First name* Last name* Email* Phone Message* Yes, subscribe me to your newsletter. Submit SAY HELLO, I CAN'T WAIT TO MEET YOU.

Sports, Fitness + Play Maintaining or building muscle and physical fitness is being found to be the single most important effort we can make towards living a healthy life as we age, and everyone comes to us from a different place. Many of you were active as children and got derailed with academia, career and children. Many of you were competitive athletes throughout college, and were repeatedly told not to listen to the messages your body was telling you. Many of you have tried a sport or fitness program that resulted in injury because there wasn’t appropriate guidance with your starting point and progress, and you had to let it go. ​ Postpartum women often come to us without pelvic symptoms, but with a lot of fear around how to protect their pelvic floor from injury and prolapse during exercise and play with their children. Are you afraid to jump on a trampoline? Run in the yard with your kids? Don’t let the impacts of birthing your children keep you from playing with them. We can show you how to control and support your pelvic floor and bladder in whatever activity you choose, so you can participate in joy rather than fear. ​ The research is showing that an incredible number of postpartum women and post surgical men stop exercising due to fear of leaking. There are multiple factors to address, in addition to the muscular function of the pelvic floor, and at IOPT, we will guide you through them all. ​ Avoiding exercise has a cumulative and life altering impact, and you can change that. At IOPT, we will meet you where you are, and safely guide you wherever you want to go in your fitness journey. We specialize in getting you started, so you feel safe to progress on your own. HOME / SERVICES / WHAT WE TREAT / SPORTS, FITNESS + PLAY / Get Started Today Caroline's expertise and personalized approach to therapy ensure that you receive top-notch care tailored to your needs. Contact us today to book your session with Caroline and take the first step towards a healthier, more active lifestyle. CONTACT Qualified Physical Therapist ​ With years of experience and extensive training in pelvic floor rehabilitation, she is dedicated to helping her clients regain control over their health. Compassionate Care for Physical Fitness ​ We are dedicated to delivering compassionate care to individuals seeking to maintain or build muscle and physical fitness. Importance of Physical Fitness ​ Understanding the importance of maintaining or building muscle and physical fitness is crucial for overall well-being and quality of life.

Bowel Health A healthy bowel will fill and empty within a range of norms, comfortably, and with easy and regular control. If you are, or have at any point in your life, had problems with constipation or diarrhea, IBS, difficulty emptying, leaking/incontinence, flatulence, bloating, abdominal pain, or rectal pain, we can help. These issues can be caused by a complex multitude of factors, including diet, breath mechanics, emotional and muscular holding patterns, and many abdominal surgeries. ​ Feel like your bowels have never quite been right, either your whole life or after an incident like a fall, surgery, infection or childbirth? Healthy bowels work well, filling and emptying easily and regularly. If you have constipation, diarrhea, IBS, trouble emptying, leaks, gas, bloating, or belly/rectal pain, we can help you manage and resolve issues like this. These concerns may be linked to diet, breathing habits, fascial restrictions, scar tissue, emotions and stress response, compensatory movement patterns, or prior abdominal surgeries. ​ Due to the complexity and inter-relatedness of your gut health to the rest of your body as well as the brain, improving gut issues can also positively impact bladder problems, mental health, and back pain. Yes, you too can become regular, are you ready to let us show you how? HOME / SERVICES / WHAT WE TREAT / BOWEL HEALTH / Get Started Today Caroline's expertise and personalized approach to therapy ensure that you receive top-notch care tailored to your needs. Contact us today to book your session with Caroline and take the first step towards a healthier, more active lifestyle. CONTACT Qualified Physical Therapist ​ With years of experience and extensive training in pelvic floor rehabilitation, she is dedicated to helping her clients overcome bowel issues and regain control over their health. Compassionate Care for Bowel Health ​ We are dedicated to delivering compassionate care to individuals seeking support and treatment for bowel-related concerns. Importance of Bowel Health ​ Understanding the importance of bowel health is crucial for overall well-being and quality of life.

