The Lifted Lotus - Holistic Pelvic Floor Therapy

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The Lifted Lotus - Holistic Pelvic Floor Therapy

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A Brooklyn-based pelvic floor therapy clinic specializing in pregnancy and postpartum care.

10/27/2026

It’s World Occupational Therapy Day!

When you hear occupational therapist, you probably picture stroke recovery or a kid learning to hold a pencil. That is real OT and it matters, but it’s also only a fraction of what we do.

Occupational therapy is about the actual activities of your daily life, and using the bathroom, having s*x without pain, lifting your child, and getting through a workday without pelvic pain are all daily life. Pelvic health sits right in the center of it.

I found this specialty later than most. I went to college at 28, finished OT school at 36, and only got into pelvic health after that. But when I found it, it felt like the thing I’d been circling my whole career. It pulls on everything OT trains you in: manual skill, the nervous system, and treating a whole person instead of a body part.

This is all why I chair NYSOTA. This year, New York became the second state in the country after California to formally recognize and support occupational therapists working in pelvic health. It’s important to me that OTs coming up behind me don’t have to fight to be recognized in this space.

To every OT reading this, and especially the pelvic health ones: happy World OT Day 💖 our work is so important and I’m so proud to be a part of this profession.

10/26/2026

Hi friends. 🌺 In just a few short weeks I’ll be traveling to Arizona for the 6th Annual OT’s in Pelvic Health Summit. It’s a huge party with some of the most incredible humans of the world and this year I am teaching!

As OTs in pelvic health, we pour so much of our hearts into our clinical skills. But building a practice you truly believe in starts from within. When we align who we are with how we show up for our clients, magic happens. I’ve seen this for the past 4+ years since building my own!

I am incredibly honored to be leading a lab at the upcoming OTs in Pelvic Health Summit called Identity, Intention, and Impact: Building a Practice You Believe In.

This experience is all about stepping into your authentic power as a practitioner, looking at the deep vision and WHY behind your work, and creating an impact that ripples out into your community. I can’t wait to dive into this heart-work with you all. I hope to see you there!

Message me in the comments below if you are joining! 🫶🏻

10/26/2026

Women in their twenties and thirties who have never been pregnant get told all the time that what they're feeling can't be prolapse. We're here to tell you that it absolutely can be.

The 2017 international diagnostic criteria for hypermobile Ehlers-Danlos syndrome include twelve systemic features. One of them is pelvic floor, re**al, or uterine prolapse in children, men, or nulliparous women without another predisposing cause.

Prolapse in someone who has never given birth isn't a statistical oddity in this context, it's a recognized diagnostic clue. The broader evidence agrees: a systematic review and meta-analysis across fourteen studies found joint hypermobility associated with roughly 2.4 times the odds of pelvic organ prolapse. In a survey of more than 1,300 women with EDS, prolapse symptoms affected quality of life significantly more in women under 40 than over 40.

At our clinic in Williamsburg, Brooklyn, prolapse assessment is part of a full pelvic floor evaluation, and treatment covers support, pressure management, load strategy, and the muscle tone piece that usually needs addressing first.

You shouldn't have to argue your way into an exam because of your age and your obstetric history. DM us "prolapse" if you want to know how to get started.

10/23/2026

A lot of hypermobile people have been quietly managing bladder and bowel symptoms since childhood, treating each one as its own unrelated annoyance.

But the research increasingly puts them in the same category. In a small 2026 urodynamics study of hEDS patients, symptoms were widespread, with 74 percent reporting frequency and about half reporting a weak stream, and yet the bladders themselves tested normal in that cohort. The authors concluded the driver was pelvic floor and neurologic dysfunction rather than bladder pathology. On the bowel side, constipation runs several times more common in hypermobile groups, and close to half of those studied had re**al hyposensitivity, meaning the urge to go registers faintly or late. That one finding reframes a lot of failed treatment, because more fiber and a stronger laxative don't restore a signal or fix a coordination problem. As of 2025 this is no longer a fringe view: the American Gastroenterological Association's clinical practice update recommends considering anore**al testing in hypermobile patients with lower GI symptoms, citing exactly this.

At our clinic in Williamsburg, Brooklyn, we assess emptying and tone directly, retrain coordination with mind-body connection work and manual therapy, and work on the sensation piece rather than treating it as a given.

10/20/2026

Managing a condition nobody can see takes a specific kind of planning: bathrooms mapped before leaving, energy budgeted days in advance, a rehearsed short version of a long medical history because the long one loses people halfway through.

That planning has a physical cost, and the pelvic floor is one of the places it lands. A body doing continuous threat assessment holds tension, and the pelvic floor holds it alongside the jaw, the hips, and the abdominal wall. There's a second cost too, and it shapes care: people who have been dismissed learn to ration what they report. Pelvic symptoms are usually first to get cut, because they take the most explaining and carry the most embarrassment, so they end up being the ones that have gone unaddressed the longest.

