Heart and Sole

406.702.2779

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pelvic health therapy

Dr. Courtney James is the founder and owner of Heart & Sole Therapy. Courtney offers personalized care that goes beyond traditional pelvic floor physical therapy, she focuses on restoring balance within the body, and meeting you where you are in your journey. She is passionate about patient advocacy and believes that women and children deserve a better standard of care when it comes to pelvic health.

That’s not normal, get your life back

At Heart and Sole Pelvic Therapy when we say ‘that’s not normal’ what we mean is, it is not something you shouldn‘t have to live with. Pelvic floor dysfunction is common, but not normal—so let’s do something about it. When you come into our studio, you will receive our therapists undivided attention for the full 60-minute session. By providing one-on-one treatment to help you return to the activities you love. We recognize that every body is unique, which is why our treatment plans are individualized, too.

The Truth

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

Knowledge is POWER &
education is FREEDOM.

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Pelvic Health Services

Women’s Pelvic health 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.

pregnancy Pelvic floor therapy during pregnancy can have numerous benefits. Strengthening your pelvic floor prior to birth has been shown to reduce postpartum complications. If you have low back pain, hip pain, sciatica, abdomen pain or groin pain; pelvic floor therapy can help.

other treatments

Postpartum Following birth some women may experience painful sex, urinary leaking, back/hip pain, pelvic organ prolapse, and stomach muscle separation (diastasis recti). Multiple births can cause your pelvic floor symptoms to worsen. Postpartum pelvic floor recovery is more than just “doing kegels.” Every pregnancy and body is different. A comprehensive whole body assessment is essential to aid in the return of your normal daily activities.

Pediatric Pelvic Floor A strong and properly functioning pelvic floor is vital for children to develop appropriate bowel and bladder control. Pediatric pelvic floor dysfunction affects at least 20% of school aged children worldwide. Millions of children are suffering from pelvic floor dysfunction and their families are left frustrated not knowing how to help. These children are often left feeling shame or embarrassment. Pelvic floor therapy is a successful non-invasive treatment for many conditions.

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.
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steps to your pelvic evaluation

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Hippotherapy

coming soon...

The term “hippotherapy” is derived from the Greek word “hippos,” which means horse. While it may sound like a recreational activity, it is, in fact, a specialized intervention conducted by trained physical therapists, occupational therapists, or speech-language pathologists, who incorporate the movement of the horse into their treatment plans.

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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