Reign Physical Therapy and Wellness, LLC

02/24/2026

Join Dr. J Michelle Martin and Dr. Dionne Middlebrooks as they talk about the use of tech in pelvic health.

We’ll break down:
✔ Levels of evidence for common pelvic health devices
✔ When technology adds value to your treatment plan
✔ When it doesn’t
✔ Ethical considerations in recommending tech
✔ How to educate patients navigating marketing claims

Technology should enhance and progress care, not eliminate it.

Join Dr. Juan Michelle Martin, PT, DPT and myself as well talk about the use of tech in pelvic health.

We’ll break down:
✔ Levels of evidence for common pelvic health devices
✔ When technology adds value to your treatment plan
✔ When it doesn’t
✔ Ethical considerations in recommending tech
✔ How to educate patients navigating marketing claims

Technology should enhance and progress care, not eliminate it.

Link in comments to register

Discover how to use technology wisely in pelvic health practice. Explore evidence-based tools, digital therapies, biofeedback & more, balanced with clinical judgement. Join our live webinar on Wednesday, February 25th. Register now!

02/23/2026

🤍 Let’s Normalize This.

𝗕𝘆 𝘁𝗵𝗲 𝘁𝗵𝗶𝗿𝗱 𝘁𝗿𝗶𝗺𝗲𝘀𝘁𝗲𝗿, 𝗻𝗲𝗮𝗿𝗹𝘆 𝗮𝗹𝗹 𝗽𝗿𝗲𝗴𝗻𝗮𝗻𝘁 𝘄𝗼𝗺𝗲𝗻 𝗵𝗮𝘃𝗲 𝘀𝗼𝗺𝗲 𝗱𝗲𝗴𝗿𝗲𝗲 𝗼𝗳 𝗮𝗯𝗱𝗼𝗺𝗶𝗻𝗮𝗹 𝘀𝗲𝗽𝗮𝗿𝗮𝘁𝗶𝗼𝗻 (𝗱𝗶𝗮𝘀𝘁𝗮𝘀𝗶𝘀 𝗿𝗲𝗰𝘁𝗶).

Read that again.

Research shows that at around 35 weeks gestation, separation of the re**us abdominis is essentially universal.

It is not a defect.
It is not failure.
It is not your core “giving out.”

It is a normal physiological adaptation to make space for a growing baby.

Your body is doing exactly what it was designed to do.

Does that mean symptoms should be ignored? No.

But the presence of diastasis during pregnancy alone:
• Does NOT mean you’ll have permanent core damage
• Does NOT mean you can’t exercise
• Does NOT mean you’ll need surgery
• Does NOT automatically cause back pain

What matters more than the gap?
✔️ Tissue tension
✔️ Strength
✔️ Coordination
✔️ Pressure management
✔️ Gradual postpartum recovery

Fear-based messaging around diastasis has created unnecessary anxiety for so many women.

Education replaces fear with understanding.

Pregnancy changes your body.
Postpartum is a rebuilding phase.
Both are normal.

If you’re pregnant and worried about your core, know this: your body is adapting, not breaking.



Boissonnault, J. S., & Blaschak, M. J. (1988). Incidence of diastasis recti abdominis during the childbearing year. Physical Therapy, 68(7), 1082–1086. https://doi.org/10.1093/ptj/68.7.1082

Mota, P., Pascoal, A. G., Sancho, F., & Bø, K. (2015). Test–retest and intrarater reliability of 2-dimensional ultrasound measurements of distance between re**us abdominis in women. Journal of Orthopaedic & Sports Physical Therapy, 45(9), 720–728. https://doi.org/10.2519/jospt.2015.5503

Mota, P., Pascoal, A. G., Carita, A. I., & Bø, K. (2015). The prevalence of diastasis recti abdominis in pregnancy and postpartum: A cohort study. BJOG: An International Journal of Obstetrics & Gynaecology, 122(8), 1097–1105. https://doi.org/10.1111/1471-0528.13285

02/22/2026

𝟯 𝗦𝗶𝗴𝗻𝘀 𝗬𝗼𝘂’𝗿𝗲 𝗡𝗼𝘁 𝗥𝗲𝗮𝗱𝘆 𝘁𝗼 𝗥𝘂𝗻
Leaking
Heaviness
Pain

If you experience:

💧 Leaking with impact
⬇️ A feeling of vaginal heaviness or pressure
⚡ Pain in your pelvis, hips, or low back

Your body may be telling you it needs more preparation before returning to running.

