Perimenopause & menopause · Edmonds, WA
Feel strong, supported, and confident through every chapter.
We specialize in proactive, evidence-based care for women navigating perimenopause and menopause. Our goal is simple: help you stay strong, dry, active, mobile, and fully engaged in your life.
Why it happens
Your body is responding, not failing.
As estrogen declines, the pelvic floor muscles, vaginal and bladder tissue, connective tissue, bones, and joints all change. Collagen production drops, muscle mass declines, and tissues become less resilient. The Menopause Society estimates that around half of postmenopausal women experience genitourinary symptoms such as dryness, urgency, or pain with intimacy.
Bone changes too. The Bone Health & Osteoporosis Foundation notes that women can lose up to 20% of their bone density in the five to seven years after menopause. Together these changes can contribute to bladder leaks, prolapse symptoms, joint pain, and reduced strength. It's not in your head. It's biology.
The good news is that the body responds beautifully to the right strength training, pelvic floor therapy, and proactive movement. Our Doctors of Physical Therapy build a personalized plan that addresses the whole woman, and work alongside your physician or menopause provider when medical treatment is part of your care.
Watch: real talk about perimenopause
Sound familiar?
The shifts you're noticing aren't just getting older. They're treatable changes with real, evidence-based solutions.
Changes you may be noticing:
Urinary leakage or urgency
Waking at night to pee
Pelvic pressure or prolapse
Vaginal dryness or discomfort
Pain with intimacy
Recurring bladder irritation or UTI-like symptoms
Signs your body needs a stronger foundation:
Core weakness or abdominal separation
Hip, back, or SI joint pain
Persistent stiffness and joint pain
Osteopenia or osteoporosis concerns
Balance changes or fear of falling
Feeling weaker even though you stay active
Our proactive approach
Not just symptom management. A plan built for the long term.
Targeted manual therapy and training to restore pelvic floor function as estrogen changes.
Functional strength work tailored to your stage, your body, and your goals.
Osteoporosis-safe programming designed to support bone density and help prevent fractures.
Stability training to protect your independence and confidence.
Hands-on work to maintain joint mobility, ease stiffness, and improve range of motion.
Practical, evidence-based guidance for healthy bladder and bowel habits.
Every stage
The earlier you start, the more you can protect. But it's never too late to get stronger.
Build pelvic floor and bone strength in your 30s and 40s, before hormones start to shift.
Address new leaking, urgency, joint aches, and changes with intimacy as cycles become irregular.
Restore pelvic floor function and strength as estrogen declines.
Protect your bones, balance, and bladder control for the decades ahead.
Your journey with us
1
A complimentary visit with a pelvic floor expert. Share your concerns and goals, and decide together whether our care is the right fit for you.
2
A thorough assessment of your breathing, posture, core, hips, and pelvic floor to find the root cause and design your individual plan of care. Any internal exam is explained first and always your choice.
3
Hands-on treatment, targeted exercise, and education, scheduled to match your plan of care and your goals.
4
Once you have your plan, choose a 12, 16, or 24 visit package of care.
Patient stories
★★★★★ 5.0 on Google
Menopause care FAQs
It's common, but it isn't normal, and it's treatable. Lower estrogen affects bladder and pelvic tissue, but supervised pelvic floor muscle training is a recommended first-line treatment for leaking at any age.
Yes. Pain with intimacy often involves pelvic floor tension as well as tissue changes. We treat the muscular side and work alongside your provider, who may also recommend treatments such as vaginal moisturizers or local estrogen.
Often, yes. Pelvic floor training, pressure management, and strength work can reduce heaviness and bulging symptoms. If a pessary or surgical opinion would help, we'll tell you.
With the right programming, yes. Progressive, osteoporosis-safe strength and impact training is one of the best ways to support bone health. We tailor every exercise to your bone density and history.
Ideally before symptoms start, in your late 30s or 40s. But it's never too late. We help women in their 50s, 60s, and beyond get stronger and more comfortable.
No. Many of our clients are in perimenopause, and some come in earlier to be proactive. Symptoms like new leaking, urgency, or joint aches are a great reason to start.
Yes. We're a leader in regenerative technology for women's health, and shockwave, EMTT, and red light therapy can be paired with hands-on physical therapy as part of your plan.
No. An internal assessment is the most direct way to check your pelvic floor, and we'll explain how it can help, but it is always your choice. We can start treatment either way.
It depends on your symptoms and goals. After your evaluation we'll recommend a plan of care and a 12, 16, or 24 visit package that fits it.
Watch & learn
Straight answers from our founder on perimenopause and menopause.
The early changes many women miss, and what they mean for your pelvic floor.
Practical, non-medication ways to feel better through the transition.
Why strength and pelvic health are the foundation for aging well.
On Instagram
Midlife pelvic health tips from @bodymotionpt.
From the blog
Go deeper with articles on menopause and pelvic health.
Why pelvic wellness needs attention before perimenopause, not after symptoms start.
What Dr. Allison wishes every woman knew before menopause.
How to keep your pelvic floor healthy as hormones change.
A message from our founder
Years ago, I was frustrated in my own postpartum body. Since then I've seen too many women in their 40s and 50s dealing with hip, back, and joint pain, and leaking too, who go on to need joint replacements and, later, live with incontinence. That cycle is why I started Body Motion. Most women wait months or even years before getting help, and the one thing I can promise is that doing nothing won't make pelvic floor issues better. The next step is to take action. — Dr. Allison Feldt, PT, DPT
Meet our teamDr. Allison Feldt is a pelvic floor physical therapist and the founder and owner of Body Motion Physical Therapy in Edmonds, WA. She earned her Doctorate in Physical Therapy from Midwestern University in 2012.
Doctor of Physical Therapy, Midwestern University (2012)
Pelvic floor physical therapist and clinic founder
Leads a team of Doctors of Physical Therapy focused on women's pelvic health
A mom who has been through pregnancy and postpartum recovery herself
Take action today
just getting older.
If you've been told that leaking, pain, or weakness is part of aging, there are solutions. Book a free discovery visit and take the next step toward confident, empowered aging.
Prefer to talk first? Call us at (425) 582-0727