We hear the term “pelvic floor” all the time, but most women are never actually taught what the pelvic floor is or what it does. Here's how we explain it to all of our patients:
Your pelvic floor is a group of muscles that sit at the base of your pelvis. You can think of it like a hammock that stretches from your pubic bone to your tailbone, providing support for your bladder, uterus, and other organs. Your pelvic floor plays a key role in bladder and bowel control, core stability, and sexual function.
Your pelvic floor doesn’t work in isolation. It responds to your posture, how you breathe, and how you move. This means that what's happening at your core, your hips, and even your rib cage all affects how well your pelvic floor functions and vice versa.
When something in that system is off, whether it's from pregnancy, birth, or just the physical demands of motherhood, your pelvic floor is often where you feel it first. Not necessarily because it's the problem, but because it's connected to everything.
Pelvic floor therapy is a specialized form of treatment that focuses on the muscles, nerves, connective tissue, and movement patterns that affect how your pelvic floor functions.
Treatment may include manual therapy, corrective exercise, breathwork, posture and movement re-education, and hands-on soft tissue work.
At Strength & Dignity Wellness, every session is one-on-one, an hour long, with the same provider. We assess how your whole body is moving and build your treatment plan around what you specifically need so that you can get back to the things that mean the most to you.
Urinary incontinence (leaking, urgency, and frequency)
Pelvic organ prolapse (heaviness)
Pain with intercourse
Vaginismus
Diastasis and core weakness
Low back pain
Sciatica/SI joint pain and dysfunction
Hip pain
Coccydynia (tailbone pain)
SPD (lightning crotch)
Pelvic Floor Therapy at Strength & Dignity Wellness is built for moms, pregnant, postpartum, and beyond. If you're dealing with leaking, pain, heaviness, or just feel like your body hasn't been the same since having kids, you're in the right place.
You don't have to be in crisis to come in, and it’s never too late or too early to work with us. If you want to prepare your body for birth, return to exercise safely, or simply feel strong and capable in your body again, we’re here to help.
at your appointments
Your first session starts with a detailed conversation about your symptoms, concerns, health history, your birth history if applicable, and your goals. From there we move into the examination, which includes an internal assessment to evaluate your pelvic floor strength, endurance, coordination, and tension patterns, and identify the cause of your symptoms. You are never obligated to have an internal assessment and can decline at any time. Your comfort is our top priority.
During the physical exam we'll also look at your core, posture, and general movement patterns to assess how everything is working together. Depending on your symptoms, we may perform manual therapy or other interventions to help provide relief and decrease any pain you may be experiencing.
Your first visit provides the foundation for your plan of care. You will leave with 2-3 exercises to begin performing at home, a full understanding of what is causing your symptoms, and a plan on how we’re going to address your symptoms and help you reach your goals.
Follow-up sessions are always with the same provider, and include a combination of re-assessment, education, functional exercises, and manual treatment as needed. We may also provide ergonomic recommendations, like how to best position and carry your baby, along with lifestyle guidance, including nutrition & nervous system support tips, to support your progress between sessions. Treatment progresses according to how your body is responding and what will be most helpful for your specific needs.
"Leah and Katie are both amazing. I saw Leah for some prenatal support to help eliminate pain in pregnancy and look forward to returning and really putting in the work postpartum. It's wild to me that this isn't something recommended and referred to at every mom's 6 week OB follow up. Take care of yourself ladies, let Strength & Dignity help!" (Kari)
"Katie is such a pleasure to work with! She has great bedside manner, being both patient and knowledgeable. In just one session we were able to work on breathing and strengthening techniques to help relieve some of the pain I had been experiencing. I highly recommend Strength & Dignity Wellness." (Amm)
"Dr. Katie is awesome! She's super personable and knowledgeable. I went in to see her for a birth prep session at 35 weeks pregnant and she gave so many practical and helpful tips to help me prepare my body for labor. I'm so grateful I was able to meet her and learn from her expertise! She also has a platform where I can review stretches and exercises we went over during the session so I can continue to do them at home without having to remember all of them. She's truly a blessing and joy to work with!" (Keleigh)
"From body building, multiple miscarriages, multiple pregnancies, and breastfeeding my body has felt so beat up and overall weak. Since seeing Katie I've regained confidence that my body can in fact be strong again. I'm so grateful to have found her. She's amazing to work with and I've seen noticeable results from just a few sessions with her. Can't recommend her enough." (Jade)
"Very personalized, compassionate care, exactly what I needed late in pregnancy and postpartum. Katie is relatable, thoughtful, and knowledgeable. I have been to other pelvic floor PTs but I’ll never need to find another one as long as Katie is practicing!" (Hannah)
"Leah was great! Wonderful birth prep and also helpful in teaching stretches to help with dislocated ribs pain. Highly recommend their services!" (Taylor)
