Conveniently located on Route 1A in Hamilton, Massachusetts. Proudly serving the North Shore, including Beverly, Salem, Ipswich, Essex, Wenham, Manchester-by-the-Sea, Gloucester, Rowley, Newbury, and beyond.
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At Rooted Pelvic Health & Wellness, we specialize in pelvic floor physical therapy, occupational therapy, and personalized coaching for pregnancy, postpartum, and beyond.
Whether you're navigating bladder leaks, prolapse, pelvic pain, or core weakness, we focus on the root cause of your symptoms- because you deserve more than just another set of kegels!
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Our expert occupational and physical therapists provide personalized care for every stage of life, helping you move better, feel stronger, and finally get lasting symptom relief.
From birth prep to menopause, we’re here to support you and your whole body, so you can feel your best.
Who We Help

Pregnancy
* Pelvic girdle pain (pelvic pain during pregnancy) * Pubic symphysis dysfunction (SPD or pubic bone pain during pregnancy) * Coccydynia (tailbone pain in pregnancy) * Stress urinary incontinence (leaking urine during pregnancy) * Constipation and hemorrhoids * Labor and delivery preparation * Prenatal fitness coaching and movement support * Cesarean birth preparation * And more!

Postpartum
* Stress urinary incontinence (leaking urine after birth) * Pelvic organ prolapse (heaviness or pressure in the pelvic floor) * Diastasis recti (abdominal separation after birth) *Core weakness or instability * Fecal incontinence or urgency * Dyspareunia (pain with intercourse postpartum) * Cesarean scar mobilization and healing *Perineal tearing and episiotomy recovery * Coccydynia (tailbone pain after delivery) * Pelvic, hip, or back pain * Constipation, hemorrhoids, or anal fissures after delivery * Safe return to exercise or fitness postpartum
Perimenopause & Menopause
* Stress urinary incontinence (leaking with sneezing, coughing, or exercise) * Bladder urgency and frequency, overactive bladder *Recurrent urinary tract infections (UTIs) *Sleep disruption related to bladder issues * Urge incontinence (rushing to the bathroom and not making it in time) * Pelvic organ prolapse * Post-op hysterectomy or pelvic organ prolapse surgery * Post-op hemorrhoidectomy * Dyspareunia (pain with intercourse) * Chronic constipation or incomplete emptying * Core weakness and abdominal separation * Lower back or hip pain

Pelvic Pain
* Bladder pain syndrome / Interstitial cystitis (IC) * Dyspareunia (pain with intercourse) * Vaginismus (involuntary pelvic floor muscle contraction) * Vulvodynia (vulvar pain or burning) * Pudendal neuralgia (nerve-related pelvic pain) * Endometriosis-related pelvic pain * Pelvic floor muscle tension or overactivity * Coccydynia (tailbone pain) * Pain with menstrual product use or pelvic exams * Chronic pelvic pain (unexplained or persistent pelvic discomfort) * Abdominal wall pain * Pain with bowel movements * Post-surgical pelvic pain (e.g. after laparoscopy, hysterectomy) * Hip or low back pain related to pelvic floor dysfunction *Pelvic girdle pain *SI joint pain *Sciatica

Other Conditions We Treat

Bowel & Bladder
* Stress urinary incontinence (leaking with activity or pressure) * Urge urinary incontinence (urgent need to urinate) * Overactive bladder (frequency, urgency, nocturia) * Incomplete bladder emptying * Interstitial cystitis / bladder pain syndrome * Recurrent urinary tract infections (UTIs) * Constipation and difficulty with bowel movements * Fecal urgency or incontinence * Pelvic floor dyssynergia (difficulty relaxing pelvic floor muscles for bowel movements) * Hemorrhoids and anal discomfort * Bloating and abdominal tension * Difficulty with bowel control or chronic straining * Bladder prolapse (cystocele) * Rectocele

Post-operative Care
* Hysterectomy recovery * Pelvic organ prolapse repair *Bladder sling surgery * Cesarean section (C-section) * Laparoscopic surgery * Hernia repair rehabilitation * Perineal tear and episiotomy healing support * Gender-affirming surgery recovery (including vaginoplasty) *Abdominoplasty * Pelvic floor retraining post-surgery * Managing post-surgical pelvic pain and tension * Restoration of bladder and bowel function after surgery * Return to safe movement and exercise following pelvic or abdominal surgery
How it Works
Schedule An Initial Evaluation
A comprehensive, in-depth assessment.
Get a Personalized Game Plan
We'll map out a clear treatment plan just for YOU.
Start Feeling Better
With our 3-step process to get to the root of our symptoms.
Elizabeth G.
"I am so grateful to the team at Rooted Pelvic Health & Wellness, especially my therapist- owner, Sarah Coombs. I didn't know much about pelvic therapy prior to becoming a patient, but it helped me postpartum more than I could have imagined! I appreciated that Sarah takes a holistic approach and in addition to treating my pelvic pain, she also suggested exercises and stretches to help with the back pain and other issues I had postpartum. She is very caring and thoughtful, and I loved that I could bring my newborn with me to appointments. Their office is clean, lovely, and calming. Can't recommend them enough to every new mom!"
What Our Clients Are Saying
Kayla V.
"I cannot express enough how transformative my sessions with Dr. Sara MacNeill have been. From the moment I walked in, I felt welcomed and understood. Sara’s compassionate approach immediately put me at ease, making it comfortable to discuss personal and often sensitive issues related to my pelvic health. Thanks to Sara’s dedication and support, I have experienced significant improvements in my symptoms. I am now more confident in my body and its capabilities, and I feel equipped with the tools to maintain and enhance my pelvic health moving forward."
Meagan L.
"I have been working with Kaitlin, started around 6 weeks postpartum & it has been great! I really feel listened to and that my goals have aligned with their practice and the core of what Rooted represents. Kaitlin is so positive & has been a joy to work with!"
Meet The Team

Sarah Coombs, MOT, OTR/L, PCES
Owner & Founder
Pelvic Health Occupational Therapist
Pregnancy & Postpartum Corrective Exercise Specialist

Sara MacNeill, PT, DPT, PCES
Pelvic Health Physical Therapist
Pregnancy and Postpartum Corrective Exercise Specialist
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Kaitlin Hill, MOT, OTR/L
Pelvic Health Occupational Therapist
Certified Group Fitness Instructor