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

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

Get your seat - 2027 Course dates are here!  High Performance Pelvic Health: From Screening to Sport is designed to equi...
05/28/2026

Get your seat - 2027 Course dates are here! High Performance Pelvic Health: From Screening to Sport 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.

Join me in-person in 2027 in the UK, Ireland, Canada, and Australia!

Belfast, UK
January 30-31, 2027

Sligo, IE
February 6-7, 2027

Vancouver, BC
February 27-28, 2027

Brisbane, AU
July 17-18, 2027

Sydney, AU
July 24-25, 2027

Sports and ortho providers aren’t offered training to include pelvic health, pregnancy, or postpartum variables in their differentials or return to play programming. Instead they are only empowered to screen and refer. Similarly, pelvic health providers have limited exposure to strategies to progress fit and athletic folks back to fitness, training, or sport. The result is a siloed, less effective model of care: pelvic, pregnancy, and postpartum health needs are untreated, screened and referred (often in pelvic practitioner deserts), or isolated from movement and training programs. Fit and athletic folks are left without resolution, support, or guidance back to play or optimal performance.

Time to evolve our practice patterns.

This course provides a practical, coachable framework for pelvic health. Participants 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. (NO Internal Skills needed). We will draw from familiar movement and conditioning principles such as graded exposure, progressive overload, impact and pressure management, and exercise scaling, to develop individualized, sport-specific progressions grounded in the whole-athlete presentation. 2026 Courses filled up fast. Registration links here: https://linktr.ee/juliewiebept?utm_source=linktree_profile_share<sid=9a971458-94f7-486b-9679-2cbddbf76c4b

Thanks to hosts-

physio

Hope to see you IRL in 2027!

Eating up major pelvic health and sports med clinical practice updates that have dropped this Spring. Improved terminolo...
05/27/2026

Eating up major pelvic health and sports med clinical practice updates that have dropped this Spring. Improved terminology ( ), call for patient-centered focus to expedite diagnosis and care, and updated exercise Rx guidelines to optimize access and consistency. Brilliant steps forward. Looking forward to upcoming opportunities to share across specialties- residency.

Mother’s Day with my favorite people. Thanks to both of the Zs for making it so special. I love you dearly. Thanks  for ...
05/11/2026

Mother’s Day with my favorite people. Thanks to both of the Zs for making it so special. I love you dearly.

Thanks for an awesome mom’s weekend! I had a blast

05/05/2026

I’ve been sitting on this one for a bit. A clip (1) and a blog post, ready to go because I kept seeing PTs and Fit pros promoting the idea that optimizing pelvic health requires training pelvic internal rotation. When I first heard it, I assumed they meant the pelvic ring rotating around a fixed hip (clip 2). But no, many are demonstrating with springy pelvic models showing one side of the pelvis independently rotating around the sacrum and through the p***c symphysis.

The pelvis simply doesn’t do that. The pelvis is built for structure, not mobility. Movement at pelvic joints is measured in millimeters. That structure is what lets us support our torso and legs in static and dynamic movement.

These springy pelvises were circulating 7-8 years ago around optimizing birth position through hip internal rotation. Birth position changes have research behind them, but the mechanism of hip internal rotation influencing the outlet hasn’t ever added up for me anatomically.

What pushed me to finally post? Googling “does the ilium internally rotate.” The AI slop confidently said yes, citing those same springy pelvis videos as support. Red alert.

Before you respond , please consider taking a deeper dive. Social media content needs context. So I am intentionally posting today in conjunction with a lot of context (see links in bio)

🎥 Full video: Social media often makes us doubt ourselves- something that sounded fringe, starts sounding reasonable when so many are sharing it. See it here: https://open.substack.com/pub/juliewiebept/p/does-the-ilium-of-the-pelvis-internally-rotate-no?r=2xyh66&utm_campaign=post-expanded-share&utm_medium=web

📝 Blog post (Substack): How can we navigate the inter-relationship between emerging research, clinical insights, and social media hype? See it here:
https://open.substack.com/pub/juliewiebept/p/does-the-ilium-of-the-pelvis-internally-rotate-no?r=2xyh66&utm_campaign=post-expanded-share&utm_medium=web

🎙️ Substack Q&A conversation: Making this recorded conversation PUBLIC (no paywall). Colleagues respectfully thinking through the pelvic internal rotation and birth position / hip internal rotation mechanism together, in real time. Respectful, nuanced, and exactly the kind of conversation our field needs more of.

https://open.substack.com/pub/juliewiebept/p/evidence-gaps-clinical-innovation-social-media-hype-wheres-the-line?utm_campaign=post&utm_medium=web

I’m trying to call out concepts, not people. Hoping to continue having thoughtful discussions that support being evidence informed and well reasoned in the gaps.

