The PeakRx Blog

Expert insights on pelvic health, orthopedic care, and holistic wellness to help you move better and live your best life.

All Posts Core Health Exercise & Fitness Menopause Pain Management Pelvic Floor Health Pregnancy & Postpartum Surgery & Recovery Wellness

Osteoporosis & Bone Health: 3 steps for building the strongest bones

Pelvic Floor Health

Dr. Brooke Miller·Aug 29, 2025

Osteoporosis & Bone Health: 3 steps for building the strongest bones

Osteoporosis is more common than most women realize. Three steps to stronger bones: the right nutrients, impact and strength training, and starting early.

Pelvic Health After a Hysterectomy: 3 complaints 'down there' after a hysterectomy

Pelvic Floor HealthMenopause

Dr. Brooke Miller·Aug 29, 2025

Pelvic Health After a Hysterectomy: 3 complaints 'down there' after a hysterectomy

Pressure, hemorrhoids, dryness or leaking after a hysterectomy? Why these changes happen and what helps, from a pelvic floor physical therapist.

Fueling Your Body After Abdominal Surgery: Nutrition Tips for Healing

Surgery & Recovery

Dr. Brooke Miller·Aug 29, 2025

Fueling Your Body After Abdominal Surgery: Nutrition Tips for Healing

Fuel your body after abdominal surgery with essential nutrients like protein, omega-3s, and vitamins to aid healing, reduce inflammation, and regain strength.

Hysterectomy 101: Preparation, Healing, and Protecting Your Pelvic Floor

Pelvic Floor HealthSurgery & Recovery

Dr. Brooke Miller·Aug 27, 2025

Hysterectomy 101: Preparation, Healing, and Protecting Your Pelvic Floor

Getting ready for a hysterectomy? The types of surgery, how to prepare your body and pelvic floor, and a week-by-week guide to recovery and exercise.

Tummy Tuck 101: what it is, what you should know and how to heal your best

Pelvic Floor HealthPregnancy & Postpartum

Dr. Brooke Miller·Aug 25, 2025

Tummy Tuck 101: what it is, what you should know and how to heal your best

Considering a tummy tuck? The procedure options, how to choose a surgeon, what you'll need, common misconceptions, and the recovery timeline phase by phase.

Menopause and the pelvic floor: expected changes and solutions

Pelvic Floor HealthMenopause

Dr. Brooke Miller·Feb 18, 2025

Menopause and the pelvic floor: expected changes and solutions

Leaking, prolapse, vaginal atrophy or pain with sex in menopause? Why your pelvic floor changes, and the exercises, habits and treatments that help.

Pelvic Floor HealthMenopause

Dr. Brooke Miller·Feb 14, 2025

Bladder problems and menopause

Bladder changes in perimenopause catch many women off guard. Why they happen, and three steps to take now, starting with not peeing just in case.

What to expect from your first pelvic floor physical therapy appointment

Pelvic Floor HealthPregnancy & Postpartum

Dr. Brooke Miller·Feb 10, 2025

What to expect from your first pelvic floor physical therapy appointment

Nervous about your first pelvic floor PT visit? What happens, from your health history and goals to the assessment and your plan, plus how to prepare.

pessaries: conservative management of pelvic organ prolapse

Pelvic Floor HealthMenopause

Dr. Brooke Miller·Feb 7, 2025

pessaries: conservative management of pelvic organ prolapse

A pessary is a small silicone insert that supports the organs in pelvic organ prolapse. What pessaries are, who they help, and how to use one well.

Pelvic Floor HealthCore Health

Dr. Brooke Miller·Jan 20, 2025

pelvic floor 101: 5 main functions

Your pelvic floor does five main jobs, from bladder and bowel control to supporting your organs and core. What each function is and why it matters.

pregnancy, postpartum and the pelvic floor

Pelvic Floor HealthPregnancy & Postpartum

Dr. Brooke Miller·Jan 2, 2025

pregnancy, postpartum and the pelvic floor

How pregnancy and birth change your pelvic floor and core, common problems after baby, the timeline for recovery, and daily habits that help you heal.

