alex shares her clinical superpower! Don't miss th…
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How Insurance Companies Dictate Care
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How much of our daily lives as rehab practitioners is dictated by insurance companies? Whether you're a current (or future) business owner or a clinician in an insurance-based world, it's important to realize how much insurance companies control. Those of us in the cash-based world talk a lot about how insurance dictates care. But what do we really…
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Finding Your Tribe of Practitioners for Multi-Disciplinary Care
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One thing the recent Vulvodynia Symposium did (and you can still grab the recording if you haven't already) was remind us of the amazing practitioners who are out there. We're often frustrated with physicians or other members of the medical profession for negative patient stories and interactions. And it's definitely valid to be frustrated when a p…
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Pelvic Health PTs and OTs: Restoring Common Sense to the Conversation
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We've noticed the conversation around and between pelvic health PTs and OTs has devolved over time. The pelvic health rehab specialty is growing, and that's fantastic for all of us and our patients. But that also leads to growing pains. We hope this conversation provides some context, restores civility and gets to back to having productive conversa…
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Fighting 'Shiny Object Syndrome': An Interview with Jenn Perna
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How do we stay focused on what really matters in business? In this 'sode with Rising Coach Jenn Perna, we discuss how damaging 'shiny object syndrome' can be in the business. When we start to lose our focus on the reason we started the practice and look for 'easy' answers in business, we dilute our energy and end up going nowhere. You'll also hear …
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How to Grow as a Newer Pelvic PT/OT
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If you have less than 5 years of pelvic health experience, what should you be prioritizing? We got so many messages after last week's episode on '20 pet peeves' about internal. Many of you asked what courses to take or where we had learned these different techniques. So we wanted to put together a 'sode for all of you who are new(er) to pelvic heal…
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3 Things To Consider When Investing in the Business
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When we consider investing in something in PelvicSanity, we use three simple questions to help us make a decision and sort through all of the marketing 'buzz' out there. So here are the things to consider: 1) Is it financially safe? Can you actually afford the program or coaching? How would you break-even on the program? Often it's helpful to break…
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20 of Nicole's Biggest Pet Peeves about Internal
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In this 'sode, Nicole is challenged to give her 20 biggest pet peeves with internal treatment is done or taught in just 20 minutes! You'll have to check out the 'full sode for the list, but they include... Using too much lube. Gloving both hands. Constantly asking 'are you ok?' (there's a better way) Sitting at the end of the table And giving 'Swir…
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How We Fell In Love with Business Coaching
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33:08
We pull back the curtain and talk about our love of business and helping others in their business journey in this 'sode. We know how hard it is to run a business. How much time it takes. How much mental energy. How much risk. How many evenings and nights and weekends thinking about the business. And we wanted to lighten the load for others who are …
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5 Mistakes in Getting Clinical Buy-In for our Patients
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How can we get better buy-in from our patients, reduce self-discharges and help our people finish their full plan of care? Regardless of your work setting, getting clinical buy-in is critical to getting the outcomes our patients want. In this 'sode we go through the five biggest mistakes we see in that process of getting buy-in and keeping our pati…
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What are the 4 Foundations of Pelvic Health?
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How do we build resilience in our body so symptoms not only can go away, but stay away? At PelvicSanity, we do this by addressing both the muscles of the pelvic floor, but also the 4 Foundations of pelvic health. The pelvis doesn't exist in isolation. It's affected by the rest of the body and other major symptoms. These often are major underlying c…
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5 Mistakes with Business Systems You're Probably Making
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22:16
Business systems streamline the practice, save you time, ensure a consistent product and a great experience for your patients. They keep you organized. They allow you to hire. They're also chronically overlooked! Systems are what people are talking about when they say "work ON your business, not IN your business". But how do we do that? It's a reas…
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How can pelvic physical therapy improve pregnancy and delivery?