"I’ve worked with quite a few Pelvic Floor PTs over the years of pregnancy, postpartum and navigating chronic pelvic pain. Dr. Katie has by far been the BEST experience! She goes the extra mile to provide truly high-quality, personalized care and get to the root of your symptoms. I deeply appreciate her well-rounded expertise in both core and pelvic health and returning to functional movement and fitness, with her orthopedic background which allows her to take a full-body approach. She creates a very intimate care experience and a safe, judgment-free environment to share vulnerably what you're experiencing, and the way she welcomes and receives you fully as a mother (which often means bringing a baby or multiple kids along to appointments, etc.). I always feel seen and known as a human being, in what can often be highly sensitive unspoken struggles that affect my relationship with my body and marriage, and I have walked away from every session feeling deeply supported. I'd highly recommend her to any pregnant, postpartum mama, or woman navigating core & pelvic health symptoms and wanting to feel stronger, more confident and more like yourself in your body again." (Megan)
"Dr. Katie truly heard my struggles and concerns and worked to help me in the short term as well as provided exercises to build my strength and resolve the issue altogether. She was excellent in providing information to explain why I was experiencing pain as well as always made sure I had access to an app to review the exercises and how to do them once I got home and memories of everything we discussed in our appointment started to fade. I’ve discussed my hip pain during pregnancies with multiple providers and never felt anything came of reaching out for help. Dr Katie not only partnered with me but also resolved it so much that I was able to continue keeping up with my two other small children, our house, and my full time job well into my third trimester with minimal discomfort. Yes, there will always be discomfort in the third trimester- but because of Dr Katie I’m able to function in a way that would not have been possible without her. 🙂" (Lizzie)
"Dr Katie is wonderful! She’s helped me in my postpartum journey to get back to being ME. Super kind and super professional! My program has been customized to my progress and adjusted as needed. Highly recommended! (My little one loves Dr Katie also!)" (Angie)
"Dr Katie is not only for postpartum care, I saw her after a back injury where I need to work on core strength and stability. She was great! She provided hands-on care during office visits as well as exercises to do on my own and helped me get back to lifting pain free!" (Kristen)
"Katie absolutely changed my postpartum life. I was 6 weeks postpartum with nerve damage and severe back pain in 2025 that could not be relieved. Katie helped diagnose all the issues, gave me stretches and strengthening exercises to practice at home and within a couple weeks I was able to live a normal life again. I was with her for about 6 months as she helped me rebuild my strength and fully recover. Although we had to sacrifice a bit for the cost of pelvic floor therapy—I would do it all over again so that I could function and enjoy my sweet children. I recommend Strength and Dignity to everyone I know and will be back with future pregnancies/postpartum." (Gracie)
Every client moves through our five-phase framework, at a pace that matches their body and their life.
Relief -- from your pain, leaking, and heaviness
Reconnect -- with your breath, deep core, and pelvic floor
Retrain -- functional movement patterns
Rebuild -- strength and endurance
Reclaim -- your life
Each session is re-evaluated to meet your body's evolving needs.
You do not need a referral to schedule an initial evaluation and begin treatment. Depending on the services we believe will best support you, a referral or signed plan of care may be required going forward. If a referral is needed, our team will take care of contacting your provider to get the referral for you. If you need a referral and don’t have a provider, we are happy to connect you with one so there is no lapse in care.
No! Your consent matters and you are never required to do anything you don’t feel comfortable with. You may also revoke your consent at any time.
An internal exam can give a lot of information including pelvic floor muscle, strength, endurance, coordination, and trigger points. It is also used to determine to what degree (if any) pelvic organ prolapse is present. Most of this information can be gathered from a thorough history, but depending on your symptoms it is helpful to confirm specifics through both external and internal examination.
We are out of network with all insurance companies. We are happy to provide you a SuperBill with diagnosis and treatment codes for you to submit to insurance for reimbursement. We cannot make any promises as to what your insurance will reimburse.
Staying out of network with insurance allows us to provide you with a higher quality of care without having to worry about the rules and restrictions insurance places on how we practice. We prefer to see patients one-on-one so our focus can be solely providing you with the high-level of care you deserve
We never want childcare to be a barrier to your ability to heal. All of our clinics have toys & books available so your child can read or play during your session. Our clinicians are expert baby holders. No need to worry if your baby is fusing, we have real life exercise modifications that you can practice in a clinic to allow you to nurse or hold your baby during your exercises - and it's perfect practice for how you can fit your exercises into your day to day life at home
You can wear whatever you feel most comfortable in. That being said, you will be moving during your appointments - especially during treatment sessions so wearing athletic clothing typically works best. If an internal exam is warranted and you will be asked to undress from the waist down for a portion of your session. We also may ask you to tuck your shirt into your bra so we can watch how your abdominal region is responding to the exercises during your session.
If you are on your period there are still plenty of treatment options to provide you with a high quality session. Most of our clients do not receive internal every session anyways. That being said, being on your period is not a contraindication to an internal exam, so if you feel comfortable, we just proceed as normal.