At our clinic in Williamsburg, Brooklyn, hypermobility screening happens without you having to ask for it. We ask about orthostatic symptoms and adjust how we position you, and we build flares into the plan instead of treating them as you not trying.

October 18 to 24 is Invisible Disabilities Week. You don't have to "look" sick enough to deserve treatment.

10/19/2026

When s*x starts hurting, the whole intervention can’t possibly be a bottle of l**e……

L**e treats dryness, and dryness can be a part of painful s*x, but it’s rarely the whole thing. By the time most women bring it up, the pelvic floor’s been guarding for months or years, tightening in anticipation because every previous attempt hurt, and there’s no lubricant that reaches a muscle that can’t let go.

Estrogen receptors sit in the vaginal epithelium and muscularis, the v***a, the bladder, the urethra, and in the pelvic floor muscles and endopelvic fascia themselves. So when estrogen drops, you’re not just dealing with dryness, you’re dealing with changed tissue and a guarding muscle and a more sensitive system all at once. When l**e doesn’t work, what most women conclude is that this is just their body now. Around 70 percent never raise it with a clinician at all.

At our clinic in Williamsburg, Brooklyn, we treat the tone and the tissue together. We know when to encourage you to ask your gynecologist about vaginal estrogen. We consider your sleep, your mental health, and so much more. We look at the full picture.

Painful s*x at 49 isn’t the end of your s*x life and it isn’t a personality trait. Let’s keep talking about menopause outside of world menopause day!

*x theliftedlotus

10/16/2026

Hot flashes get talked about. But the pelvic floor changes of perimenopause mostly get handled privately with a heavier pad and a bottle of l**e, because nobody connected them to the same hormonal shift.

Estrogen receptors are not just in the vaginal lining. They're in the v***a, the urethra, the bladder, and in the pelvic floor muscles and the endopelvic fascia that holds everything above them. So when estrogen drops, it doesn't only show up as dryness. It shows up as urgency, frequency, UTIs that keep coming back, leaking, heaviness, and s*x that starts to hurt in a way it didn't before. Urinary incontinence affects somewhere between 23 and 50 percent of women after menopause, and urgency and frequency around 30 to 40 percent. There's a second layer that's purely mechanical: when tissue gets more sensitive and s*x starts hurting, the pelvic floor guards, and a guarded pelvic floor makes the next time worse.

At our clinic in Brooklyn, we assess tone before we assume weakness, because the pelvic floor of a 51 year old with painful s*x is more often guarding than it is loose. We retrain urgency directly instead of telling you to drink less coffee, we load the muscle properly, and we'll tell you when it's worth asking your gynecologist about local vaginal estrogen.

Why no one talks about this is beyond us...but we're always open to having the conversations no one else wants to. What else should be talked about more?

10/13/2026

The most common assumption about hypermobile bodies is that everything must be loose, including the pelvic floor...right? Not quite.

The sequence runs like this: Joints are stabilized by passive tissue, muscle, and neural control working together. When the passive part is more elastic than average, the other two take over. On top of that, hypermobile people have measurably poorer joint position sense, and the deficit appears to come from the sensory receptors sitting inside that lax tissue.

So, the nervous system compensates the only way it can...by increasing muscle tension, because tension produces the feedback the ligaments aren't sending. Add years of pain to that and the guarding compounds. The result shows up as hypermobile patients showing less relaxation and higher resting pressure than matched controls, and increased resting tone predicts difficulty emptying. In a small urodynamics study, hEDS patients with significant bladder symptoms showed no detrusor overactivity and no compliance abnormality, and the authors pointed to the pelvic floor rather than the bladder.

At The Lifted Lotus, we assess tone first, restore the ability to fully release, and only then work on endurance and load. Doing it in the other order is how hypermobile people end up worse after therapy.

Strengthening a muscle that cannot let go does not make it stronger. Message us "tight" and we'll tell you what an assessment involves!

10/09/2026

I signed a lease with no idea what I was doing. I taught myself the business side entirely as I went, which is true of almost every clinician who opens a practice and something almost none of us admit out loud. Cash flow was hard. The build outs were expensive. For a long stretch I was the therapist, the scheduler, the biller, and the person doing the laundry.

The move to the ground floor space in 2025 is one I almost said no to. It was expensive, the timing wasn’t perfect, and I knew exactly how stressful a second build out would be. But I also knew I would regret passing on it, and that it would help the business grow. So I went for it.

Now, I still walk in every day and am in awe. I’m so proud of the version of me that took the leap without knowing where I’d land. And I’m so grateful to have landed here with all of you.

10/08/2026

We're Growing Our Team! 🌸 We are hiring a Pelvic Floor Occupational Therapist.

Are you compassionate, creative, and enthusiastic about pelvic health? Do you thrive in a small, intimate team environment focused on personalized, holistic care? If so, you might be the perfect fit for The Lifted Lotus!

✨ How to apply: Send your resume to [email protected].

Tag or share this with a talented OT who belongs in our boutique Brooklyn studio!

Address

202 N 4th Street
Brooklyn, NY
11249

Website

https://www.lifted-lotus.com/

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