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The Biggest Mistake We Make with Downtraining
- Nicole Cozean
- 2 hours ago
- 3 min read
If you've ever felt like you've "tried downtraining" and your patient still isn't getting better... this episode is for you.
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If you've ever felt like you've "tried downtraining" and your patient still isn't getting better... this episode is for you.
We're also wrapping up our recent series on internal exams, the gold standard, and access to quality care before shifting back into one of our favorite clinical topics: downtraining.
The biggest mistake we see?
Thinking of downtraining as a single intervention.
In this episode, we introduce the updated framework from our completely re-recorded Downtraining Masterclass, including the three different "levers" of downtraining and how they help you identify why someone's pelvic floor is overactive—not just that it is.
In this episode we discuss:
✅ A quick recap of our recent series on internal exams & the gold standard
✅ Why "I've tried downtraining" usually isn't true
✅ The 3 Downtraining Levers:
Pelvic Floor Direct
Pelvic Floor Indirect
Nervous System
✅ How to choose the right intervention for the right patient
✅ When to stay the course... and when it's time to pivot
If you treat patients with pelvic pain, overactivity, urinary urgency, constipation, or other pelvic floor dysfunction, this framework will immediately change how you think about treatment.
🎓 Ready to Go Deeper?
The Downtraining Masterclass has been completely re-recorded and updated with:
✨ Our brand-new 3-Lever Downtraining Framework
✨ Five in-depth case studies
✨ Practitioner-led & home program intervention guides
✨ Patient communication scripts
✨ AI clinical reasoning prompts
✨ Lifetime access to all future updates
👉 Learn more at:
All of the Rising clinical courses are designed to:
Challenge the way you think
Make you more confident in your clinical practice.
Allow you to go-at-your-own pace (all online!)
Let you go back to your work: you'll have lifetime access to the lectures and handouts. Check out all the clinical courses we offer (www.pelvicptrising.com/clinical).
Curious about private practice? Check out our Business Resources
We've now helped more than 200 cash-based pelvic health practices start and grow.
We want to make sure you're building a business that works for you (instead of vice-versa) and actually enjoy the process along the way!
See all the business resources we offer (www.pelvicptrising.com/business), tailored specifically to pelvic health!
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, 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.