Koch Physical Therapy

02/19/2026

Do you or your child struggle with constipation? Toileting posture makes a big difference! 🚽

When you’re on the toilet:
👣 Feet supported (think squatty potty or small stool) and relaxed
🦵 Knees slightly higher than hips
🧍‍♀️ Lean forward with elbows on knees
💨 Breathe — don’t hold your breath

Holding your breath and pushing increases pressure and can strain or aggravate your pelvic floor. Instead, take a slow belly breath in, then gently exhale as your body relaxes. (An easy way to remember that = You should be able to “shush and push” instead of holding your breath and bearing down)

Pooping (and peeing!) shouldn’t feel like a workout. If it does, your body may need a little retraining — and that’s exactly what pelvic floor therapy helps with. 💛 Follow along for more constipation tips and tricks! 💩

02/17/2026

Some everyday foods and drinks can increase urgency, frequency, leaking, and bladder discomfort — even in healthy people.

You don’t always have to cut them out completely — but if your bladder has been acting up, try reducing one at a time and see how your body responds.

And remember: bladder issues are common, but they’re treatable. Pelvic floor therapy can help you regain control and confidence. 💛

02/16/2026

Constipation is so common in kids —whether they are school age or potty training age—and it’s more than just a bathroom issue. 💛

When constipation sticks around, it can lead to belly pain, accidents, urinary problems, poor appetite, sleep struggles, and even anxiety around using the toilet. The good news? There is help.

Pelvic floor therapy can gently teach kids how to relax, coordinate, and fully empty — using simple, kid-friendly strategies that make toileting easier and less stressful for everyone.

If your child is struggling, you’re not alone, and support is available. 💩

02/11/2026

I had the honor of teaming up with the Putnam County Council on Aging, Inc. again to share my love of pelvic floor knowledge—this time, in Leipsic! While there, I just had to stop by Uptown Market & Café for a delicious treat 😋 Highly recommend the chocolate covered strawberry macchiato!

02/10/2026

Consider this your reminder to check in with your body…and to fix or stop doing these things if any of these are a YES 😂

Postures, positions and habits play a big role in how we feel, and much of the time, we don’t even notice it.

So, if you’re slouching and scrunching, aim for more stacked (like you’re being pulled upright by puppet strings) and symmetrical posture. Take a deep breath. Let go of the areas that you’re clenching and gripping.

Your body will thank you 😉

02/06/2026

Check Brandy’s program out if you’re wanting to improve your gut health! 🧡

✨Gut Health Reset✨

Looking for some help with Gut Health and don’t know where to start…this is for you! Starting Feb 16th for 4 weeks we will talk all things Gut Health and how to nourish your body from the inside out. This will be a group meeting to help support and lift each other up!! DM to register!

02/04/2026

Not to be a Debbie Downer or fear-mongering, but because knowledge is power. 💡 Did you know…

While cancer treatments can cause some pretty yucky side effects at the time, they can actually cause delayed side effects too. This is why it’s important that even if your breast cancer treatments were months or years ago, if you have new or worsening symptoms, you shouldn’t ignore them.

That’s why breast cancer rehab can be helpful at ANY stage of the game:
💗 Before treatments—to prepare your body and mind
💗 During treatments—to help combat some of the immediate side effects and reduce pain & fatigue
💗 After treatments—to address any lingering issues (mobility, pelvic floor problems, pain, scar tissue restrictions) that keep you from feeling your best, while preventing sneaky symptoms that can show up later with issues like fibrosis, costochondritis, lymphedema, etc.

It’s never too late to get some help. Breast cancer rehab can be a helping hand throughout your journey so that you can survive AND thrive 🤗

02/04/2026

It IS whole-body, life-changing therapy though 😉

I know nobody WANTS to need pelvic floor therapy, but if you’re struggling with symptoms, having answers and solutions is a much better option than suffering through without a game plan. Conservative care and getting to the root cause of the issue (whether it’s posture, habits, weakness, etc.) should be the first option!

Here to help!

02/03/2026

Figured I’d give the AI caricature trend a try—I like how it turned out! 😉

02/03/2026

Happy to be a part of the Love Local campaign for supporting local businesses this year! ❤️

01/29/2026

We go over a lot of bladder training during pelvic floor therapy, and a big part of that has to do with our bladder habits! (I always tell patients, your bladder is like a toddler…if you want it to behave, you have to reinforce good habits instead of bad ones! 😉).

Many of these habits can keep a pelvic floor from relaxing, which is what it’s supposed to be doing when you urinate. If it doesn’t relax well enough, it doesn’t empty well enough. And if it doesn’t empty well enough, you can be left feeling like you have to go again. And again, and again! 😣

So if you have a habit of doing these things, try to take a break from them and see if you notice a change in any symptoms. Pelvic floor therapy is always a great option for addressing any bowel or bladder issues, pain, etc. It can be life changing! 🤗

01/26/2026

❄️ CLOSED tomorrow due to weather. Stay warm & safe! ❄️