Pelvic PT Rising

PelviCon Speaker Series: Fiona Rogers on Chronic Pelvic Pain, Modalities & 40+ Years in the Field

We’re kicking off our PelviCon Speaker Interview Series with none other than Fiona Rogers—a legend in the field of pelvic health!

With more than 40 years of experience as a physiotherapist, Fiona has spoken all over the world and helped shape how we treat pelvic pain today. In this episode, we dive into:

🔹 Her journey in pelvic healt...

What You Do in the Hard Times Builds Your Business

It’s easy to show up when things are going great—when the schedule is full, the numbers are up, and you’re fired up. But that’s not what builds a sustainable, successful business.

The truth? It’s what you do in the slow times—the unmotivated days, the flat revenue months, the “why am I even doing this?” moments—that actually matters most.

In this episode, we’re talking about:

• How t...

Top Takeaways from the Coccydynia Symposium (Flash Sale!)

We just wrapped the Coccydynia Symposium, bringing together the world’s leading experts on persistent tailbone pain.

In this episode, Nicole shares her biggest takeaways from each speaker, including:

🦴 Dr. Patrick Foye: Why seated vs. standing x-rays matter—and how most radiology clinics can do them
💉 Dr. John Vogel: The 3 types of pain management procedures for coccydyn...

The Truth About Selling Your Practice: It Won’t Make You Rich

We all have this fantasy at some point as practice owners:

“One day, I’ll sell this thing and cash out.”

But here’s the truth—especially in cash-based pelvic health—that’s probably not happening.

In this episode, we’re breaking down:

• Why there’s no market of buyers lining up for small, niche, owner-dependent clinics
• The 5 real exit options (and why most don’t lead to a big...

5 Things You’re Missing with Your Coccydynia Patients

Coccydynia (persistent tailbone pain) is one of the most challenging diagnoses we see in pelvic health. And it’s often not just about the tailbone.

In this episode, we’re diving into 5 things you might be missing when treating these complex patients, including:

1️⃣ Transrectal Evaluation & Treatment – It matters, and many providers skip it.
2️⃣ Internal Treatment in Functi...

Whether you're a clinic owner trying to create a great work environment or a team member wondering where the line is between support and overstepping...this episode is for you.

We’re diving into one of the biggest mindset shifts in leadership:

👉 You are not responsible for your employees’ happiness.
 👉 You are not your boss’s emotional support system.
 👉 You can care without carrying the emotional burden.

We break down...

Coccydynia: The Pain in the Butt We Need to Understand

Tailbone pain (coccydynia) is one of the most misunderstood—and under-treated—diagnoses in pelvic health. There’s no one go-to expert for these patients, which means they’re often left suffering with little direction or hope.

In this episode, we’re sharing exciting news about the upcoming Online Symposium for Coccydynia on July 19th!

This online event brings together top experts f...

Partner + Family Support: What It Really Takes to Grow Your Business

Behind every successful business is a support system—but that support doesn’t always look like what you think. In this episode, we’re digging into the five types of partner and family support, how to move someone along the support spectrum, and why comparing your growth to someone else's (without knowing their behind-the-scenes help) is a fast path to burnout.

...

What’s It Costing You to Not Grow?

In this episode, we open up about one of the biggest mistakes we made in the early days of PelvicSanity—waiting years to invest in coaching. We thought we were saving money by doing it all ourselves...but it ended up costing us big time.

💸 Lost revenue.
 ⏳ Wasted time.
 😣 Burnout, skipped vacations and overwork.
 👥 Losing great people because we couldn't manage them well.
 📉...

Rising to the Occasion: Celebrating 1 Million Downloads

We made it – 1 MILLION downloads of the Pelvic PT Rising podcast! 🎉

In this very special episode, we (Nicole & Jesse) take a step back and reflect on what this milestone means – and what we’ve learned after 500+ episodes of sharing our thoughts, rants, and reflections with this incredible community.

We talk about:

• How the podcast got started (and the cringe factor of earl...

Are you constantly feeling like you need more leads to grow your practice?

We get it. The marketing world tells us to run paid ads, boost our SEO, post more on social, do (another) workshop.  Basically, just keep doing more.  

But here’s the truth:
 If you can’t convert the leads you’re already getting, more leads won’t help.

In this episode, we challenge the “lead chase” mentality and dive into:

• Why practices feel stuck in a m...

Gloving for External Treatment – What’s Actually Best for Our Patients?

In this episode, we're diving into a surprisingly controversial topic in pelvic rehab: gloving for external treatment.

Our informal poll showed a nearly 50/50 split:

• 58% of pelvic rehab professionals always glove with both hands for external work
• 42% reported they don’t

But why the discrepancy?

We take a closer look at:

• How gloves can interfere with ...

"Pay Yourself First."
It’s become a buzzword in business…but what does it really mean?

In this week’s episode, we’re diving into one of the biggest sources of financial stress for business owners – paying yourself. Most of us weren’t taught how to handle business finances, and it creates a ton of anxiety. Am I saving enough? Doing it right? Transferring money properly?

We get into:

• What “paying yourself first” actua...

“Don’t poke your patient.”
It’s something we say all the time, but it’s how almost all of us were taught in pelvic health.

Poking—pressing around internally to assess the pelvic floor—isn’t just ineffective, it’s also the wrong way to treat.

In this episode, we break down:

• Why the “poke-and-see” method doesn’t work
• How it’s completely different from how we assess any other muscle group
• Why it causes patients to tense, brace or ...

Burnout hits pelvic rehab business owners twice as hard.

First, there’s the emotional and mental weight of treating patients with chronic and complex issues—something all clinicians face.

But then there’s a second, heavier layer: the unique stress and responsibility of owning a business.
You’re wearing all the hats. Managing a team. Marketing. Making financial decisions. Juggling it all—and still trying to be present in your act...

Interstitial cystitis is one of the most complex conditions we treat—so what’s the missing piece?

In this Missing Piece episode from the Rising Vault, we’re breaking down one of the most overlooked contributors to IC:

💡 Neural tension of the sciatic nerve.

With interstitial cystitis, there are so many possible contributing factors—superficial pelvic floor muscles, constipation, urachus, inner thighs, ischiorectal fascia, even the cal...

What actually makes a pelvic health business thrive?

In this episode, we break down the Three Pillars of Business we teach inside the Business Accelerator:
1️⃣ Marketing + Sales
2️⃣ Business Systems
3️⃣ Clinical Excellence (getting buy-in and taking patients through their full plan of care)

Most practices feel stuck because one (or more!) of these pillars is missing or weak. You can’t out-market a broken patient experi...

Male pelvic pain is complex - there so many different areas to evaluate and clear.  Often it can be overwhelming and we jump straight to breathing and the pelvic floor.

In this Missing Piece episode from the Rising Vault, we’re highlighting a commonly overlooked factor in male pelvic pain:

💡 The spermatic cord.

This structure runs along the inguinal canal, carrying essential nerves and blood vessels that impact function and pain.

Here...

Vulvodynia is as non-specific as ‘low back pain.’ So why are we treating it like one condition?

In this Missing Piece episode from the Rising Vault, we’re diving into one of the most overlooked areas when it comes to vulvodynia treatment:

💡 The perineal fascia.

Vulvodynia can be complex and multi-factorial, with contributing factors like:
 👉 Rectal dysfunction
 👉 Urachus and belly button involvement
 👉 Lumbar referral ...