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Rectal Evalualion & Treatment
Clarity and Confidence in Rectal Evaluation
Stop avoiding rectal evaluation — and instead feel confident in when, why, and how to assess the posterior pelvic floor.
600+ clinicians have transformed their practice with this course
"Helped me understand why some patients weren’t progressing with just vaginal work. Adding rectal has made a massive difference in both comfort and outcomes." - Jenna H.
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THE MISSING HALF OF THE PELVIC FLOOR
Why Rectal Evaluation Gets Ignored
Most clinicians get no rectal training in their initial pelvic health course (and many are not formally trained in it at all). If they do get training, it’s only for ‘obvious’ situations like constipation or tailbone pain.
If we aren’t evaluating and treating rectally, we’re missing half of the pelvic floor
Rectal treatment is often the missing piece for patients
It doesn’t have to feel weird, invasive or awkward when you bring it up.
CONFIDENTLY INTEGRATE RECTAL TREATMENT. YOUR PATIENTS WILL THANK YOU.
How This Course Changes Your Practice
This course demystifies rectal evaluation and gives you the tools to perform it with skill and confidence. You’ll know when it’s indicated, how to perform it safely, and how to explain it to patients without awkwardness.
After this course, you’ll be able to:
Confidently determine when rectal evaluation is clinically necessary (for all types of diagnoses)
Perform assessments safely, effectively, and compassionately
Evaluate muscles, connective tissue, and coordination of the posterior pelvic floor
Communicate clearly with patients to improve buy-in and reduce fear
Incorporate findings into treatment plans for stronger results
“Clear, engaging and packed with demos that were actually better than live! I rewatched sections multiple times” – Marci S.
Real Results from Real Practitioners
Rectal Treatment Overview
Start with a clear understanding of when, why, and how rectal treatment fits into pelvic health practice, including scope of practice and patient communication.
Clinical Reasoning
Learn how to integrate rectal treatment into your decision-making process, ensuring you’re choosing the right approach for the right patient at the right time.
Rectal Anatomy
Review the key rectal and anal structures, vascular and neural supply, and functional relationships that form the foundation for effective treatment.
Bowel Function
Understand the physiology of bowel function, including motility, continence, and defecation mechanics, and how dysfunction contributes to patient symptoms.
Medical Management
Gain clarity on the medical side of care — from diagnostic testing to medications and procedures — so you can collaborate confidently with physicians.
Rectal for Bowel Conditions
Examine rectal treatment strategies for bowel-specific conditions such as constipation, fecal incontinence, IBS, and evacuation disorders.
Rectal for Pelvic Pain
Explore the role of rectal approaches in treating pelvic pain syndromes, including levator ani syndrome, pudendal neuralgia, and tailbone pain.
Rectal for Post-Partum
Learn when rectal treatment may be indicated postpartum, including cases of tearing, hemorrhoids, prolapse, or persistent dysfunction after delivery.
Rectal for Ortho Conditions
See how rectal treatment connects with orthopedic presentations such as low back pain, hip dysfunction, and SIJ conditions, broadening your assessment lens.
"How To" Rectal Treatment
Get step-by-step guidance on performing rectal treatment, from patient consent and positioning to techniques and progression.
Treatment Demos
Watch real-time demonstrations of rectal treatment techniques to increase your confidence and clinical skill in the clinic.
Self Care & HEP
Provide patients with safe, effective home exercise and self-care strategies to support progress between visits.
Put It All Together
Bring it all together with a cohesive framework for integrating rectal treatment into practice, ensuring safe, effective, and patient-centered care.
What You Get
The Rectal Evaluation Course is all online and at your own pace. You'll have lifetime access to the material and the ability to download specific handouts as you go through the material. This course is built to help you stop guessing and start treating with a clear, confident clinical framework.
