Whole-body orthopedic and pelvic floor care for strength, mobility, and ease

Rachael Gossett, PT, DPT, SEP, PCES offers physical therapy that considers the body as an interconnected system. With advanced training in both orthopedic and pelvic floor therapy, she looks at how movement, strength, breath, and support patterns influence one another—not just the area where symptoms show up.

Pelvic floor care is woven into this whole-body perspective. Rachael assesses how the diaphragm, abdominal wall, hip mobility, spinal mechanics, and even foot and ankle stability contribute to pelvic symptoms. This helps clients understand why issues like leakage, heaviness, pain, or core instability may arise, and how to retrain the system so that support and ease can feel more natural.

Treatment blends skilled manual therapy with individualized movement strategies: strengthening, mobility work, breath mechanics, postural re-education, motor control retraining, and—when desired—functional dry needling. Each session is designed to help the body find more ease, coordination, and confidence.

People often choose this approach when they want:

• pelvic floor therapy that integrates the whole body

• support during pregnancy or postpartum healing

• help with symptoms such as leakage, diastasis, prolapse-related discomfort, or painful intercourse

• targeted treatment for orthopedic pain or new injuries

• clear, functional strengthening and mobility work

• practical guidance for returning to movement and daily activities

Many clients also find that combining this work with nervous-system–informed sessions deepens their healing—building strength on top of new patterns of support, breath, and ease.

Restoring the foundations of movement through embodiment, awareness, and gentle recalibration

Nervous system–focused physical therapy recognizes that movement begins long before a muscle strengthens or a joint mobilizes—it begins with the nervous system. When the body has been under strain, stress, or overwhelm, it often relies on protective patterns that shape breath, posture, muscle tone, and the ability to access coordinated movement.

This approach works at that foundational level. Sessions begin with embodiment—helping you reconnect with areas of the body that feel distant, guarded, or difficult to sense. Through gentle, precise touch and slow, mindful movement, Rachael supports the development of proprioceptive awareness and interoception, allowing your system to feel safer, more organized, and more available for change.

As involuntary protective mechanisms soften, clients often discover new access to breath, reflexive core support, pelvic floor coordination, easeful postures, and movement patterns that were previously out of reach. This creates a stable foundation for strength, mobility, and functional capacity to build naturally and sustainably.

Rather than pushing the body, this work listens for the subtle cues that reveal how tension, bracing, or disconnect have shaped movement over time. By following the body’s pacing and signals, the system can reorganize itself from the inside out.

People often choose this approach when they’re experiencing:

• pelvic floor tension, guarding, or pain that doesn’t respond to typical exercises

• difficulty accessing certain muscles or regions (core, pelvic floor, glutes, deep stabilizers)

• chronic or persistent tension patterns with no clear structural cause

• breath-holding, bracing, or difficulty coordinating breath and movement

• a sense of disconnection from parts of the body, especially after childbirth or stressful events

• movement or postural habits that keep returning despite strengthening or manual therapy

Many clients blend this work with traditional PT, allowing new patterns of awareness, coordination, and ease to take root before adding more volitional strengthening or mobility training.

Curious to learn more about us of SE™ in physical therapy? Check out this blog post.

With Rachael Gossett, PT, DPT, SEP, PCES

Functional Dry Needling (FDN) is a hands-on technique used by trained physical therapists to support neuromuscular re-education and optimal movement. By inserting a very thin needle into specific muscles or regions, FDN helps reset dysfunctional communication between the nervous system and the muscles—improving coordination, mobility, and control. This tool is used to restore proper motor firing patterns, reduce protective muscle guarding or overactivity as well as to improve proprioceptive input (your body's awareness of movement and position). FDN is applied with the goal to re-establish efficient, pain-free movement and can be a powerful catalyst for change, especially when paired with movement retraining, breathing work, and other therapeutic exercises.

Rachael has her Level 2 Functional Dry Needling certificate through Kinetacore. Dry needling services are included in the initial consultation and follow up visits.  

Rachael also offers 20 minute “FDN Tune Up” services: If you are a current client, have already done FDN with Rachael, and consistently complete your home exercise program, you can schedule a FDN only visit. This is a 20 minute session for dry needling only. It does not include any consultation on movement interventions or manual therapy technique. This approach tends to work best for people who generally have their symptoms managed but occasionally have an exacerbation. For people who are highly motivated to do their home exercises outside of the clinic and are looking for a helpful reset. For those who already know your body responds great to FDN.

With Rachael Gossett, PT, DPT, SEP, PCES

As a Pregnancy and Postpartum Exercise Corrective Specialist (PCES), Rachael supports individuals through safe and effective movement during pregnancy and postpartum recovery. 

Labor Mechanics Training: 50 minute birth preparation session: learn exercises that you can do to prepare for labor as well as positions to perform during both stage 1 and stage 2 of labor. Get confirmation that your pelvic floor is able to relax sufficiently as well as optimize your pushing mechanics for reducing risk of perineal tearing and difficult deliveries. 

Postpartum Physical Therapy: Rachael has a particular passion in helping women who have experienced difficult or traumatic deliveries to reconnect with and find trust in their bodies again. To strengthen and get back to activities that they love and what brings them joy. When working with Rachael, women have the opportunity to find greater regulation in their nervous system, which can enhance their capacity to bond with their babies. Most women benefit from traditional pelvic floor physical therapy and SE™ bodywork during this time period (see above).