Floor
We Optimize your
Here we treat the systems that support your body from the inside out:
& Flow
NOW ACCEPTING NEW PATIENTS NOW ACCEPTING NEW PATIENTS NOW ACCEPTING NEW PATIENTS NOW ACCEPTING NEW PATIENTS NOW ACCEPTING NEW PATIENTS NOW ACCEPTING NEW PATIENTS NOW ACCEPTING NEW PATIENTS NOW ACCEPTING NEW PATIENTS NOW ACCEPTING NEW PATIENTS NOW ACCEPTING NEW PATIENTS
Floor vs. Flow
Two systems. One specialist who meets you where you are.
The Floor (Pelvic Floor Therapy )
The Flow (Lymphatic System)
Your foundation of support, stability, and control
Your body’s drainage, detox, and inflammation regulator
Common Signs the Floor Needs Support:
Common Signs Flow Is Sluggish:
- Pelvic pain, pressure, or heaviness
- Bladder leakage, urgency, or frequency
- Constipation or difficulty emptying
- Pain with penetration or intercourse
- Tailbone, hip, SI, or low back pain
- Pregnancy, postpartum, or hormonal changes
- Chronic swelling or heaviness
- Bloating or fluid retention
- Tender or fibrotic tissue
- Easy bruising
- Lipedema, lymphedema, or venous disease
- Post-surgical swelling or slow recovery
Why Seeing Someone Who Understands Both Matters
Your pelvic floor and lymphatic system don’t work in isolation. When the floor isn’t coordinating well, pressure builds. When flow is impaired, inflammation and swelling increase.
Yet many people with symptoms are never properly diagnosed.
Even fewer are referred to pelvic floor physical therapy.
1 in 4 women suffer from pelvic dysfunction.
Because these symptoms are frequently minimized or labeled as “normal,” many individuals go years without answers—or the care that could truly help. Our goal is to close that gap by increasing access, awareness, and education around pelvic floor health.
Pelvic Floor Therapy
When lymphatic flow slows, symptoms like bloating, heaviness, swelling, pain, and inflammation can build over time.
10–12% of women have lipedema
— and many don’t even know it.
Your body contains 600–700 lymph nodes, working quietly to filter waste and support healing.
Unlike your heart, the lymphatic system has no pump.
It relies on breathing, movement, and manual stimulation to function properly.
Lymphatics (Flow) Therapy
Treatment Areas
Pelvic Floor
Lymphatic Therapy
Pelvic Floor Therapy can treat many diagnosis and dysfunctions including:
Your pelvic floor is central to your body’s functioning, so dysfunction can look different for everyone. It is also not an area that health care providers think to refer out for often. If you think you could benefit from pelvic floor therapy but are not sure, please reach out!
- Low Back Pain
- Hip Pain
- SI Pain
- Tailbone Pain
- Pain with Intercourse
- Pain with Penetration
- Painful Menses
- Pelvic Pain
- Urinary or Bowel Urgency/Frequency
- Interstitial Cystitis
- Urinary and Bowel Incontinence
- Recovery from Pregnancy/Postpartum
- Menopause Navigation
- Diastasis Recti and other core dysfunction
- Constipation
- Abdominal scarring from surgeries (C-Section and other)
- Pelvic Congestion Syndrome
- Endometriosis
Your pelvic floor is central to your body’s functioning, so dysfunction can look different for everyone. It is also not an area that health care providers think to refer out for often. If you think you could benefit from pelvic floor therapy but are not sure, please reach out!
Lymphatic Therapy includes Complete Decongestive Therapy, which has a phase of reducing the amount of swelling and then maintaining the new size.
This can benefit those with:
Not everyone with swelling concerns needs significant reduction. If your swelling is mild, then you may benefit from lymphatic wellness instead!
This can benefit those with:
- Venous Insufficiency
- Lipedema
- Lymphedema
- Post-Surgical Swelling
- Primary or Congenital Lympathatic Disorders
- Post-radiation for oncologic treatments
- Refitting of lymphedema garments
Not everyone with swelling concerns needs significant reduction. If your swelling is mild, then you may benefit from lymphatic wellness instead!
