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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
Meet your neighborhood physical therapists 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. We know first hand that these systems impact far more than most people realize, and your comfort, confidence, and whole-body health matter to us.
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
& Dr. Elisa Travis PT, PPCES
Meet Dr. Bri
Meet Dr. Elisa
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 may be dealing with:
Leaking when you sneeze, laugh, or work out
Pelvic pain or pain with penetration
Pelvic pressure or heaviness
Frequency and Urgency of Bowel/Bladder
Changes with Pregnancy and Postpartum
Swelling anywhere in your body
Bloating or poor drainage
Cellulite, Varicose veins, easy bruising, or legs feeling "off"
Low back, hip, tailbone, or SI pain
Constipation
...and so much more.
SERVICES
SERVICES
From preparing your pelvic floor for labor and learning effective pushing techniques, to rebuilding strength and navigating postpartum recovery, we offer the individualized support your body deserves through every stage of motherhood.
Pelvic pain, leaking, pressure, and discomfort don't have to be your normal. Through personalized pelvic floor physical therapy, we'll help you better understand your body, address your concerns, and build strength and confidence for everyday life.
Support your body's natural lymphatic system with personalized care focused on improving lymphatic flow, managing swelling, and supporting healing and overall wellness.
Lymphatics
Pregnancy + Postpartum
Women's Pelvic Floor Health
Explore our specialized services designed to help you feel your best in every season of life.
We help you understand how your body is moving, what’s causing your symptoms, and how we can work together to create real change. We don't do temporary fixes here.
What we do
Experience direct, hands on one-on-one care that blends:
Gentle hands-on techniques
Movement-based therapy
Clear, relatable education
HOlistic Approach | Evidence based practice | 1:1 care | HOlistic Approach | Evidence based practice | 1:1 care | HOlistic Approach | Evidence based practice | 1:1 care | HOlistic Approach | Evidence based practice | 1:1 care | HOlistic Approach | Evidence based practice | 1:1 care | HOlistic Approach | Evidence based practice | 1:1 care | HOlistic Approach | Evidence based practice | 1:1 care | HOlistic Approach | Evidence based practice | 1:1 care | HOlistic Approach | Evidence based practice | 1:1 care | HOlistic Approach | Evidence based practice | 1:1 care |
Support That Actually Makes Sense
A personalized plan based on your symptoms and your lifestyle
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.
"Elisa is wonderful to work with! She is able to make patients/clients comfortable enough to address issues that can be, by nature, uncomfortable. Working with her in preparation for my third birth experience definitely made a difference, and I was able to "bounce back" faster than my previous two. The sooner you do this important work, the more time you will have to enjoy better function, and Elisa is your must-have guide!"
-Ruthie
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!”
-Ruthie
"After just a few sessions with Elisa I understood so much more about how my body is shaped, and what positions I could deliver in. Our sessions helped give me the confidence to have an unmedicated birth, and a great deal of knowledge about how my body would recover. In this, my third pregnancy and birth, I felt like I finally know what I should have know all along thanks to Elisa."
-Shev
"I struggled with chronic pelvic-floor pain and Vaginismus for years. I had a traumatic experience at the gynecologist in my early 20s and dreaded going to exams or checkups. During my first visits with Elisa, she was patient and non-judgmental. Through our time working together she assisted with recognizing a chronic condition called Vestibulodynia, which was confirmed by an OB specializing in vulvar pain. Elisa’s experience, vast knowledge base, and patience helped me to trust in her and my own body again."
-Devorah
300+
8+
Happy Patients Served
Years Experience
1:1
Unrushed Care
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