Pelvic Health This field began as Women’s Health, based around women in childbearing and geriatric seasons of life, and the problems that showed up with the bladder. Once it became evident that men, in fact, had some of the same problems with their pelvic organs and musculature, it transitioned to Pelvic Health. And, maybe finally, we can call it Abdominopelvic Health. When you can see all of the areas of impact with the pelvic floor and abdominal organs, it becomes clear that this is a very complex field. Not only do we now address all of these areas of challenge, but we see clients in all phases of life and physical capacity. ​ Are you having back, or SI pain? Pelvic floor pressure, pain, or prolapse? Digestive difficulties? Lack of pleasure or difficulty with orgasm? Fertility challenges? Urinary leakage or stream struggles? Issues in pregnancy? Concerns around birth? Pelvic health involves different parts of the pelvic floor, impacting and causing issues that are interconnected throughout the systems. A thorough understanding of the muscles, nerves, bones, and blood vessels is essential for effective treatment. A comprehensive and multi-faceted approach that addresses all of the systems is vital to manage your specific pelvic health challenges. At IOPT, this is the practice platform we use to help you change your life. HOME / SERVICES / WHAT WE TREAT / PELVIC HEALTH / Get Started Today Caroline's expertise and personalized approach to therapy ensure that you receive top-notch care tailored to your needs. Contact us today to book your session with Caroline and take the first step towards a healthier, more active lifestyle. CONTACT Qualified Physical Therapist ​ With years of experience and extensive training in pelvic floor rehabilitation, she is dedicated to helping her clients overcome pelvic health issues and regain control over their health. Compassionate Care for Pelvic Health ​ We are dedicated to delivering compassionate care to individuals seeking support and treatment for pelvic-related concerns. Importance of Pelvic Health ​ Understanding the importance of pelvic health is crucial for overall well-being and quality of life.

Terms of Service Overview Welcome to insideoutpt.com. This website (the “Site”) is operated by Inside Out Physical Therapy, Inc (“Inside Out PT”). Throughout the Site, the terms “we”, “us” and “our” refer to Inside Out PT. Inside Out PT offers this website, including all information, tools and services available from this Site to you, the user, conditioned upon your acceptance of all terms, conditions, policies and notices stated here. Insideoutpt.com is an e-commerce site. ​ By visiting our Site and/or purchasing something from us, you engage in our “Service” and agree to be bound by the following terms, conditions, and notices (“Terms of Service,” “Terms”), including those additional terms and conditions and policies referenced herein and/or available by hyperlink. These Terms of Service apply to all users of the site, including, without limitation, users who are browsers, vendors, customers, merchants, and/or contributors of content. ​ Please read these Terms of Service carefully before accessing or using our website. By accessing or using any part of the Site, you agree to be bound by these Terms of Service. If you do not agree to all the terms and conditions of this agreement, you may not access the Site or use our Service. Insideoutpt.com is offered to you conditioned upon your acceptance without modification of these Terms of Service. Your use of insideoutpt.com constitutes your agreement to all such Terms. Please read these Terms carefully and keep a copy of them for your reference. ​ Agreement Between User and Insideoutpt.com The insideoutpt.com website consists of various web pages operated by Inside Out Physical Therapy LLC (“Inside Out PT”). ​ Inside Out PT offers physical therapy, manual therapy, and health education services within the bounds of North Carolina State Law. Our mission is o create an environment of support, education, and encouragement to guide people to achieve their goals in bladder, bowel, reproductive, sexual, and overall physical health. This website provides natural health and wellness information and allows our guests to book and purchase appointments with our providers. ​ Privacy Your use of insideoutpt.com is subject to Inside Out PT’s Privacy Policy. Please review our Privacy Policy , which also governs the Site and informs users of our data-collection practices. ​ Electronic Communications Visiting insideoutpt.com, or sending messages or emails to Inside Out PT, constitutes electronic communications. In so doing, you consent to receive electronic communications, and you agree that all agreements, notices, disclosures, and other communications that we provide to you electronically, via email, and on the site, satisfy any legal requirement that such communications be in writing. ​ Children Under 13 Years of Age Inside Out PT does not knowingly collect, either online or offline, personal information from persons under the age of 13. If you are under the age of 18, you may use insideoutpt.com only with permission of a parent or guardian. ​ Returns and Refunds Payment is due at the time of service. No refunds granted after services are rendered — no exceptions. ​ Requests for refunds for unused sessions from treatment packages must be submitted in writing. Refunds given for unused sessions will be minus 5% for credit card fees. ​ We reserve the right to