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Why Occupational Therapists Are Uniquely Built for Pelvic Floor Therapy
When most people hear “pelvic floor therapy,” they picture a physical therapist. And while PTs do excellent work in this space, there’s a quiet truth the public and even many referring providers don’t know: Occupational therapists were trained for this work from day one. Not as an add-on. Not as a subspecialty bolted onto our scope. It’s written into the very document that defines what occupational therapy is. A Note on Why I’m Writing This In September 2025, I had the privil

Nicole Muriel / PivOTal Performance
Jun 14 min read


Why Most Pelvic Floor Advice Misses the Point
If you’ve ever Googled “how to stop leaking when I sneeze” or “why does sex hurt after baby,” you’ve probably been told the same thing a hundred different ways: do your Kegels. Squeeze. Hold. Release. Repeat. And if Kegels haven’t fixed it — if you’re still leaking on the trampoline with your kids, still bracing before you cough, still avoiding intimacy, still not lifting the way you used to — you’ve probably wondered if something is wrong with you. Nothing is wrong with you.

Nicole Muriel / PivOTal Performance
Apr 282 min read


4 Telltale Signs Your Body Is Embracing Exercise with Open Arms
The million-dollar question people have when they’re nearing delivery, or after having a child is, “When can (or should) I start exercising again?” The motivation for wanting to initiate exercise may be different from one person to the next, and not everyone has the same amount of time to commit to exercise in their week. So, I don’t want this blog to focus on a specific way to exercise or the type of exercise that you should be doing. I want to discuss one major factor to be

Nicole Muriel / PivOTal Performance
Jan 283 min read

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