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Because “just living with it” was never the answer.

Proudly Serving Patients in Saint Charles County, MO

Pelvic Floor & Lymphatic Therapy for Real People with
Real Symptoms 

Certified

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You're in the right place.

When either one is out of balance, it can affect every part of your wellbeing. Our job is to connect the dots, find the root cause of your symptoms, and help your body move in a way that supports true healing. If something feels off in your body—even if you can’t quite explain it— you deserve a place where you feel seen, heard, and cared for.
 This is that place.


We're so happy you're here

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Meet your neighborhood physical therapist specializing in
floor + flow, the two systems that quietly support everything you do:

Your pelvic floor and your lymphatic system.

You don’t need a diagnosis, a referral, or anyone’s approval to get help here. 

Our mission is to help every patient in Saint Charles County feel informed, empowered, and supported in their body. That means understanding what’s happening “down there,” learning how to care for your pelvic floor and lymphatic system, and knowing you have real options in your care. Because these systems impact far more than most people realize—and your comfort, confidence, and whole-body health matter here. 

You know your body better than anyone else, if something feels “off" then our door is wide open. 

At Optimize

Dr. Brianne Hollandsworth (Bri)
PT, DPT, CLT

Meet Dr. Bri

Symptoms you may be experiencing...

Many of our patients have been told their symptoms are “nothing to worry about,” “normal,” or not worth addressing. If that’s been your experience, you’re not alone. Here’s what you might be dealing with:

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Leaking when you sneeze, laugh, or work out

Pelvic pain or pain with penetration

Pelvic pressure or heaviness

“Something feels off” and you can’t get answers

Postpartum changes that don’t feel normal


Swelling in your thighs, hips, or lower legs

Bloating or poor drainage

Lipedema/Lymphedema symptoms

Core weakness or instability

Constipation


We help you understand how your body is moving, what’s causing your symptoms, and how we can work together to create real change—not temporary fixes.

What we do

Experience 90 minutes of direct, one-on-one care that blends:

Gentle hands-on techniques
Movement-based therapy
Clear, relatable education
A personalized plan based on your symptoms and your lifestyle

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Support That Actually Makes Sense

Endometriosis had me in constant pelvic pain, and I didn’t realize how much my pelvic floor was contributing until seeing Dr. Bri. Her internal work, breathing retraining, and gentle manual therapy eased pain I’ve lived with for years. She truly understands endo patients and how sensitive our bodies can be.”



-Racheal

I started seeing Dr. Bri during my second trimester for pubic symphysis and low back pain. She taught me how to move, sleep, and lift without triggering pain. Her hands-on work gave immediate relief, and the exercises were realistic for pregnancy. She made me feel comfortable every step of the way.”

-S.W.

After having my baby, I had leaking, pressure, and didn’t feel like myself. Dr. Bri helped me reconnect to my core and pelvic floor in a way that felt safe and gentle. She never rushed me and always validated how hard postpartum can be. I finally feel strong again.”

-Emma

“I didn’t realize how swollen and tender my chest would feel after my breast cancer surgery. Brianne helped with lymphatic drainage that eased the pressure and made me so much more comfortable. She also taught me scar care and posture tips. She’s amazing. Every cancer survivor should be referred to her.”

-Emily

“I’ve struggled with constipation for years, and no one ever checked my pelvic floor. Dr. Bri identified tightness and taught me techniques to relax and coordinate my muscles. She also used some massage to help move things along. I left every session needing to go and feeling regular!!! My bowel movements are finally regular again and that has helped my daily life tremendously.”

-Sam

“I came to Dr. Bri after years of being dismissed about my legs. For the first time, someone actually understood lipedema and how it affects pain, swelling, and mobility. Her lymphatic work helped my heaviness so much, and she taught me how to choose compression that actually fits my body. I wish I found her sooner.”

-Dana

“I came to Brianne for lymphatic and pelvic floor work due to chronic inflammation and what I think is the beginning of autoimmune arthritis which runs in my family. Her approach is unlike anything I’ve tried. My bloating, swelling, and pain have all improved, and I finally feel like someone understands how everything connects. I wish I could have sent my family to her before their diagnosis!”


-Anna M.

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Monday and Wednesday at Back Pain Center-O'Fallon

Tuesday, Thursday, and Friday at Mirella Aesthetics at the Lake

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We proudly serve patients at two convenient locations to make getting the care you need simple and accessible.

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Have a question or concern? Drop it below! 

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@optimize_your_pelvic.lymph

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Not Sure If you have Pelvic Floor or Lymphatic Dysfunction?

Take our free quiz below! 

Lymphatic Dysfunction QuizPelvic Floor Dysfunction Quiz

400 Lake Saint Louis BLVD Suite 1

314-308-8100

optimizestl@gmail.com