Running Postpartum: Overcoming Incontinence Challenges

Pelvic Floor HealthPregnancy & Postpartum

Dr. Brooke Miller·Nov 8, 2024

Running Postpartum: Overcoming Incontinence Challenges

Leaking when you run after having a baby is common, but it doesn't have to stay. The three things we check before a postpartum mom gets back to running.

6 reasons for rehab after abdominal surgery

Pelvic Floor HealthSurgery & Recovery

Dr. Brooke Miller·Oct 31, 2024

6 reasons for rehab after abdominal surgery

Why you need rehab after your tummy tuck, c-section, hernia repair or breast augmentation

Pelvic Floor HealthSurgery & Recovery

Dr. Brooke Miller·May 18, 2023

Do I need to rehab after a tummy tuck?

Physical therapy after a tummy tuck helps you rebuild core strength and avoid leaking and pain. When to start, and what each phase of rehab looks like.

What our clients wish they would have known about their pelvic floors.

Pelvic Floor Health

Dr. Brooke Miller·May 18, 2023

What our clients wish they would have known about their pelvic floors.

We want to eliminate the 'I wish I would have known' in regards to pelvic floor health

"work from home" bladder and how you can fix it!

Wellness

Dr. Brooke Miller·Feb 2, 2023

"work from home" bladder and how you can fix it!

Increased bladder urgency/frequency as well as incontinence can be associated with pelvic floor dysfunction and poor bladder habits.

Pelvic Floor Health

Dr. Brooke Miller·Jan 20, 2023

4 pelvic floor issues for men

Men have a pelvic floor too. Four reasons men should care about theirs, from bladder and bowel control to sexual health, and how physical therapy helps.

Why You Should ALWAYS Be Able To Get Up Off The Floor.

Wellness

Dr. Brooke Miller·Jun 1, 2021

Why You Should ALWAYS Be Able To Get Up Off The Floor.

Getting up off the floor gets harder with age, and it's linked to falls and how long we live. Why it matters, and how to keep the skill for life.

Pelvic Floor HealthPregnancy & Postpartum

Dr. Brooke Miller·Apr 29, 2021

TMJ and the Pelvic Floor connection

Jaw pain and leaking can be connected. How your jaw and pelvic floor are linked, why both are more common in women, and what stress has to do with it.

S.I. Joint Dysfunction: The where, what, why, who and when of treatment

Pelvic Floor HealthPregnancy & Postpartum

Dr. Brooke Miller·Apr 29, 2021

S.I. Joint Dysfunction: The where, what, why, who and when of treatment

SI joint pain explained: where the joint is, what goes wrong, who gets it, and treatments from self-management and PT to injections and surgery.

Wellness

Dr. Brooke Miller·Apr 6, 2021

3 Not So Common Tips For Better Sleep

Good sleep helps you recover, heal and manage pain. Three not-so-common tips for better sleep, including putting your feet up on a wall.

our favorite hip mobility exercise for your back, hip and pelvic pain

Pelvic Floor HealthExercise & Fitness

Dr. Brooke Miller·Feb 26, 2021

our favorite hip mobility exercise for your back, hip and pelvic pain

Box sitting is our favorite exercise for hip mobility. How to find your range, build strength in it, and control it to help back, hip and pelvic pain.

Three Causes For Low Back Pain That You Would Never Expect

Pelvic Floor HealthPain Management

Dr. Brooke Miller·Feb 23, 2021

Three Causes For Low Back Pain That You Would Never Expect

Where your back hurts isn't always where the problem is. Three unexpected causes of low back pain: stress, your pelvic floor and your hips.

5 most reported issues during the menopause transition

Pelvic Floor HealthMenopause

Dr. Brooke Miller·Feb 23, 2021

5 most reported issues during the menopause transition

Menopause affects your whole body. The five most reported changes, including bone density loss, thinning skin and vaginal dryness, and what helps.

