Pillar Pelvic Health and Physical Therapy

Pillar Pelvic Health and Physical Therapy Pelvic floor rehab and physical therapy

Perimenopause gets talked about from the neck up.The hot flashes. The sleep. The mood. Almost nobody talks about what ha...
09/09/2026

Perimenopause gets talked about from the neck up.

The hot flashes. The sleep. The mood. Almost nobody talks about what happens below the waist, so when it starts, most women assume it is unrelated. Or ageing. Or their fault.

It is none of those things.

Falling estrogen changes the tissue in your bladder, your urethra, your va**na and the structures that support your pelvic organs. That shows up as frequency, leaking, pain, heaviness, recurring UTIs that never quite clear, and new aches that seem to come from nowhere.

Six symptoms in this one. Almost all of them respond well to pelvic PT.

Save it for the next time you are wondering. Send it to a friend who has been quietly wondering too.

Book An Evaluation!
513-987-0601 or pillarpelvichealth.com
📍 Cincinnati, Ohio

09/04/2026

Twerking is a rhythmic forward and back movement of the pelvis with some rotation through the thigh bone. That combination is genuinely useful. It moves your pelvis through range, it gets your hips working, and it involves the exact coordination most people never train.

Can Dr. Michelle do it? Not well. She blames Terry and Jack. She will still try.

The point is not the dance. It is that your pelvis is meant to move, and most of us spend the day keeping it very still.

So do as someone better than us does. But do move it.

Book An Evaluation!
513-987-0601 or pillarpelvichealth.com
📍 Cincinnati, Ohio

Meet Dr. Kari.She found pelvic health in PT school, and what struck her was how few people knew it existed. Postpartum w...
09/02/2026

Meet Dr. Kari.

She found pelvic health in PT school, and what struck her was how few people knew it existed. Postpartum women. People living with chronic pain. Older adults. Athletes. All of them helped by it, almost none of them told about it.

So she went and got trained in it.

Kari treats all pelvises, all genders. Postpartum recovery, chronic pelvic pain, pelvic health for older adults, and getting athletes back to the sport they love.

She is a firm believer that movement is medicine, and that belief shapes every plan she writes.

Outside the clinic you will find her in a workout class, cheering on the Cats, or out with her husband Justin and their two dogs, Booker and Goldie.

Book an evaluation with Dr. Kari.
513-987-0601 or pillarpelvichealth.com
📍 Cincinnati, Ohio

09/01/2026

I feel your pain sheisjayeli!

Everything in you wants to pull that bump down and hold it there. Lifting is what takes the pressure off your pelvis and your pelvic floor. A fundal support band does this for you, or any band you can pull up and around to take some of the weight.

And if you have a partner at home, have them stand behind you and lift your belly for a minute. It sounds like nothing. It will change your day.

Pressure in the third trimester is common. That does not mean you have to spend eight weeks bracing through it.

If it is affecting how you sleep, walk or get through a workday, we can help before the baby arrives.

Book An Evaluation!
513-987-0601 or pillarpelvichealth.com

📍 Cincinnati, Ohio

09/01/2026

I feel your pain !

Everything in you wants to pull that bump down and hold it there. Lifting is what takes the pressure off your pelvis and your pelvic floor. A fundal support band does this for you, or any band you can pull up and around to take some of the weight.

And if you have a partner at home, have them stand behind you and lift your belly for a minute. It sounds like nothing. It will change your day.

Pressure in the third trimester is common. That does not mean you have to spend eight weeks bracing through it.

If it is affecting how you sleep, walk or get through a workday, we can help before the baby arrives.

Book An Evaluation!
513-987-0601 or pillarpelvichealth.com

📍 Cincinnati, Ohio

Meet the woman behind Pillar. 🤍Dr. Michelle Koval started this practice not because it was a good business idea, but bec...
08/28/2026

Meet the woman behind Pillar. 🤍

Dr. Michelle Koval started this practice not because it was a good business idea, but because she lived the gap herself. After having her first child, she was told "go for it" and went too hard, too fast. She had no idea what she was doing. But she did the research, found the answers, and decided to make sure nobody else had to figure it out alone.

17 years later... here we are.

PT, DPT, PRPC. Specialising in pelvic floor dysfunction for all genders, core strength, sexual function, antenatal and postpartum recovery, and bladder and bowel concerns.

Active mom of three. Runner. Peloton rider to nowhere. And the reason Pillar exists.

Book an evaluation with Dr. Michelle → 513-987-0601
pillarpelvichealth.com

08/26/2026

Monthly office hours with Dr Michelle and Dr Kari

Menopause changes a lot. Your bladder, your pelvic tissue, your libido, your core function. And yet most people are neve...
08/26/2026

Menopause changes a lot. Your bladder, your pelvic tissue, your libido, your core function. And yet most people are never told that these symptoms are treatable, or that pelvic PT is one of the most effective first-line approaches.

Swipe through and drop your score in the comments.

And if any of these resonated, join us on August 27 for a real, open conversation about menopause with the Menopause Care Collective at the Mercantile Library in Cincinnati. 6:30–8:30pm.

Details at pillarpelvichealth.com.
Book an evaluation → 513-987-0601
You're not just getting older. You're changing. And change can be supported.

08/24/2026

That pain right at the front of your pelvis has a name.

SPD. Symphysis p***s dysfunction. And it is not something you have to walk through for the rest of your pregnancy.

Here is what is actually happening. Your p***c bone is two halves with a disc between them. As your pelvis expands during pregnancy, that joint takes a shearing force. Your pelvic floor tightens on the inside, the muscles running to your thigh and p***c bone tighten too, and that is the pulling you are feeling right at the front.

So the answer is not to push through it. The answer is to take the load off that system.

That means getting your deep core engaging again so the pressure comes off your pelvis. And getting your glutes to actually do their job, because with SPD they tend to show up and then do nothing. Once they switch back on, your pelvis stops taking the strain on its own.

It is common in pregnancy. Common does not mean it has to be your normal.

If walking, rolling over in bed or getting out of the car is the part of your day you are dreading, we can help.

Book An Evaluation!
513-987-0601 or pillarpelvichealth.com

📍 Cincinnati, Ohio

Address

2651 Observatory Avenue
Cincinnati, OH
45208

Telephone

+15139870601

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