Heart and Sole Therapy

406.702.2779

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Pelvic Health for
Pregnancy, Birth, and Beyond

why pelvic floor therapy matters from planning and
conception to postpartum recovery.

At Heart and Sole Therapy, we are advocates for women’s health and specialize in pelvic floor therapy that supports you through every stage of your pregnancy journey—from planning and conception to postpartum recovery. Pelvic floor physical therapy offers more than just treatment—it offers education, empowerment, and proactive care. We believe that when you understand your body, you can move through every stage of pregnancy with confidence. Whether you’re trying to conceive, navigating your third trimester, experiencing pain, preparing for labor, or simply want to optimize your health, or healing after childbirth, our experienced therapists are here to help your body feel strong, supported, and empowered.

At Heart and Sole Therapy, we are advocates for women’s health and specialize in pelvic floor therapy that supports you through every stage of your pregnancy journey—from planning and conception to postpartum recovery. Pelvic floor physical therapy offers more than just treatment—it offers education, empowerment, and proactive care. We believe that when you understand your body, you can move through every stage of pregnancy with confidence. Whether you’re

trying to conceive, navigating your third trimester, experiencing pain, preparing for labor, or simply want to optimize your health, or healing after childbirth, our experienced therapists are here to help your body feel strong, supported, and empowered.

why choose our practice
fax referral to 855.702.2523

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WHAT IS YOUR PELVIC FLOOR?

The pelvic floor is a group of muscles, ligaments, and connective tissues located at the base of your pelvis. Think of it like a hammock or sling that stretches from your pubic bone in the front to your tailbone in the back, and side to side between your sit bones.

These muscles support some of the most important parts of your body, including your: bladder, uterus (womb) and rectum (lower bowel). Your pelvic floor muscles play a crucial role in your everyday health and wellness by helping with: bladder control, bowel control , sexual function, core support, pregnancy and childbirth, and postpartum recovery – healing after birth, whether vaginal or C-section. If you have low back pain, hip pain, sciatica, abdomen pain or groin pain; pelvic floor therapy can help.

Your pelvic floor changes through life

Your pelvic floor changes over time and may need extra care during: puberty and periods, pregnancy and postpartum, menopause and aging, after surgeries or injuries, and caring for your pelvic floor is an essential part of whole-body wellness—just like taking care of your heart, joints, or mental health.

Pre-Pregnancy:

Preparing Your Body for Conception

The foundation of a healthy pregnancy begins before you conceive. Pelvic floor physical therapy can
• Assess and address any pre-existing pelvic floor dysfunction
• Optimize muscle coordination and core stability
• Support proper bladder, bowel, and sexual function
• Reduce discomfort from conditions like endometriosis or PCOS
• Improve overall pelvic alignment and mobility

Preparing your pelvic floor before pregnancy can help ease future transitions and reduce complications later on.

OUR PELVIC RESOURCES

First Trimester:

Early Support

Your body begins to change immediately in early pregnancy. We offer gentle, tailored therapy that
• Addresses nausea- or posture-related tension
• Supports spinal and pelvic alignment as ligaments begin to loosen
• Starts education on pelvic floor awareness and breath connection

• Prevents or manages urinary frequency or early incontinence
• Assess constipation and bloating in early pregnancy

It’s never too early to start connecting with your pelvic floor.

Second Trimester:

Building Strength and Resilience

As your pregnancy progresses, you may notice more physical and
postural changes. Our therapists can help:
• Teach safe, effective exercises to maintain strength
• Manage back, hip, and pelvic pain
• Begin targeted labor prep techniques

• Monitor and support pelvic organ function
• Improve circulation and manage swelling

We’ll help your body adapt and thrive during these transformative months.

Third Trimester:

Labor Preparation and Birth Readiness

This stage is all about preparing for childbirth. Pelvic floor therapy can help:
• Teach perineal massage techniques to reduce tearing risk
• Improve pelvic mobility for an easier labor and delivery
• Practice breathing and pushing strategies that protect the
pelvic floor

• Support optimal baby positioning through body alignment
• Reduce fear and anxiety with a focus on informed,
empowered birth

Labor prep is a cornerstone of our care—whether you’re planning a vaginal or cesarean birth.

Postpartum:

Healing and Rebuilding

The postpartum period is a time of healing, adjustment, and rediscovery. Our therapy sessions support you in:
• Reconnecting with your core and pelvic floor
• Addressing any tearing, episiotomy, or C-section scar issues
• Resolving urinary or bowel incontinence
• Managing diastasis recti (abdominal separation)

• Supporting sexual health and pelvic comfort
• Rebuilding strength safely, whether you’re 6 weeks or 6 years postpartum

No matter how long it’s been since birth, it’s never too late to get support.

our postpartum page

Our Mission

Our mission at Heart & Sole Therapy is to provide a safe space for women, men 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.

Why heart and Sole therapy?

At Heart and Sole Therapy, we understand the challenges men face with pelvic floor dysfunction. We offer a comprehensive approach, combining targeted pelvic floor therapy with personalized lifestyle adjustments. We aim to empower you to take charge of your health and reclaim your comfort and confidence. This therapy offers a safe and effective way to manage a wide range of pelvic floor disorders and open, honest communication with your therapist.

We’re honored to be a part of your journey. Contact us today to schedule a consultation or learn more about how pelvic health therapy can support your pregnancy, birth, and postpartum experience.

call to schedule 406.702.2779

our pelvic floor therapists

physical therapists | Pelvic floor specialists

Founder, Owner
Physical Therapist, Pelvic Floor Specialist

Dr. Courtney James

Physical Therapist, Pelvic Floor Specialist

Dr. Bri Blohm

planning to become pregnant?
Already pregnant? postpartum?

