The Three Types of Downtraining (And Why They Matter)

🚨 Are you using all three types of downtraining in your practice? 🚨

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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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We often talk about "downtraining" without fully defining what it is—or recognizing that there are actually three distinct types. If you’re not considering all three, you’re missing key ways to help your patients.

We’re bringing back one of our most popular episodes!

While I’m out on maternity leave, we’re replaying some of the most impactful conversations we’ve had on the podcast over the years.

In this episode, we break down:

✅ Pelvic Floor – Direct – Hands-on techniques, biofeedback, and other direct interventions.

✅ Pelvic Floor – Indirect – Treating surrounding structures like the hips, glutes, and breath mechanics.

✅ Central Nervous System – Addressing the brain-body connection, pain science, and autonomic regulation.

Each type of downtraining requires different techniques—and knowing which one to prioritize can get your patients better, faster.

If you’ve ever felt like “downtraining” is a vague, overused term, this episode will give you clear, actionable strategies to make it more effective for your patients!

🎧 Click here to listen now!

Downtraining Masterclass

If you'd like a deep dive into downtraining, make sure you check out the Downtraining Masterclass! (www.pelvicptrising.com/downtraining). 

It's targeted, bite-sized and (at $47 for lifetime access) incredibly affordable.  It's information you'll use with your patients every single day!

Essential Pelvic Strengthening

If you're looking for more information on how to strengthen the pelvic floor without relying on Kegel exercises and how to make this more functional for patients, make sure to check out the Not Your Mama's Kegels course! www.pelvicptrising.com/kegels

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!

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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.