🚨 Are we still using the biceps analogy for the pelvic floor? It’s time for an upgrade.

When explaining pelvic floor strength, many of us were taught to compare it to a bicep—contracting, strengthening, and controlling movement in a straightforward way. But this analogy doesn’t quite capture the full picture.

This is one of our favorite episodes from the past 500+ we’ve recorded! While I’m out on maternity leave, we’re replaying some of the most impactful conversations we’ve had on the podcast over the years.

Instead, I teach the trampoline analogy in my Essential Pelvic Strengthening: Not Your Mama’s Kegels course.

Here’s why it works better:
✅ Explains resting tone – The pelvic floor isn’t just about contraction; it has a natural resting position.
✅ Shows how surrounding structures matter – Just like a trampoline depends on its frame, the pelvic floor is influenced by the core, glutes, and breath.
✅ Highlights involuntary movement – The pelvic floor reacts automatically to forces like pressure and movement, just like a trampoline responding to weight.

This analogy helps patients better understand their bodies, making it easier to explain treatment and exercises in a way that actually clicks.

Tune in to hear why I think the trampoline analogy should replace the old-school biceps analogy—for both clinicians and patients!

Essential Pelvic Strengthening

If you're looking for more information on how to strengthen the pelvic floor without relying on Kegel exercises and how to make this more functional for patients, make sure to check out the Not Your Mama's Kegels course! www.pelvicptrising.com/kegels

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!

Are you holding your business back by NOT hiring an admin?

We were way too late in hiring a front desk team at PelvicSanity, and it’s one of the biggest mistakes we see practice owners make.

If you’re unsure whether you need an admin, ask yourself:
👉 What aren’t you able to do for your business because you don’t have time?
If you have answers to that question, it’s time to start looking for help.

In this episode, we break down:
✅ Why an admin is necessary if you want to grow beyond yourself
✅ How a front desk team actually adds value (not just “costs” money)
✅ Why hiring an in-person admin is the gold standard over a virtual one
✅ The mistake of having clinicians do admin work (it’s a waste of their skills!)
✅ Why you’ll need more admin hours than you think

Whether you’re a solopreneur or planning to expand, bringing on admin help is one of the smartest investments you can make.

If you’re still trying to do it all yourself, tune in and find out why that needs to change!

Business Accelerator Program

If you're looking to grow as a business owner and meet your business goals faster, make sure to join us for the next cohort of the Business Accelerator Program! You can find all the details and submit an application at www.pelvicptrising.com/accelerator

We've now had more than 350+ business owners through the program - check out all the results and apply now to reserve a spot!

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!

Still starting your evals with strength testing? It’s time to rethink that.

Most pelvic health pros are trained to assess isolated pelvic floor strength first—and then jump straight into isolated strengthening. But we believe that’s backwards.

In this episode, we’re talking about why you should start with function first—because it leads to better patient buy-in, faster results, and helps your patients actually connect their symptoms to real-life movement and function.

We also dive into:
✅ Why pelvic floor therapists often overlook orthopedic factors
✅ Why ortho therapists often miss the specialized pelvic floor knowledge
✅ How combining both orthopedic and pelvic assessments gives you the full picture
✅ The importance of standing and dynamic assessments to see how the pelvic floor works in the system
✅ Our mantra: Assess, Don’t Guess!

If you want to bridge the gap between orthopedic and pelvic health—and stop wasting time on isolated strength tests—this episode is for you!

Not Your Mama's Kegel Course - Cohort #3

Registration is now open for Cohort #3 of Not Your Mama’s Kegels! (www.pelvicptrising.com/kegels). Learn how to strengthen more functionally and in the system. Registration closes Wednesday—don’t miss out!

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!