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  • Writer's pictureNicole Cozean

The 10 Most "Controversial" Things We've Said

Updated: Feb 14

Let’s talk about our most controversial podcasts yet. As we cross over episode 250, we look back on the 10 most 'controversial' things we've said on the podcast about pelvic floor therapy.

What’s your favorite controversial pelvic health thing we’ve said? 

In retrospect, some don't look controversial anymore (which is awesome!).  And you don't have to agree with each of these, but we do hope they make you think and drive conversations in our field forward.  Do you have a favorite of these?  Let us know!

The 10 Most "Controversial" Things We've Said

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!

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Here’s a list of our favorite controversial pelvic health things we’ve said: make sure to check out the full 'sode of the Pelvic PT Rising podcast!

  1. Biofeedback is not the best use of your time

  2. We are (or should be) primary care providers

  3. Don't be the evidence police

  4. Voluntary strength testing in your evaluation sends you down the wrong road

  5. If we're not routinely doing rectal, we aren't thoroughly assessing the pelvic floor

  6. You don't need more clinical skills, you need to better utilize the ones you have

  7. The pelvic floor is more like a trampoline than a biceps

  8. You can't always trust research

  9. The isolationist strength approach (Kegels) is outdated

  10. Cash physical therapy is the future of our specialty

Or, as Jesse said in the full 'sode of the podcast on this topic...

"You can't always trust the research that you read". -Nicole Cozean, Pelvic PT Rising Podcast

Essential Pelvic Strengthening: Not Your Mama's Kegels Course

If you want to learn more about the anatomy, functions and how to trade an isolationist (Kegel-based) approach for a more functional treatment approach, make sure to check out the Not Your Mama's Kegels course!

It's helped more than 300 clinicians integrate standing and functional evaluations, get patients off the table and re-think how they strengthen!

"Absolutely changed the way I practice, how I evaluate, and how I THINK about the pelvic floor. Pelvic strengthen in the system and for function!" - Sarah P. (Essential Pelvic Strengthening)

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  • Challenge the way you think

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Curious about private practice? Check out our Business Resources

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  • See all the business resources we offer (, 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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