Exercise & Fitness

Dr. Brooke Miller·Feb 13, 2021

strength exercises for avid walkers

Walking is great, but it isn't enough on its own. Four strength exercises for walkers: eccentric single-leg squats, side planks, calf raises and step-ups.

The best way to avoid overuse injuries with running

Exercise & Fitness

Dr. Brooke Miller·Feb 4, 2021

The best way to avoid overuse injuries with running

Runners fall into three types. Find yours, then use the off-season to build the strength that keeps overuse injuries from cutting your next season short.

4 ways to mobilize your core to increase strength and decrease symptoms

Pelvic Floor HealthCore Health

Dr. Brooke Miller·Jan 26, 2021

4 ways to mobilize your core to increase strength and decrease symptoms

Strong cores also need to move. Four areas to mobilize, the diaphragm, belly, back and pelvic floor, with simple exercises to ease pain and build strength.

Pain Management

Dr. Brooke Miller·Jan 21, 2021

Dry Needling for Low Back Pain

Dry needling can calm trigger points and help manage chronic low back pain. How it works, why the low back responds, and where it fits in your care.

5 Cardinal Symptoms to Avoid During Pregnancy and Postpartum

Pelvic Floor HealthPregnancy & Postpartum

Dr. Brooke Miller·Jan 21, 2021

5 Cardinal Symptoms to Avoid During Pregnancy and Postpartum

Pain, peeing, pressure, coning and breath holding: the five cardinal symptoms that tell you an exercise isn't right for you yet in pregnancy or postpartum.

Why we shouldn’t wait until 6 weeks postpartum to exercise

Pelvic Floor HealthPregnancy & Postpartum

Dr. Brooke Miller·Jan 16, 2021

Why we shouldn’t wait until 6 weeks postpartum to exercise

The 6-week check-up isn't a starting line for exercise. Why gentle, guided movement can begin sooner after birth, and what to focus on first.

A Quick Guide to Online Running Shoe Shopping

Exercise & Fitness

Dr. Brooke Miller·Jan 6, 2021

A Quick Guide to Online Running Shoe Shopping

Buying running shoes online? What heel drop, midsole material, weight and support mean, so you can pick a shoe for fit and comfort, not just looks.

A deadlift a day keeps back pain away. A note on why everyone should deadlift.

Exercise & FitnessPain Management

Dr. Brooke Miller·Jan 4, 2021

A deadlift a day keeps back pain away. A note on why everyone should deadlift.

Are deadlifts bad for your back? Done with good form and built up gradually, they're one of the best tools for low back pain. Here's why, and how to start.

Menopause

Dr. Brooke Miller·Dec 21, 2020

Top 3 Reasons to Lift Heavy Before and After Menopause

Lifting heavy before and after menopause builds better bones, helps manage weight and improves balance. Why strength training matters for women in midlife.

Pelvic floor dysfunction in weightlifting – the more 'common than we think' problem in the weight room.

Pelvic Floor Health

Dr. Brooke Miller·Dec 21, 2020

Pelvic floor dysfunction in weightlifting – the more 'common than we think' problem in the weight room.

Can lifting weights cause pelvic floor problems? What research shows about leaking in weightlifters, why it's so common, and what lifters can do.

Pelvic Floor HealthPregnancy & Postpartum

Dr. Brooke Miller·Dec 21, 2020

common Signs of an Ineffective Core

Back pain when you twist, leaking when you lift, hemorrhoids? These can be signs your core isn't doing its job. What a working core does, and the warning signs.

knee pain with running and how to fix it

Pain Management

Dr. Brooke Miller·Dec 19, 2020

knee pain with running and how to fix it

Pain at the front of your knee when you run is the most common running injury. Two fixes that help: strengthening your hips and increasing your cadence.

how to safely and effectively return to planks postpartum

Pelvic Floor HealthPregnancy & Postpartum

Dr. Brooke Miller·Jul 22, 2020

how to safely and effectively return to planks postpartum

Planks are one of the last exercises to return after a baby or a C-section. What to watch for, and a step-by-step progression back to a full plank.