Pelvic floor health plays a vital role in every stage of the motherhood journey—from trying to conceive to pregnancy and postpartum healing. At Heart and Sole Therapy, we offer expert pelvic floor therapy to support fertility by improving circulation and reducing pelvic tension, ease pregnancy-related discomfort, and promote faster, safer postpartum recovery. Whether you’re preparing your body for baby, for birth or healing after delivery, our personalized care helps strengthen your core, reduce pain, and restore balance.

Pelvic floor health plays a vital role in every stage of the motherhood journey—from trying to conceive to pregnancy and postpartum healing. At Heart and Sole Therapy, we offer expert pelvic floor therapy to support fertility by improving circulation and reducing pelvic tension, ease pregnancy-related discomfort, and promote faster,

safer postpartum recovery. Whether you’re preparing your body for baby, for birth or healing after delivery, our personalized care helps strengthen your core, reduce pain, and restore balance.

first time moms

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

interview

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 medical history. We will discuss other relevant past medical history, medications, and injuries that you have experienced.

physical examination

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.

pelvic floor assessment

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

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.

we’re here to answer
your questions

There are a variety of treatments and interventions that may be used to support or complement pelvic health recovery. These treatments can depend on the specific issues. Some of those treatments may include but are not limited to;

Yes. In fact, pelvic floor therapy during pregnancy can support a healthier, more comfortable pregnancy and smoother postpartum recovery. Our therapists use safe, modified approaches tailored to your trimester and comfort level.

No, a referral is NOT required to begin therapy services at Heart and Sole. However, some insurance plans may require a referral for coverage, so we recommend checking with your insurance if you have questions. 

Absolutely. Our pelvic health therapists are trained to treat pregnancy-related discomfort, including low back pain, pubic symphysis dysfunction, and sacroiliac joint pain. Gentle, pregnancy-safe techniques can improve your comfort and mobility. As well as give you labor prep and talk about postpartum care.

Yes. These symptoms are often related to pelvic floor dysfunction. Therapy can help you regain strength and control through targeted exercises, behavior strategies, and manual techniques. You don’t have to live with leakage — treatment is highly effective.

questions? visit our faq page

what our clients are saying?

Britta Dalbey connected so well with my daughter and helped to evaluate her speech needs and develop and implement a treatment plan. I knew I wanted her to help with my son when we discovered he needed help with speech as well. She proved just as invaluable with him. We saw excellent results and my kids always looked forward to visits with Britta.

k. smith, review on facebook

We had Courtney for our son’s PT and she was phenomenal!! She went above and beyond explaining things for us. Answered every one of my worried texts. We saw improvement every single week with her exercises. I highly recommend her!!

s. zenter, review on facebook

We have been seeing Courtney for 3.5 years! We absolutely love her! We are so excited for her to open her own practice!

B. mccracken, review on facebook

Kelcy has helped my youngest son so much. She is so creative in getting him to engage with her and always has new ideas. I can’t recommend her enough. And to top it off she is so kind and understanding of the difficulties that can come with parenting! She is amazing!

k. meyer, review on facebook

Britta is an amazing speech therapist. She worked so hard with our son, and he loved every minute of it! Could not recommend her more highly.

b. brindle, review on facebook

Courtney is amazing! She is very understanding, listens, asks questions, and really gets up in your business, which is a good thing if you want a strong, respectable, and straight forward therapist. I felt extremely comfortable when telling her all about myself. She does not make you feel embarrassed or self-conscious at all. I would recommend. . .

c. cervantez, review on facebook

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pediatric therapy and pelvic health specialists conveniently located in billings MT

Dr. Courtney James Founder, Owner Physical Therapist, Pelvic Floor Specialist

Dr. Courtney James is the founder and owner of Heart & Sole Therapy. She is a Montana native who was raised in Laurel, MT. She graduated from the University of Montana with her Doctorate of Physical Therapy and moved back home. A passion for women’s health and pediatrics led her to completing extensive course work in both areas and eventually opening her own clinic where she focuses her time and energy on serving the children and women of Billings. Dr. James has always wanted to bring her passion and love for horses into the physical therapy realm. She has completed her level one and level two training through the American Hippotherapy Association and is currently studying to become a Board Certified Hippotherapy Clinical Specialist. Her dream is to open a facility in Billings that will house horses within a clinical environment to treat individuals with the use of equine movement in a sensory rich atmosphere.

Dr. James is a wife and mother of two beautiful children, and many horses and animals. She loves spending time outdoors, camping with family and friends, riding and training horses, attending equestrian events, and ice cream.

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 getting you 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.

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Dr. Bri Blohm
Physical Therapist, Pelvic Floor Specialist

Dr. Bri Blohm is passionate about all things related to the pelvis and wants to help you with your pelvic concerns! She sought out her doctorate knowing she wanted to treat this specialty, and has since been serving many individuals of all genders in Billings. See Bri for honest, fun, blunt, supportive, and holistic care. She also has a Masters in Exercise Physiology, is a Pre and Postnatal Credentialed Coach, a Certified Strength and Conditioning Specialist, an Exercise Physiologist, and practices dry needling and blood flow restriction training. Bri has received specialized trainings for pessary fittings and management. She is obsessed with the Beatles and Elvis, and loves true crime TV. She is ready to help you get back to feeling confident and living your best life!

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