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Pelvic PTs are the pregnancy experts - we want to help you have a more comfortable pregnancy, a smoother delivery, and prevent postpartum issues after delivery! 1. Have a more comfortable pregnancy Working with a pelvic floor physical therapist throughout your pregnancy can reduce or eliminate issues like back pain, hand or foot pain, painful inter…
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5 Questions about Treating Male Patients
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Male patients are an awesome group to work with and chronically underserved by our system. But there's also a lot of concerns and misinformation about working with men. We go through the five most common questions we get about treating male patients! With how pelvic health education has been structured, many of us don't get training in treating mal…
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5 Marketing Mistakes You're Probably Making
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22:51
Marketing is the engine that drives the business. A steady flow of leads is critical (and can often cover a multitude of sins within the business). For a cash-based practice, marketing is often the limiting factor. So why do we consistently see people getting marketing so wrong? It's not your fault - there are so many misconceptions out there. Or t…
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Business Ownership (Definitely!) Isn't For Everyone
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Often there's a rosy picture painted of business ownership, but the hidden reality is entrepreneurship is hard, anxiety-producing, and definitely not for everyone. We firmly believe anyone listening to this podcast CAN start their own business, but just because you can doesn't mean you should. There's a myth that business owners have unlimited time…
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Is my tailbone causing pelvic floor symptoms?
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18:40
Tailbone pain is a common symptom and is integrally related to the pelvic floor. All muscles of the pelvic floor attach at the tailbone. When these are tight and irritated they can radiate or refer pain to the tailbone itself. The vast majority of the time there’s nothing wrong with the tailbone itself. It’s actually a pelvic floor issue masqueradi…
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10 Biggest PelvicSanity Business Mistakes (Ugh!)
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We've been promising it for a while now, but here are 10 huge mistakes we've made as PelvicSanity business owners. As painful as many of these are to relive, we hope you learn from them. The reason we do business coaching is to create the resources and help we wish had been available for ourselves! There are always going to be mistakes in business …
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Happier at Work #4 - Are you working in the right place?
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Is where you work working for you? If it is, we need to celebrate it. If not, it might be time to look for another position. Let's start with this - no position is perfect. The best setting, time with patients, flexibility scheduling, reduced documentation, stress, quality of management, job responsibilities, fun coworkers, nice treatment rooms, gr…
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How do I know if I have a diastasis recti?
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22:04
In the third trimester the ‘sixpack’ abdominal muscles separate to allow room for the baby to grow. Within the first three months postpartum, in about half of women these muscles come back together properly. In the other half a separation remains, known as a diastasis recti. We hear about this often as an aesthetic issue. It can create a ‘mommy poo…
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10 Ways Cash-Based Practices INCREASE Access to Care
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34:42
We hear it from PT schools, insurance-based practices and even worry about this as cash-based business owners - are we 'decreasing access to care' by not contracting with insurance companies? The rise of cash practices has dramatically INCREASED access to care over the last 5-10 years. It's driven the rapid growth of our specialty and field. It's n…
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Happier at Work #3: 3 Easy Happiness Boosts at the Office
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Continuing our series on 'Happier at Work', we have 3 easy tips to improve your work experience. If we decide work can be a source of fulfillment, growth and purpose then it's incumbent on us to do the little things to make it as good as possible! Here are three suggestions from this 'sode to get your mind working... Take the initiative and plan so…
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Do I need to avoid acidic foods with IC?
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The answer will surprise you! The myth that acidity in the body or bladder is responsible for IC symptoms is one of the most harmful out there. In this 'sode we go through why the pH of urine has no effect on symptoms, how 'acid in' does not equal 'acid out', and what we should be doing instead. We hope this 'sode helps to free you from 'food jail'…
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The CEO Mindset: An Interview with Hannah Strom
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We dive into community workshops, a CEO mindset, leading a team and integrating your past experience into your Clinical Ethos in this 'sode! You won't want to miss this conversation with Hannah! Hannah is a member of the CEO Boardroom Program and a Rising Coach for other business owners - in this 'sode, you'll hear why her experience is so valuable…
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Should I try and find a pelvic PT with lots of experience?