How to safely and effective return to kipping postpartum

Pelvic Floor HealthPregnancy & Postpartum

Dr. Brooke Miller·Jul 19, 2020

How to safely and effective return to kipping postpartum

Kipping is one of the last movements to return after a baby. Four exercises to build back to it safely, and the symptoms that mean slow down.

exercise for new moms to decrease injury and avoid burnout

Pelvic Floor HealthExercise & Fitness

Dr. Brooke Miller·Jan 10, 2020

exercise for new moms to decrease injury and avoid burnout

Getting back to exercise as a new mom? How to build a foundation, give yourself grace and set goals that avoid injury and burnout.

What to Expect From Your Postpartum Physical Therapy Visit

Pelvic Floor HealthPregnancy & Postpartum

Dr. Brooke Miller·Sep 18, 2019

What to Expect From Your Postpartum Physical Therapy Visit

What happens at a postpartum physical therapy visit: 60 minutes one-on-one, pelvic floor education, a full body screen, a core check and a plan to recover.

Feeding Your Baby: Tips to Decrease Pain

Pregnancy & PostpartumPain Management

Dr. Brooke Miller·May 21, 2019

Feeding Your Baby: Tips to Decrease Pain

Neck, shoulder or back pain from feeding your baby? Simple setup tips for nursing or bottle feeding: posture, pillows, a feeding station and more.

5 things to consider before returning to run postpartum

Pelvic Floor HealthPregnancy & Postpartum

Dr. Brooke Miller·May 13, 2019

5 things to consider before returning to run postpartum

When can you run after having a baby? The key points from the return-to-running postnatal guidelines: timing, red-flag symptoms and the strength you need first.

Wellness

Dr. Brooke Miller·Apr 12, 2019

Functional Dry Needling: 101

What functional dry needling is, why physical therapists use it for pain and movement problems, whether it's safe, and how it differs from acupuncture.

Breath and Pregnancy: 3 Ways Breath Affects Your Fitness

Pelvic Floor HealthPregnancy & Postpartum

Dr. Brooke Miller·Mar 26, 2019

Breath and Pregnancy: 3 Ways Breath Affects Your Fitness

Holding your breath to push through a lift raises pressure on your belly and pelvic floor. A pelvic floor PT explains how to breathe instead while pregnant.

Pelvic Floor Health

Dr. Brooke Miller·Mar 13, 2019

Pelvic Organ Prolapse 101

Heaviness or a bulge down there? Pelvic organ prolapse explained: types, symptoms, who gets it, and treatments including physical therapy and pessaries.

Pain Management

Dr. Brooke Miller·Mar 4, 2019

4 myths surrounding low back pain

Rest it, once injured always injured, a scary MRI means surgery, never lift heavy: four common low back pain myths, and what research actually shows.

postpartum mom's guide to making fitness decisions with the crossfit open

Pelvic Floor HealthPregnancy & Postpartum

Dr. Brooke Miller·Feb 7, 2019

postpartum mom's guide to making fitness decisions with the crossfit open

Why I'm skipping the Crossfit Open this year: a postpartum mom's guide to making informed fitness decisions and prioritizing long-term health over competition.

women specific injuries: The problem with young, female athletes and injuries.

Pelvic Floor Health

Dr. Brooke Miller·Oct 9, 2018

women specific injuries: The problem with young, female athletes and injuries.

Young female athletes get some injuries, like ACL tears, more often than boys. Why it happens, and how the right training can lower the risk.

urinary incontinence and why your leaking isn't always because you are weak

Pelvic Floor HealthPregnancy & Postpartum

Dr. Brooke Miller·Aug 13, 2018

urinary incontinence and why your leaking isn't always because you are weak

Leaking isn't always a weak pelvic floor, and Kegels alone often don't fix it. What causes it, and how to get back to running and lifting without leaks.

