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There’s No Such Thing as a Simple Pelvic Health Patient: An Interview with Michelle Lyons

Writer: Nicole Cozean
Nicole Cozean
5 hours ago
3 min read

There’s no such thing as a simple pelvic health patient.



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There’s no such thing as a simple pelvic health patient.


Even the patient who walks in with “just a little stress incontinence” brings a history, a body, hormones, sleep, stress, previous injuries, bowel function, activity goals—and a whole lot more.


And that's exactly why being a great pelvic health clinician requires so much more than memorizing protocols.


We're joined by Michelle Lyons for one of those wide-ranging, thought-provoking conversations we always love having with her.


Michelle has been part of PelviCon from the very beginning. She's our only 5-time PelviCon speaker, an incredible educator and one of the most thoughtful voices in our profession.


In this episode, we talk about:


🪟 Why assessing the pelvic floor still matters. 

Michelle shares the analogy of an internal + external assessment being like “washing the windows on both sides”—and why telehealth can be valuable as well as, rather than instead of, in-person assessment.


🧩 Why there are no simple patients. 

Even seemingly straightforward incontinence can require us to think about hips, hormones, sleep, iron, constipation, previous injuries, activity and more.


🧠 What clinical reasoning actually looks like. 

Information isn't enough. Great clinicians have to connect seemingly unrelated pieces into a coherent picture.


🎓 Why pelvic health desperately needs more mentorship. 

Taking Pelvic Floor 1 doesn't magically make someone an expert. New clinicians need support, supervision and safe places to ask questions.


🔬 Why better research isn't enough. 

Michelle used to believe better research would automatically lead to better pelvic health care. She's changed her mind. We also need to get much better at translating evidence into actual behavior change.


🌱 Why clinicians are facilitators, not fixers. 

Our job is to create the conditions where patients can recover, build capacity and thrive.


And Michelle gives us a preview of her two PelviCon talks—one on pelvic health after cancer and another on women and back pain—including some brand-new oncology guidelines she's been involved in developing. 



🎟️ Final Chance for PelviCon Live Virtual + Recording!


Wednesday, 9/23 is the FINAL DAY to purchase PelviCon Live Virtual + Recording!


Join us live for 14 practice-changing talks from 8 world-class speakers, plus get lifetime access to the recordings to watch and revisit anytime.




About Michelle Lyons


Michelle Lyons is a global pelvic health educator, researcher and clinician—and a longtime favorite in the Pelvic PT Rising community.


Her work challenges us to think bigger about women's health, connect the research to the person sitting in front of us, and ultimately help women live well


🎙️ And check out Michelle's Celebrate Muliebrity podcast.



Learn more about pelvic health with our Clinical Courses


All of the Rising clinical courses are designed to:


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  • 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


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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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