The Functional Pelvis

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The Functional Pelvis

The Functional Pelvis is a private occupational therapy practice specializing in pelvic floor rehabi

Based in NYC and Paris, France The Functional Pelvis is a private rehab therapy practice specializing in pelvic floor rehabilitation and postpartum women:

- Urinary Incontinence
- Bowel and F***l Disorders
- Pelvic Floor Muscle Dysfunction
- Pelvic Organ Prolapse
- Post-Surgical Rehabilitation
- Bladder Problems
- Colorectal Issues
- Diastasis Recti

We uniquely offer in-home, concierge, therapy which is both private and convenient.

19/12/2025

“I don’t know” can be one of the most therapeutic things we say.

It shows our clients that we’re human. That we’re present. That we’re committed to curiosity over certainty.
As pelvic health OTs, we don’t need to have all the answers — we just need to hold space for the questions, and walk the path with our clients.
In those moments of honesty, trust is built. Safety is created. Healing begins.

18/12/2025

I think it’s time to rethink how we talk about the internal exam in pelvic health.

The truth is, healing starts with creating a space where our clients feel safe, empowered, and fully in control of their own bodies. If the nervous system doesn’t feel safe, no deeper work can begin.

In the latest update of OT Pioneers, we’ve redefined how we approach internal exams and pelvic health, empowering therapists to offer a more client-centered, consent-driven experience that prioritizes safety and choice every step of the way.

Many still refer to the internal exam as the “gold standard,” but there are actually FOUR equally valid ways to work with pelvic health.

And here’s the key: each approach enables the client to choose what feels right for them. Whether they remain fully clothed or opt for an internal exam, each path is respected and the client is always the one in control.

When presenting the internal exam as an option, it’s critical that we make all choices clear and explicit. Clients must know they have the power to give—and revoke—consent at any time, and that all options are valid.

The true “gold standard” is the one that helps the client feel safe and regulated in their nervous system.

No longer should an internal exam be reduced to a checkbox or a quick nod of agreement. Instead, we need to provide clear details: where we might touch, for how long, and how clients can stop at any point, whether verbally or with a simple gesture.

Ask: Does any part of this feel uncomfortable for you? And...
Are you confident in your ability to communicate that?
You might also offer, “If using your voice feels hard, another option is to simply raise your hand.”

Why does this matter? Because if the nervous system isn’t regulated, even the most finely-tuned exercise program or manual therapy will fall short.
This is the care every person deserves—full agency and empowerment over their pelvic health journey.
functionalpelvis Want to dive deeper? In OT Pioneers and Level 1 Functional Pelvic Health Practitioner (™) program, we break this down even further, and include scripts you can use with your clients. Your clients deserve this level of care, and so do you.

17/12/2025

Every time I say this, I feel it even more deeply.

Yes, we learn from textbooks. Yes, we attend courses and earn certifications.
But the real education happens in the quiet moments with our clients — in their stories, their resilience, their questions, and their willingness to let us walk beside them.
They teach us what truly matters:
To listen more than we speak
To meet people where they are
To hold space for joy, grief, fear, and healing
To stay curious, humble, and open
Pelvic health is not a one-size-fits-all path. It’s personal, layered, and deeply human. I’m constantly in awe of the people who trust us with their stories and their bodies. They are the reason I do this work and the reason I keep growing in it.
To all the clients who have been my greatest teachers: thank you.
You are the heartbeat of this work.

16/12/2025

A couple weeks ago, I graduated 86 OTs inside of my Level 1 Functional Pelvic Health Practitioner™ Program. It is a guided path taking OTs from newbie to confident pelvic health practitioner in just 4 months.

In total - we've had over 215 OTs graduate with the prestigous title of being a Level 1 Functional Pelvic Health Practitioner™.

And our next cohort opens January 5, 2026!!!!

Why did I create Level 1?
I was tired of OTs having to stitch together and piecemeal their journey through a bunch of unconnected courses. It's confusing, it's expensive, and it delays your mastery. So, I've created my Level 1 Functional Pelvic Health Practitioner™ Program to solve this need and to give OTs the skills and confidence they need to start seeing clients.

