.png)
Downtraining for Pelvic Health
Mastering Downtraining for the Pelvic Floor
Learn when, why, and how to downtrain the pelvic floor — with practical strategies you can use tomorrow.
1,400+ clinicians have gotten new downtraining tools with this masterclass!
"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.
.avif)
DOWNTRAINING ISN'T JUST BREATHING.
When Relaxation Gets Overlooked
We all know that ‘downtraining’ is important – but we don’t even have a comprehensive definition. We certainly don’t know the three different types of downtraining. Many times clinicians will say things like:
“I’ve already done downtraining”
“What can I do beyond breathing?”
“Isn’t downtraining just getting the pelvic floor to relax?”
Without truly understanding downtraining we are limited in the options we have for our patients. Patients often get stuck or plateau because we don’t have the right tools.
YOU'LL SEE THE DIFFERENCE IN YOUR PATIENTS.
How This Course Changes Your Practice
This masterclass teaches you exactly how to implement downtraining strategies in clinic and how to educate patients about their importance.
After this masterclass, you’ll
Know and implement the 3 Types of Downtraining
Have new tools you can use for all your patients
Know where to prioritize to get the best results for an individual patient
Be able to explain and communicate with your patient for clinical buy-in
Build trust and reduce patient frustration with a clear plan
“Finally, a thorough breakdown of what downtraining means and how to actually do it. So many practical takeaways.” – Melissa H.
Real Results from Real Practitioners
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.
What You Get
The Downtraining Masterclass is all online and at your own pace. You'll have lifetime access to the material and the ability to download specific handouts as you go through the material. This course is built to help you stop guessing and start treating with a clear, confident clinical framework.
1.5 hours video
Patient handout
CEU + Certificate
Lifetime access
Meet Nicole Cozean, PT, DPT, WCS
Board-Certified Pelvic Health Specialist | Entrepreneur | Educator | Business Coach
Rising Podcast – Leading pelvic health podcast with 1M+ downloads
Founder - PelvicSanity clinic in Southern California
Co-creator – PelviCon, the first-ever pelvic rehab conference
Author – The IC Solution, helping 20,000+ patients worldwide
Clinical Educator – Trained 3,000+ pelvic PTs & OTs globally
Business Coach – Guided 800+ pelvic rehab businesses to grow, thrive and enjoy their business
There's more to downtraining than just breathing. It's one of the most essential yet least understood areas in pelvic health.
I want you to feel more confident in the tools and language to integrate downtraining into your practice effectively.
“Nicole asks the hard questions and provides a sensible way to structure your thinking about complex patients.”
– Marci S.
“This helped me clarify what downtraining really is. I now have a working framework that improves my outcomes.”
– Tracy S.
“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.
“Quick, focused, and effective. It helped me structure a better system for patient care right away.”
– Angela M.
“Finally, a thorough breakdown of what downtraining means and how to actually do it. So many practical takeaways.”
– Melissa H.
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.
“A steal of a course! Nicole is a top-tier teacher—articulate, engaging, and full of ready-to-use clinical tools.”
– Hayley D.
“This course helped me understand the role of the CNS and vagus nerve in downtraining. I feel more prepared than ever.”
– Theresa L.
“A powerful mix of clinical reasoning and practical techniques. Nicole pushes the field forward in every course.”
– Alexi C.
“This clarified so much. Now I know how and why to choose one technique over another to get better results.”
– Rebecca G.
What was the most important thing you learned?
FAQs
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.
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.
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.
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 vagus nerve and if it even highlights one new technique to implement it will be worth it for your patients!
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.
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).
Get the Down Low on Downtraining
Get more confident in your downtraining tools and language!
.png)
100% online, go at your own pace
Lifetime access
Certificate of Completion (1.5 contact hours)