Running is a high-impact activity. It requires:

• Pelvic floor strength AND timing
• Core coordination
• Adeate leg strength
• Load tolerance
• Proper pressure management

Ignoring symptoms doesn’t build resilience, progressive training does.

Before you lace up consistently, ask:

✔️ Can you perform 20–25 single-leg calf raises per side?
✔️ Can you hop in place without leaking or pain?
✔️ Can you control your breath under load?

If not, that’s okay. It just means we build first.

You don’t have to stop moving, you just need a better progression.

Your comeback should feel strong, not stressful.

02/21/2026

“The OB said she couldn’t deliver vaginally because her pelvic floor was too tight.”

Statements like this can feel scary.

But here’s what’s important:

A tight pelvic floor doesn’t mean you can’t give birth vaginally. It means your muscles may need guidance in learning how to relax, lengthen, and coordinate under load.

Your pelvic floor must both contract AND release.

Birth prep isn’t just about hoping for the best. It’s about understanding:

• How to breathe effectively during pushing
• Which positions increase pelvic outlet space
• How to reduce unnecessary muscle guarding
• How to build strength without increasing tension

This is why pelvic floor therapy during pregnancy can be so powerful.

If you’re pregnant and want structured, evidence-informed birth preparation, my Birth Prep & Coaching Course walks you through:

✔️ Birthing positions
✔️ Breathing strategies
✔️ Pelvic floor training
✔️ Strength programming
✔️ Postpartum recovery planning

Comment BIRTH and I’ll send you the details.

Preparation builds confidence. 🤍

02/19/2026

Jaw pain and pelvic pain… connected? 👀

Yes! And most people have never been told this.

Your jaw and pelvic floor are both part of your body’s pressure and tension system. When one area is constantly clenching, guarding, or stressed, the other often follows.

If you struggle with:
• Jaw clenching or grinding
• TMJ pain
• Pelvic floor tightness
• Pain with intimacy
• Urinary leakage
• Chronic tension

There may be a whole-body pattern at play.

Your nervous system doesn’t compartmentalize. Stress, breath holding, and chronic guarding can show up in both the jaw and the pelvic floor.

Helpful tips for pain management:

1️⃣ Check your jaw right now. Is it resting on the roof of your mouth with teeth apart? It should be.
2️⃣ Practice diaphragmatic breathing. Let your ribs expand and your pelvic floor gently lengthen as you inhale.
3️⃣ Avoid constant clenching during lifting, workouts, or stressful moments.
4️⃣ Work on upper back and rib mobility to improve pressure distribution.
5️⃣ If symptoms persist, get evaluated for both TMJ and pelvic floor function.

This is just the beginning of the conversation.

Check out the recent YouTube video for more. Use the link in comments to watch it and let me know what you think. 🎥

02/17/2026

These are things that every pregnant woman should know as they navigate the changes that occur during pregnancy.
1. Diastasis recti is a normal adaptation
2. Back & Hip pain may be common, but there are things that can help.
3. Shoe size may change

02/16/2026

Unfortunately, endometriosis does not have a cure at this time. Many women are given false information and told that getting pregnant, having a hysterectomy, or taking birth control will CURE endometriosis. This is completely false.

Currently, the best treatment option available is excision surgery, and this may not be an option for all women for various reasons. Even if surgery is not an option, improving quality of life is still the focus. Physical therapy can help to address many issues impacting the quality of life.

In the absence of a cure, physical therapy and lifestyle management are beneficial options for women battling endometriosis.

02/12/2026

Your pelvic floor doesn’t work alone! It depends on the strength of your abdominals, back, hips, and legs.

If you’re dealing with leakage, heaviness, or weakness, it might be time to train beyond Kegels. Here are some questions to consider:
🟣Can you stand up out of a chair without using your hands?
🟣Can you lift your leg without holding your breath?

🎥 I talk about the importance of leg strength for pelvic floor strength in the most recent YouTube Live recap head to my channel to watch the full explanation and learn what to focus on instead. 🔗to YouTube video in comments.

02/06/2026

✨ Not your average birth prep course ✨

Most birth classes tell you what might happen in labor.

This one prepares you for how to actually handle it.

Inside the Birth Prep & Coaching Course, we go beyond breathing and birth plans and cover:

🤍 Real pain management options
Both pharmacological and non-pharmacological strategies, so you can make informed choices, not last-minute decisions.

