Charleston’s Experts in Perinatal Care + Neurological Pelvic Health
Concierge in-home pelvic floor therapy for pregnancy, postpartum, and neurologic pelvic health—lasting relief from pain, leaks, and intimacy issues starts here.
What to Expect: Our Process
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This is our chance to connect and see if we’re the right fit for one another. You'll have the opportunity to share your story, symptoms, and goals in a relaxed, judgment-free space. We’ll also answer any questions you may have about our approach, pricing, and what to expect moving forward. If it feels like a good match, you can go ahead and book your initial evaluation during or after the call.
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Before your first session, you'll receive digital intake forms to complete 24–48 hours in advance. These include your medical history, symptom details, and targeted pelvic health questionnaires—so we can make the most of our time together.
Your 90-minute in-home evaluation includes:
A review of your intake forms and a deeper conversation about your symptoms and goals.
A comprehensive physical assessment that may include breathing mechanics, posture, balance, core function, and pelvic floor evaluation.
Note: An internal exam is never required—we gather valuable insights through external assessment, observation, and your feedback.Treatment starts right away during this first session. This might include breathwork, gentle exercises, education, and strategies to help you feel better right from the start.
You’ll leave with practical tools and personalized guidance to begin improving your symptoms immediately.
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Ongoing sessions are typically 45–60 minutes, scheduled weekly or biweekly depending on your needs and availability. These can be in-home or virtual.
Each session includes:
Check-ins on your progress and symptom changes
Reassessment as needed
Continued, customized treatment such as:
Manual therapy
Nervous system regulation
Postural and movement strategies
Targeted exercises
Lifestyle and routine modifications
Guidance on hydration, nutrition, and more
We tailor every session to support your healing and progress at a pace that feels right for you.
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You won’t be on your own between visits. We offer support between sessions via secure messaging for any quick questions or concerns. Whether you’re unsure about an exercise or need help staying on track, we’re here to guide you.
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You did it—no more frustrating leaks, pain with intimacy, or discomfort holding you back. You feel strong, connected, and confident in your body and your role as a mother.
At discharge, we’ll:
Celebrate your progress
Review improvements based on reassessments
Create a personalized maintenance plan to help you stay symptom-free
Your wellness journey doesn’t end here—we’re always here as a resource if you need us in the future.
Meet Your Therapist
I’m Sarah Kate, and I founded Charleston Pelvic Health to fill a critical gap in women’s healthcare—personalized, high-quality pelvic floor care that meets women where they are, physically, emotionally, and functionally.
As I watched friends navigate pregnancy, birth, and postpartum, I realized how little support exists after delivery. We go from weekly checkups to a single six-week visit, all while adjusting to a newborn, a new identity, and a healing body.
I created a practice that provides the kind of care I wish I had during my own transition into motherhood—whole-person, home-based, expert care that removes the barriers of travel, childcare, and feeling of overwhelm. I meet clients in their own environment, helping them reconnect to their bodies, their strength, and their confidence.
At Charleston Pelvic Health, I help women across Charleston, SC feel more confident, supported, and strong through personalized in-home pelvic floor therapy. Whether you're navigating pregnancy, postpartum recovery, or a neurological condition like spinal cord injury or MS, I'm here for you.
About Sarah Kate…
Pelvic Floor Specialist
Evidence-Based, Whole-Person Care for Pelvises Across the Lifespan
While I have a special passion for postpartum recovery, my training equips me to treat a wide range of pelvic health challenges, including pain, incontinence, prolapse, and sexual dysfunction.
My clinical experience also includes treating individuals with neurogenic bladder/bowel dysfunction resulting from spinal cord injury, stroke, and MS, urinary urgency, incontinence, painful sex, constipation, and more!
