Inside Out Physical Therapy Pelvic Health & Wellness

Inside Out Physical Therapy Pelvic Health & Wellness Inside Out PT is a specialized Physical Therapy clinic addressing pelvic floor dysfunction in a private and individualized setting.

So much to say on this! You know I love to talk about it. Is it time for more conversation around this?
11/12/2025

So much to say on this! You know I love to talk about it. Is it time for more conversation around this?

“I wonder whether I’ve actually been having or***ms all along, whether the occasional spasms I feel are the real thing,” Katharine Smyth wrote in 2021 of her years-long quest for an or**sm. https://theatln.tc/ZfS2Oa9J

Studies tend to put the share of nonor**smic women at 5 to 10 percent. Smyth, who loves s*x, spent years searching for an or**sm. Her quest was a revealing exploration of feminism, patriarchy, medicine, and the way American culture weaponizes women’s s*xuality against them. She discovered that there are many, often expensive, resources aimed at helping women achieve or**sm: $1,690 a year for unlimited access to events at an elite New York City s*x club for Millennials; $999 for an online “finishing school” with a s*x therapist known as the “or**sm whisperer”; $600 for two hours with a ta***ic healer; a $250 appointment with a s*x therapist; and $59 for one season of OMGYes videos breaking down female pleasure.

Attempts to understand the female or**sm have a long and complicated history. Not until 1730 was it finally proved that the female or**sm was not, in fact, a requisite for reproduction. “The truth is that no one knows for sure why women come,” Smyth continued. “The female or**sm is a kind of Rorschach test—an abstraction upon which each new generation of doctors and scientists can project its worldview, almost always to the benefit of men and their assumptions about normally functioning female s*xuality.”

Read more: https://theatln.tc/ZfS2Oa9J

🎨: Aikaterini Gegisian

Ten years of helping women with this, and. It's getting better. So far to go.
11/11/2025

Ten years of helping women with this, and. It's getting better. So far to go.

Let's talk about bad s*x

Sharing this in my office if you need a copy!!
11/07/2025

Sharing this in my office if you need a copy!!

The Winter 2025 issue is here! Gracing the cover is RENEE CLAUSON-RIVERA, who is bringing entrepreneurship support to Wilmington as the local program director for the Women’s Business Center of North Carolina. We’re also spotlighting the efforts of local photographer ALLISON JOYCE, who has spent the year documenting the damage and recovery from Hurricane Helene, as well as WILMA Leadership updates, a peek at the pastoral Sycamore Bend, and vintage fashion finds from Castle Street. https://www.wilmamag.com/

Lactation Counseling Services always provides top notch support for my clients, multiple options to meet your needs
11/05/2025

Lactation Counseling Services always provides top notch support for my clients, multiple options to meet your needs

Book your Telehealth now with one of our Board Certified IBCLC's.

Gold standard support, experienced care at your fingertips- Book now to verify insurance coverage.

OMG!! Thank you to everyone who voted for Inside Out Physical Therapy, and who has supported me on this journey.I am so ...
09/30/2025

OMG!! Thank you to everyone who voted for Inside Out Physical Therapy, and who has supported me on this journey.

I am so absolutely honored by this recognition in our community. It means so much, to have come so far from opening my business nine years ago, when people said ... What is Pelvic Floor PT?!!?

Visit these exceptional businesses and organizations to receive the best products and services!

This is fabulous!! Candace Edwards has incredible passion and experience helping people birth, and this will help so man...
08/27/2025

This is fabulous!! Candace Edwards has incredible passion and experience helping people birth, and this will help so many find her support!! So happy!!

*~ Some beautiful news for expecting families birthing in the Wilmington, NC area ~*

My birth doula services are now covered by NC Medicaid’s Healthy Blue plan!
If you have been dreaming of having a doula by your side but concerned about the cost, perhaps this is your sign—it may be completely covered. 💫 Let’s talk about how I can support your journey. Contact me at hi@birththeirway.com or call/text 910.233.7989.

