The Rise of the Solopreneur: Good or Bad for Pelvic Health?

Is EVERYONE starting their own pelvic health practice these days?! 🤯
Pelvic PT Rising: The pelvic health tools to make you a better clinician and/or a more successful business owner. We want every single pelvic health practitioner to be more confident and successful in your practice and career!
Clinical Courses: Game-changing online courses to make you more confident, challenge your thinking and improve patient outcomes
Business Resources: Helping 500+ pelvic health practitioners confidently start, grow and build their dream business!
It certainly feels that way!
More and more pelvic PTs and OTs are leaving traditional employment to go out on their own. And depending on who you ask, that's either the best thing happening in our profession...or a huge problem.
In this 'sode, we're digging into why so many clinicians are starting their own practices, what it means for our profession, and why the answer is a whole lot more nuanced than you might think.
We're talking about:
📜 Why PTs and OTs are the exception — Unlike chiropractors, psychologists, dentists, and other healthcare professionals, physical therapists haven't historically had a strong tradition of entrepreneurship. Why?
🚀 Why NOW? — The four major forces driving clinicians toward business ownership: declining insurance reimbursement, lack of mentorship, the fallout from COVID, and the desire for more flexibility.
❤️ Is this good for patients? — Why more independent practices can mean greater access, more specialization, more education, and more choices for patients.
💰 The reality of being a solopreneur — Starting a business doesn't automatically mean financial freedom. Many practice owners are working harder, earning less, or struggling to turn a side hustle into a sustainable career.
🧠 Are clinicians going out on their own too early? — The real challenges of being both a newer clinician AND a new business owner, and why continued mentorship matters so much.
🏥 What about employers? — We understand how frustrating it is to invest in training someone only to have them leave and start their own practice. But what responsibility do employers have to create workplaces people actually want to stay in?
🌱 The rise of the multi-clinician cash practice — Why the biggest change might not be the solopreneur boom at all, but the emergence of a THIRD option for clinicians who want great care, great mentorship, and a great career without owning a business.
Here's our biggest takeaway: The rise of the solopreneur is GOOD for pelvic health. Period.
But that doesn't mean every solopreneur is successful, every clinician should start a business, or every employer is doing something wrong.
It means we're finally creating more choices for patients, clinicians, and business owners.
And that's something we should ALL be rooting for.
🚀 Ready to Build a Business That Actually Works for You?
Starting your own practice is one thing. Building a profitable, sustainable business that supports the life you want is something else entirely.
That's exactly why we created the Pelvic PT Rising Accelerator Program.
We've helped more than 1,000 pelvic health business owners navigate the challenges of entrepreneurship—from filling their schedules and increasing revenue to building systems, hiring, and creating more freedom.
Whether you're a solopreneur looking to finally make your practice financially successful or a growing business owner ready for the next stage, we'd love to help you build something that lasts.
Now accepting applications for the Business Accelerator Program! Opens in January, 2027 - find all the information and apply at www.pelvicptrising.com/accelerator
Learn more about pelvic health with our Clinical Courses
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.
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