Advanced Certifications & Coursework
Level 1 Functional Pelvic Health Practitioner
Acute Rehab for the Perinatal Population: 0–6 Weeks Postpartum
Holistic Treatment of the Postpartum Body
Colorectal & Bladder Conditions
Spinal Cord Injury Bowel, Bladder, and Sexual Dysfunction
Biopsychosocial Assessment & Treatment
Interdisciplinary Approach to Female Pelvic Pain
Occupational Therapist
Over 7 Years of Clinical Experience
I earned my Master’s in Occupational Therapy from the Medical University of South Carolina (MUSC) and worked extensively in adult neurological rehab, including spinal cord injury, stroke, MS, and neurogenic bowel/bladder prior to focusing on pelvic health and transitioning to private practice.
Occupational therapy is a beautiful combination of science and creativity. As OTs, our unique foundation in anatomy, psychology, and task analysis gives us a superpower-like ability to connect with clients and problem-solve through some of life’s biggest challenges.
I love breaking things down to figure out how to make them easier—identifying where dysfunction is coming from and finding practical, lasting solutions. Working with clients in their natural environment allows us to use daily routines to create meaningful change. Incorporating home “exercise” programs into real-life routines is especially important for busy moms like me!
Mom, Wife, and (Super)Woman
I’m a mom to a sweet little boy and a wife to my supportive husband (a PT, anatomy professor, and my personal pain science consultant). We met at MUSC during graduate school and after starting our careers in Atlanta, GA we returned to Charleston where he teaches anatomy at MUSC – the same class in which we met.
Motherhood changed my body, my perspective, and my passion. It made me more empathetic and more determined to advocate for women’s health.
When I’m not working, you’ll find me:
Soaking up time with my family
Enjoying time outside
Baking something sweet
Reading a great book
Cheering for my Clemson Tigers
Why I Do This Work
I’m passionate about exceptional pelvic healthcare because I know how transformational it can be.
Whether you're dealing with pelvic pain, leakage, prolapse, or just want to feel like yourself again—I’m here for you.
It’s an honor to do this work. I feel inspired every day to support women in reclaiming their bodies, their health, and their joy.
Discover the Charleston Pelvic Health Difference: Where Specialized Care Meets The Comfort & Convenience of Home
Pelvic floor therapy should feel personal, supportive, and tailored to your real life — not rushed, clinical, or one-size-fits-all. At Charleston Pelvic Health, we've reimagined care to meet the needs of modern women and mothers by offering specialized, concierge support in the comfort of your own environment. This is therapy designed for real life — thoughtful, flexible, and deeply focused on you.
Why Clients Choose Charleston Pelvic Health
Concierge Care With In-Home and Virtual Options
Convenient care that meets you where you are.
Eliminate the need for travel or childcare
Sessions take place in your real environment, allowing practical, personalized recommendations
Designed for the Demands of Motherhood
Care that fits into the realities of life with children.
Postpartum visits offered as early as the first week
Babies and children are welcome in sessions
Emphasis on healing, functional movement, and practical self-care
Charleston’s Only Neurologic Pelvic Health Specialist
Compassionate, expert care for complex pelvic needs.
Expertise in neurogenic bowel and bladder, intermittent catheterization, and bowel programs
Support for spinal cord injury & stroke rehabilitation
Guidance on equipment, transfers, and real-life functional challenges
Comprehensive Evaluations With Treatment on Day 1
More time to understand your needs from the start.
90-minute evaluations allow for in-depth assessment and treatment
Begin your plan of care with confidence from day one
Ongoing Support Between Sessions
We’re here for you beyond scheduled appointments.
Direct access to your therapist for questions or concerns to support your progress
Empowerment Through Education & Collaborative Care
You are an active participant in your care.
Learn how your body works and how to support it
Gain tools to make informed decisions and advocate for your needs
Whole-Person Approach
We look beyond symptoms to understand the full picture.
Address physical, emotional, hormonal, and environmental contributors
Consider stress, sleep, nervous system regulation, and daily routines
Focus on long-term solutions, not temporary relief
Real People. Real Results.
Sarah Kate Orton, OTR/L at (Charleston Pelvic Health) was extremely easy to talk to and very professional. She was able to precisely and expertly help diagnosis my issue and recommend a results oriented treatment. As a RN, I appreciate her professionalism, compassion and dedication.
Laurel V.