Resources

We write about what we actually see in the clinic.

Understanding what's happening in your body is part of getting better. These articles come directly from the questions patients ask, the patterns we observe, and the things that often get oversimplified or skipped entirely in a standard care setting.

Browse by topic.

Four working categories. Articles tend to overlap — the same way the work in the clinic does. A running injury and a pelvic floor issue often share the same root. A postpartum question often leads to a broader conversation about what PT can actually do.

01

Dry needling

What it is, when it helps, when it doesn't, and how it differs from acupuncture. If you've been told to try it but no one's explained what it actually does, start here.

3 articles →
02

Pelvic floor physical therapy

Leaking, pelvic pain, painful sex, prolapse. What's normal, what's treatable, and what the internal exam actually involves — explained plainly, without the clinical runaround.

4 articles →
03

Postpartum & pregnancy

Diastasis, return-to-exercise after baby, prenatal pain, what's safe during pregnancy. The six-week clearance doesn't tell you nearly enough. These articles fill in the gap.

3 articles →
04

Understanding your PT options

How to think about cash-pay vs. insurance-based care, when you need a referral, and what to look for if PT hasn't worked for you before. Straightforward answers to questions most clinics avoid.

3 articles →
Dry needling

Dry needling.

[ 3:2 ]

Does dry needling actually work for chronic muscle tension?

What the research shows, what we see in the clinic, and how to tell whether dry needling is the right tool for what you're dealing with — or whether something else needs to happen first.

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[ 3:2 ]

Dry needling vs. trigger point injections: what's the difference?

One uses a hollow needle and medication. One uses a solid needle and your body's own response. The mechanism is different, the indication is different, and knowing the distinction helps you ask better questions.

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[ 3:2 ]

What to expect after a dry needling session.

Soreness, bruising, the "needling hangover." What's normal, what's not, and what to do in the 24 hours after your session to get the most out of it.

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Pelvic floor

Pelvic floor physical therapy.

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What actually happens in your first pelvic floor PT visit.

The internal exam isn't the whole visit. The conversation is. Here's what really happens — what we ask, what we assess, and why the first session looks nothing like a standard PT intake.

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Why Kegels make some pelvic floor symptoms worse.

Hypertonic vs. hypotonic pelvic floors, and why "just do Kegels" is the wrong advice for a significant portion of patients. If you've been doing Kegels for months without improvement, that's worth paying attention to.

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[ 3:2 ]

Leaking when you run isn't "just part of being a mom."

Common is not the same as normal. Stress incontinence with exercise is one of the most treatable pelvic floor conditions — and one of the most under-referred. Here's what's actually going on and what can be done about it.

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Painful sex is treatable. Here's where to start.

Vaginismus, postpartum pain, endometriosis-related pain. The work is specific, concrete, and often faster than patients expect. This article explains what the assessment looks like and why the cause matters more than the symptom.

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Postpartum & pregnancy

Postpartum & pregnancy.

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Diastasis recti, three years out: what's actually possible?

Spoiler: more than you've been told. A look at what the research says, what we see in the clinic, and why "you missed the window" is rarely true when it comes to abdominal recovery after baby.

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Returning to running after baby: a real timeline.

Six weeks isn't the answer. Neither is six months. The actual answer depends on what your body is doing — and this article walks through what a real return-to-running assessment looks at before you lace up.

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[ 3:2 ]

Pelvic floor PT during pregnancy: what it does and doesn't fix.

Birth prep, pain management, and protecting the body through the physical demands of pregnancy. What's safe, what's indicated, and what you can reasonably expect from prenatal PT.

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PT options

Understanding your PT options.

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Do I need a referral for PT in Oregon?

Short answer: no. The longer answer involves direct access laws, what insurance requires vs. what the law allows, and why most patients can book an evaluation without waiting on a doctor's order.

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Cash-pay vs. insurance PT: when does each make sense?

An honest comparison without spin. Per visit, per plan of care, and per type of problem — what you actually get with each model, and why the structure of care matters as much as the cost.

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"I tried PT before and it didn't work." Why a second look is often worth it.

What the model you experienced last time may have missed — double-booked schedules, generic exercise handouts, a different clinician every visit. What to look for if you're considering trying again.

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