top of page
  • Writer's pictureNicole Cozean

Vaginismus Case Report - Form a Patient Partnership

Are you putting unrealistic expectations on your patient? Your patient should never feel like they're "running out of time!"

5 Reminders When Treating Chronic Pain

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!


In this episode, we dive into a case report from a patient who contacted us after being treated for vaginismus at another facility.

There's a lot to unpack in her letter, but it's a really interesting - and sometimes heartbreaking - patient perspective.

Being able to prognosticate or forecast for your patient is such an important skill! We devote basically an entire module of the Pelvic PT Essentials course to this ability.

If you give a patient unrealistic expectations - either because of your own mistake, because your basing the number of visits on insurance reimbursement, or any other reason - you can create the feelings of "guilt and shame" this patient experienced.

The opposite of this is creating a partnership, and we love the way this patient explains what she was - and wasn't - looking for with her pelvic PT.

As Nicole said on the full 'sode of the topic...

"Being able to prognosticate or forecast for your patient is such an important skill!" - Nicole Cozean

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 (

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 (, 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.

bottom of page