Wellness Services
General Wellness services are right for those who are wanting to address health and wellness but do not currently have pain or dysfunction. This can include:
- Starting a new exercise program
- Return to exercise post-partum
- Osteoporosis exercise program
- Exercise program for cancer survivors
- Pelvic floor connection concerns
- Education on healthy body mechanics for pregnancy/postpartum
- Transition from physical therapy services to self-maintenance
- Body check-ins and movement screenings
Lymphatic Wellness Services include manual lymphatic drainage and exercise to help boost your lymphatic system. This can help with
If you have significant swelling or specific diagnoses causing your swelling, you may be more appropriate for lymphatic physical therapy!
- Swelling/bloating
- Fatigue
- Headaches
- Immune response
- Sleep
- Joint pain
- Joint stiffness
- Muscular Recovery
- Constipation
- Weight Loss
If you have significant swelling or specific diagnoses causing your swelling, you may be more appropriate for lymphatic physical therapy!
General Wellness
Lymphatic Wellness
While we do not bill insurance directly, many patients choose to use HSA or FSA cards for eligible services. Some insurance plans may also offer out-of-network reimbursement—though coverage varies.
We’re always happy to provide a detailed receipt (superbill) upon request so you can check with your insurance provider if reimbursement is available.
Optimize is a self-pay, out-of-network practice. This allows us to provide longer, one-on-one sessions without the limitations often required by insurance companies.
Choosing self-pay care means:
- Longer appointments
- Personalized, unrushed treatment
- Care driven by your needs—not insurance restrictions
Therapy Session Options
All therapy sessions are one-on-one, giving you the time, attention, and level of care that best supports your goals.
This service is designed for individuals experiencing pelvic floor dysfunction or lymphatic conditions, including lymphedema, lipedema, and venous disease.
Initial Evaluation-
Pelvic Floor or Lymphatics
Each session includes a thorough evaluation of how your body moves and functions, along with individualized treatment tailored to your needs. Care may include manual lymphatic drainage or external and/or internal pelvic floor assessment and treatment, depending on your symptoms and comfort level.
This service is for individuals who do not have a formal diagnosis of lymphedema, lipedema, or venous disease but want to support their lymphatic system and overall wellbeing.
Lymphatic Wellness
This service is for individuals who do not have a formal diagnosis of lymphedema, lipedema, or venous disease but want to support their lymphatic system and overall wellbeing.
$125 for a 90-minute session
300+
8
Happy Patients Served
Years Experience
1:1
Unrushed Care
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.
Frequently Asked Questions
I specialize in pelvic floor and lymphatic therapy under one roof — a niche pairing that allows me to address the root cause of inflammation, swelling, bloating, pelvic pain, and mobility issues. You’re not rushed, you get 1:1 care, and we actually listen to your body’s story.
In Missouri, you can book your initial evaluation without a physician referral. If one becomes necessary for ongoing treatment, I handle the communication with your provider.
YES. Every human has a pelvic floor — men included.
Men can experience pelvic floor tension, urinary leaking, urgency, testicular or groin pain, constipation, tailbone pain, and even sexual dysfunction due to pelvic floor dysfunction. I treat men and women!
Absolutely not.
Pelvic floor dysfunction can happen in people who have never been pregnant. Reasons someone may need pelvic floor therapy even if they’ve never had kids:
Pelvic floor dysfunction can happen in people who have never been pregnant. Reasons someone may need pelvic floor therapy even if they’ve never had kids:
- Chronic constipation or straining
- Leaking with workouts or sneezing
- Pelvic pain or pain with intercourse
- Tailbone pain
- Hip, low back, or SI joint tightness
- Urinary frequency (feeling like you always have to go)
- Athletic injuries (especially lifting and running)
- “Mystery” bloating or pressure in the lower abdomen
- Difficulty relaxing or pelvic tension due to stress
It is NEVER too late.
