Julie Wiebe, PT

Julie Wiebe, PT Sports Med + Pelvic Health bridge builder. Fitness + Pregnancy / Postpartum guidance. Equipping pros & individuals via courses, consults, & care. (she/her)

Julie W. Wiebe, PT, DPT (she/her) has over 25 years of clinical experience in Sports Medicine and Pelvic Health, specializing in pelvic, pregnancy and postpartum health for athletes. Her passion is to return active patients to fitness and sport after injury and pregnancy and equip professionals to do the same. Dr. Wiebe is a dedicated educator and sought-after speaker, delivering evidenced-based p

rofessional development lectures, curriculum, and coursework at clinics, academic institutions, and conferences internationally. Her research interests focus on the interplay of pelvic health and athleticism to inform screening tools and multifactorial intervention strategies. She provides collaborative care to fit and athletic populations through telehealth and her clinical practice. Find out more and connect with Julie at www.juliewiebept.com or via social media Twitter/FB/IG

08/20/2026

Offering layered support….Our recent Quarterly Q&A dove into the nuance of understanding the patient in front of us to go beyond a cookie-cutter plan to build something individualized for their goals.
Ex: This isn’t ‘just’ a postpartum runner who’s leaking, but a postpartum marathoner with hypermobility returning to training after a prolonged second stage of labor. That history points to more connective tissue changes and greater potential for pelvic floor complex excursion in response to impact. We can’t change their hypermobility or birthing history (non-modifiable risk factors). But our toolbox can can support building active and passive tissue resilience, coordination and impact tolerance, and we can change load going through that system so it is within their tissue tolerance.

* Strengthen the pelvic floor complex ( active and passive tissues) PLUS

* Integrate & coordinate the pelvic floor into running-specific neuromotor patterns and create impact prep opportunities PLUS

* Adjust running form to reduce impact forces PLUS

* Consider a next-gen, flexible insertable pessary

These are additive, complementary strategies (it’s +,+,+,+), not either/or.

Offering layered support, not a single fix.

Great to explore this and other topics in-depth ( we also chatted about progressive overload and training power of the pelvic floor, and more).

Love looking beyond the surface with folks. More Q and A and Journal Club dates coming soon. Check it all out on my Substack- Asking for a Friend with Julie Wiebe, PT.

Wanna really dig in- check out upcoming in-person courses-High Performance Pelvic Health from Screening to Sport.

Excited to see this think-piece available now as a resource on the Project RED-D website! Co-written with , we offered ...
08/06/2026

Excited to see this think-piece available now as a resource on the Project RED-D website! Co-written with , we offered insights into urinary incontinence as a potential indicator of low energy availability LEA) in the dance population.

Female dancers and artistic athletes experience urinary incontinence at high rates:

- Professional dancers (34.6%)
- Aerialists (41.7%)
- Rhythmic gymnasts (31.8%)
- Cheerleaders (26.9%)

Whitney et al (2021) found that athletes with LEA were 2x more likely and athletes in high impact sports with LEA were 4.5x more likely to experience incontinence. Sport-specific aesthetic expectations, rigorous training demands, and high stress environments put dancers and artistic athletes at risk for LEA. An under-fueled pelvic floor is hard pressed to keep up with high intensity movements, landings, and long hours of demanding dance training-no matter how strong it is. It makes sense to consider LEA in our pelvic health differentials for female athletes, and add incontinence to our thought process when assessing for REDs.

Learn more and check out all the incredible resources and toolkits offered on the Project RED-D website. They are building a movement to support dance and artistic athletes!

07/14/2026

Excited to share a clip from our Journal Club conversation this week with Lisa Woodroffe , physician lead for the Female Athlete Program at the University of Iowa. We took a look at her multidisciplinary review article offering return-to-run considerations for elite and sub-elite athletes. Our discussion covered key gaps in our thought processes including the impact of lactation, nutritional needs, and cardiovascular conditioning. The clip highlights gaps in athlete pelvic health literacy about things like pelvic floor overactivity, leaking without ever having had a baby, and options for help! Supporting athletes is truly a team effort, and getting the word out requires collaboration across the provider continuum.

The conversation highlighted the ongoing need for more nuanced, individualized approaches to postpartum athletic recovery that consider various physical, emotional, and physiological factors beyond traditional timelines. More ideas and considerations to add to our approach to whole athlete health.

Check out all our multidisciplinary Journal Club conversations at Asking for a Friend with Julie Wiebe, PT.

Pelvic health and female-specific considerations are more than add-ons in the sports medicine space, they need to be par...
07/10/2026

Pelvic health and female-specific considerations are more than add-ons in the sports medicine space, they need to be part of differentials for fit and athletic folks across the lifespan. Today, I got to have a conversation with the residents at the Texas Health Sports Medicine Physical Therapy Residency program on integrating pelvic health and female-specific considerations into their clinical reasoning. It’s so much more than dosing Kegels and asking about menstrual regularity!