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18:15
There's a wide variety of expertise when it comes to pelvic floor physical therapy. Unfortunately many patients have to go to several different ones before finding a true expert. You might think that finding a pelvic PT who has a lot of experience means you'll be getting great care. But that's not necessarily the case. In this 'sode we discuss why …
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Happier at Work #2: The Myth of "Work-Life Balance"
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Is the term 'work-life balance' actually making us unhappier? This 'sode explores how to be happier at work and build actual balance into your life. The assumption when we use the phrase 'work-life balance' is that work takes away from 'life.' Every minute spent working subtracts from your happiness. The only way to be happier is to work less. Exce…
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Enjoy the Business Process: An Interview with Kat Terrian
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Can you become a successful solopreneur, prioritize your family and create a business that truly works for you...all while enjoying the process? In this 'sode you'll hear from Kat Terrian, Rising coach and founder of Rythm Pelvic Health. She made the deliberate choice to stay as a solopreneur (even when she could have easily continued to grow) beca…
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Is incontinence ever normal?
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18:06
Incontinence is certainly common. More than half of people have incontinence after a baby, it can accompany pelvic pain, prolapse, low back pain or following a surgery. But it’s never normal, and never something you have to live with. Sometimes this is normalized - we joke about it with friends, or hear about it from our mothers. But we often don’t…
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Happier at Work: 3 Mental Habits for Better Work Life
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This month, we're going to be doing a series on 'Happier at Work.' Our rates of stress and burnout are high. If we want long, productive careers where we help the most people we have to be taking care of ourselves! In this 'sode we go through 3 mental habits Nicole has used to practice for nearly 20 years and that we try and cultivate in our team a…
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Invest In Your Team: An Interview with Brittany Sargent
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Fascinating conversation with Rising business coach and CEO Boardroom member Brittaney Sargent! A leader in the OT space, she's built a multi-site, 5-clinician, multi-disciplinary practice in just the last three years. And all coming off maternity leave with three little ones at home! We discuss her clinical philosophy, why she works with 'clients'…
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Vagus Nerve Treatment - Not Just for Pelvic Pain
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When many of think about nervous system downregulation and treatment, pelvic pain springs to mind. But this is something that is critical for all types of patients. Nervous system safety is a prerequisite to healing! Intellectually I think we would all agree with that, but often we jump into treating diagnoses like incontinence, prolapse, constipat…
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Are my IC symptoms coming from my pudendal nerve?
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17:32
For many people (almost 90% of those diagnosed with IC) tight muscles in the pelvic floor irritate the nerves running through the area. One of the most important of these is the pudendal nerve. So what symptoms might be caused by pudendal nerve irritation? One is urethral burning or pain. One branch of the pudendal runs right to the urethra, so it …
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MOAR You: An Interview with The Movement Maestro
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Can't wait for you to hear this conversation with Shante Cofield (aka The Movement Maestro)! In addition to being one of the most authentic people we know, Shante is an expert in all things Instagram and online business. We cover a ton of ground in this interview. We hear about Shante's journey from from patient care to teaching to online business.…
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When Patients Are Complex, Get Simple
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Where does your mind go when you have that complex patient. The one with pages of medical history. Who has a pre-written timeline for you. Or who is undergoing testing for multiple other conditions? One of my clinicians at PelvicSanity was asking me about a patient like this. And she was genuinely complex! I think often our assumption is a complex …
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Why are Kegels never the answer?
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18:32
Have you heard or been told you 'just need to Kegel'? Here's why that's never the answer to pelvic health issues. Kegels (or the voluntary squeezing of the pelvic floor muscles) are often one of the only areas of pelvic health we’ve heard about. It’s often surprising to people to learn Kegels are often ineffective, antiquated and can cause flares o…
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Am I Ready to Hire a Clinician?
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What do you need in place before you're ready to hire another clinician? We always say the decision to hire - especially another clinician - is as big as the decision to start your practice. You want to make sure you're hiring because it's something you really want to do - not because you're busy, or you feel bad about a wait list, or because someo…
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Why is being seen for a full hour with your PT so important?
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Why do most specialty pelvic health clinics see patients for a full hour, 1:1 with the therapist? Ultimately it’s so we have time to ‘find the why’ for actual relief. If you aren’t working with a qualified pelvic PT to ‘find the why’, one of three things happens: You don’t improve at all You see little, temporary improvements that don't 'stick' Sym…
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