Edmonds, WA · Pelvic Floor Physical Therapy

Call to schedule · (425) 582-0727

Perimenopause & menopause · Edmonds, WA

Perimenopause & menopause

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.

~50%

Of postmenopausal women have genitourinary symptoms

Up to 20%

Bone density lost in the 5 to 7 years after menopause

Free

Discovery visit before you commit

1:1

Private, one-on-one sessions

Why it happens

Why menopause changes the body

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?

What we can help with

The shifts you're noticing aren't just getting older. They're treatable changes with real, evidence-based solutions.

Pelvic & intimate health

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

Strength, bones & joints

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

Book a free discovery visit

Our proactive approach

Prevention, restoration, longevity

Not just symptom management. A plan built for the long term.

Pelvic floor physical therapy

Targeted manual therapy and training to restore pelvic floor function as estrogen changes.

Leaking · Prolapse · Intimacy

Core & strength training

Functional strength work tailored to your stage, your body, and your goals.

Strength · Muscle mass

Bone-loading exercise

Osteoporosis-safe programming designed to support bone density and help prevent fractures.

Bone health · Osteoporosis

Balance & fall prevention

Stability training to protect your independence and confidence.

Balance · Stability

Manual therapy

Hands-on work to maintain joint mobility, ease stiffness, and improve range of motion.

Joints · Mobility

Bladder & bowel education

Practical, evidence-based guidance for healthy bladder and bowel habits.

Urgency · Night-time peeing · Constipation

Every stage

Care through the transition

The earlier you start, the more you can protect. But it's never too late to get stronger.

Before perimenopause

Build pelvic floor and bone strength in your 30s and 40s, before hormones start to shift.

Prevention · Strength base

Perimenopause

Address new leaking, urgency, joint aches, and changes with intimacy as cycles become irregular.

Urgency · Joint pain · Intimacy

Menopause

Restore pelvic floor function and strength as estrogen declines.

Prolapse · Dryness · Core

Postmenopause & beyond

Protect your bones, balance, and bladder control for the decades ahead.

Bone density · Balance · Longevity

Your journey with us

The Body Motion four-step process

1

Discovery visit

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

Initial evaluation

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

Consistent visits

Hands-on treatment, targeted exercise, and education, scheduled to match your plan of care and your goals.

4

Choose your package

Once you have your plan, choose a 12, 16, or 24 visit package of care.

Patient stories

Women who feel strong again

★★★★★ 5.0 on Google

★★★★★

I can’t say enough great things about Body Motion Physical Therapy! As a 50-year-old woman who started pelvic floor therapy three years ago, I’ve experienced incredible results thanks to their expert care. The entire staff is warm, professional, and truly dedicated to their patients’ well-being.

I’ve been seeing Dr. Katrina once a month, and she has been a game-changer for me. Going through perimenopause, I’ve noticed that many of my friends struggle with far more symptoms than I do—and I credit this to the targeted exercises, therapeutic massages, and red light therapy I’ve received here. The difference in my comfort, mobility, and overall health is remarkable.

I highly recommend Body Motion to all women, whether you’re pregnant, postpartum, or navigating menopause. Their holistic approach and personalized treatments make a world of difference. Thank you, Dr. Katrina and the entire team, for helping me feel my best at this stage of life!

10/10 – A life-changing practice! 🌟

★★★★★

I was suffering greatly when I found Body Motion PT. I’d had two c-sections from 16 & 11 years back. Was suffering frequent UTIs and a kidney infection that had resolved momentarily, but I was still suffering UTI pain that was destroying my life. I was at the lowest point in my life and I found Allison and Body Motion. I’ll try I told myself. Nothing to lose. I drove the 2 1/2 hours from my home with hope in my heart. And wow. Within just a few sessions my pain started to dissipate and after many more it’s held strong. I’ve cut back on the amount of time I go and I’ve got my life back. Amazing. When Dr. Riley came on board I started working with her and they’re both phenomenal. I can’t say enough. I wished I had with this with the two births of my children. Could’ve saved myself years of struggle, but glad to have them now. I can live a pain free life and live my best life at 51. Recently started seeing Dr. Marielle, who is new to the area and she is great. Always great staff and love the waiting room area. So warm and inviting