Three Less Common “Things To Avoid” During Pregnancy and Postpartum Exercise

Pelvic Floor HealthPregnancy & Postpartum

Dr. Brooke Miller·Jul 9, 2018

Three Less Common “Things To Avoid” During Pregnancy and Postpartum Exercise

Exercise is good for you in pregnancy and postpartum. Three less obvious warning signs to watch for while you train, and what to do when you notice them.

inner core vs outer core and why you should train them both

Pelvic Floor HealthCore Health

Dr. Brooke Miller·Jun 25, 2018

inner core vs outer core and why you should train them both

Your inner core and outer core do different jobs. What each one does, why you need both, and how to train them together for a stable base.

rotator cuff tear 101: management and treatment options

Pain Management

Dr. Brooke Miller·Jun 13, 2018

rotator cuff tear 101: management and treatment options

Rotator cuff tear or tendonitis? Your treatment options, what physical therapy involves, how to prepare for surgery, and how to prevent problems.

Photo coming soon

Pelvic Floor HealthPregnancy & Postpartum

Dr. Brooke Miller·May 25, 2018

“Murph” considerations for the injured, pregnant and postpartum athlete

Tips for modifying the intense "Murph" workout for injured, pregnant, or postpartum athletes to ensure safety while honoring those who have served.

Pregnancy and Postpartum. It is more than just “listen to your body” – My Story.

Pelvic Floor HealthPregnancy & Postpartum

Dr. Brooke Miller·May 22, 2018

Pregnancy and Postpartum. It is more than just “listen to your body” – My Story.

Brooke, a DPT, on training through pregnancy and postpartum: what she got wrong, and how to keep moving with real information instead of guesswork.

physical therapy and your cancer diagnosis

Wellness

Dr. Brooke Miller·May 2, 2018

physical therapy and your cancer diagnosis

Cancer rehabilitation helps people with cancer regain strength, ease pain and get back to daily life, at any point in treatment. How physical therapy helps.

Diastasis Recti 101: what is it and how to heal your gap

Pregnancy & PostpartumCore Health

Dr. Brooke Miller·Feb 28, 2018

Diastasis Recti 101: what is it and how to heal your gap

Diastasis recti, or split abs, is common in and after pregnancy but can happen to anyone. What it is, how to check your gap, and what helps it heal.

Pain Management

Dr. Brooke Miller·Feb 10, 2018

how to hip hinge to decrease back pain

The hip hinge protects your back when you sit down, lift laundry or pick up a baby. What it is, the common faults, and three drills to train it.

top 3 myths surrounding pregnancy and exercise

Pregnancy & PostpartumExercise & Fitness

Dr. Brooke Miller·Feb 9, 2018

top 3 myths surrounding pregnancy and exercise

Is it safe to exercise while pregnant? Three common myths, including the 140 bpm heart rate rule, and the benefits of staying active for you and your baby.

5 benefits of strength training for women

Wellness

Dr. Brooke Miller·Jan 1, 2018

5 benefits of strength training for women

Afraid lifting will make you bulky? Why strength training matters for women, especially after 50, and how lifting heavier than 10 pounds pays off.

how to best warm up before exercise to avoid injury

Exercise & Fitness

Dr. Brooke Miller·Dec 30, 2017

how to best warm up before exercise to avoid injury

A warm-up isn't a stretch on the floor. How to warm up before exercise with dynamic, task-specific moves that get you ready and help prevent injury.

top ways to increase your mobility today!

Wellness

Dr. Brooke Miller·Dec 30, 2017

top ways to increase your mobility today!

Mobility isn't the same as flexibility, and foam rolling won't fix it. What mobility really is and how to build it with task-specific strength work.

Why You Want Out-of-Network Physical Therapy

Wellness

Dr. Brooke Miller·Dec 30, 2017

Why You Want Out-of-Network Physical Therapy

Insurance rules often decide how much time you get with your physical therapist. Why out-of-network PT can mean longer, one-on-one visits and a faster recovery.

Stay in the loop

Get the latest insights on pelvic health, movement tips, and wellness delivered straight to your inbox.

Get in Touch