Jamie Plackett, DPT

10/08/2026

Winning in pelvic floor rehab doesn’t always look like a big, dramatic milestone.

Sometimes it looks like a successful VBAC.
Sometimes it’s going for your first postpartum run and realizing, I feel good.
Sometimes it’s sleeping 8 hours straight without waking up to p*e.
Sometimes it’s coming back pregnant again, hoping for the same smooth pregnancy, labor, and delivery.

These may seem like little wins from the outside, but to the person experiencing them, they can be life-changing. 🤍

This is what makes pelvic health physical therapy so incredibly rewarding. We’re not just treating symptoms — we’re helping people get back to the things they love, feel confident in their bodies, and experience milestones they may have once thought weren’t possible.

The wins may look different for every patient, but they all matter. And getting to be a small part of those moments is one of my favorite parts of what I do.

09/30/2026

Your Core Is More Than Your Abs

When we talk about “core strength,” we’re really talking about a dynamic system of muscles working together.

Your Core Is a Team

Your diaphragm, abdominal muscles, pelvic floor, multifidus, and other muscles of your trunk work together to create stability.

It’s less about one muscle being “strong” and more about how well the system coordinates.

Timing Matters

Your core needs to respond to movement and load by coordinating the right muscles at the right time.

This is called muscle sequencing—and it’s a key part of creating stability.

What Are We Stabilizing?

One important job of your core is helping stabilize your spine and pelvis as you move.

Whether you’re lifting your baby, running, squatting, or simply getting out of a chair, your core is constantly adapting to the demands placed on your body.

Core ≠ Just Abs

Your core is a dynamic, responsive system.

The goal isn’t to brace harder.

The goal is to learn how to coordinate your breath, pressure, and muscles to meet the demands of movement.

And Then There’s Pressure

Your core also helps manage intra-abdominal pressure (IAP).

Breathing, lifting, coughing, jumping, and even getting out of bed can all change the pressure inside your abdomen.

Your core needs to manage—not eliminate—that pressure.

So… What Makes a “Strong” Core?

A strong core isn’t necessarily the ability to hold a plank for 2 minutes.

It’s the ability to coordinate, stabilize, breathe, and adapt to whatever your body is asking it to do.

07/28/2026

07/22/2026

Trust me, there are way more than 5….

Reasons you should see a Pelvic PT:
1. You birthed a baby
-During pregnancy your body adapts, stretches and rearranges its organs to allow room for baby to grow and to prepare for delivery. During delivery, the pelvic floor muscles are stretched 3x their normal length, creating trauma, neural injury, and for a lot of women, tearing of the perineal tissue and muscle.
2. Leaking
-Leaking indicates a fault in the system. This can stem from pelvic floor, weakness, tension, improper pressure management, or prolapse.
3. Avoiding high impact activities
-With proper core and pelvic core function, your body should be able to sustain repetitive impact like jumping running, etc without symptoms.
4. Pain with intimacy
-Pain can result from muscle tension, scar tissue adhesions or hypersensitive nerves
5. Abdominal surgeries
-With any surgery, there will be a buildup of scar tissue that can further impact the nerves, organs and other tissues around it. We especially look to C-section scars to reduce scar tissue infiltration into the abdominal wall, surrounding organs and pelvic floor muscular which can also impact their ability to function.

03/26/2024

Hospital bag packed✔️
Car seat installed✔️
Newborn clothes washed, folded and put away✔️
Diapers and wipes stocked✔️
Bottles/ni***es sterilized and put away✔️
Breastpump and supplies ordered✔️
Crib assembled, bedding cleaned✔️
Pediatrician✔️
Childcare✔️

We put so much effort and time into making sure we are prepared for baby’s arrival but little time goes into making sure mom is prepared for childbirth and postpartum.

Postpartum is challenging enough. By taking the time to make sure you are healing adequately and sufficiently, you put yourself in a better mindset and physical position to care for your baby.

“The moment a child is born, the mother is also born” -Rajneesh

Postpartum Essentials:
-Witch hazel/tucks
-Mesh/disposable un**es
-Ice packs for perineum or cesarean incision
-Gentle compression garments
-Compression socks to reduce swelling
-Peri bottle
-Stool softeners
-Squatty potty
-Epsom salt for sitz baths
-Good fitting nursing bras
-Nursing pads
-Lanolin cream
-Small hot pack for clogged ducts/sore ni***es
-Large water bottle to help you stay hydrated
-Nutrient dense, easy to grab snacks
-Collagen powder
-Fem Restore Postpartum Guide 😉

03/22/2024

Dear patients,

Your support, dedication and patience during this transition means the world to me. From the bottom of my heart I want to say THANK YOU!

Although I will be taking some time off for healing & getting acquainted with my new babe, I will be in contact with each of you regarding my timeline and when I plan to resume care. Stay tuned!

Now, it’s time to practice what I preach🤰💪🏻

02/12/2024

On a weekly basis I am receiving patients 6 weeks or more postpartum that were not even assessed internally or for some, even seen in person for their 6-week follow up. They were still given the green light to return to s*x, return to whatever mode of recreation/exercise as desired despite symptoms or what was found on examination. These patients need better guidance, more structure to make sure their impairments and symptoms do not worsen.

Childbirth (either vaginally or cesarean) DESERVE a rehab protocol. Injury, trauma and tissue strain was present regardless of how well or routine the birth went. We need to respect these tissues and the trauma they experienced. Even more so, respect these patients, their bodies and their future goals

01/25/2024

3rd trimester workouts call for a little bump support 🤰

09/22/2023

Do you have issues urinating postpartum? 💦

This is a very common pelvic floor issue following childbirth. Your pelvic floor muscles are stretched to sometimes 3x their normal length and the nerves that dip and weave between the muscles get pulled along for the ride which may result in a traction injury.

This can definitely mess with your bladder and ability to urinate, as well as your ability to hold back urine.

1) You can experience reduced urge to urinate due to the nerves being injured
2) You may experience urinary leakage due to pelvic floor weakness
3) You may have difficulty initiating your stream due to overactivity of the pelvic floor which is a trauma related response

Luckily there are several methods you can try initially postpartum to help retrain your bladder.

If you are experiencing:
Number 1: Try a voiding schedule. Make sure you are attempting to empty your bladder at least every 3 hours. This can help retrain the neural connection between the bladder and brain as the nerves and tissues start to heal.

Number 2: Start with gentle pelvic floor contractions. First think about squeezing around the urethra to start and then lifting with the deeper pelvic floor muscles up and in, as if you are trying to bring your tailbone and p***c bone closer together. This should not be painful and should be about 25-30% max to start.

Number 3: Try deep breathing prior to urination. Take a deep breath in to relax the pelvic floor and then exhale as if you are blowing out birthday candles. Placing your feet on a stool or squatty potty will also help the pelvic floor relax. You can also try the age old trick of letting the water run to help initiate the stream. OR try even p*eing in the shower (yeah I said it), but the combo of water and warmth help to relax the PF to allow the stream to start. If this is too much for you, fill up your peri bottle with warm water and use that instead!

If you notice your symptoms are not improving or getting worse, seek out help from a pelvic PT for guided bladder and pelvic floor retraining.

06/26/2023

🤱🤰