Frequently Asked Questions

Your first session is all about you — your story, your goals, and how your body is moving today. We’ll begin with a thorough evaluation where I take the time to listen to your history, assess your posture, breathing, and movement patterns, and use skilled hands-on detection to uncover the underlying issues behind your pain or dysfunction.

From there, I’ll provide gentle, targeted treatment — which may include manual therapy, dry needling, cupping, visceral mobilization, or skilled hands on work— to start restoring balance and relieving discomfort. If this is for pelvic floor rehabilitation we typically are not doing intervaginal work on the first day. You’ll also receive simple, personalized exercises you can begin right away, designed to create small daily changes that build lasting results.

Each session takes place in a safe, supportive space, where you’ll feel heard, cared for, and empowered in your healing journey. My goal is not just to relieve your symptoms, but to help you reconnect with your body and feel confident moving forward.

That’s completely normal. My goal is to create a calm, safe, and encouraging space. We’ll move at your pace — every question is welcome, and your comfort always comes first. Healing begins with trust and connection.

Comfortable clothing you can move in like shorts, tank tops, or athletic wear. Since I often assess posture, movement, and breathing, flexible clothing helps me see how your body moves.

No, I operate as a private-pay practice. This allows me to provide longer, personalized one-on-one sessions without the restrictions of insurance. I’ll gladly provide a superbill you can submit to your insurance for potential out-of-network reimbursement. This is not a guarantee of reimbursement.

I accept: cash, Venmo, credit card, FSA, HSA. 

I understand that life happens — kids get sick, plans change, and schedules shift. To respect both your time and mine, I kindly ask for at least 24 hours’ notice if you need to cancel or reschedule your appointment.

Cancellations made with less than 24 hours’ notice, or missed appointments, may be subject to the full session fee as that time is reserved specifically for you.

You can easily reschedule or cancel by calling or texting (720) 926-8131 or emailing pam@changingthegamept.com. I’ll always do my best to find a new time that works for you.

I work with both men and women of all ages. My specialties include athletes recovering from injuries, adults struggling with chronic or recurring pain, women navigating postpartum and perimenopause, and individuals dealing with vertigo or balance issues. I also am comfortable working with high school athletes with a parent present during the treatments.

I don’t just treat the symptoms. I peel back the layers to uncover the underlying issues. With 20+ years of experience and advanced training in dry needling, cupping, visceral mobilizations, pelvic floor therapy, and more, I create whole-body, personalized care that helps you achieve lasting results.

Pelvic floor therapy can include gentle external and internal techniques, but it’s always done at your pace and with your full consent. When working with postpartum women, I start with working on closing the pelvic bones, improving ribcage mobility before we even think about internal pelvic floor work. We also look at abdominal/core function to see how your abdominal muscles are firing. My goal is to create a safe, comfortable space where you feel supported and in control throughout the process. I also feel it is important to listen to your body and let it decide when or if you want to have internal treatments.

Yes! I specialize in helping women with urinary incontinence, whether it’s related to postpartum changes, hormonal shifts, or other underlying issues. Urinary incontinence is very common, but it’s not something you “just have to live with.” With the right therapy, many women experience significant improvement and even full resolution. I will also look at how you are loading your core and pelvic floor muscles and see how your breathing is directly affecting your pelvic floor then we also check to see how your pelvic organs are moving. 

There are a few different types of urinary incontinence:

• Stress incontinence: Leakage when coughing, sneezing, laughing, or exercising.

• Urge incontinence: A sudden, intense urge to urinate often with little warning.

• Mixed incontinence: A combination of stress and urge symptoms.

• Postpartum-related incontinence: Core, pelvic floor and pelvic bone changes from pregnancy and birth that affect bladder control.

• Hormonal or perimenopausal incontinence: Shifts in estrogen and other hormones that can weaken pelvic support tissues and change bladder function.

My treatment goes beyond “standard pelvic floor PT.” Together we work on intervaginal pelvic floor therapy (when appropriate), visceral mobilizations, breath and ribcage restoration, and whole-body mechanics to uncover the underlying issues. Each person's physiology and situation is going to influence the treatments and progression of care. Every session is done in a safe, compassionate space, and we’ll also build simple daily strategies to support your pelvic floor in real-life situations.

I specialize in pelvic floor physical therapy for women — supporting issues such as urinary leakage, pelvic pain, postpartum recovery, and changes through perimenopause and menopause.

While I do treat men for orthopedic and sports injuries, I currently offer pelvic floor services for women only. My approach focuses on helping women reconnect with their bodies, improve core and pelvic health, and feel empowered through all stages of life.