deny a refund and remove access for a client or visitor who plagiarizes or publicizes any material found on insideoutpt.com or any of its subsidiary brands and websites. ​ General Conditions We reserve the right to refuse service to anyone for any reason at any time. ​ You understand that your content (not including credit card information) may be transferred unencrypted and involve (a) transmissions over various networks; and (b) changes to conform and adapt to technical requirements of connecting networks or devices. Credit card information is always encrypted during transfer over networks. ​ You agree not to reproduce, duplicate, copy, sell, resell, or exploit any portion of the Service, use of the Service, or access to the Service or any contact on the website through which the Service is provided, without express written permission by us. ​ The headings used in this agreement are included for convenience only and will not limit or otherwise affect these Terms. ​ Products and Services Certain products or services may be available exclusively online through the website. These products or services may have limited quantities and are subject to return or exchange only according to our Return Policy. ​ We reserve the right, but are not obligated, to limit the sales of our products or services to any person, geographic region, or jurisdiction. We may exercise this right on a case-by-case basis. We reserve the right to limit the quantities of any products or services that we offer. All descriptions of products or product pricing are subject to change at anytime without notice, at the sole discretion of us. We reserve the right to discontinue any product at any time. Any offer for any product or service made on this Site is void where prohibited. ​ We do not warrant that the quality of any products, services, information, or other material purchased or obtained by you will meet your expectations, or that any errors in the Service will be corrected. ​ Prices for our products or services are subject to change without notice. We reserve the right at any time to modify or discontinue the Service (or any part or content thereof) without notice at any time. We shall not be liable to you nor to any third party for any modification, price change, suspension, or discontinuance of the Service. ​ Accuracy of Billing and Account Information You agree to provide current, complete, and accurate purchase and account information for all purchases made on or through our Site. You agree to promptly update your account and other information, including your email address and your credit card numbers and expiration dates, so that we can complete your transactions and contact you as needed. ​ Links to Third-Party Sites/Third-Party Services Insideoutpt.com may contain links to other websites (“linked sites”). The linked sites are not under the control of Inside Out PT, and we are not responsible for the contents of any linked site, including, without limitation, any link contained in a linked site, or any changes or updates to a linked site. Inside Out PT provides these links to you as a convenience, and the inclusion of any link does not imply endorsement of the linked site by Inside Out PT or any association with its operators. ​ Certain content, products, and services available via our Service may include materials from third parties. Third-party links on this Site may direct you to third-party websites that are not affiliated with us. We are not responsible for examining or evaluating the content or accuracy and we do not warrant and will not have any liability or responsibility for any third-party materials or websites, or for any other materials, products, or services of third parties. We are not liable for any harm or damages related to the purchase or use of goods, services, resources, content, or any other transactions made in connection with any third-party websites. Please review carefully the third party's policies and practices and make sure you understand them before you engage in any transaction. Complaints, claims, concerns, or questions regarding third-party products should be directed to the third party. ​ Certain services made available via insideoutpt.com are delivered by third-party sites and organizations. By using any product, service, or functionality originating from the insideoutpt.com domain, you hereby acknowledge and consent that Inside Out PT may share such information and data with any third party with whom Inside Out PT has a contractual relationship to provide the requested product, service, or functionality on behalf of insideoutpt.com users and customers. ​ User Comments, Feedback and Other Submissions If, at our request, you send certain specific submissions (for example, contest entries), or, without a request from us, you send creative ideas, feedback, suggestions, proposals, plans, or other materials, whether online, by email, by postal mail, or otherwise (collectively, “comments”), you agree that we may, at any time, without restriction, edit, copy, publish, distribute, translate, and otherwise use in any medium any comments that you forward to us. We are and shall be under no obligation (1) to maintain any comments in confidence; (2) to pay compensation for any comments; or (3) to respond to any comments. ​ We may, but have no obligation to, monitor, edit, or remove content that we determine, in our sole discretion, are unlawful, offensive, threatening, libelous, defamatory, pornographic, obscene, or otherwise