Everything starts with your breath—it’s the foundation for all movement.

Think of your body like a house: your breath is the foundation, and your deep core and posture are the internal framework, like the studs in the walls. If the foundation is unstable, the entire structure becomes misaligned. The same applies to your body. When your core isn’t functioning properly, you may feel “off” without being able to explain why.

 

Now, picture your core as a canister made up of the diaphragm, abdominal muscles, lower back, and pelvic floor. If there’s a “leak” or weakness in one part (like the often-overlooked pelvic floor) other areas are forced to overcompensate. This imbalance can lead to poor posture, difficulty breathing, core weakness, and a general sense of instability.

 

When your core canister is balanced and intact (i.e., without any “holes”) your body functions more efficiently. You’ll feel more grounded, supported, and free from the internal tug-of-war that causes discomfort and dysfunction.

A woman is standing sideways in a mirror while her pelvic floor physical therapist is helping her understand how to breath into her lower abdomen.

What’s Really Causing This?

  • Life changes such as pregnancy
  • Weight gain or weight loss
  • Overall weakness within the body
  • The body taking the path of least resistance
  • Prolonged changes in posture

What You Might Be Feeling

  • Nagging back pain
  • Tightness within hips or low back
  • Leakage
  • Pooching of your core with attempted activation
  • Feeling like you can't get a full breath of air without using your chest

Why This Matters

If your foundation of breath, posture, and core stability are misaligned, this can lead to further issues such as leakage, sense of heaviness, and back pain. Now, the fix isn’t just going to the gym and repping out a bunch of sit-ups, it’s about learning to reconnect the whole system, so the issues don’t return. If you were to just go rep out a bunch of sit-ups without addressing the underlying issue, you more than likely are going to make the problem worse, leaving you defeated and embarrassed in your own body. 

How

Prosper

Can Help

We look beyond symptoms to understand the whole picture, diving deep into the root cause. Through our 3-phase Prosper Method, we help restore the strength, mobility, and coordination your body needs with lasting results and zero quick fixes.

01

Lengthen

Dive into the whole body and find what is guarding and what is weak; begin to balance out the system to not be playing tug-of-war

02

Strengthen

Rebuild functional strength with proper breath, posture, and gentle movement.

03

Prosper

Apply your progress to real-life activities—so you can trust your body again and not need to continue care long-term.

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What to Expect in Treatment:

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Guided exercises to reconnect with your body

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Education on anatomy to help you understand the deeper why

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Full assessment of breath, core activation, pelvic floor function, back and lower extremity compensation patterns (it's all connected)

Pelvic floor physical therapist is educating a patient through plank exercise in a gym setting.
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Confidence in your workouts to achieve your personal goals

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Reclaiming your body so your future self will thank you

Close up superior view of a patient laying over a foam roller while therapist assesses abdominal activation.

What You’ll Gain Through Personalized Pelvic Care

You’ll go from this:

  • Feeling weak in your own body
  • Having constant tension that doesn’t let up
  • Embarrassed that you peed your pants during workout, AGAIN
  • Self-conscious around your stomach

To this:

  • Moving with strength
  • Relief from tension
  • Proudly wearing whatever you want, worry-free to the gym
  • Feeling confident in your own skin

What to Expect During Treatment

Your first visit includes a comprehensive full-body movement screen, along with breath and pressure assessments to better understand how your body is functioning as a whole. With your consent, we will educate you on why we may consider an internal pelvic exam to help get a full body picture. We want to give you some clarification: this is not your traditional pap exam. With a gentle, holistic approach we will uncover what is contributing to your symptoms. From there, you’ll receive a personalized care plan tailored to your goals, lifestyle, and needs. Every body is different, so your treatment is never a cookie-cutter, one-size-fits-all approach.

5-star rating

Discover What Other Women Are Sharing About Their Results

Hear from women just like you who proudly share their experience.

5-star rating

Sara has transformed both my health and quality of life in ways I couldn't even begin to imagine before seeing her.

For 10 years, I met with specialists who couldn't pinpoint how to improve my condition. For 5 years, I gave up looking for a solution altogether.

On day 1 of meeting with Sara, she carefully discovered the root cause and uncovered 2 other issues I didn't realize were interconnected. Most importantly, I've experienced positive improvements with each visit and on a plan to continue to improve.

I highly recommend Sara at Prosper Physical Therapy and Pelvic Rehab for pelvic floor dysfunction, diaphragm issues and constipation.

Kristi, Google Reviewer (July 2025)
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Pelvic Floor Therapy Services… | Prosper Physical Therapy Sioux Falls