Heart and Sole

Heart and Sole therapy was founded in 2024. We are committed to customize a treatment to you and your therapy needs. Don’t settle for the dreaded words “that’s normal”and take your life back. Women deserve more! Access and awareness to services that provide a holistic approach for relief of common, but NOT normal, conditions. Pelvic floor therapy for women goes beyond kegels. We know that most pregnant and postpartum women don’t get the support they need from the traditional healthcare system to care for themselves and manage pelvic floor challenges. We’re here to change that. Heart and Sole Pelvic Health is dedicated to helping children and their parents identify underlying issues and provide solutions unique to their child's circumstances. Exciting news! We are expanding our business and location! In the New Year we will be providing more care for our Pediatric Services with Physical, Occupational, and Speech Therapy. We are looking for Pediatric and Pelvic Health individuals. Please inquire and submit your resume to [email protected] Pediatric occupational therapy supports children in developing essential life skills through play, daily routines, and therapeutic activities. Our trained occupational therapists address developmental, physical, sensory, and cognitive challenges, enabling children to thrive in various aspects of life. Pediatric speech therapy is provided by licensed speech-language pathologists (SLPs) who assess, diagnose, and treat a variety of speech and language disorders in children. The goal is to enhance a child's ability to express themselves, understand others, and use language effectively in daily life. Pediatric Physical Therapy helps infants, children, and adolescents develop, improve, and restore physical abilities related to movement, balance, strength, and coordination. Pediatric physical therapists are specially trained to assess the unique needs of children and create personalized treatment plans.

  • pediatric therapy
  • occupational
  • physical therapy
  • speech therapy
  • pelvic health
  • pediatric
  • women’s health
  • pregnancy
  • postpartum

Heart and Sole Therapy was founded in 2024 and is located in Billings, Montana. We offer personalized care that goes beyond traditional therapy. We focus on restoring balance within the body, and meeting you where you are in your journey. Our team is passionate about patient advocacy and believe that women and children deserve a better standard of care in pelvic floor and early intervention. We are committed to provide a safe space for women and children to feel heard and seen. We are devoted to enhancing each individual’s quality of life and ensuring that your needs are being addressed.

Dr. Courtney James PT, DPT

Dr. Courtney James is the founder and owner of Heart & Sole Therapy. Many people with various challenges have gone from doctor to doctor without a resolution to their symptoms; Courtney is dedicated to helping you get to the root of your issue and dedicated to get to your best self. She seeks to challenge the current healthcare system and change the narrative so that women and children can receive the best care possible. 

Exciting news! We are expanding our services and our team but are staying true to our mission of providing comprehensive, compassionate and individualized plans for the best outcomes. In the new year we will be providing more care for our pediatric services with Physical, Occupational, and Speech Therapy.

Pediatric services

At Heart and Sole Therapy, our mission is to empower children and their families by providing comprehensive, compassionate, and individualized pediatric therapy services with a collaborative team based approach. Through Physical, Occupational, and Speech Therapy, we aim to foster each child’s unique strengths, promote functional independence, and support their developmental journey. We strive to enhance the quality of life of each child we serve through collaboration, innovation, and evidence-based practices, ensuring they can reach their full potential.

our pediatric services

Early Identification and Intervention

Pediatric therapists often identify developmental delays or challenges early on, which can lead to early intervention. This is critical because addressing issues at a young age can prevent more significant difficulties later in life.

Pediatric services

At Heart and Sole Therapy, our mission is to empower children and their families by providing comprehensive, compassionate, and individualized pediatric therapy services with a collaborative team based approach. Through Physical, Occupational, and Speech Therapy, we aim to foster each child’s unique strengths,

promote functional independence, and support their developmental journey. We strive to enhance the quality of life of each child we serve through collaboration, innovation, and evidence-based practices, ensuring they can reach their full potential.

our pediatric services

Early Identification and Intervention

Pediatric therapists often identify developmental delays or challenges early on, which can lead to early intervention. This is critical because addressing issues at a young age can prevent more significant difficulties later in life.

pediatric challengeS | delays

Every Child Matters

From our office staff to our therapists, each person works diligently at meeting the patient and their family’s needs. At Heart and Sole, our therapists are continually challenged to be at the forefront of treatments to provide the best possible care. Our goal is for you and your child to leave our clinic with a memorable and enjoyable experience. We will do everything we can to make you feel right at home.

