Keep Doing What You Love
Physical therapy and performance coaching for active people navigating orthopedic injuries, pelvic health, pregnancy, and postpartum
Orthopedic and Pelvic Health Physical Therapy - Performance Coaching - Wheat Ridge, CO - Virtually Nationwide
I’m Juliana.
I am a Doctor of Physical Therapy and am both a board certified Orthopedic Clinical Specialist and Strength and Conditioning Specialist. I don’t tell my clients to stop participating in their sport. I work with them to better prepare them for what they love to do. In my eyes, if you move your body, you are an athlete! At Flow State we rehab with this in mind.
Testimonials:
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I offer specialized in-person and virtual rehab for both orthopedic and pelvic health therapy. I focus on restoring and maintaining strength and mobility in the face of an injury. I focus on building confidence while facing an injury so you can overcome it and reach your goals while continuing to participate in your activity or in everyday life.
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Virtual Pregnancy and Postpartum Coaching
I support women through virtual prenatal and postpartum coaching. I help athletes maintain their strength and mobility during pregnancy and smoothly return to their sport postpartum. My approach is tailored to your unique journey, ensuring you stay safe, confident, and active.
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Virtual Training for Climbers and Athletes
I offer virtual training for both climbers and outdoor athletes designed to help you improve technique, strength, and performance from anywhere. Whether you're recovering from injury or looking to enhance your skills, I provide personalized plans to support your goals.
FAQs
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Yes! I treat a variety of orthopedic injuries and conditions. My background as a board-certified Orthopedic Clinical Specialist and Strength and Conditioning Specialist allows me to approach rehab with both injury recovery and performance in mind. Whether you’re dealing with an injury, pain that’s keeping you from your favorite activity, or simply want to get stronger and move better, I want to help you get back to doing what you love.
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Pelvic floor physical therapy looks at how your pelvic floor works with your breath, core, and all movement patterns. It’s not just about Kegels. My approach focuses on how you move, load, and generate strength — especially if you’re active, pregnant, postpartum, and/or an athlete. The goal is confidence, capacity, and returning to what you love without fear or symptoms.
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Yes. Athletic participation places high demands on the core and pelvic floor through dynamic movement, tension, and breath control (in any sport). Pelvic floor PT can help athletes with leaking, pelvic pain, core weakness, or performance limitations — and it’s also valuable for injury prevention, continuing to move during pregnancy, and returning to sport postpartum
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Absolutely. The pelvic floor is part of your deep core system. If it’s not coordinating well, athletes may notice decreased power output, early fatigue, difficulty maintaining tension, pain with harder efforts, or fear of movement. Pelvic floor physical therapy helps restore coordination so strength and movement feel more efficient and reliable.
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No. I work with athletes of all genders and life stages. While pelvic floor PT is incredibly helpful during pregnancy and postpartum, it’s also beneficial for anyone dealing with pelvic pain, core dysfunction, hip or back pain, or performance plateaus related to pressure management and movement.
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For many people, yes — and its actually beneficial for both you and your baby. Pregnancy changes balance, joint mobility, breathing mechanics, and pelvic floor demands. Working with a pelvic floor PT who understands your sports demands can help you continue participating while supporting your pelvic floor, strength, and confidence as your body changes.
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There’s no universal timeline. Return to any physical activity depends on healing, symptoms, strength, and how your pelvic floor responds to load. Pelvic floor physical therapy helps guide a gradual, sport-specific return so you can rebuild strength and confidence without pushing too fast or guessing your way back.
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Yes. Symptoms like leaking, heaviness, pain, or pressure are common — but they’re not something you have to “just live with.” Pelvic floor PT focuses on strength, coordination, breathing, and load management to reduce symptoms and help you move with confidence in daily life and sport.
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Absolutely. Many of my clients are athletes who want to move better, feel stronger, or get past persistent issues that haven’t responded to traditional rehab. I work with rehabilitating muscles, tendons, ligaments, and bones throughout the entire body!
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Sessions focus on your goals, movement, symptoms, and how your body handles load. We look at breathing, strength, mobility, and sport-specific patterns. Internal exams are never required and only used if appropriate and consented to. We use Ultrasound for real-time feedback on pelvic floor function. Everything is individualized and collaborative.
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No. Internal exams are one tool — not a requirement. Many people make excellent progress without them. We’ll always discuss options, respect boundaries, and choose the approach that best supports your goals, comfort, and symptoms.
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Yes. Virtual sessions are a great option for individuals who want expert guidance but don’t need or want in-person care. Virtual services include movement assessment, symptom management, sport-specific programming, and progressive return-to-sport guidance — all tailored to you.
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No referral is needed. Flow State Physical Therapy is a cash-based practice, which allows for longer sessions, individualized care, and flexibility in treatment. Many clients choose this model because it prioritizes quality, education, and long-term results. Clients can use HSA/FSA and can receive a super bill upon request.
Connect with Me Virtually on Instagram @dr.juliana_merighi
