Heart and Sole Therapy

406.702.2779

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women’s pelvic floor health

pelvic floor therapy for women; restore. reconnect. renew.

Women’s Pelvic Floor Health is essential to overall well-being, yet it’s often overlooked. Whether you’re experiencing urinary incontinence, pelvic pain, postpartum recovery challenges, or discomfort during intimacy, pelvic floor therapy offers a safe, holistic, and non-invasive solution. At Heart and Sole Therapy, we specialize in women’s pelvic health therapy designed to address a wide range of conditions that affect the muscles, ligaments, and connective tissues of the pelvic region. Our personalized treatment plans are led by licensed pelvic floor physical therapists who understand the unique needs of women at every life stage—from pregnancy and postpartum to menopause and beyond. Through gentle, targeted exercises, manual therapy, and education, we help you regain strength, control, and confidence in your daily life. Don’t let pelvic floor issues hold you back—discover the healing benefits of pelvic physical therapy today.

Women’s Pelvic Floor Health is essential to overall well-being, yet it’s often overlooked. Whether you’re experiencing urinary incontinence, pelvic pain, postpartum recovery challenges, or discomfort during intimacy, pelvic floor therapy offers a safe, holistic, and non-invasive solution. At Heart and Sole Therapy, we specialize in women’s pelvic health therapy designed to address a wide range of conditions that affect the muscles, ligaments, and connective tissues of the pelvic region.

Our personalized treatment plans are led by licensed pelvic floor physical therapists who understand the unique needs of women at every life stage—from pregnancy and postpartum to menopause and beyond. Through gentle, targeted exercises, manual therapy, and education, we help you regain strength, control, and confidence in your daily life. Don’t let pelvic floor issues hold you back—discover the healing benefits of pelvic physical therapy today.

fax referral to 855.702.2523

schedule an appointment

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 the bladder, rectum, and urethra in men, aiding with functions like urination, bowel control, and sexual health.

Just like any other muscle group, the pelvic floor can become weak or tight, leading to a variety of health issues. Often overlooked by men, pelvic floor physical therapy offers a powerful and effective treatment for problems like prolonged bladder and bowel issues, pain, and discomfort.

The Truth

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

Knowledge is power and education is freedom.

Common pelvic floor conditions include:

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.

Whether you’re experiencing urinary leakage, urinary frequency, or erectile dysfunction, our pelvic floor specialists are dedicated to providing the personalized care you need to reclaim your strength and live life to the fullest.

learn more about our clinic

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

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.

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.

pregnancy & postpartum
pelvic floor questionnaire
more about pessary fitting

pessary fittings and maintenance for pelvic organ support

Pessary devices offer non-surgical relief for pelvic organ prolapse and incontinence by providing internal support to the pelvic floor. At Heart and Sole Therapy, we specialize in custom pessary fittings and ongoing maintenance to ensure comfort, proper function, and long-term support. Our experienced eam will guide you through the fitting process and provide personalized care to help you manage symptoms and improve daily comfort with confidence.

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.

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;

Common causes include pregnancy, childbirth, aging, heavy lifting, chronic coughing, straining, or even high-impact sports. Hormonal changes and surgery can also affect pelvic floor strength.

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. 

We accept most major insurance plans, including Medicaid and several private providers. For a full list or to verify your coverage, please contact our office directly.

During your visit, your therapist will conduct an initial evaluation and create a customized therapy plan tailored to you or your child’s needs. Sessions are engaging, goal-oriented, and designed to support long-term growth in a positive environment.

Please have all online intake paperwork submitted before your appointment and bring:

  • Insurance card
  • Photo ID
  • Any relevant medical records or referrals
  • Way of payment
questions? visit our faq page

other pelvic floor treatments:

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;

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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