08/17/2025

Families, we heard you!!
With recent events from BCBS and the lack of coverage, we wanted to give our families options!
We know how hard it is to go from two incomes to one, while adding in a new family member.
Our membership provides instant savings and never expires. Start with a comprehensive prenatal appointment and have the visits available all the way to weaning.
We got you!
It's the perfect thing for your baby registry; link to purchase below.
https://www.lactationcounselingservices.com/cconsultations

If anyone wants to join!!!
08/15/2025

If anyone wants to join!!!

👏 Join us in congratulating Caroline Keeler, Physical Therapist, Menopause Coach and Owner of Inside Out Physical Therapy Pelvic Health & Wellness, on being named a finalist in the HEALTH category for the 2025 Women to Watch Awards!

📸 Photo by Sasha Sheldon
🎟️ Tickets available at W2WAward.com

Mon Day off!🗓️ If you know me, Monday is a bit like my Sunday. Sometimes Sunday is my Fun Day and sometimes Monday is.  ...
08/12/2025

Mon Day off!

🗓️ If you know me, Monday is a bit like my Sunday. Sometimes Sunday is my Fun Day and sometimes Monday is.

🚫 Sometimes doing nothing feels the easiest. But it doesn't always feel BETTER.

📺 Many of my clients are so busy, when they have time off they just crash. Get on their phones. Watch TV.

❓ One of the questions I ask on day one is---

"What do you do for fun?"

Too often, they don't have an answer. And we work on that. Because fun is important to a healthy and happy pelvic floor!!

Today, instead of (or in addition to, in all honesty) watching TV and surfing my phone, I practiced yoga with at . It's a whole other post to describe the wonder of that. And then I had my float at .

I feel really good now 😁

Way back when, I used to ride race horses. And then I became a PT.  And then I became an Equine Massage Therapist.  And ...
08/06/2025

Way back when, I used to ride race horses. And then I became a PT. And then I became an Equine Massage Therapist. And then I became a Pelvic PT (for humans!)

It's all always coming together. If you know horses, mares, like female humans, get a bad rap for their #$&. As if their behavior is something wrong with their brain.

Instead, what if the extra(males of both species don't have to deal with the repercussions of a uterus and ovaries) organs of their reproductive systems could be causing some of this?

What if we can improve freedom in this area and improved comfort as we bounce around on their backs for our own pleasure and entertainment?

Horses are athletes just as the people who ride them are. One of my favorite things used to be the opportunity to do PT on a rider and bodywork on a horse. Phenomenal results.

Pelvic PT for humans can change pain patterns, balance, posture, digestion, and reproductive capacity, along with so many other things.

Not surprising it can do the same for horses.

I’ve waited two months before writing of Lyric’s visit to the equine vet and osteopath for her pelvic room exam.

This marks the fourth of my horses since January, who have had internal procedures done. Two, to address geld scar adhesions for Cinnabar and Credo; another was to deal with the internal trauma Flint had suffered, after his great fall.

This last session was for Lyric because females have trouble internally, too. I don’t know why this comes as such a surprise, for we women aren’t always given an easy path through life. We learn to ‘suck it up, princess’, to grit our teeth, dig deep and get the job done... even when we feel awful inside.

Why would our mares be any different? Turns out, it was a good thing this treatment option was available to Lyric, for she needed help and I found out rather a lot in the process.

No doubt due to being exposed to a draft horse stallion as a filly—in the months before I purchased her—the pony has had a lot of trauma to her reproductive tract. Here are the vet’s findings.

“Upon ultrasound, the lumbosacral junction was found to be healthy and balanced, as well as the caudal aspects of both SI joints. The right o***y had a follicle that would not ovulate but was causing inflammation. The right o***y was torsed cranial (forward) and there was a very tight band of fascia in front of the o***y.

The left kidney was twisted, so the end of the kidney was pointing towards midline. The fascia along the right o***y was very tight and there were scars and adhesions from what appears to be haemorrhaging…”

After an internal procedure to replace organs and loosen adhesions, our pony was ordered five days’ rest, a schedule of in-hand exercises for at least two weeks before resuming regular riding, along with a follow-up osteo visit in one month. I could only hope that we had peeled off yet another layer to this complex ‘onion’ that has been Lyric.