Courtney’s guidance not only restored me to engaging in life like I hadn’t since having kids, but also helped me find a piece of myself that had been missing. - L.R. Courtney has helped me immensely with pelvic floor workouts, building better health habits, understanding my body and it’s functions, and overall is incredible what she does. She takes the time to listen to you and genuinely cares about curing the problem, not just throwing a bandaid on top of it. She is trustworthy, reliable, communicative and I would recommend her to all in search in search of her services. -A.N. After experiencing Pelvic Floor Dysfunction for over six years, working with Courtney made it possible for me to engage in activities that I had avoided. Even though I live far from Billings, she worked with me to find ways to make noticeable and prolific progress. Courtney’s guidance not only restored me to engaging in life like I hadn’t since having kids, but also helped me find a piece of myself that had been missing. I will forever be grateful for the time working with such a professional, knowledgeable, and compassionate Physical Therapist. -L.R. My husband and I took our-6-year-old with constipation and soiling issues to see Courtney for pelvic floor therapy and a new treatment she had not yet tried out on a patient before so we were VERY excited to be her first patient to try this new program! Courtney was incredibly compassionate and understanding. The program was a year long and between her dedication, hard work and our work at home, we saw such substantial progress in just a few short weeks. Not only did our son see her for pelvic floor therapy, but I saw her as well after our daughter was born. After having 4 kids in a little bit of time, my body didn't have much time to heal and boy did she kick my ass in a good way. She pushed me just enough so my body knew how it was supposed to work it the right way. She made me feel SO much better. She cares for the well being of ALL of her patients and truly wants everyone to get better. I would highly recommend Courtney for any type of physical therapy needs if you are looking for one. -T.Y. I am so glad I found Courtney to treat my son’s core and pelvic floor issues. She keeps each session fun and engaging for him and the home exercises manageable for me. We’ve seen amazing results already and are excited to continue working with her. I’d recommend her to any parent looking for a pediatric PT especially for pelvic floor! -J.H. My first birth was extremely difficult and traumatizing, resulting in pelvic floor dysfunction. Because of this, I felt like birthing a second child would be out of the question. However, after working with Courtney, I felt empowered and encouraged to have another child. My second birth was a much better experience because of the knowledge and experience Courtney offered that allowed me to heal. -R.P. We have been seeing Courtney for my daughter’s bowel and bladder issues! She has worked wonders for us and gave us new hope -T.N.B.

Pelvic Floor Services

Pelvic Health Therapy is a therapy that can be uniquely customized to each individual person. We know that most pregnant and postpartum women don’t get the support they need from the traditional healthcare system to care for themselves and manage pelvic floor challenges. AND most parents are left in the dark to deal with their child’s pelvic floor dysfunction. At Heart and Sole Pelvic Therapy when we say ‘that’s not normal’ what we mean is, it is not something you should have to live with. It is something you can rehabilitate and improve. We can give you the guide you in strengthening and coordinating pelvic floor muscles, learning how to breathe and move in a way that supports the pelvic floor, these symptoms that so many live with for years can be drastically improved.

our peLvic floor Therapy

The Truth

Many pelvic floor disorders are highly treatable with non-surgical specialized pelvic floor treatment.

Knowledge is POWER &
education is FREEDOM.

Pelvic Floor Services

Pelvic Health Therapy is a therapy that can be uniquely customized to each individual person. We know that most pregnant and postpartum women don’t get the support they need from the traditional healthcare system to care for themselves and manage pelvic floor challenges. AND most parents are left in the dark to deal with their child’s pelvic floor dysfunction.

At Heart and Sole Pelvic Therapy when we say ‘that’s not normal’ what we mean is, it is not something you should have to live with. It is something you can rehabilitate and improve. We can give you the guide you in strengthening and coordinating pelvic floor muscles, learning how to breathe and move in a way that supports the pelvic floor, these symptoms that so many live with for years can be drastically improved.

our peLvic floor Therapy

The Truth

Many pelvic floor disorders are highly treatable with non-surgical specialized pelvic floor treatment.

Knowledge is POWER &
education is FREEDOM.

common pelvic floor problems

what is your pelvic floor?

The pelvic floor is a group of muscles and connective tissues that stretch from the pubic bone to the tailbone and hold the pelvic organs in place and stabilize the spine. A healthy pelvic floor can contract, squeeze, lift, relax, and fully contract to fully relax.

These muscles support your bladder, rectum, and reproductive organs, and they help control the functions of those organs: peeing, pooping, menstruation, sex, and childbirth.

A weakness or tightness in the pelvic floor muscles can cause or worsen a number of problems, including but not limited to: pelvic organ prolapse, loss of sexual sensation, and painful intercourse.

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PEDIATRIC ASSESSMENT

what does an assessment
for a child look like?

Our number one goal is to make your child feel safe and to have fun!

Assessment. The therapist will evaluate your child’s abilities, needs, and goals by observing daily skills and conducting standardized assessments.

Customized Treatment Plan. A therapist will create an individualized therapy plan based on your child’s strengths, challenges, and desired outcomes.
Therapeutic Activities: Sessions often include play-based activities designed to be engaging while targeting specific skills. Therapy may involve exercises, sensory play, adaptive techniques, and caregiver education.

INITIAL ASSESSMENT

Steps for your pelvic floor evaluation

Our goal is for you to feel heard and seen from your first appointment to your continuing care and journey to meet your needs

Review of current and past medical history. Your therapist will ask you several questions related to your pelvic floor. We will cover details regarding bowel, bladder, and sexual function as well as current or past obstetric history. We will discuss other relevant past medical history, medications, and injuries that you have experienced.

Physical Examination. Your therapist will begin with an overall body assessment. This may include an assessment of your strength, mobility, alignment, balance, posture, sensation, and coordination.

An external and internal examination will be discussed. Your pelvic floor is a private area, your therapist will discuss the goals and purpose of an internal examination prior to the exam taking place. An internal examination allows for the therapist to assess the strength, endurance, coordination, pain, tension and awareness of your pelvic floor muscles. There are special tests that can be performed with an internal examination.

Development of treatment plan. Your therapist will review your goals for therapy and determine the best plan of action that works for you and your therapist. You will be given recommendations and a few exercises to work on at home.

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