OUR TREATMENT PHILOSOPHY

At Root & Ember Physical Therapy, Rachael Gossett, PT, DPT, SEP, PCES offers a unique blend of traditional physical therapy and nervous system–focused Somatic Experiencing® bodywork. Because chronic symptoms often arise from multiple interconnected factors, it can be challenging to pinpoint what’s driving your pain or dysfunction. Rachael’s approach provides clarity by assessing both the biomechanical and nervous system contributions to your symptoms. She guides you toward the right intervention at the right time—whether that’s targeted manual therapy, movement retraining, or gentle nervous system regulation—to maximize the benefits of your healing journey. By combining these two complementary approaches, Root & Ember Physical Therapy aims to help you move forward with confidence, reduce pain, restore function, and reconnect with your body in a meaningful way.

Our

Services

  • With Rachael Gossett, PT, DPT, SEP, PCES

    Your 90-minute initial consultation includes a thorough review of your history, a physical exam, and the start of treatment. You’ll receive a personalized home exercise program (HEP), updated at each follow-up to support progress between sessions. Follow-up sessions are 50 minutes and may include functional dry needling if appropriate and desired.

    With advanced training in both orthopedic and pelvic floor therapy, Rachael takes a whole-body approach—recognizing how different areas influence one another. For example, treatment may explore how ankle stability, neck tension, or visceral mobility relate to your pelvic or back symptoms. The physical evaluation covers strength, joint mobility, neurodynamics, visceral function, and assessment of motor control. Generally, an internal pelvic floor exam is deferred to a follow-up session but can be done on evaluation day depending on your comfort and clinical indications.

    Treatment combines hands-on manual therapy with movement-based strategies such as strengthening, stretching, breathing, postural re-education, and pain neuroscience education. This approach helps reduce pain, improve mobility, and restore confidence in daily activities.

    Many clients find that incorporating Somatic Experiencing®–based sessions alongside their physical therapy can help unlock held tension patterns and bring greater ease, safety, and connection to their bodies.

    Especially effective for:

    • New or acute symptoms (<3 months) requiring targeted hands-on treatment

    • Pregnancy and early postpartum support focused on physical recovery and pelvic floor health

    • Those new to physical therapy or pelvic floor PT seeking foundational strength and mobility

    • Individuals who prefer a movement- and exercise-based approach without nervous system–focused work

    • Clients engaged in SE™ or similar work who benefit from periodic sessions to integrate changes—building strength, coordination, and confidence within new ranges as healing unfolds

  • With Rachael Gossett, PT, DPT, SEP, PCES

    Rachael offers a body-based, trauma-informed approach to healing through Somatic Experiencing® (SE™) and co-regulating touch. This gentle, “bottom-up” method supports clients whose chronic symptoms haven’t fully resolved through traditional physical therapy or “top-down” approaches.

    SE™ emphasizes the important role of the autonomic nervous system (ANS) in regulating movement patterns and sensory perception. Rather than prescribing specific movements or interventions, this approach focuses on tuning in to the body’s signals and allowing it to guide the healing process. Through precise, gentle hands-on techniques and mindful movement, SE™ helps release chronic protective muscle tension and habitual movement patterns. This supports improved nervous system regulation, enhanced motor control and breathing, and fosters recovery and balance after challenging or difficult experiences.

    Initial sessions are 90 minutes and include a comprehensive intake, nervous system assessment, and individualized treatment. Follow-up sessions are 50 minutes and may include home practices for continued progress.

    Throughout doing this work, many clients benefit from incorporating traditional orthopedic or pelvic floor physical therapy to stabilize and integrate changes, building strength, coordination, and confidence in new movement and postural patterns as healing unfolds.

    Especially effective for:

    • Persistent symptoms not fully addressed by traditional PT or medical care

    • Chronic pain, tension, or limited mobility with no clear structural cause

    • Nervous system dysregulation impacting movement, breath, or sensation

    • Postpartum recovery following challenging or difficult birth experiences

    • Support during or after psychotherapy to integrate and/or release held physical tension

    • Pairing with orthopedic or pelvic floor PT to build strength and confidence in new movement and posture

    Rachael is also a teaching assistant for the Somatic Experiencing® Institute and is pursuing further training in co-regulating touch with Kathy Kain, deepening her work with clients navigating developmental trauma.

    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). 

CONDTIONS

TREATED

    • Acute and chronic pain (any location in the body)

    • Pain along the pelvic girdle, groin, vulva, or vagina

    • Coccydynia (tailbone pain); rectal spasms or pain

    • Upper or lower back pain (with or without sciatica)

    • Hip girdle discomfort

    • Interstitial cystitis (bladder pain)

    • Dyspareunia (painful sexual activity); vaginismus

    • Dysmenorrhea (painful periods)

    • Neck pain, Headaches, Temporomandibular Disorder (TMD) Pain (jaw pain)

    • Thoracic Outlet Syndrome (TOS); Nerve pain in the arms or hands

    • Autonomic dysregulation following a traumatic or stressful event 

    • Prolonged recovery after difficult and/or traumatic childbirth 

    • Aftereffects of medical procedures and/or surgeries 

    • Chronic pain following motor vehicle collisions, falls, or injuries

    • Difficulty regulating nervous system during pregnancy 

    • Difficulty with body awareness (interoception, neuroception, or proprioception) 

    • Bracing and guarding patterns due to chronic stress or unresolved trauma

    • Breath-holding or dysfunctional breathing associated with anxiety, trauma, or chronic pain

    • Hyperarousal or freeze responses that interfere with sexual activity or pleasure

    • Stress incontinence (leakage with coughing, sneezing, etc.)

    • Urinary leakage with recreational activity or sports

    • Urge urinary incontinence; nocturia

    • Fecal incontinence; smearing

    • Constipation; IBS; painful or difficult voiding

    • Pelvic Organ Prolapse (cystocele, rectocele, etc.)

    • Diastasis Recti Abdominis (DRA)

    • Generalized lumbopelvic weakness

    • Post-op recovery (Cesarean or abdominal surgery)

    • Endometriosis; Chronic Pelvic Pain; Dysmenorrhea

    • Fibromyalgia

    • Central Sensitization

    • Chronic Constipation; IBS

    • Complex Regional Pain Syndrome

    • Persistent Post-Concussive Symptoms; Whiplash-Associated Disorder

Pregnant woman with hands on her belly, one wearing a ring, signifying support and love.
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