I watched the process in silent wonder, that she had let me ride her, at all. Rather than troubled, she’s really been remarkably generous…

After a few days’ off, turned out to pasture with the larger herd, Lyric came back in to do in-hand exercises as per the osteopath’s instructions: things like walking and reining back, stepping over low ground poles quite slowly with sustained balance and carriage… before we moved on to trotting over ground poles, as well.

***

There is a picture I’ll post in the comments, of the pony’s v***a, before and after treatment. It’s a bit explicit, but also of interest, I think. The fascia and systems within and outside the horse are all interconnected… we’re told this, over and over and yet, it always comes as a surprise.

Lyric’s rest and therapy have been straightforward, for she is young and her body wants to heal. It makes such a difference when we can catch these things early, when they haven’t become chronic issues that really come home to roost, once the horse is in old age.

Her ridden work has uneventfully gone on, as planned.

Is it my imagination, or is she less spooky, less brittle around the edges, somehow? Is she not as ready to leap ahead, or buck? Is she picking up her canter leads more easily, without that left lead disunited 'cross-firing' constantly showing up? Is she able to go calmly and quietly into the canter, without her trademark rocketing ahead? Does she feel less like a powder keg ready to go up at any moment, now?

I’d honestly have to say yes to all.

Photo: Mike McLean.

Fredagsmys to us all.I love my work, and frequently continue it into the weekend.  As an entrepreneur, doing something I...
07/18/2025

Fredagsmys to us all.

I love my work, and frequently continue it into the weekend. As an entrepreneur, doing something I love, the work/life line gets blurred, and that's fine.

But, programmed deep in the cultural DNA is always the celebration of Friday. I feel it just as strongly when I have a full Saturday schedule (tomorrow!) as when I have the whole weekend free (never.)

Fun fact is, when I work on Saturday I get to have two "Fridays!"

I also get to enjoy multiple "homes", in my actual house, or a friends. At the beach, down town, or on the road.

And sometimes my "friends" are people, family, animals, fellow travelers.

How do you celebrate Fredagsmys? Wishing you a beautiful one!!

Look what happened!! Inside Out Physical Therapy Pelvic Health & Wellness has been nominated for the Star News Shorepick...
07/16/2025

Look what happened!! Inside Out Physical Therapy Pelvic Health & Wellness has been nominated for the Star News Shorepicks Community Choice Awards this year! We have five more days, you can vote every day, and help make Inside Out Physical Therapy more visible to more people who are ready to feel better!! Thank you!!

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Address

4622 Cedar Avenue Bldg 5 #122
Wilmington, NC
28403

Opening Hours

Monday 10am - 7:30pm
Tuesday 12:30pm - 7:30pm
Wednesday 12pm - 7:30pm
Thursday 12:30pm - 7:30pm
Friday 10am - 7:30pm
Saturday 9am - 5pm

Telephone

+18104414566

Website

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Our Story

Inside Out PT is a specialized physical therapy service offering a wholistic approach to address pelvic floor dysfunction in a private and individualized setting.

Caroline earned her BS in Physical Therapy from Wayne State University in 1991, and began her education in the Pelvic Heath specialty in 1994. Her post-graduate education has consisted of multiple pelvic health courses primarily through Herman & Wallace Pelvic Rehabilitation Institute, focusing on pre-natal, post-partum, and reproductive health, as well as male and female incontinence, bowel conditions and pelvic pain. This specialty skill-set is supported by an extensive foundation of manual skills and functional movement training which she now integrates into a wholistic approach in her Pelvic Health practice.

Caroline has experience treating multiple diagnoses including but not limited to pelvic girdle dysfunction with and without pregnancy, dyspareunia (pain with in*******se), vulvodynia, dysmenorrhea (painful menstrual symptoms), urinary urge and frequency, urinary urge and stress incontinence, bowel conditions which may involve incontinence and/or constipation, interstitial cystitis, pelvic organ prolapse, prostatitis and other male related conditions. Additionally, she is able to address post-surgical concerns after C-section, vasectomy, as well as various gynecological surgeries.