★★★★★

Body Motion was highly recommended by a Fremont physical therapist and I think it might be the best recommendation I have ever had.
I am 58 years old and was concerned and saddened when my occasional knee pain became chronic. Dr Allison and Dr Riley quickly diagnosed that my knee pain involves so much more than my knee!
I see both Dr Riley and Dr Allison to unlearn old habits, embrace new habits, learn how to better move, breathe, walk, engage muscles, and build strength.
My PT with Dr Riley and Dr Allison has been life changing and my UW orthopedic doctor agrees.
I can’t say enough positive things about the practice. I feel seen and heard and completely supported. I feel respected and cared for and appreciated. And I feel capable and confident…. and when I have a low moment, Dr Allison and Dr Riley remind me, and SHOW me, how far I have come and boost my self esteem.
I so appreciate the inviting and professional atmosphere of the office and I LOVE the private treatment rooms.
Devyn is an administrative rock star and makes everything (including insurance claims) an easy breeze…. and I can tell Isabelle is going to be a valuable addition to the team.
As much as anything, I love being connected with these strong, knowledgeable, passionate, and dynamic women. They have not only helped my body, they have profoundly enriched my life. Thank you!

★★★★★

I have been receiving Rejuvenation Technology by way of both EMTT & Shockwave therapy on my knees at Body Motion Physical Therapy . I’m a 65 year young woman, who started having knee pain, out of the blue. Nothing I tried for 2 months helped ease my issues. A friend of mine mentioned this therapy and I decided to try as it’s non surgical. General med just wants to throw prescriptions at it. With each session (I’ve had 4 over about a 4 week period) I began to feel relief and healing from the inside out, each time. The techs are very good at locating the areas that benefit from the therapy, give excellent advice of next steps to work on between secession’s, and the whole staff truly caress out your outcome, right down to scheduling. The ease of arranging appointments is stellar!
I can’t say enough about all of the different avenues of strengthening woman’s bodies they provide and truly appreciate this segway into helping us “2nd adulthood” women too! Thanks for your passion.
Read more reviews

Menopause care FAQs

Frequently asked questions

Is leaking normal in menopause?

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.

Can physical therapy help with pain during intimacy?

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.

Can prolapse improve without surgery?

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.

Is strength training safe if I have osteoporosis?

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.

When should I start?

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.

Do I have to be in menopause to come in?

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.

Do you offer regenerative therapies for menopause?

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.

Do I have to have an internal exam?

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.

How many visits will I need?

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

Dr. Allison explains

Straight answers from our founder on perimenopause and menopause.

Signs of perimenopause

The early changes many women miss, and what they mean for your pelvic floor.

Menopause relief

Practical, non-medication ways to feel better through the transition.

Strength, libido, and longevity

Why strength and pelvic health are the foundation for aging well.

More videos on YouTube

On Instagram

Related social posts

Midlife pelvic health tips from @bodymotionpt.

Follow @bodymotionpt

From the blog

Related articles

Go deeper with articles on menopause and pelvic health.

Sep 1, 2025

Why Pelvic Wellness Must Be Prioritized Before Perimenopause

Why pelvic wellness needs attention before perimenopause, not after symptoms start.

Read article →

Dec 27, 2024

Things I Wish I Knew Before Menopause

What Dr. Allison wishes every woman knew before menopause.

Read article →

Jun 2, 2023

Healthy Pelvic Floor in Menopause

How to keep your pelvic floor healthy as hormones change.

Read article →

View all articles

A message from our founder

Why I started Body Motion

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 team

Dr. 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

You are not

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