PelvicSanity

PelvicSanity We help patients with pelvic health issues from all over the world find LASTING relief!

Located in Southern California, we work to resolve pelvic pain conditions, prolapse, incontinence, low back/hip/groin pain, and much more. PelvicSanity is Orange County's premier pelvic floor physical therapy clinic. Founded by renowned expert Nicole Cozean, PelvicSanity treats complex pelvic floor conditions in a peaceful, stress-free environment. The PelvicSanity website and blog were created to

help bring sanity back into the process for patients with pelvic pain and pelvic floor dysfunction. We focus on providing reliable, positive, and evidence-based information to patients, potential patients, and the medical
community. This page serves as another way to unite patients and practitioners through the pelvic health journey.

05/13/2026

If you have started pelvic floor physical therapy and then stopped because it’s been “too painful”, this post is for you.

Firstly, I am so sorry that that has been your experience! 😢

Secondly, I want you to know that pelvic floor physical therapy should not hurt. Your pelvic floor physical therapist should be willing and able to make adjustments to your treatment so that it is the most comfortable for you.

It is true that sometimes we run into situations where something might be very sensitive, painful in the moment and/or reactive to an intervention. But you should always have an open line of communication with your pelvic floor PT during the sessions and good communication on what to expect after.

If you come back and report significant pain, your pelvic floor PT should be willing and able to make adjustments. If they can’t or won’t please know that pelvic floor physical therapy didn’t fail … but rather your pelvic floor physical therapist failed you. 🩷 And try again with another provider if you can.

05/12/2026

Do you have a small bladder?!

The short answer is that having a bladder where the physical bladder capacity is physically small is actually quite rare! So the likely answer is no. 🫣

Things that can make you FEEL like you have a small bladder and create symptoms of urinary urgency and frequency are:
OAB
IC/BPS
Enlarged prostate
UTI
Pelvic floor dysfunction
Diabetes
Bladder irritant intake

The good news is, there is treatment for symptoms of urinary urgency and frequency and bladder pain!

Pelvic floor physical therapy is a great treatment option for most if not all of the symptoms and conditioms listed above. We can also refer you to the appropriate physician if needed! 💁🏻‍♀️ But stop blaming your “small bladder” and actually get the help to stop the symptoms! 😉

05/06/2026

▶️ Normal urinary frequency = 4-7x/day (daytime) and 0-1x/night (nighttime - and its mostly 0! exceptions are for pregnancy and over the age of 65)

This translates to being able to hold from 2 to 4 hours - without a problem! No urgency, no anxiety no rushing to the bathroom, no leakage.

And this is regardless of how much water you’re drinking. (because I know all y’all just did a “yeah but” I drink a lot of water 🤨)

And no, you likely do not have a small bladder either. 🫣

If you have these symptoms and they bother you, please reach out to a pelvic floor physical therapist! We can make this so much better together!
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PelvicSanity is a world, renowned pelvic floor, physical therapy clinic in Orange County, California that treats all kinds of bladder issues, including urinary frequency and urgency. 📲Please reach out to find out if we can help you.

04/10/2026

There are three recognized phenotypes of IC/BPS:
1️⃣Hunner’s lesions (less than 10% of all cases and less than 4% if under 50)
2️⃣Pelvic Floor Dysfunction
3️⃣Central Sensitization (Nervous system dysregulation)
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No matter your type, pelvic PT can help. If you have Hunner’s lesions type, your medical management needs to be different. And for ALL types, you need to be worked up for possible endometriosis and/or hormonal fluctuations that can be contributing to or causing symptoms.
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is a pelvic floor PT clinic in Orange County, California that sees people with IC/BPS from all over the world! Please visit our website to see more about how we might be able to help you!

03/17/2026

First stage labor positions || Supported side lunges with pelvic tilts
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Loved how this felt on my entire lower body during my first stage of labor! I played with my foot position to see how that felt at my hips and pelvis. I chose a neutral foot, but toes out wide felt good too.

In this video, I started out rocking/lunging gently side to side with a ball to support. Then, keeping my legs wide, I paused ti do some pelvic tilts. Keeping my forearms on the ball increased the stretch into my lats.

Important parts here are:
✅ keeping the movement flowing
✅ not overstretching if something didn’t feel good
✅ rocking forward and backward (pelvic tilting) helps to open the pelvis

Could have also:
▶️ taken away the ball and just used the bed
▶️ continued this when baby was moving into midpelvis

This is one of MANY first stage labor postions that can help! Best to work with a pelvic floor Pat who can assess the ability for your body to get into these positions without straining AND a doula can help suggest modifications for the best outcomes!

