DOWNTRAINING FOR PELVIC PTS
1300+ participants
Comprehensive Guide to Downtraining
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Learn the 3 Categories of Downtraining
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Downtraining tools for all your patients
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Prioritize specific downtraining techniques to help your patients improve faster
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Communicate with your patients for buy-in
The Details
👉 Hour-long online masterclass (already recorded)
👉 Unlimited lifetime access
👉 Comprehensive Q&A
👉 Summary handout
👉 Our most popular pelvic PT training!
"After being in the field for over 10 years, I now have a better understanding and am more confident about, in my opinion, the most important thing in pelvic health." - Julie W.
Downtraining for Pelvic Health:
Online Masterclass
We know there must be more to downtraining than just breathing or a single technique. It's one of the most essential yet least understood areas in pelvic health.
This masterclass breaks it all down by giving you the confidence, tools, and language to integrate downtraining into your practice effectively. Let’s make your treatment plans faster, clearer, and more patient-centered.
01
3 Types of Downtraining
What actually is downtraining? Learn the three categories of downtraining and when to use each one. Understand how this critical skill supports nervous system regulation, muscle release, and functional outcomes.
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Communicate with Confidence
Help your patients buy in. Know how to explain downtraining without sounding dismissive or vague. You'll get phrases and strategies to build trust and clarity.
02
Techniques for Tomorrow
You don’t need fancy machines. Learn how to use voluntary and automatic strategies (yes, even without internal work or biofeedback!) to support your patients wherever they’re at in their journey.
04
Move Beyond the Plateau
When your go-to tools stop working, this course helps you dig deeper. Refine your approach with new perspectives, techniques, and a practical framework to get your patients unstuck—and moving forward.
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I'm Nicole Cozean - I've been where you are!
Like many pelvic health clinicians, I was initially taught that “downtraining” meant a few basic cues or maybe some biofeedback but it never felt like enough. Over time, I realized we were oversimplifying one of the most essential concepts in pelvic health.
Once I started understanding the full system behind downtraining—\what it really means, how to prioritize it, and how to talk to patients about it—my entire approach shifted. I saw breakthroughs with patients who had been stuck for months, sometimes years.
This work isn’t optional. It's foundational. That’s why I created the Downtraining for Pelvic Health Masterclass to give you the framework, language, and tools you need to confidently use downtraining with any patient in your practice (no biofeedback required).
Can’t wait for you to join us and change the way you think about downtraining, forever.
What Do I Get With the Course?
The Downtraining for Pelvic Health Masterclass is fully online, self-paced, and comes with lifetime access. You’ll get practical tools, clinical reasoning, and downloadable handouts to guide you in applying downtraining techniques confidently with every patient.
This course is designed to clarify one of the most essential (and misunderstood) concepts in pelvic health downtraining so you can use it with intention, precision, and real results.
✅ Understand What Downtraining Actually Is – Move beyond buzzwords and learn what downtraining really means and why it matters.
✅ The 3 Categories of Downtraining – Master the three distinct types of downtraining and how they show up in your clinical practice.
✅ When & How to Downtrain – Know when downtraining should be prioritized in your treatment plan—and how to implement it with or without internal work or biofeedback.
✅ Voluntary vs. Automative Techniques – Learn how to guide patients through nervous system regulation and functional downtraining tools.
✅ Plateau Problem Solving – Know what to do when patients aren't progressing, even with the standard downtraining approaches.
✅ Patient Communication Scripts – Confidently talk about downtraining without sounding dismissive or confusing—help your patients buy in and stay engaged.
✅ Alternative Tools to Biofeedback – Use simple, accessible tools that don’t rely on machines to get better results.
✅ Real-World Applications – Apply downtraining for patients with pelvic pain, urgency, IC, constipation, vaginismus, and more.
✅ Bonus: Takeaway Handout – Summary of major downtraining tools and clinical tips for quick reference.
✅ Bonus: Recorded Q&A – Get access to a library of Q&As answering the most common clinical questions about downtraining.
✅ Lifetime Access – Go at your own pace, revisit as often as needed, and continue learning for years to come.
Whether you’re brand new to the concept of downtraining or want to refine and strengthen your approach,
this masterclass will help you integrate it effectively into your treatment plans and support your
patients’ long-term success.