🎾 Sport-specific ≠ one-size-fits-all. We walked through real scenarios in running, yoga, tennis, CrossFit, and swimming- how you screen and treat a nulliparous runner with leakage looks nothing like how you’d approach a parous yoga practitioner bearing down in certain poses, or a post-menopausal tennis player loading into rotation.

🩺 Stress urinary incontinence isn’t just a “strengthen the pelvic floor” problem. Movement-based interventions- addressing pressure management, load transfer, coordination, and building neuromotor patterns-are the key to rebuilding the automaticity that supports a high-performance pelvic floor.

❓ Better questions = better care. We covered the actual screening questions to ask, beyond just incontinence, and how to interpret the answers to help build a more comprehensive athlete profile that helps delineate pelvic floor under/overactivity, fueling and hydration issues, and global stressors that may lead to hormonal suppression..

🔬 Know when to dig deeper. Understanding and asking questions about menstrual irregularities and associated symptomatology are part of a comprehensive evaluation to know when to loop in endocrinology and sports dieticians.

The bigger goal? Helping residents build the clinical reasoning to recognize when pelvic health is relevant, even when it’s not the chief complaint, so their athletes aren’t falling through the cracks between orthopedics, sports medicine, and pelvic health specialists.
If your program, residency, or team wants a deeper dive into pelvic health for athletes, let’s talk…join me at an upcoming in-person course! More here: https://tr.ee/LounWHrzTi

Always grateful for the opportunity to have conversations about athletic pelvic health needs. Pelvic health can be a ba...
07/08/2026

Always grateful for the opportunity to have conversations about athletic pelvic health needs. Pelvic health can be a barrier for so many folks to get back into fitness after something like a pregnancy or in the transitions into (peri)menopause. I am invested in removing those barriers either through education, training, or rehab. I want to empower folks to understand how to interpret their symptoms as signals to alert them to make changes that support their ability to continue to participate in fitness.

Grateful to the folks at the She Runs Strong Podcast ( Melissa B, Nicola Freedman | Online & 1:1 Running Coach, and the Coach Parry | Running TraiCoach Parry | Running Training Plans & Coaching about our current understanding of new onset leaking in the menopause transition (hint: we are still figuring it out) and offering new insights on old ideas. Data now confirms that pelvic floor strength is the same in continent and incontinent runners- so what are other variables and considerations we can assess and address to support runners (sleep, stress, fuel)…and more. Check out She Runs Strong Podcast via recorded video on or via your favorite podcast platform.

Check it out via recorded video on You Tube or via your favorite podcast (links below)

https://youtu.be/8wacGZjUbJ8?si=hZrUxFshf6Jfdjky

https://podcasts.apple.com/us/podcast/the-pelvic-health-problem-female-runners-dont-talk-about/id1777029447?i=1000774323232

Up North.
06/29/2026

Up North.

Seats are going fast for High Performance Pelvic Health: From Screening to Sport! The course is designed to equip both s...
06/24/2026

Seats are going fast for High Performance Pelvic Health: From Screening to Sport! The course is designed to equip both sports medicine and pelvic health providers with a dual skill set to support female athlete return to fitness and sport keeping pelvic, pregnancy, and postpartum health in mind.

Since announcing the 2027 schedule, we have sold out and started waitlists in the UK and Canada. There are still seats in Ireland and Australia!

- Belfast, UK. (SOLD OUT-JOIN WAITLIST) January 30-31, 2027

- Sligo, IE (4 Spots Left ) February 6-7, 2027

- Vancouver, BC (SOLD OUT-JOIN WAITLIST) February 27-28, 2027

- Brisbane, AU (23 Spots Left) July 17-18, 2027

- Sydney, AU (25 spots Left) July 24-25, 2027

Thanks to all the hosts and site coordinators for their hustle and support behind the scenes
New West Physio
OT Performance & Rehab
Strong Her Way
and my team-

Get your seat! Links to all course registration links and waitlists are in bio or head to Live Events at juliewiebept.com! Or here https://tr.ee/LounWHrzTi

Course summary: Practitioners will gain a structured thought process to interpret biopsychosocial histories, pelvic health screens, in-sport symptom behavior, and movement analysis to build well-reasoned programs for recreational to elite athletes across the lifespan.

See you there!

Adding to the global rejoicing at finally receiving my long awaited copy of Sports Medicine and the Pelvic Floor - Scien...
06/18/2026

Adding to the global rejoicing at finally receiving my long awaited copy of Sports Medicine and the Pelvic Floor - Science to Practice! I am ready to dive in and absorb all I can from the amazing list of contributors to this landmark text. Truly honored to be a part of the ‘Conversations with the Sports Medicine Team’ chapter at the end of the book. It is the knowledge-translation-clinical reflection bow tied on the gift of all this amazing content.