objectionable or content that violates any party’s intellectual property or these Terms of Service. ​ You agree that your comments will not violate any right of any third party, including copyright, trademark, privacy, personality, or other personal or proprietary right. You further agree that your comments will not contain libelous or otherwise unlawful, abusive, or obscene material, or contain any computer virus or other malware that could in any way affect the operation of the Service or any related website. You may not use a false email address, pretend to be someone other than yourself, or otherwise mislead us or third parties as to the origin of any comments. You are solely responsible for any comments you make and their accuracy. We take no responsibility and assume no liability for any comments posted by you or any third party. ​ Unlawful or Prohibited Use/Intellectual Property You are granted a nonexclusive, nontransferable, revocable license to access and use insideoutpt.com strictly in accordance with these Terms. As a condition of your use of the Site, you agree that you will not use the Site for any purpose that is unlawful or prohibited by these terms. You may not use the Site in any manner that could damage, disable, overburden, or impair the Site or interfere with any other party’s use and enjoyment of the Site. You may not obtain or attempt to obtain any materials or information through any means not intentionally made available or provided for through the site. All content included as part of the Service — such as text, graphics, logos, images, and/or the compilation thereof — and any software used on the Site is the property of Inside Out PT or its suppliers and is protected by U.S. laws governing copyrights, trademarks, intellectual property, and proprietary rights. You agree to observe and abide by all copyright and other proprietary notices or other restrictions contained in any such content and will not make any changes thereto. ​ You will not modify, publish, transmit, reverse-engineer, participate in the transfer or sale, create derivative works, or in any way exploit any of the content, in whole or in part, found on the site. Inside Out PT’s content is not for resale. You will use protected content solely for your personal use, and will make no other use of the content without the express written permission of Inside Out PT and the copyright owner. Your use of the Site does not entitle you to make any unauthorized use of any protected content, and in particular you will not delete or alter any proprietary rights or attribution notices in any content. You agree that you do not acquire any ownership rights in any protected content. We do not grant you any licenses, express or implied, to the intellectual property of Inside Out PT or our licensors except as expressly authorized by these terms. ​ International Users The Site is controlled, operated, and administered by Inside Out PT from our offices within the United States of America. If you access our Site from a location outside the U.S., you are responsible for compliance with all local laws. You agree that you will not use the content accessed through insideoutpt.com in any country or in any manner prohibited by any applicable laws, restrictions, or regulations. ​ Indemnification You agree to indemnify, defend, and hold harmless Inside Out PT and its parent, subsidiaries, affiliates, partners, insurers, officers, directors, stockholders, successors, employees, contractors, subcontractors, suppliers, licensors, and agents for: (a) any losses, costs, liabilities, and expenses (including reasonable attorney’s fees) relating to or arising out of your use of or inability to use the Site or Service; (b) any user postings made by you; (c) your breach or violation of these Terms of Service or the documents they incorporate by reference; (d) your violation of any rights of a third party; (e) any claim or demand, including reasonable attorneys’ fees, made by any third party due to or arising out of your breach of these Terms of Service or the documents they incorporate by reference, or arising out of your violation of any law or the rights of a third party; and/or (f) your violation of any applicable laws, rules or regulations. ​ Inside Out PT reserves the right, at its own cost, to assume the exclusive defense and control of any matter otherwise subject to indemnification by you, in which event you will fully cooperate with Inside Out PT in asserting any available defenses. ​ Severability In the event that any provision of these Terms of Service is determined to be unlawful, void, or unenforceable, such provision shall nonetheless be enforceable to the fullest extent permitted by applicable law, and the unenforceable portion shall be deemed to be severed from these Terms of Service. Such determination shall not affect the validity and enforceability of any other remaining provisions. ​ Arbitration In the event the parties are not able to resolve any dispute between them arising out of or concerning these terms and conditions, or any provisions hereof, whether in contract, tort, or otherwise at law or in equity for damages or any other relief, then such dispute shall be resolved only by final and binding arbitration pursuant to the Federal Arbitration Act, conducted by a single neutral arbitrator and administered by the American Arbitration Association or a similar arbitration service selected by the parties, in a location mutually agreed upon by the