Whether it’s been 6 months… or 26 years… your pelvic floor is made of muscles and connective tissue. Muscles adapt at every age, and we can retrain them.
You don’t have to live with leaking, pressure, or pain just because someone once told you it’s “normal” or “part of aging.” It’s not.
You don’t have to know.
I evaluate both systems because they are highly connected — fluid congestion increases pelvic tension, and pelvic tension restricts lymph flow. We follow your body’s response and choose what works best for you.
Yes. I am trained in lymphatic therapy and work with many clients who have lipedema or suspect they do.
I help reduce pain, inflammation, swelling, and heaviness through gentle manual lymphatic drainage and movement-based flow.
Yes. During sessions, I help measure, select, and guide you through ordering the correct compression (not all compression is appropriate for lipedema). I also help with pneumatic compression pump recommendations and can coordinate with vendors and physicians if needed.
I am an out-of-network provider, which means your treatment plan is based on what you need, not what insurance approves. I provide superbills for reimbursement upon request.
Gentle, calming, 90-minute treatments that support drainage, reduce inflammation, and decrease pain. No machines, no gimmicks — hands-on therapy that supports flow.
Never. It’s an option, not an obligation. We have plenty of external techniques that are just as effective.
Yes — HSA/FSA cards can be used for therapy sessions (and sometimes wellness sessions depending on your plan).
Some folks, depending on their plan and coverage, actually save money when going out-of-network. Being out-of-network allows me to:
If you have good coverage- awesome! You can still choose to see me or use your hospital providers who are also amazing!
- See you 1:1 for the entire session
- Treat the root cause, not just what insurance “approves”
- Use the full pelvic + lymphatic model without restrictions
If you have good coverage- awesome! You can still choose to see me or use your hospital providers who are also amazing!
Yes — and wellness sessions make a perfect gift for post-op clients, mamas, and anyone who needs a reset.
Yes. If during a wellness visit you mention a new concern or symptom, we can shift to a therapy session. Your body guides the plan.
Pelvic Floor Therapy & Lymphatic Care support many systems of the body
You’re experiencing pelvic floor pain, pelvic pain, pressure, or discomfort, including prolapse
You went to your 6 week follow-up postpartum visit and was cleared for “everything,” but don’t feel confident or strong in your movements
You struggle to get your stream started, and when you do you don’t feel like you completely empty and dribble
You have bladder leakage, urinary frequency, urgency, or conditions such as interstitial cystitis
You struggle with constipation or difficulty fully emptying your bladder or bowels
You experience painful periods or ongoing pelvic discomfort throughout your cycle
You have difficulty controlling gas or experience vaginal air trapping
You deal with back pain, hip pain, SI/sacroiliac joint pain, or tailbone pain
You notice bloating, swelling, edema, heaviness, or ongoing inflammation
You’ve been diagnosed with lymphedema, lipedema, venous disease, varicose veins, or spider veins
You bruise easily, feel tenderness or pain in areas that “shouldn’t” hurt, or notice sensitivity—especially in the legs, hips, or abdomen.
You’re pregnant, postpartum, recovering from a C-section, or navigating perimenopause
You have pain with penetration or intercourse
You’ve had cancer treatment, post-surgical changes, or are managing scar tissue
You’re living with autoimmune conditions that affect swelling, pain, or inflammation
Pelvic floor dysfunction and lymphatic issues are far more common than most people realize — and pain, pressure, leakage, swelling, or discomfort are not things you’re meant to “just live with.” These systems influence how your body moves, heals, drains fluid, and manages inflammation. When something feels off, it’s often connected.
Our practice is for you if....
You want root-cause care that connects the dots, not quick fixes
You value one-on-one, unrushed sessions focused entirely on you from a provider focused on your goals
While our practice primarily serves women, pelvic floor therapy benefits people of all genders. Dr. Bri is trained to treat individuals of all ages and sexes.
Pain is not normal. Help is here.
Pelvic floor therapy isn’t just for postpartum—it’s for anyone with a pelvis.
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