12+ hrs video
Clinical framework
Patient demos
CEU + Certificate
Lifetime access
Meet Nicole Cozean, PT, DPT, WCS
Board-Certified Pelvic Health Specialist | Entrepreneur | Educator | Business Coach
Rising Podcast – Leading pelvic health podcast with 1M+ downloads
Founder - PelvicSanity clinic in Southern California
Co-creator – PelviCon, the first-ever pelvic rehab conference
Author – The IC Solution, helping 20,000+ patients worldwide
Clinical Educator – Trained 3,000+ pelvic PTs & OTs globally
Business Coach – Guided 800+ pelvic rehab businesses to grow, thrive and enjoy their business
If you aren't feeling confident with rectal, you aren't alone!Rectal evaluation and treatment is a hugely important tool for pelvic PTs, and one that we aren't using as often or as well as we need to be to help our patients!
“An excellent course that walked me through rectal exam and treatment from beginning to end. I no longer feel like I’m guessing, I have a system and a strategy.”
– Annette S
“This course completely changed my understanding of why rectal treatment matters. I used to avoid it or only consider it in obvious cases. Now I use it as a primary tool.”
– Meghan D.
“This was my first course focused on rectal evaluation and treatment, and I came out feeling ready. It helped me understand how this approach fits into full-spectrum pelvic floor care.”
– Kayla H.
“The course clearly showed how rectal and vaginal assessments are not interchangeable. It gave me the tools to evaluate the entire pelvic floor more completely.”
– Sandra B.
“I needed clarity on how to assess and treat rectally and this course gave me that plus the clinical reasoning behind it. I started using the techniques right away.”
– Julie B.
“This course is immediately applicable and person-centered. Nicole goes beyond the basics of rectal work and shows you how to make it relevant and meaningful for every type of pelvic health diagnosis.”
– Ginger G.
“This course opened my mind to how much rectal evaluation and treatment can do. It gave me the structure to start using it routinely with patients who had been stuck for too long.”
– Beatriz S.
“Nicole explains exactly why this skill is important and gives clear demonstrations that were actually better than a live course. I loved being able to pause and replay what I needed. I'm so glad I took it.”
– Marci S.
“I now get coccyx pain referrals from ortho colleagues who couldn’t figure it out. This course showed me how to use rectal treatment to finally help patients who couldn’t sit or drive comfortably.”
– Maria D.
“Nicole helped me see how rectal could be the missing link for patients who weren’t improving. I now feel equipped to educate patients and offer the right treatment.”
– Alexi C.
What was the most important thing you learned?
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FAQs
Not at all! They have very different goals and information. Both H&W and APTA courses focus on how to treat GI and colorectal conditions, which does involve rectal treatment.
However, this course focuses on how we can integrate rectal treatment for ALL diagnoses (when appropriate), not just the "obvious" cases. This will teach you rectal considerations for pelvic pain, post-partum issues and orthopedic pain as well as for GI conditions.
This course also has specific and practical rectal treatment techniques like bi-manual treatment, different positions for your patient (not just treating everyone in side-lying), draping techniques, how to bring up rectal treatment with your patient, and more! It's a comprehensive guide to integrating rectal evaluation and treatment into your practice.
The entire course is done online and at your own pace. You have lifetime access to the material to review and reference as well! You can watch on either the computer or phone.
Yes! We do practical demonstrations on both pelvic models and real patients to give you the tools you need to confidently assess and treat rectally.
Yes, it's eligible for 12 contact hours! You'll receive a Certificate of Completion with the contact hours and are welcome to list it or submit it for credit (depending on your state requirements). Of course, there is no obligation for you to submit it for CEUs if you choose not to.
You don't need a certain amount of experience to get the most out of this course - we've had participants ranging from just a few months in pelvic health to participants with 10+ years and a WCS. Remember, you'll also have lifetime access to the content, so if you want to go back and revisit it later, you always can!
Yes! All Rising courses have downloads, slides and handouts to supplement the material and provide resources for you to be able to immediately apply your new knowledge.
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