parties. The arbitrator’s award shall be final, and judgment may be entered upon it in any court having jurisdiction. In the event that any legal or equitable action, proceeding, or arbitration arises out of or concerns these terms and conditions, the prevailing party shall be entitled to recover its costs and reasonable attorney’s fees. The parties agree to arbitrate all disputes and claims in regards to these terms and conditions or any disputes arising as a result of these terms and conditions, whether directly or indirectly, including tort claims that are a result of these terms and conditions. The parties agree that the Federal Arbitration Act governs the interpretation and enforcement of this provision. The entire dispute, including the scope and enforceability of this arbitration provision, shall be determined by the arbitrator. This arbitration provision shall survive the termination of these terms and conditions. ​ Class-Action Waiver Any arbitration under these Terms and Conditions will take place on an individual basis; class arbitrations and class/representative/collective actions are not permitted. THE PARTIES AGREE THAT A PARTY MAY BRING CLAIMS AGAINST THE OTHER ONLY IN EACH'S INDIVIDUAL CAPACITY AND NOT AS A PLAINTIFF OR CLASS MEMBER IN ANY PUTATIVE CLASS, COLLECTIVE, AND/OR REPRESENTATIVE PROCEEDING, SUCH AS IN THE FORM OF A PRIVATE ATTORNEY GENERAL ACTION AGAINST THE OTHER. Further, unless both you and Inside Out PT agree otherwise, the arbitrator may not consolidate more than one person's claims, and may not otherwise preside over any form of a representative or class proceeding. ​ Liability Disclaimer The information, software, products, and services included in or available through this Site may include inaccuracies or typographical errors. Changes are periodically added to the information herein. Inside Out PT and/or its suppliers may make changes to the Site and Service at any time. We do not guarantee, represent, or warrant that your use of our Service will be uninterrupted, timely, secure or error-free. We do not warrant that the results that may be obtained from the use of the Site or Service will be accurate or reliable. We reserve the right to correct any errors, inaccuracies, or omissions, and to change or update information or cancel orders if any information in the Service or on any related website is inaccurate at any time without prior notice (including after you have submitted your order). ​ You agree that from time to time we may remove the Site or Service for indefinite periods of time or cancel the Site or Service at any time, without notice to you. ​ Inside Out PT and/or its suppliers make no representations about the suitability, reliability, availability, timeliness, or accuracy of the information, software, products, services, and related graphics contained on the Site for any purpose. To the maximum extent permitted by applicable law, all such information, software, products, services, and related graphics are provided “as is” without warranty or condition of any kind. Inside Out PT and/or its suppliers hereby disclaim all warranties and conditions with regard to this information, software, products, services, and related graphics, including all implied warranties or conditions of merchantability, fitness for a particular purpose, title, and non-infringement. ​ To the maximum extent permitted by applicable law, in no event shall Inside Out PT and/or its suppliers be liable for any direct, indirect, punitive, incidental, special, or consequential damages or any damages whatsoever including, without limitation, damages for loss of use, data, or profits arising out of or in any way connected with the use or performance of the site; with the delay or inability to use the Site or Services; with the provision of or failure to provide services; or with any information, software, products, services, and related graphics obtained through the Site or otherwise arising out of the use of the site, whether based on contract, tort, negligence, strict liability, or otherwise, even if Inside Out PT or any of its suppliers has been advised of the possibility of damages. Because some states/jurisdictions do not allow the exclusion or limitation of liability for consequential or incidental damages, the above limitation may not apply to you. If you are dissatisfied with any portion of the site, or with any of these terms of use, your sole and exclusive remedy is to discontinue using the site. ​ No information provided on this website shall be construed as medical advice. Always seek out the professional service and opinion of your medical provider before starting any new health related product, practice, or service. ​ Termination/Access Restriction The obligations and liabilities of the parties incurred prior to the termination date shall survive the termination of this agreement for all purposes. These Terms of Service are effective unless and until terminated by either you or us. You may terminate these Terms of Service at any time by notifying us that you no longer wish to use our Services, or when you cease using our site. ​ If, in our sole judgment, you fail, or we suspect that you have failed, to comply with any term or provision of these Terms of Service, we also may terminate this agreement at any time without notice, and you will remain liable for all amounts due up to and including the date of termination. We accordingly may deny you access to our Services (or any part thereof). ​ Inside Out PT