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In Washington state, you have direct access to your physical therapist without a physician's referral.

At Pinnacle, we take some, but not all insurances. We are happy to do an insurance cost assessment for you regardless of if we are contracted with your insurance.


Women’s Health & Fitness

Get active, stay active, or return to your sport.

Get the holistic female musculoskeletal ASSESSMENT that you cannot get anywhere else!

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60-90 Minute Comprehensive Whole Body Assessment where you can also freely discuss any pelvic health concerns.

No one else in the medical or fitness worlds has the training and education to provide this valuable holistic service.

Address the issues that can hold you back from doing what makes you happy.

  • Muscle & Joint Issues
  • Dance Injuries (Buffy is an old dancer, dance instructor and specializes in this population)
  • Runner Injuries
  • Fitness & Lifting Assessment
  • Shoulder Pain

Treatment for Bladder Issues

  • Are you sick and tired of mapping where the nearest bathrooms are?

  • Can't run, jump, or laugh without risk of leaking urine?

  • Have crazy urges and wonder if you will be able to make it to the toilet in time?

  • Wondering if this will affect you for the rest of your life?

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Issues with bladder leakage or frequency are MUCH more common than you may expect.

  • As many as 30-80% of female highschool and college athletes leak with their sport.
  • 49% of women experience leakage a year after having a baby

Bladder issues usually stem from a imbalance of muscle coordination and strength of the core, pelvis and hips. If you think that Kegels alone will resolve these issues, GUESS AGAIN. The majority of women experiencing urine leakage in our practice actually have pelvic floor muscles that are OVER-TIGHT.

Doing more Kegels will only worsen the problem!

Solving bladder issues requires a holistic whole body approach to reset muscle coordination and balance as well as address alignment issues that may be aggravating symptoms.

Want to get back to or continue running, weight lifting or other activity leakage free? We can help you progress back to these activities with focus on running or lifting form that will help you to integrate your newly trained core muscles with the activity for the best success.


Treating & Managing Prolapse

  • Millions of women will experience symptoms of pelvic organ prolapse.

  • Most often around childbirth or in menopause.

  • In fact, about 50% of ALL WOMEN will prolapse to some degree.

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When women seek out advice from their doctors, they are usually informed about the likelihood of surgery, but much less often about other more holistic and non surgical treatments. If they are, it is usually a brief discussion involving kegel exercises.

But let’s set things straight.

Pelvic organ prolapse (or POP) is a whole body issue involving many muscles and systems related to intra-abdominal pressure. Repetitive pelvic floor contractions (or Kegels) alone, will not be adequate to resolve a pressure system issue.

At Pinnacle, your therapist is an expert in helping women learn to reconnect with their core muscles and manage their intra-abdominal pressure with everyday movements as well as fitness activities.

We will also work with your doctor on other non-surgical options as well as help with post surgery (when needed) recovery to maximize outcomes and prevent relapses. Surgery alone will never resolve a whole body pressure system failure.

Living with POP and THRIVING is possible. It may be DIFFERENT than before, but symptoms and discomfort can be greatly reduced or managed.


Prenatal Care

  • Prepare your body for the best possible delivery

  • Resolve back and pelvic pain during pregnancy

  • Hands on care during pregnancy to resolve back, hip and leg tension

At Pinnacle, we have the opportunity to help many pregnant clients not only survive their pregnancies, but THRIVE through them.  We are focused on resolving discomfort during pregnancy as well as helping our clients prepare their bodies for delivery.

The most common issues we see are...

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  1. Women with a history of pelvic floor pain and tension who need help with learning to properly coordinate pelvic floor muscles (to be able to push effectively) and resolve loss of flexibility in crucial hip and pelvic muscles to allow baby to engage properly for birth. We are a strong advocate for Spinning Babies Daily Essentials, and prescribe specific exercises found within the Daily Essentials program based on the unique needs of each patient.

  2. Women who are trying to optimize chances for a successful v-bac with preparing their bodies for a successful delivery.

  3. Women who are experiencing back, hip or pelvic pain during pregnancy who needs specialized hands on care and tools to reduce pregnancy related pain and discomfort.

  4. Women who are experiencing urinary incontinence during pregnancy.

Click HERE to read our blog post on the New Mom Checklist!


Postpartum Care

Get the postpartum checkup that your doctor or midwife is NOT giving you.

  • Resolve lingering issues from delivery and help you heal (back pain, bladder leakage, bowel leakage, pelvic floor heaviness, pain with sex).

  • Assess your readiness and help you to return to running, lifting, and other activities you LOVE.

Click HERE to read about the postpartum checkup that none of us had, but should!

Click HERE to download the free Postpartum Recovery Checklist


Treatment for Pelvic Pain

Pelvic pain affects millions of women throughout the US and they often suffer in silence.  Not knowing what is wrong, who can help can help, or even talking with a medical provider that is not trained in this issue can result in years of unnecessary and very treatable pain.

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Pelvic floor pain can include experiencing pain with sex, prolonged sitting or standing, bike riding, or the feeling of recurrent UTIs with negative urine cultures. It can also be the source of low back pain when other treatments have failed.

Symptoms of pain can include burning or sharp sensations, a chronic dull ache, or sharp, dull, or tearing pain with intercourse. Pelvic floor pain can radiate into the lower abdomen, groin, sacrum, tailbone as well as low back.

Pelvic Pain can be linked to many issues including:

  • Over-tight pelvic floor muscles
  • Vulvodynia
  • Interstitial Cystitis
  • Endometriosis
  • Pudendal Nerve distribution pain or Pudendal Neuralgia
  • Pelvic Organ Prolapse
  • IBS and other abdominal conditions

Click HERE to check out our BLOG where PELVIC PAIN is addressed in many installments


THERE IS HELP, HOPE, AND A WHOLE LOT OF TRUE EMPATHY HERE!

Start your journey to healing by contacting us for a FREE 20 Minute Consult to see if we are a good fit for each other.