Gimme a 👍🏼 in the comments if this was helpful and save this for your birth!

03/16/2026

What questions do you have about pelvic floor PT? Put them in the comments and let’s talk about it!

I know that there can be a lot of misconceptions, worries, fears about starting with a pelvic floor physical therapist … so I hope this post can be a sense of relief that those questions are normal to have!

And also, I hope this post can be a nudge to schedule that appointment. Nothing gets easier to treat the longer its there! 😉
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PelvicSanity is a world-renowned pelvic floor physical therapy clinic located in Orange County, California. Please reach out if you have questions about how we can help! ⭐️

03/10/2026

The average person who comes to PelvicSanity has seen at least 2 other pelvic PTs before finding relief with us. 🤯

Not all pelvic PTs are the same, y’all!

If you’ve tried pelvic floor PT and it hasn’t worked, before you give up on pelvic PT altogether, please do another search and give it (and a different therapist!) another chance. 🤩

If that isn’t possible for you in your area, many places, including , have remote consultation options to try to get you on the right path and find resources in your area that can benefit you! 👍🏼 Sometimes all it takes is one more try to find a perfect fit!

✨ PelvicSanity is a world- renowned pelvic floor physical therapy clinic located in Orange County, California. We have an extensive out of town program as well for those folks who are able to travel and haven’t been able to find help local to them. We also have a remote consultation program that can help make sense of your symptoms and get you on the right path. 💁🏻‍♀️ Reach out to our team 📲 949-393-1113 to see if we can help you!

03/09/2026

First stage labor poition || Supported squat with gentle movement

This was a great movement and position for me during my first stage of labor! Squatting all the way to the ground felt pretty vulnerable at this stage, but asking for a stool and using that to support, my squat, felt really great.

In this video, I chose to do some gentle rocking back-and-forth motions to increase the feelings I had through my hips. This felt really great to me at the time! You could also choose to rock forward and backwards (tilting your pelvis) instead of weight shifting side to side to see how that feels.

The important parts here are:
✅ pelvic floor relaxation with knees above hips
✅ wide knees to creat hip external rotation

Could also have added:
▶️ partner assisted
▶️ strap assisted

This is one of MANY first stage labor positions that can help! Best to work with a pelvic floor PT who can assess the ability for your body to get into these positions without straining AND a doula can help suggest modifications for best outcomes!

Gimme a 👏🏼👏🏼 in the comments if this was helpful! Was this a go-to position for you?! Let me know! ⬇️

02/21/2026

Come see us 🤩

We are literally known around the world for being a center of excellence for IC/BPS, interstitial cystitis interstitial cystitis like symptoms, bladder, pain, bladder pain syndrome, chronic pelivc pain syndrome causing urinary urgency, frequency, and pelvic pain/sexual dysfunction … all of it.

My clinicians are absolutely amazing and I’ve also seen people from all over the world!

We’re here to help you- we want to help you! Lets goooooo! 🤩

5 Things To Look for in a Pelvic PT Job:1️⃣ Time with patients2️⃣ Mentorship and learning3️⃣ Patient population4️⃣ Hours...
02/10/2026

5 Things To Look for in a Pelvic PT Job:

1️⃣ Time with patients
2️⃣ Mentorship and learning
3️⃣ Patient population
4️⃣ Hours, salary and benefits
5️⃣ Time spent on admin tasks
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is hiring a full-time pelvic floor PT to join our team. Check out pelvicsanity.com/careers for more info

If you or someone you know is interested in a pelvic floor, physical therapy position, please reach out! Email a résumé and cover letter to nicole@pelvicsanity.com and feel free to ask questions in the comments about the position!

New grads welcome. Experienced clinicians welcome.

Passion for pelvic floor and pelvic health, a must! ✨

01/07/2026

For some, the travel anxieties, the food changes, dehydration, the sleep disruptions make pelvic floor symtpoms worse.

But for a lot of people, more walking, no work, unplugging from the news/computers/social media, eating differently and generally being more relaxed can make pelvic floor symptoms significantly better.

No matter what, the way you feel on vacation can give us some great clues to the true driver of your symptoms.

Let your pelvic PT know wht happens for you so they have more information!! (And pop into the comments ⬇️ below and LMK what your experience has been!

Address

25401 Cabot Road Suite 121
Laguna Hills, CA
92653

Opening Hours

Monday 8am - 6pm
Tuesday 8am - 6pm
Wednesday 8am - 6pm
Thursday 8am - 6pm
Friday 8am - 6pm
Saturday 8am - 2pm

Telephone

+19493931113

Website

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