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Interacting with Interoception - What We're Missing in Pelvic Health (Part 1)

Writer: Nicole Cozean
Nicole Cozean
3 days ago
3 min read

What if we're missing an entire SENSE when we're evaluating our pelvic health patients? 🤯



Why Experience Isn't Everything in Pelvic Rehab

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What if we're missing an entire SENSE when we're evaluating our pelvic health patients? 🤯


We all know the traditional five senses. But what about the eighth sense—interoception?


Interoception is how our nervous system receives, processes, and interprets information from inside our bodies. And Nicole thinks it's one of the most overlooked concepts in pelvic rehab.


Because here's the thing: Two patients can have the exact same symptom and need completely different treatments.


In Part 1 of this two-part series, we're diving into the science of interoception and how it should change the way we think about our patients.


We're talking about:


🧠 What IS interoception? — Understanding the body's internal signaling system and why it matters for bladder, bowel, pain, sexual function, and more.


🚽 It's not just about potty training! — Why interoception matters just as much for adults with pelvic health conditions as it does for kids learning to recognize bladder and bowel urges.


🔍 The five components of interoception — Sensitivity, accuracy, attention, interpretation, and response. Five different places where things can go wrong—and where we can potentially intervene.


⚡ When normal sensations become threatening — How previous experiences, emotions, and expectations can turn something like bladder filling into a source of anxiety or panic.


💧 Why urge suppression isn't always the answer — Two patients with urinary urgency may have very different underlying problems. Are we asking enough questions to tell the difference?


🧩 The connection to pain science — How the principles we've learned about pain perception can help us understand other internal sensations, from constipation to prolapse heaviness.


❤️ Interoception and neurodivergence — Why patients with ADHD, autism, or other sensory processing differences may experience and respond to internal signals differently.


The big takeaway? We need to stop treating symptoms as if they tell us the whole story.


Instead, we need to understand how our patients are actually experiencing, interpreting, and responding to those symptoms.


Because better questions lead to better clinical reasoning—and ultimately more individualized treatment.


And this is just Part 1!


Next week, we're getting practical: How do we actually assess and treat interoceptive differences in the clinic?


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Nicole Cozean

Nicole Cozean, PT, DPT, WCS


Founder of Pelvic PT Rising and PelvicSanity Physical Therapy in Southern California.


Dedicated to forever changing pelvic health with online clinical courses to help you be more confident in your practice and business resources to help start and grow pelvic health businesses.



Jesse Cozean

Jesse Cozean, MBA


Co-founder of the Pelvic PT Rising and the Rising Podcast.


Jesse uses his business experience to help pelvic health business owners start and grow their practices so they can build a practice that truly works for them. From website design, SEO, conversions, marketing, finance and money mindset, he wants to make the process of owning your own practice easier and fun.

 
 
 

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