Your pelvic floor should keep up with you. Not the other way around.

From peeing, pain and pressure to running, jumping, lifting and playing.
We've got your back (and your pelvic floor too)

The PeakRx team working with patients
Common doesn't mean normal

"That's just part of getting older" isn't a treatment plan.

Leaking, heaviness and pressure are really common. They're also really treatable. You don't have to just live with it, and surgery isn't the only road.

Tried Kegels? An app? Skipping water before pickleball? Panty liners "just in case"? Yeah, we know. That's where we come in.

What you get back

  • Playing hard without worrying about leaks
  • Lifting without bracing for a leak
  • Getting down on the floor with the grandkids (and back up)
  • Leaving the liner at home
  • A long day out without mapping every bathroom

Stay in the game. All of them.

5.0 stars from over 200+ Google reviews(opens Google in a new tab)

Five stars. Over and over.

That's why patients come to us from all over North Texas, from Flower Mound and Argyle to Frisco and McKinney.

  • Highly recommend Peak Rx Therapy. I'm in the middle of treatment with Kathleen. It's been wonderful, finally getting help with pelvic floor issues related to menopause. Ladies, you don't have to just live with the leaking and all the many issues that come with menopause. These kind, professionals can help. With the compassionate and comprehensive approach at Peak Rx I'm looking forward to continuing to work toward overall wellness as I go through menopause and beyond.

    Tim & Rita F.

    Jun 2022 · Google review

  • As a woman of a certain stage of life, I sooooo appreciate PeakRx. Having kids did a number of things some great but some not so good, and pelvic floor therapy with Kathleen has given me back my life! Now I am stronger than ever and pushing back against the aging clock! I give PeakRx my highest recommendation!! Do it!!

    B S.

    Apr 2025 · Google review

  • Every woman should give themselves the gift of pelvic floor PT at Peak Rx! I have my life back. I can run and jump and sneeze and laugh and not have to go change my pants after. I have control over my bladder and am aware of my pelvic floor muscles and how to strengthen them and let them work for me as I lift heavy weights. Natalie gently and kindly educated me about my body and made me feel empowered to change things I didn’t love about it. Peak Rx offered exactly what I needed at a time that I felt deflated and vulnerable. Working with Natalie has given me confidence in my body in an area that my personal trainer certification and years of endurance sports could not. I will be forever grateful for pelvic floor PT and Peak Rx and encourage every woman to invest in this priceless knowledge about your body!

    Sara P.

    Nov 2025 · Google review

  • I started visiting Brooke several years ago when I injured my hamstring while playing tennis. Brooke was excellent to work with me and, through a rehab program, got me back on the tennis court. I was so impressed with Brooke's approach to maintaining a healthy body that I started a monthly physical conditioning program with her. My new goal is to have the strength to pick up, play with, and stay young with my grandchildren. Brooke gently challenges me to reach my goal and to even strive to do things I never thought possible. I highly recommend Brooke to others not only for the strength and conditioning but also for her thoughtful and caring approach.

    Stephanie H.

    Dec 2024 · Google review

  • Oh my goodness, where do I even start?! I booked an appointment at the beginning g of 2025 after noticing I was leaking a lot more when I sneezed, coughed, laughed, or did any explosive movement in recent years. I delivered 4 big babies from 2008-2015 and even after years of CrossFit, I had zero core activation and very weak glutes. I worked with Natalie starting in February 2025 and I’m not kidding, within 2-3 visits, I was no longer leaking. I can now race my boys, jump on the trampoline with them, laugh at their jokes and not pee my pants. Literally life-changing! After that, Natalie helped me with exercises to strengthen my glutes, she focused on my knees and what movements I could do that would give me strength without bothering them. She’s a WEALTH of knowledge! I can’t speak highly enough of Natalie and all the ladies at PeakRx! I always felt welcome, loved coming in for each appointment and I’m sad it’s over!

    Erin M.