reserves the right, at our sole discretion, to terminate your access to the Site and the related services or any portion thereof at any time, without notice. To the maximum extent permitted by law, this agreement, and any separate agreements whereby we provide you Services, is governed by and construed in accordance with the laws of the State of North Carolina, in the United States of America, and you hereby consent to the exclusive jurisdiction and venue of courts in North Carolina in all disputes arising out of or relating to the use of the site. Use of the Site is unauthorized in any jurisdiction that does not give effect to all provisions of these terms, including, without limitation, this section. ​ You agree that no joint venture, partnership, employment, or agency relationship exists between you and Inside Out PT as a result of this agreement or use of the site. Inside Out PT’s performance of this agreement is subject to existing laws and legal process, and nothing contained in this agreement is in derogation of Inside Out PT’s right to comply with governmental, court, and law enforcement requests or requirements relating to your use of the Site or information provided to or gathered by Inside Out PT with respect to such use. If any part of this agreement is determined to be invalid or unenforceable pursuant to applicable law including, but not limited to, the warranty disclaimers and liability limitations set forth above, then the invalid or unenforceable provision will be deemed superseded by a valid, enforceable provision that most closely matches the intent of the original provision, and the remainder of the agreement shall continue in effect. ​ The failure of us to exercise or enforce any right or provision of these Terms of Service shall not constitute a waiver of such right or provision. Unless otherwise specified herein, this agreement constitutes the entire agreement between the user and Inside Out PT with respect to the site, and it supersedes all prior or contemporaneous communications and proposals, whether electronic, oral, or written, between the user and Inside Out PT regarding the Site (including, but not limited to, any prior versions of the Terms of Service). ​ A printed version of this agreement and of any notice given in electronic form shall be admissible in judicial or administrative proceedings based upon or relating to this agreement to the same extent and subject to the same conditions as other business documents and records originally generated and maintained in printed form. It is the express wish of the parties that this agreement and all related documents be written in English. ​ Changes to Terms You can review the most current version of the Terms of Service at any time at this page. ​ Inside Out PT reserves the right, at its sole discretion, to change the terms under which insideoutpt.com is offered. The most current version of the terms will supersede all previous versions. ​ We reserve the right, at our sole discretion, to update, change, or replace any part of these Terms of Service by posting updates and changes to our website. It is your responsibility to check our website periodically for changes. Your continued use of or access to our website or the Service following the posting of any changes to these Terms of Service constitutes acceptance of those changes.

Post Surgical Any type of abdominal or gynecological surgery can be a prelude to pelvic problems. Whether you have had an appendectomy, gall bladder removal, hysterectomy, C-Section, bladder support, post-surgical recovery can greatly benefit from specialized pelvic health physical therapy. These surgeries can create restrictions in the fascial support tissues, as well as adhesions, that can cause bladder dysfunction, pain, and limit healthy digestion years down the road. ​ This type of therapy focuses on restoring and optimizing pelvic floor function, addressing issues such as incontinence, pelvic pain, and pelvic organ prolapse that might result from these surgeries. Through personalized treatment plans, patients can regain strength, mobility, and confidence in their daily activities following surgery. ​ Remember, as well, that sometimes your best investment in a good post-operative recovery, is what we call Pre-Hab. Learning how to perform the techniques and supportive concepts before surgery makes it much easier to apply them afterwards, thereby creating an optimal potential for success. Pelvic health physical therapy plays a crucial role in promoting recovery, improving quality of life, and enhancing overall well-being for individuals undergoing surgical procedures in the abdominal and pelvic region. HOME / SERVICES / WHAT WE TREAT / POST SURGICAL / Get Started Today Caroline's expertise and personalized approach to therapy ensure that you receive top-notch care tailored to your needs. Contact us today to book your session with Caroline and take the first step towards a healthier, more active lifestyle. CONTACT Qualified Physical Therapist ​ With years of experience and extensive training in pelvic floor rehabilitation, she is dedicated to helping her clients recover following surgical procedures. Compassionate Post-Surgical Care ​ We are dedicated to delivering compassionate care to individuals seeking to regain strength, mobility and confidence post-surgery. Importance of Post-Surgical Care ​ Understanding the importance of post-surgical care and pelvic health is crucial for your recovery and long term well-being.