Breathing and pelvic floor function are deeply connected. When you breathe efficiently, your diaphragm, ribs, and pelvic floor move together like a supportive team. This coordination reduces pressure, improves stability, and helps you feel stronger from your center outward.

If you are having an acute attack of BPPV (Benign Paroxysmal Positional Vertigo), make an appointment right away so I can perform the maneuver safely and effectively. If treated correctly and diagnosed correctly this can be treated in 1 maybe 2 visits. Having a driver is highly recommended.

BPPV stands for Benign Paroxysmal Positional Vertigo. It' is a common cause of dizziness that occurs when tiny crystals in the inner ear become displaced and send confusing signals to your brain about your body’s position. This can make you feel like the room is spinning — especially when rolling over in bed, looking up, or bending forward.

Physical therapy can be highly effective for BPPV. I use gentle, guided repositioning maneuvers to move the crystals back where they belong, often providing relief within one or two sessions. Treatment may also include balance and gaze stability exercises to retrain your system and prevent future episodes.

If you’ve been experiencing dizziness, vertigo, or imbalance, physical therapy can help you feel steady and confident again.

I treat a wide range of sports-related injuries for athletes of all levels from weekend warriors to competitive athletes. Common issues I help with include:

• Sprains and strains (ankle, wrist, shoulder, knee, hip, hand and more)

• Overuse injuries like tendonitis or shin splints

• Muscle tightness, imbalances, or pulls

• Joint pain or stiffness in the shoulders, hips, knees, or ankles

• Back and neck pain related to training or posture

• Performance limitations caused by poor mobility or movement patterns

My goal isn’t just to get you out of pain — it’s to restore mobility, rebuild strength, and retrain movement so you can prevent future injuries. Using a blend of hands-on therapy, dry needling, cupping, and corrective exercise, I create a personalized plan that gets you back to the activities you love with confidence and resilience.

Yes. Some separation of the abdominal muscles (diastasis recti) is normal during pregnancy, and for many women, it begins to heal naturally within a few months after birth. If it isn’t closing on its own, it’s important to look deeper. Together, we’ll assess how your breathing patterns, ribcage mobility, posture, and core mechanics are working, since these all play a key role in healing. With gentle, targeted exercises and hands-on techniques, we can support the abdominals in coming back together and restore strength and function to your core.

Lymphatic drainage cupping is a gentle, specialized form of cupping that helps support your body’s natural lymphatic system. By using light suction and movement of the cups across the skin, this technique encourages lymph flow, reduces swelling, decreases tissue congestion, and promotes overall circulation. Many people find it especially helpful for recovery after injury, surgery, or periods of inflammation, as well as for improving mobility and reducing that “heavy” feeling in tissues.

It’s important to note that while lymphatic drainage cupping can be beneficial for supporting healthy circulation and recovery, it is not appropriate for treating lymphadenopathy (enlarged lymph nodes), as cupping in those areas would be too intense. In those cases, I would recommend consulting with your physician for appropriate medical care.

Yes — I do offer full-body lymphatic drainage cupping sessions. This gentle technique uses light suction and sweeping movements of the cups to encourage lymph flow throughout the body, which can reduce swelling, ease tissue congestion, improve circulation, and support overall recovery. Many clients find full-body sessions especially helpful after injury, illness, surgery, or periods of fatigue to feel lighter and more balanced.

Dry needling targets tight or overactive muscle trigger points using a very thin needle (no medication involved). It helps release muscle tension, improve circulation, and reduce pain. I often pair it with gentle electrical stimulation and manual therapy for longer-lasting results.

Gait analysis looks at how you walk and run — identifying imbalances, compensations, and areas of weakness that may cause pain in your feet, knees, hips, or back. Correcting these patterns can enhance performance and prevent future injury.

Every recovery journey is unique, but gentle physical therapy can often begin as soon as you feel ready and have medical clearance — typically around 2 to 6 weeks postpartum, depending on your delivery and how you’re feeling.

In early sessions, we focus on reconnecting with your breath, posture, and pelvic floor — helping your body heal safely and setting the foundation for strength and movement. Even months or years after childbirth, it’s never too late to start postpartum physical therapy.

After a C-section, gentle physical therapy can usually begin once your incision is healed and you’ve been cleared by your healthcare provider — typically around 4 to 6 weeks postpartum.

Early sessions focus on breathing, posture, and gentle mobility to help reconnect your core and pelvic floor while promoting healing around the scar. As your body continues to recover, we’ll progress into safe strengthening, scar tissue release, and movement retraining to restore comfort, confidence, and stability.

Even if your C-section was months or years ago, it’s never too late to address scar tightness, core weakness, or pelvic floor symptoms.