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, constipation and more without ensuring our patients are firmly inside a 'Zone of Safety'.  It's definitely both/and, not either/or! Vagus nerve...

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.  She discusses work-life balance, creating content, knowing your 'enough' and more. As we get practical we discuss using Instagram for a...

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 patient requires complex treatment.  We have to get everything 'right' - the right interventions, the right referral at exactly the right...

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 someone told you it was easy. You'll need to make sure you have the patient volume to support your new hire (and your own schedule). Even more...

Can't wait for you to hear this conversation with Carrie Pagliano, past Academy President, course creator and founder of Carrie Pagliano Physical Therapy.  Clinical and business pearls abound in this conversation - enjoy! One of the most powerful points of this conversation was hearing from Carrie how she deliberately structures her business to support her time with family and her personal life.  She is not willing to compromise time with her family for her business and is unapologetic about...

This is a topic we've changed our perspective on over the years of coaching - when are you ready to hire an admin? And hiring is never something to be taken lightly.  It's not as simple as 'just hire an admin' and life will be better.  You have to create all the systems for them.  Onboard them to get them up to speed.  Continue to train them, manage them, and lead them.  Bringing on employees as just as big of a decision as starting your own practice. But if you're looking to grow beyond...

Adding another revenue stream, 'diversifying', finding passive income, stop trading time for money....these are all becoming buzzwords in the entrepreneur world.  But is the juice worth the squeeze?  We dive in! There's really two different categories of possible additional revenue streams.  One is to leverage your in-person business in another way.  This could include selling products, renting out a room, doing personal training for your clients or running an in-person class or course.  The...

So excited to bring you this conversation with Dr. Jen Fraboni (aka @DocJenFit)! Jen has been a pioneer for physical therapists in the online space and finding new ways to connect and serve our people.  We talk clinical philosophy, her journey from treating patients in the clinic to online mogul, the joys and challenges of motherhood while running a business, how to work with your significant other, and more! Absolutely love Jen's perspective on our field and how she's expanding our...

Often breathing techniques are both the beginning and end of what we focus on when it comes to 'downtraining.'  But there's so much more we can be doing, especially when it comes to the vagus nerve. Breathing techniques are fantastic and important, but they also have their challenges for patients.  They take time to work.  They are dependent on the patient actually doing them.  They can feel a bit dismissive to some patients, especially if we don't explain them well. In our Downtraining...

Today we go into the pros and cons of having your pricing on your website. Ultimately, putting prices on your website will reduce the number of people who call, but those who do call will be more likely to book. Whenever you field calls, there are three types of people: Those who are definitely going to book (regardless of the booking experience).  They may have seen you in the past, had a friend who raved about you or just really resonate with your website or social media.  Let's call...

We created the Cozean Screening Protocol because we wanted a way to help patients and other practitioners realize when pelvic floor dysfunction was causing symptoms. We first published this as a poster at IPPS.  Using PelvicSanity as our site we reviewed patient intake forms and charts to see what symptoms or history were most predictive of pelvic floor dysfunction.  And after running some cool statistics the Cozean Screening Protocol was created.  Anyone answering 'yes' to 3 or more of the...

Coming off the high of our in-person CEO Retreat, we wanted to share 5 major takeaways from an incredible group of business owners. Together this group of business owners is shattering what we thought was possible for a pelvic rehab practice.  When we first started PelvicSanity, most 'experts' thought no one would ever actually pay more than a small co-pay for care. When we proved that wrong, then they thought maybe you could run a solopreneur business, but you could never build something...

Most of us struggle to use our assessments well.  This is an amazing tool to clarify your thinking and guide your care that we aren't taking advantage of.  It's something I spend a lot of team teaching to our PelvicSanity staff. An assessment is not: A laundry list of impairmentsA single conclusion ("the pelvic floor is tight.  Or weak.")So vague it's not helpful ("muscle discoordination")Listing factors beyond the patient's control ("patient doesn't deal with stress well and has high-stress...