If you missed it, here's what's inside the Level 1 program:

-OT Pioneers and OT Elevate
-4.5 months group mentorship with me doing case studies and client role playing
-A 3 day hands in-person lab (or 2 day virtual) covering all the techniques you need to know
-Content is dripped weekly so you don't feel overwhelmed.
-Weekly quizzes to keep you accountable and knowing where to put your effort
-A skills based assessment to graduate with the Level 1 Functional Pelvic Health Practitioner™ designation

You get 51 contact hours approved by the AOTA (that's 5.1 AOTA CEUs!)

I hope to support you on January 5, 2026! Doors are open through January 9th!

Ask me anything!
Lindsey x

15/12/2025

What if the moment you finally listened to your intuition changed everything?

This week on the podcast, Heather Sulfaro—pelvic health OT and founder of Wild Heart Wellness—shares how she went from burnout to boldly building a pelvic health practice in a rural, conservative town in Southern Utah.

Her courage is contagious.
Her persistence is inspiring.
And her message is clear: Don’t give up. The community you’re meant to serve is waiting for you.

Listen to this powerful episode wherever you get your podcasts. 🎧

12/12/2025

Thank you to all the alumni who joined us for the Jan 2026 cohort!!! Doors open Jan 5 for new students to join this cohort!!!!

09/12/2025

✨ The Story Beneath the Symptom ✨

What if the body isn’t malfunctioning… but communicating?
So often, pelvic symptoms like pain, urgency, or tension are not the problem — they’re pointing to something deeper. When we shift from “How do I fix this?” to “What’s this protecting?” everything changes.
Trauma-informed pelvic health starts with curiosity, compassion, and honoring the client as the expert of their own body.
Let’s listen before we treat. 💛

08/12/2025

🎧 NEW EPISODE 12/8!

Two powerhouse OTs—Dr. Sarah McCadden & Elizabeth Richardson—are rewriting the narrative around menopause with an OT-led program supporting women at work.

This episode is full of insights on collaboration, advocacy, and empowering women through evidence-informed care.
Listen in! 💛

05/12/2025

Pelvic health is a powerful space where both occupational therapists and physical therapists can make a meaningful impact.
OTs: this is our lane, too. Few things are more essential to daily life than peeing, pooping, and intimacy.
You don’t need permission to belong here. You already do.
Your unique lens is needed. Your clients are waiting.
If the noise starts to get loud, come back to your purpose—your calling to serve and support healing. You’ve got this.

04/12/2025

🎉 82 OT Trailblazers Just Made History 🎉

Today, the second cohort of the Level 1 Functional Pelvic Health Practitioner™ program officially graduated — and the ripple effect is just beginning. 💥

These OTs didn’t wait for permission. They stepped up, leaned in, and claimed their role as pelvic health leaders.

✨ They transformed their confidence.
✨ They learned how to assess and treat pelvic health clients holistically.
✨ They became go-to resources in their communities.

And now?

They’re out there changing lives — one pelvic floor at a time. 💪🏼

👉 If you're an OT reading this... imagine what's possible when YOU say yes.

📆 Doors reopen Jan 5th.
Set the intention now. Decide to be part of the next wave.
The ones who look back and say: “That was the moment everything changed.”

Drop a 🔥 if you’re ready to become the OT your future clients are already searching for.

04/12/2025

“I don’t know” can be one of the most therapeutic things we say.

It shows our clients that we’re human. That we’re present. That we’re committed to curiosity over certainty.

As pelvic health OTs, we don’t need to have all the answers — we just need to hold space for the questions, and walk the path with our clients.

In those moments of honesty, trust is built. Safety is created. Healing begins. 💛

01/12/2025

Today is the first day that OT Pioneer alumni can receive their bridge tuition credit towards the Level 1 Functional Pelvic Health Practitioner program!

Email me to receive your bespoke coupon code!!!!!!

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