05/01/2026

Other pelvic health needs like urgency and painful intimacy don’t get as much press as urine leaks, but they can have a big impact on quality of life. Folks may not understand that there is help to be had for these needs too! Looking more holistically at all that you are experiencing can help us develop a multifactorial action plan!

Sharing a clip from a series that the National Foundation for Continence created to support folks with a pelvic health needs.

Check out the Pelvic Floor Power Podcast link in my bio



Repost from

Incontinence isn’t the only sign of a pelvic floor problem! 🔍 Julie Wiebe (), PT, Pelvic Floor Specialist, shares other symptoms you might be overlooking — from pelvic pain to back issues and beyond.

🎙️ Listen to our full Pelvic Floor Power Podcast Series — link in bio!

Brought to you by NAFC, and

Move-in Day! New in-person location secured!  I went out on my own as a cash-based practitioner a long time ago, so I co...
04/07/2026

Move-in Day! New in-person location secured! I went out on my own as a cash-based practitioner a long time ago, so I could build my schedule around our kids. This included creating spaces at our home(s) for me to see patients. Thankfully, my clientele is mama’s, and they rolled with it as fellow jugglers of home and work. Gratefully, we pulled it off all those years so I could be present for our kids, contribute to their college funds, and build a patient-centered practice.

Welp, those kids are grown now and making their way in the world. So for the first time, my in-person treatment space is not in my home. It’s exciting to open a new chapter here in Los Angeles in a new space - never had a waiting room, coffee machines, a check-in system, bathrooms someone else cleans, or a Starbucks next door before.

Welcome to JWPT 5.0 - May folks feel heard here.

Learn more about my practice at juliewiebept.com. Offering in-person, telehealth, and performance health consults. Reach out to schedule! [email protected]

03/26/2026

Excited to share a clip from my conversation with Dr. Una Lee as apart of a podcast series to support folks searching for solutions for leaks with fitness and exercise.

See full episode here: https://tr.ee/eO7Kh1hORM

How should you breathe during squats to support your pelvic floor? This question is born from the now more mainstream un...
03/24/2026

How should you breathe during squats to support your pelvic floor? This question is born from the now more mainstream understanding that breath strategies can influence squat mechanics, central control systems (aka-core), pelvic/abdominal health, intra-abdominal pressure management, pregnancy recovery, and postpartum return to fitness. It is now well understood that the pelvic floor is part of multiple systems, and we can use breath as an entry point to support an athlete’s pelvic health while preserving their access to fitness movements like a squat. We’ve come a long way!

However, this type of inquiry is also born out of the click bait, social media tips and tricks-type culture that drove this updated mainstream awareness AND has propelled limited, formulaic ways of applying it. Social media regularly offers content without context, but context is where the magic happens.

In addition to how should I breathe during squats, some pretty common questions I receive are.…

* What are your breathing suggestions for a maximally loaded squat?
* Do I inhale down and exhale up for a squat?
* Should I always “Blow Before I Go” during a squat?
* If I have a pelvic health issue, can I still hold my breath during squats?

The answer to all of them is the same. We can go with the classic- it depends. Or how about we adopt an update-

Help me understand the patient context.

There is no prescriptive, everyone-should- breathe-like-this strategy for lifting. You have to know why you are changing breath mechanics for this athlete in order to choose a pattern to facilitate their goals. You need to understand their context. The best way to under that is to ask more questions: What is happening in their lifting that is prompting you to make a change (symptoms while lifting? Are they pregnant? Are they postpartum? What are their goals? And more.

Dig into deeper questions to understand patient context on the full SubStack post! Link Here: https://juliewiebept.substack.com/p/how-should-you-breathe-during-squats-to-support-your-pelvic-floor

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Los Angeles, CA

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