I found it sort of poignant that my interview is the last in this chapter (a biiiiggg flip to the end). Gráinne M. Donnelly, BSc(Hons) MSc, Doctoral Researcher and I discussed both the past, the work it took to get folks to even consider a conversation about pelvic health in sports medicine or a non-internal approach, with a look to the future. The new voices and incredibly smart folks getting their PhD’s, leading the research, asking the questions that came from all that clawing forward to get a seat at the table, adding their smarts, heart, and grit to this mission. Having research, and a text like this, makes it harder to ignore this conversation and the pelvic health needs of athletes.

It’s kinda cool to have that captured here in this work - a nod to the past with a true eye on marching forward. When I saw where my interview was positioned in the book, it kinda felt like I was standing at the end of the book symbolically sort of looking over my shoulder at what it took (so it isn’t forgotten-thanks for that Grainne), and seeing in front of me the massive, growing, global effort to bring support, research, and an environment that helps female athletes thrive throughout the lifespan.

Grateful for the changes that have come as represented by this book, and to still be a part of the future that is evolving.

Onward.

I recognized early on that if I could demonstrate performance improvements as a result of addressing pelvic health needs...
06/02/2026

I recognized early on that if I could demonstrate performance improvements as a result of addressing pelvic health needs...I’d have a huge IN to get rehab, medical, strength pros, and the athletes themselves to invest in strategies and solutions.
�We have data that indicates that fit and athletic folks leave or modify their participation in physical activity due to pelvic health symptoms. While this suggests pelvic health impact on how intensely one might exercise, the choice to engage in an alternative activity, or that someone may stop participating entirely, it doesn’t get at the direct effect of pelvic health on how folks perform.

To do that we had to look beyond quantifiable outcomes typically tied to performance like speed, load, PR, etc. Instead, we needed to get at it by looking at indirect variables such as the mental load of symptoms, the ongoing awareness of pelvic health symptoms, or awareness of the potential of a visible leak has on an athlete’s performance. How heavy was that extra load that athletes carried?

Turns out it’s a lot.

* Dancers reported loss of concentration, worries about visible leaks or odors, reduced training, and fear of re-occurance (Winder et al. 2025)
* Rugby players reported changing body positions during contact, changing techniques or speed in non-contact activities, and reducing weight training (McCarthy-Ryan et al. 2024)
* Elite female athletes (multiple sports) reported embarrassment, fear, concern/worry, annoyance, and frustration (Culleton-Quinn et al. 2022; Giagio et al. 2025)

Indirect effects create an added invisible (and sometimes visible) load for athletes. Now we have more information to help coaches, trainers, strength pros, and the sports med community understand the value of addressing pelvic health as a building block toward whole athlete health, performance, therapeutic alliance, and sport longevity. We have our IN.

Take a deeper dive on this week’s Substack here: https://tr.ee/_bbCbdrBN0

Every year I celebrate my PT birthday with a sale on my online courses and bundles. This year represents a pretty big mi...
06/01/2026

Every year I celebrate my PT birthday with a sale on my online courses and bundles. This year represents a pretty big milestone….30 years. May 1996 they handed me a diploma and sent me off into the world to do some good. It really is hard to believe. One of my favorite things in this little career of mine has been sharing strategies and content with other pros and individuals to support female athlete pelvic, pregnancy, postpartum, and performance health.

Excited to share these strategy filled courses with you! Check them all out via link https://tr.ee/aYt_GmhwMe

Use coupon code MAY1996 at checkout for 30% off on all Online Courses and Course Bundles Monday, June 1 until Saturday June 6 at midnight PST!

CHECK OUT THE COURSES BELOW!

SPORTS MED + PELVIC HEALTH CONTENT:
~Treating and Training the Female Runner
~Persistent Pelvic Pain in Athletes: A Biopsychosocial Approach
~Sports Medicine Bundle
~Pelvic Health: Changing the Conversation

MSK + PELVIC HEALTH CONTENT:
~Foundations: Diaphragm/Pelvic Floor Piston

SPORTS MED+ MSK + PELVIC HEALTH BUNDLES
~Runner Course Bundles

PEDIATRIC CONTENT:
~Dynamic Core For Kids: Stability in Action

CONTENT FOR INDIVIDUALS
~Pelvic Floor Piston: Foundation for Fitness
~Breath Mechanics for Pelvic Health and Fitness

Professional courses are eligible for CEUs in 41 states!

DON’T MISS OUT on 30% off with coupon code: MAY1996 . See courses here: https://tr.ee/aYt_GmhwMe

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