Julie Wiebe, PT

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! admin@juliewiebept.com

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

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

03/18/2026

Another University of Michigan Pelvic Floor Research Group annual research day is in the books. It is a rapid fire, drinking from a fire hose download of the findings, ongoing work, and updates from incredible researchers across the globe. From genetic factors that increase fibrous tissue in the urethra with age to associations between irregular maternal sleep patterns and preterm birth to perimenopausal sexual health- learning was had by all. My favorites were pertinent to female athletes- discussing pelvic floor behavior in lifting and running from .lacross and (see pics).

More than anything what I am struck by every year is the collegiality and collaboration (not competition) of the computational model engineers, biomedical engineers, OB/Gynes, surgeons, MDs, PTs, nurses, educators, urologists in the room. Folks at the top of their game, applying their smarts to these underserved needs and sharing it with one another. ( And with ME and others).

It was also lovely not to doubt the veracity of what I was hearing, to not wonder if it was AI generated slop, or social media style over substance. The hallmark was how many of the folks on stage said-I don’t know, or we don’t know that yet or great question, we’re working on it.

We’re working on it y’all.

03/18/2026

Join us on May 4!

Are you a school-based PT or OT who regularly works with children experiencing continence difficulties? Ever wondered how continence fits within a dynamic systems framework?
I'm thrilled to be co-teaching a live online Paediatric Pelvic Health webinar on May 4, 2026 with Julie Wiebe, PT — designed for school-based therapists. Together, we'll explore a new model of paediatric pelvic health: one that's child-centred, trauma-informed, and grounded in brain-based strategies.
It's time to change the way we support neurotypical and neurodiverse kids in pelvic health. Register today and bring these tools back to your school community!

https://heartspacept.com/events/pediatric-pelvic-health-dynamic-core-for-kids-edition-2/

02/20/2026

A tale of two conferences. I spent a day each at (our annual US-based PT nerd-fest) and (Int’l Society for the Study of Women’s Sexual Health annual scientific meeting). Both full of top notch researchers, clinicians, and speakers. I learned about new technologies (Shear-wave Elastography at CSM and Low Intensity Shockwave Therapy at ISSWSH ) and heard research updates (Bone Stress Injuries at CSM and Genitourinary Syndrome of Menopause at ISSWSH). I also got valuable time with colleagues in-person at both conferences-absolutely filled my cup.  

But there were two glaring differences between the conferences. First, I will expect nothing less than a silent disco type poster presentation format from now on- so well done (swipe).

Second, the ISSWSH conference leaders prioritized acknowledgement and validation of the dramatic new reality we live in as practitioners due to the implications of the dismantling of US Government funding for scientific research. This is particularly true for those of us who serve marginalized communities and needs like pelvic health. One of the most eye opening statistics shared was that it takes 18-24 years from initial research and development of a treatment to create an ongoing positive impact on patient outcomes. The loss of today’s science will have huge downstream effects- with so much lost potential to make lasting change in the health of so many, decades from now. The speakers noted that those most affected by these pruned research timelines (Loki reference anyone?) would never know what was missing in their care. The public would be unaware of what could’ve been, how they could’ve been helped.

To remain silent in the face of this, in an attempt to remain ‘politically neutral” as an organization, misses the mark so deeply. This loss of science has a bipartisan impact, we are ALL hurt by this loss. This is about our shared humanity, oaths of service, commitment to evidenced based care, and patient-centering efforts.  This impacts all of us, and it disproportionately impacts women, children, and marginalized communities (keep swiping). 

02/19/2026

It’s time for our Quarterly Q and A! Join us on Sunday, February 22 at 1 PM LA, 4 PM NY, 9 PM in London, and 6 AM on the 23rd for early risers in Sydney! This is intended to be a casual, collaborative conversation to dig deep on clinical questions, case troubleshooting, and emerging research. Join us! Our last conversation centered on loading symptomatic pelvic organ prolapse!

This is a paid Sub*stack subscriber event- great time to upgrade! Once you’ve upgraded the registration link is in the chat feature on Asking for a Friend! See you there!

Check out Asking for a Friend with Julie Wiebe, PT https://juliewiebept.substack.com/. And direct link to the Q and A page in bio.

02/10/2026

Anaheim (CSM) and ISSWSH (Long Beach) here I come! Looking forward to conversations, learning, and 15,000 steps a day! Please be sure to say hello in the halls!

Looking forward to: Bone Stress Injury Rehabilitation: Perspectives from the Patient, Registered Dietitian, & Physical Therapist with    &  Michelle Bruneau

02/05/2026

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 last week there are only 10 seats left in the NY course and 2 for the Cork, Ireland course.

Get your seat! Links to both courses below

New York: https://tr.ee/AUg-x7JW1J
Cork: https://tr.ee/e9JdtW8wM7

Thanks to both hosts for their hustle and support behind the scenes ( and my team-

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!

01/29/2026

Now OPEN ACCESS! Thrilled to share this case report published in 2021, is no longer behind a paywall! Thanks to the It outlines the journey of a professional Iron-Distance triathlete. She initially experienced traditional, siloed care from 1 Sports PT and 5 Pelvic PTs. Symptoms were unresolved and escalated to inability to walk or roll over in bed without severe hip and pelvic pain. She was repeatedly told by her providers that she’d no longer be able to run or compete 👎. Heads-up, the story has a really happy ending! If you’re interested in learning to develop a blended dual sports medicine and pelvic health skill set - this case report offers some fuel for new thought processes and strategies. It includes details on the comprehensive biopsychosocial intervention pathway, differential diagnoses based on objective data interpretation, and gradual progression based on response to care.

I also discussed the case recently on the Celebrate Muliebrity Podcast with

Check it out! Link to the full text here https://tr.ee/WE1T415k4i