"Nicole makes things clear and easy to follow. She’s passionate, organized, and gets you excited to learn." - Jeri Lynn H.
"I finally understand the ‘why’ behind what I do. This was the most helpful thing I’ve taken in a decade." - Julie W.
Get the clarity, tools, and confidence to use downtraining effectively with every patient.
What was the most important thing you learned?
1️⃣ “This course reframed my critical thinking. It gave me permission to keep challenging myself especially with complex patients. A concise, practical course that recharged how I approach treatment.” – Caren H.
2️⃣ “Nicole asks the hard questions and provides a sensible way to structure your thinking about complex patients.” – Marci S.
3️⃣ “A steal of a course! Nicole is a top-tier teacher—articulate, engaging, and full of ready-to-use clinical tools.” – Hayley D.
4️⃣ “This helped me clarify what downtraining really is. I now have a working framework that improves my outcomes.” – Tracy S.
5️⃣ “This course helped me understand the role of the CNS and vagus nerve in downtraining. I feel more prepared than ever.” – Theresa L.
6️⃣ “I used to feel limited in how I could downtrain. Now, I’m equipped with a full toolbox I can pull from right away.” – Taylor K.
7️⃣ “A powerful mix of clinical reasoning and practical techniques. Nicole pushes the field forward in every course.” – Alexi C.
8️⃣ “Quick, focused, and effective. It helped me structure a better system for patient care
right away.” – Angela M.
9️⃣ “This clarified so much. Now I know how and why to choose one technique over another to get better results.” – Rebecca G.
🔟 “Finally, a thorough breakdown of what downtraining means and how to actually do it. So many practical takeaways.” – Melissa H.
Less contraction. More connection.
Downtraining done right.
Nicole Cozean
PT, DPT, WCS
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Founder of PelvicSanity Physical Therapy and Pelvic PT Rising
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Author of "The IC Solution"
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Run the Pelvic PT Rising Podcast
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Creator of the Pelvic PT Huddle
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Co-Founder of PelviCon, the first conference by and for pelvic rehab
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Named ICN Physical Therapist of the Year and first PT to serve on the ICA Board of Directors
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Chapman University Alumnae of the Year
Frequently Asked Questions
Why a "Masterclass"?"
There are a lot of topics that are incredibly important to our specialty but that don't really warrant their own full course. Instead of cramming them into another course, we wanted to make it more accessible for anyone who was struggling with that particular topic.
The information is shorter, more digestable and focused and immediately affects your clinical practice.
How is the Masterclass administered?
We originally did the masterclass live for those who were able to be online and now the recording is available for everyone! You'll get access to the Q&A following the class as well to address all your questions. You'll have lifetime access to the information in the Masterclass.
What will I learn from the Downtraining Masterclass?
Downtraining is a buzzword in our field, yet no one really knows how to define or think about it! This Masterclass clarifies our thinking about downtraining. It provides categories of different downtraining interventions and when to implement them. It will hopefully broaden your conception of downtraining and give you more ideas for when you're working with challenging patients who need it.
Do I need a certain level of experience for the Masterclass?
No! We've had students all the way up to those with decades of experience go through the class. Some things may be review for those who have been in the field for a while, but hopefully you benefit from a new way of thinking about downtraining and if it even highlights one new technique to implement it will be worth it for your patients!
Are all courses created and taught by Nicole?
Yes, all Rising courses are specifically created by Nicole to address major needs in the field. It's the material and framework she's taught to her own staff at PelvicSanity and to thousands of pelvic health practitioners (online and in person).
Is the course eligible for continuing education credits?
Yes, it's eligible for 1.5 contact hours! You'll receive a Certificate of Completion with the contact hours and are welcome to list it or submit it for credit (depending on your state requirements).
Of course, there is no obligation for you to submit it for CEUs if you choose not to.
Do I get a receipt and Certificate of Completion?
Yes! You'll immediately be emailed a receipt following your purchase (so check your email!).
After completing the course and filling out the Course Survey you'll receive your Certificate of Completion with the number of contact hours of the course. These generally are emailed out about two weeks after we receive your Course Survey.
"This is one of the most meaningful tools we can offer our patients. It helped me feel like a
confident, whole-provider." - Sandi S.
"I used to fumble around downtraining.
Now I know exactly what it is, when to use it,
and how to talk about it." - Celia G.