    Jun 2025 · Google review

  • I came to Peak RX with a pronounced limp and considerable pain from a fall that I took a few years ago. I was told by an orthopedic doctor that I could try physical therapy but would probably need to have a hip replacement when the pain got too intense to bare. He said arthritis had set up in my hip. I went to another physical therapy practice and didn’t get relief. A friend of mine recommended that I see Brook at Peak RX and I decided to give it a try. In a single evaluation, she told me that arthritis was not my problem and explained what was going on. She had me start working with Kathleen and within a matter of a few months, I was walking without a limp and mostly pain free! What a blessing! I have referred many people to Peak RX without hesitation and will continue to do so.

    Jennifer T.

    Jul 2025 · Google review

  • It's tough going in to see anyone for a "down there" issue. But Brooke and her team bring the perfect mix of professionalism and empathy. You quickly know you're in the right place, that you're dealing with professionals who really know what they're doing (like, they're real specialists in pelvic floor stuff, not just trying to figure it out), and that they're going to do what's really best for you. Brooke quickly disarmed my concerns with a simple, "We talk pee, poop, and sex all day, so whatever it is you're dealing with, it's not weird to us." They have a very straightforward pricing structure, and the rates are really reasonable for seeing an expert who's there for one reason - to help you get your life back.

    Vince B.

    May 2025 · Google review

  • The therapists at PeakRX have shared wonderful advice for the past few months with me and I've learned so much about how important keeping the core and pelvic floor muscles in shape affect aging. My therapist, Kathleen, is always supportive. Her explanations of all the exercises are very clear. I really appreciate the daily reminders and videos of each of the exercises I am to complete that day. I highly recommend this physical therapy practice.

    Jan H.

    Jun 2022 · Google review

  • This is long but a true testament to this physical therapy and Ruth Ann who is an angel. I was almost in tears, barely able to walk after working on my feet as a tech at a hospital, and I finally went online and found PeakRx. I've had five kids in less than ten years, my Obs all said "pelvic pain is normal", "it'll go back to normal", well it never went back and even after being two years PP it was in the same pain as ever! I went to multiple chiropractors, I went online desperately searching for stretches, after that shift in the hospital where I could barely walk to my car I said "physical therapy it is!" When I tell you how skeptical I was for doing exercises, very focused, but overall low impact excercises paired with some focused stretches....I was worried it wasn't going to relieve the pain like the other things I tried. But each week I felt an improvement, I was more aware of things like walking and how I engaged my core just doing everyday things, and began using muscles I've been neglecting that Ruth Ann advised, and I stuck with it. After the 5th session, I worked seven shifts in a row at the hospital and ZERO pain! None! I was honestly amazed and now our final sessions are focused on ensuring the pain doesn't come back even if I exercise hard or take on a large workload at the hospital. PeakRx is amazing and Ruth Ann is a life saver. It's amazing to be able to walk around at work and do workouts and not be in pain! This place will change your life! I recommend to everyone!

    Annie R.

    Apr 2022 · Google review

  • PeakRX has demonstrated a wonderful combination of professionalism and caring. Ruth Ann has done an admirable job of identifying the causes for my back issues, and providing tailor-made stretches and exercises to address each of them. She has taken great care throughout to ensure I do not have any spinal issues that might require specialized care. I have enjoyed Ruth Ann’s insights every step along the way, as each troublesome muscle group has been loosened up and strengthened, and new, underlying issues have subsequently come to light. I am well on my way to achieving my personal goals of resuming 15-mile walks and being able to lift my grandchildren. I would recommend Ruth Ann and PeakRX to anyone that might be interested, without reservations.

    Terry Z.

    Jul 2022 · Google review

  • Dr Brooke is worth her weight in gold plus some. I first saw her 10 month postpartum bc I was experiencing heaviness while running. We fixed that problem, but I continued with her while I was training for a marathon. I had all the tools at home but I didn’t have the true understanding. She taught me from the basics everything from core, pelvic floor, strength training for running and then guided me thru my next pregnancy from start to finish. She changed how I exercise, and there’s honestly not a workout that I get thru without hearing her voice telling me to engage my core. She’s the best and I’m glad I get to call her my therapist and my friend now too!