Sexual Health Understanding how your body can experience sexual play and pleasure, why it might be experiencing pain instead, and addressing the challenge in sharing a sexual connection with a partner are some of the main issues we address in Pelvic Health. Regardless of your anatomy, age, orientation or preferences, sexual activity and pleasure should be easy and rewarding, in whatever way you might like to experience it. ​ For women, problems can be present as superficial or deep pain with vaginal or anal insertion of a penis, a sexual wellness toy, or a speculum; low libido and limited clitoral sensation; vaginismus; vulvodynia; difficulty with orgasm; and pain or urination with orgasm. The causes of these problems can be emotional, stress/anxiety related, mechanical injury, an overall skeletal alignment issue, a hormonal shift, medication side effects, a traumatic history, and so often simply just a lack of knowledge about wellness in this area. ​ For men, problems can present as difficulty achieving or maintaining an erection, difficulty reaching orgasm, limited sensation and libido, pain with an erection or ejaculation, urination with orgasm, and pain as the insertional and/or receptive partner. The causes of these can be emotional, stress/anxiety related, mechanical injury, skeletal alignment, hormonal shifts, medication side effects, a traumatic history, and so often simply a lack of knowledge about wellness in this area. ​ Addressing your unique concerns with sensitivity, understanding and support is paramount at IOPT, and we appreciate the trust you share when you integrate our practice into your goals. Specific approaches we apply in this area are education about lubricants, birth control, positional impact on sensation and orgasm, as well as addressing any other questions you might have. HOME / SERVICES / WHAT WE TREAT / SEXUAL HEALTH / Get Started Today Caroline's expertise and personalized approach to therapy ensure that you receive top-notch care tailored to your needs. Contact us today to book your session with Caroline and take the first step towards a healthier, more active lifestyle. CONTACT Qualified Physical Therapist ​ With years of experience and extensive training in pelvic floor rehabilitation, she is dedicated to helping her clients overcome sexual health issues and regain control over their health. Compassionate Care for Sexual Health ​ We are dedicated to delivering compassionate care to individuals seeking support and treatment for bladder-related concerns. Importance of Sexual Health ​ Understanding the importance of sexual health is crucial for overall well-being and quality of life.

Fertility At Inside Out Physical Therapy, our specialized fertility and pelvic health physical therapy program is designed to address the unique needs of individuals seeking to optimize their reproductive health and manage conditions impacting the pelvic region. Caroline offers personalized assessments and evidence-based treatment techniques to support your journey towards improved pelvic wellness and fertility. Whether you are preparing for pregnancy, experiencing challenges with conception, or seeking to address pelvic health concerns, IOPT’s comprehensive approach aims to enhance your overall well-being and quality of life. Partner with IOPT to discover the benefits of tailored physical therapy interventions in promoting fertility and pelvic health. HOME / SERVICES / WHAT WE TREAT / FERTILITY / Get Started Today Caroline's expertise and personalized approach to therapy ensure that you receive top-notch care tailored to your needs. Contact us today to book your session with Caroline and take the first step towards a healthier, more active lifestyle. CONTACT Qualified Physical Therapist ​ With years of experience and extensive training in pelvic floor rehabilitation, she is dedicated to helping her clients overcome fertility issues. Compassionate Care for Fertility ​ We are dedicated to delivering compassionate care to individuals seeking support and solutions for fertility-related concerns. Holistic and Comprehensive Approach ​ We offer assessments and evidence-based treatment techniques to support your fertility journey.

Orthopedic Health If you are experiencing pain in the low back, hips, tailbone and joints of the pelvic girdle, you might be surprised to know the pelvic floor is very often involved. “My hips are always out” is one of our most often heard complaints. Fun fact is that much of the pelvic floor musculature is literally attached to the bottom of your spine at the tailbone, as well as having an impact on the hip, and so, very often when people come to us for bladder issues? Their back, hip, knee and foot issues resolve right along with their bladder. We can help you understand this impact and resolve those long standing back and “hip” issues that traditional therapy may not have been able to address. ​ There is an extremely high correlation between back pain and urinary incontinence. If you have either one, or both, come see us. ​ If you have had an injury and/or surgery to one of your legs, you can develop pelvic floor dysfunction, depending on the degree and impact of the injury. HOME / SERVICES / WHAT WE TREAT / ORTHOPEDIC HEALTH / Get Started Today Caroline's expertise and personalized approach to therapy ensure that you receive top-notch care tailored to your needs. Contact us today to book your session with Caroline and take the first step towards a healthier, more active lifestyle. CONTACT Qualified Physical Therapist ​ With years of experience and extensive training in pelvic floor rehabilitation, she is dedicated to helping her clients overcome orthopedic issues and regain control over their health. Compassionate Care for Orthopedic Health ​ We are dedicated to delivering compassionate care to individuals seeking support and treatment for orthopedic-related concerns. Importance of Orthopedic Health ​ Understanding the importance of orthopedic health is crucial for overall well-being and quality of life.