Whether you're an employee or business owner, finances can be challenging.  They hit a whole new level of risk and uncertainty when you run your own business. All of us struggle with money mindset issues.  Our conversations about money are often negative and reactive.  We might not even realize what we're making until the year-end W2 or P&L.  We judge how well we're doing by what's in the bank account that day.  We're worried about student loans. In short, we're stressed about...

You're probably giving too much homework to your patients. There, we've said it! In this 'sode we dive into how to give your patient the correct amount of home exercise work.  Here's one clue - have you ever had a patient come back in and complain they didn't get enough HEP? One thing to think about - you're never going to give the perfect amount of HEP.  So you can either give too much or too little. If you give too much, what happens?  Your patient feels overwhelmed.  They're frustrated...

It's one of the most common business questions we get asked, and it's important!  Your rent is going to be one of your two biggest expenses (along with payroll).  It's sometimes hard to find that 'Goldilocks' zone. If we overspend we can hurt our profit margin and have to work more hours to pay for space we didn't really need. If we underspend we might either dislike where we work or outgrow our space sooner rather than later. In this 'sode we're talking all things rent: The different...

Clinical pearls, being happier as a clinician, the role of telehealth and three questions to transform your evaluation - this conversation with Susan Clinton has it all! Early in the 'sode we dive into the question of where you start with a challenging patient.  There's so many different routes we can take and skills we can use, but Susan manages to simplify the start with a different lens.  In fact, one one of the big themes throughout this 'sode is simplifying things for your patient. ...

How long does your average patient come in for?  I know, I know - but hear us out!  I know you may have a deep-seated aversion to tracking our individual metrics or turning our patient visits into data.  I'm sure you've had (or heard of) a terrible boss who was all about the numbers. But it's not unreasonable to know how long a patient usually sees you for! In this 'sode we'll ask you to think about your own Clinical Ethos.  How long do you believe a patient should be seen?  What's the...

How would you respond to someone who told you they were only drinking 24 ounces of water each day? You might be tempted to tell them about how important hydration is.  Or how more water intake can dilute bladder irritants.  Or show them a cool new water bottle you bought that can help. But sometimes we're so excited to share what we know we forget to ask another question.  If there's one clinical superpower we could gift to each of you, it would be the ability to ask more questions.  They...

**Breaking News** We dive into the controversy this week over whether or not vaginal dilators require a prescription. We've spent the better part of this week gathering facts, asking questions and helping us all understand the regulatory requirements around vaginal dilators.   We need to understand what's true so we can make sure patients are well informed. Fun fact - this is actually Jesse's wheelhouse.  He spent almost 10 years working as a consultant for companies in dealings with the...

How do we stay productive and motivated without feeling burned out and overwhelmed?  After running PelvicSanity for 8 years and working with 500+ business owners, we've seen all of the challenges.  We wanted to bring you the idea of the Chaos Zone and Comfort Zone - it's really helped our thinking and how we coach! Based on a great framework from Jon Acuff in his book (All It Takes is a Goal), we've found business owners (and, really, all of us!) often fall into one of these...

It's finally here - Cohort #2 of the IC course is now open!  Can't wait for you to level up your treatment of patients with IC with all the information you need.  Understand the role of a cystoscopy and bladder instillations in the medical management of IC patients is just one of the important things to know about the condition. As rehab providers, we're on the front lines with our patients.  We're the ones they spend an hour each week with.  We hear about their ups and downs and we have the...

Are you trying to 'save' your way to success?  We dive into the entrepreneur mindset on money in this 'sode. We've now worked with 500+ business owners.  ALL OF US have money mindset issues with our business.  Being a good business owner doesn't mean checking your bank account every day.  It doesn't mean counting pennies on your supplies.  Going without an EMR to save costs.  Asking your clients to pay with cash or Zelle to avoid transaction fees. What we don't see is the opportunity cost...

Treating patients diagnosed with IC is always a challenge.  They often have a complicated history.  They usually have a lot of misconceptions about the condition.  We get dragged in to discussing medical management.  But there are also areas of our evaluation I often see overlooked in patients with IC. So when doing your evaluation, make sure you don't miss this five areas:  Evaluate vulvar and urethral tissues for estrogenizationCheck sciatic nerve tensionEvaluate the Urachus and bladder...