🤍 Pelvic floor guidance from a pelvic PT
Learn how to prepare your pelvic floor for birth and protect it postpartum (this is the piece most classes skip).

🤍 Partner support that actually helps
Your partner gets clear, practical tools: what to do, what to say, and how to support you physically and emotionally.

🤍 Postpartum planning (before the baby arrives)
Because recovery, healing, and mental health matter just as much as labor day.

This course is education + coaching + real-life prep—designed to help you walk into birth informed, confident, and supported 💪🏽✨

📌 Want in?
Comment BIRTH and and I'll send you the details along with 25% off.

02/05/2026

✨ 3 Pregnancy Exercise Recommendations ✨

💪🏾 Strength training – Squats, modified deadlifts, and upper-body work help support your changing body and prepare you for birth + postpartum recovery.
🚶🏾‍♀️ Cardio – Walking, swimming, cycling, or light jogging to support heart health and stamina.
🧘🏾‍♀️ Mobility + breath work – Gentle stretching, pelvic floor coordination, and diaphragmatic breathing to reduce pain and support labor prep.

Most exercise is safe during pregnancy when it’s individualized and done with intention 💛

👉 Want to know how to exercise safely by trimester, protect your pelvic floor, and actually prepare your body for birth?

My Pregnancy Birth Prep & Coaching Course is officially live!

⏰ Launch discount ends in 2 days — February 7th
🎉 25% OFF for a limited time

👇🏾 Comment “BIRTH” to get the coupon code
Your body deserves informed, confident care: during pregnancy and beyond.

02/03/2026

Physical therapy can help women prepare for pregnancy and the benefits don't stop at the pelvic floor. Physical therapy can help with:
⭐Pelvic & hip mobility
⭐Hip & Back Pain
⭐ SI & Pelvic Pain
⭐ Decrease risk of perineal tearing during labor
⭐Core strength
⭐Breathing mechanics
⭐Postural changes
⭐Exercise continuation
⭐Postpartum planning
AND more!

Check out the NEW birth prep coaching course that we just launched. Comment: BIRTH to get a course discount code.

02/02/2026

𝗠𝗼𝘀𝘁 𝗲𝘅𝗲𝗿𝗰𝗶𝘀𝗲 𝗶𝘀 𝘀𝗮𝗳𝗲 𝗱𝘂𝗿𝗶𝗻𝗴 𝗽𝗿𝗲𝗴𝗻𝗮𝗻𝗰𝘆 💪🤰

Yes, including many activities many people are told to stop.

For most pregnancies, CrossFit, running, weightlifting, and swimming can all be safe and beneficial when appropriately modified.

Staying active during pregnancy can support:
• Cardiovascular health
• Strength & mobility
• Pelvic floor function
• Energy levels & mental health
• Postpartum recovery

The key is listening to your body, adjusting intensity as needed, and working with providers who understand pregnancy and movement.

If you were doing these activities before pregnancy, you can often continue, with smart tweaks as your body changes.

Your pregnant body is not fragile. It’s adaptive, powerful, and capable. ✨

Always consult your healthcare provider for individualized recommendations as some women may have medical reasons indicating the need to modify and/or change exercise.

𝘈𝘯𝘥 𝘴𝘰𝘳𝘳𝘺, 𝘣𝘶𝘵 𝘴𝘤𝘶𝘣𝘢 𝘥𝘪𝘷𝘪𝘯𝘨 𝘳𝘦𝘢𝘭𝘭𝘺 𝘪𝘴 𝘰𝘶𝘵 𝘢𝘯𝘥 𝘵𝘩𝘢𝘵 𝘰𝘯𝘦 𝘪𝘴 𝘵𝘳𝘶𝘭𝘺 𝘯𝘰𝘵 𝘳𝘦𝘤𝘰𝘮𝘮𝘦𝘯𝘥𝘦𝘥 𝘥𝘶𝘳𝘪𝘯𝘨 𝘱𝘳𝘦𝘨𝘯𝘢𝘯𝘤𝘺 𝘣𝘦𝘤𝘢𝘶𝘴𝘦 𝘰𝘧 𝘵𝘩𝘦 𝘱𝘳𝘦𝘴𝘴𝘶𝘳𝘦 𝘤𝘩𝘢𝘯𝘨𝘦𝘴 𝘵𝘩𝘢𝘵 𝘰𝘤𝘤𝘶𝘳.

⭐Want more information on how to prepare your body for labor and navigate pregnancy? Comment BIRTH to get a special discount code for the recently launched Birth Prep & Coaching Course.