Menopause If you are born with female reproductive organs, namely ovaries, you are guaranteed to go through “the Menopause” at some point in your life. If you’re lucky. Think about that. ​ From the second decade of life to around the fifth, women are hormonally influenced (this is a nice way of putting it,) on a monthly basis by hormonal changes that are programmed, in a healthy body, to facilitate fertility. As we grow out of the childbearing years, hormone levels fluctuate and then decline, until there is very little of that cycle left. ​ This can occur naturally in your fifth decade, as the ovaries stop producing viable eggs, and therefore endometrial tissue stops building and then shedding in the menstrual cycle. As this “change” occurs, chaos can, and often does, ensue. On either end of the spectrum, we have the extremes. On one end, we have the women who barely even notice this has happened, and on the other, the women who are overwhelmed by every possible symptom of menopause. The majority of women will experience something in the middle. ​ Surgical and medical menopause results in the same outcome, the cessation of ovulation and menstruation. Surgical removal of the uterus, a hysterectomy, can induce early menopause, and the symptoms can be more extreme with the immediate loss of hormonal messengers in the system. Even if the ovaries are spared in a hysterectomy, menopause will still occur earlier than it might have naturally, and the symptoms may tend to be more extreme. Undergoing chemotherapy can also induce menopause. Some women experience an early menopause before forty. ​ Menopause can bring about various changes in a woman's body, including those affecting pelvic health. Symptoms such as urinary incontinence, vaginal dryness, joint pain, changes in the sexual experience, and pelvic pain, to name just a few, are common during this time. Others include brain fog, mental health struggles, sleep disturbances, memory issues, cardiac changes and bone density impacts. ​ The good news here, is that, unlike what you may have been led to fear by your mother and her mother, menopause isn’t always something to live in fear of. Instead, it can be a welcome change that gives you a new opportunity to thrive in life, if well prepared for and managed. IOPT distinctly focuses on menopause care and is ideally positioned to help you navigate this change with confidence and understanding. ​ Pelvic health physical therapy offers specialized treatments to address all of these, and often collaborates with other providers to offer you a full spectrum approach to management. Through education, goal setting, lifestyle changes, nervous system management, soft tissue management, as well as targeted and integrated exercise programs, your personal physical therapist can help you manage menopause-related pelvic health concerns, improve muscle function, and enhance overall quality of life throughout the health span you envision for yourself. Your best approach to navigating this time with ease is to educate and prepare yourself. ​ Partnering with IOPT for personalized care and support as you approach and progress through this shift will ensure the best experience possible. We look forward to helping you change the rest of your life! HOME / SERVICES / WHAT WE TREAT / MENOPAUSE / Get Started Today Caroline's expertise and personalized approach to therapy ensure that you receive top-notch care tailored to your needs. Contact us today to book your session with Caroline and take the first step towards a healthier, more active lifestyle. CONTACT Qualified Physical Therapist ​ With years of experience and extensive training in pelvic floor rehabilitation, she is dedicated to helping her clients manage menopause-related pelvic health concerns. Compassionate Menopause Care ​ We are dedicated to delivering compassionate care to individuals seeking support and treatment for menopause-related concerns. Importance of Menopause Care ​ Understanding the importance of menopause care is crucial for overall well-being and quality of life.

Our Services Get Connected Who We Treat Women Men Gender Diverse Children and Adolescents WHO WE TREAT How We Treat HOW WE TREAT Assess Educate Regulate Modify Mobilize Align Coordinate Integrate What We Treat WHAT WE TREAT Pelvic Health Bladder Health Bowel Health Reproductive Health Sexual Health Sports, Fitness + Play Orthopedic Health Medical Health