Is Internal Evaluation + Treatment Still the Gold Standard? episode artwork

EPISODE · Jul 20, 2026 · 57 MIN

Is Internal Evaluation + Treatment Still the Gold Standard?

from Pelvic PT Rising · host Nicole Cozean, PT, DPT, WCS & Jesse Cozean

Is internal evaluation the gold standard in pelvic health?  We believe the answer is yes.Lately, we've seen more clinicians claiming that internal pelvic floor evaluation isn't necessary—or isn't the gold standard of pelvic rehab. We don't think this is just another social media debate.We think it's one of the most important conversations our profession needs to have.We're going to be diving deep into this topic.  But for Part 1, we discuss: Why this issue matters so much for the future of pelvic health  What the pioneers of our profession fought to establish  The strongest arguments against internal evaluation—and where we think they fall short  Why "access to care" shouldn't mean lowering the standard of care  Why extraordinary claims require extraordinary evidence (Also, the caveat we shouldn't need....Every internal evaluation should be clinically appropriate and performed only with informed patient consent.  Of course.)Instead, this episode asks a bigger question:  What should the gold standard actually be for pelvic rehab?About Nicole & Jesse CozeanPelvic health is hard. We want everyone in this field to have a joyful, impactful career. And for business owners to build something that truly works for them.🎙️ Rising Podcast – Leading pelvic health podcast with 1M+ downloads👤 Founders – PelvicSanity, one of the nation's leading cash-based pelvic health practices🎙️ Co-creators – PelviCon, the first-ever pelvic rehab conference📚 Clinical educators who have trained more than 3,000 pelvic PTs & OTs worldwide💼 Business coaches who have worked with more than 1,000 pelvic rehab business ownersGet in Touch!Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email ([email protected]).Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

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Is internal evaluation the gold standard in pelvic health? We believe the answer is yes. Lately, we've seen more clinicians claiming that internal pelvic floor evaluation isn't necessary—or isn't the gold standard of pelvic rehab. We don't think this is just another social media debate. We think it's one of the most important conversations our profession needs to have. We're going to be diving deep into this topic. But for Part 1, we discuss: Why this issue matters so much f...

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