    Bret R.

    Sep 2021 · Google review

  • I was able to work with Ruth Ann and Brooke specifically to help with my pelvic floor issues. I have made great improvements! Prior to coming, lots of leakage when jumping rope, laughing, coughing. Fast forward to now, I am able to jump rope without leakage and know what to do, how to reset and be kind to myself (they have given me so much knowledge) to keep going. Coming here has given me a new level of confidence in who I am and what I can accomplish. The level of care and attention Ruth Ann and Brooke have given to me is unmatched. Appreciate them both!! I highly recommend PeakRx and believe in what they are doing to empower both women and men to improve and grow.

    Amelia T.

    Jul 2023 · Google review

  • Had problems following surgery. No doctor ever told me about PT for pelvic floor issues. A few years passed before I stumbled upon PeakRx. This is a new PT approach!!! 1 hour FULLY CUSTOMIZED appointments WITH THE DOCTOR. I moved from every two week to once a month appointments with clear targeted at-home exercises. A mobile app is available to track your exercise and show quick demonstration videos. This is a comfortable set up (staff, space, service) to address a personal issue. Best of all, I have made significant progress and I am no longer facing years of pain. So so so pleased.

    EP S.

    Feb 2022 · Google review

  • PeakRx is a place that truly cares about your well being. They want you to succeed and go out on your own, but are always there to help when you need it. I began my journey with PeakRx with a promotion for an initial assessment. I didn't have any specific injuries or pains to work through, but a broad goal of wanting to do things when I'm in my 70's or 80's. This "goal" was greatly welcomed! Over the course of 12 months, Brooke helped identify where my weaknesses were and work through strengthening those areas. I was equipped with how to recover from muscle injuries, and how to identify other areas of weakness (and what to do about it) on my own! Thanks to PeakRx I now feel more confident, and able, to achieve my lifelong goal!

    Drew D.

    Jan 2025 · Google review

  • You were highly recommended by a trusted friend who knew I needed to find a place who could help me with pre-habilitation for an upcoming total hip replacement surgery. I lacked leg strength and had a fear of falling due to leg weakness. Michael, Brooke and the amazing PeakRX team immediately put me at ease and came up with a customized plan to get me and my body ready for surgery. It’s been one week since surgery and I’m doing amazing with compliments from my healthcare team that I was well prepared for this surgery and anticipate a great recovery. I owe it to God and this amazing team who listened, cared, and conditioned me. Heart Felt Thanks 💕!

    P B.

    Oct 2023 · Google review

Coaching, not coddling

Lifting for your bones? Good. Let's get your pelvic floor on the team.

If you're doing machines and half-remembered videos and wondering if any of it is working, you're not alone. We'll check your form, fix what's off, and build you a plan for the gym and your pelvic floor. One-on-one, every visit.

PeakRx team illustrations
Your First Visit

Here's what actually happens when you come in

You don't need the right words. We've heard it all, and we'll help you find them.

01
We Talk. A Lot.

We Talk. A Lot.

What's going on, your history, and your why: the shot you stopped going for, the trip you're worried about. No lowered voices required.

02
We Look at the Whole Picture

We Look at the Whole Picture

A full-body evaluation to see where your body is at and find the root of the problem. Your pelvic floor doesn't work alone, so we don't look at it alone.

03
We Make a Plan Together

We Make a Plan Together

We put our heads together with you on a plan to fix the root issue, then keep going past where you thought you could get.

Why We Do This

Because nobody should have to sit out the things they love.

We would love to chat

There is no such thing as T.M.I.

Leaking when you laugh? Heaviness after pickleball? Pain during sex? Postpartum weirdness? We've heard it all, and we're not going to lower our voices about it. Book an evaluation and let's figure out what's really going on.