Pelvic floor dysfunction, orthopedic pain, and running mechanics aren't three separate problems. They're one body talking. At Centered, the same clinician treats all of it, in a full hour, one-on-one, with the time to build a real plan instead of triaging your symptoms.
Most patients arrive at Centered after they've been somewhere else first. They came in with leaking after their second baby, a tailbone that hasn't been right since the fall, a hip that flares every time they hit thirty miles a week, painful sex they were told was “just postpartum,” a back that's been bounced between an MD, a chiropractor, and a PT clinic where they got the same generic exercises as everyone else in the room.
What's missing isn't effort. It's time, and it's one person seeing all of it at once. Pelvic floor doesn't sit in a silo. It's connected to your hip mechanics, your breathing, your running gait, the way you load your spine. When three different clinicians each treat a slice, the slices never get put back together. Here, one clinician does.
We treat women with pelvic floor issues, postpartum recovery, and pregnancy-related pain. We treat active people, men and women, with running injuries, herniated discs, rotator cuff problems, plantar fasciitis, chronic hip and knee pain. We treat the patient who's been told there's nothing else to try. The work is specific, hands-on, and built around your goals, not a billing code.
Three structural differences. Each one is the reason the next one is possible.
Every visit is sixty minutes with the same clinician, not fifteen minutes of hands-on followed by a tech walking you through a sheet. Time is what lets us assess thoroughly, treat manually, and teach the work that holds between sessions.
Your pelvic floor PT, your running gait analysis, and your orthopedic work happen with the same person, in the same room. The connections between systems get treated as connections, not handed off between three providers who never meet.
We figure out what's actually going on, what it'll take to fix, and how we'll know it's working. You leave knowing why we're doing what we're doing, and you leave when the work is done, not when your benefits run out.
“We're the only place where you can come in with a pelvic floor issue that's connected to your running mechanics… and have one clinician who understands all of it.”Dr. Sarah Lindholm, DPT, OCS, FAAOMPT · Founder
“The cash-pay model is the reason I can give you a full hour, the reason I'm not double-booked, and the reason we can actually build a real plan instead of just treating the acute symptom.”Dr. Sarah Lindholm, on how Centered operates
Each treatment line is part of the same practice and the same clinician's expertise, not a referral chain. Many patients work on more than one at a time.
Leaking, prolapse, pelvic pain, tailbone pain, painful sex, vaginismus, endometriosis-related pain. Internal and external work, on your terms, in a private treatment room.
Pelvic floor PTPregnancy-related pain, prep for delivery, postpartum recovery, diastasis recti, return-to-exercise after baby. Safe during pregnancy. Not too late after.
Pre & postpartumLow back, hip, knee, shoulder, neck. Herniated disc, rotator cuff, plantar fasciitis, post-injury rehab, post-surgical recovery. Manual therapy as a first option, not a last resort.
Orthopedic PTComing back from injury, from a baby, or from a long winter, we rebuild the way you load and the way you move: gait analysis, strength, programming, mileage. No more "rest and stretch."
Return to runningRetraining how a healed body actually moves. After the pain is gone but the squat still feels off, the lift still feels guarded, or the run still hurts in a way nobody can explain. This is the work.
Movement reintegrationHands-on joint mobilization and soft-tissue work, used where it actually gets results and woven into the treatment plan, not handed out as a stand-alone service.
Manual therapyTargeted needling for trigger points and stubborn muscle tension, applied selectively as part of a larger plan, on patients for whom it's the right call.
Dry needling
Dr. Sarah Lindholm holds the Doctor of Physical Therapy, the Orthopedic Clinical Specialist board certification, and the Fellowship of the American Academy of Orthopaedic Manual Physical Therapists, a post-doctoral credential held by fewer than one percent of physical therapists in the country. It's the highest level of training in manual therapy that exists, and it's what makes the integrated pelvic-floor-plus-orthopedic-plus-running model possible in a single clinician.
Centered has been practicing this way in Waunakee since 2012. Every patient sees Dr. Lindholm. Not a rotating roster, not a tech, not a student. That's the practice.
Insurance-based PT is paid per code. To stay solvent, clinics double-book, hand off to techs, and push you through in fifteen-minute chunks. The model itself sets the ceiling on what care can look like.
We're out-of-network on purpose. A flat fee per visit buys you a full hour with the same licensed clinician, a real evaluation, hands-on treatment, and a plan that's measured by whether you're better. Not whether your benefits ran out.
We accept HSA and FSA funds and provide a superbill you can submit for out-of-network reimbursement, if your plan allows it. No referral required. Wisconsin has direct access.
Either your doctor sent you, or you've been searching on your own. Both groups need different things from this page, so we'll give you both.
Your physician picked Centered for a reason. The integrated pelvic-floor-plus-orthopedic-plus-running model and the FAAOMPT fellowship are what local doctors are looking for when their patient needs more than a fifteen-minute slot in a busy clinic.
You can call us directly to schedule. No referral paperwork required in Wisconsin. More about our clinical approach →
You got a printout, a few stretches, and a ten-minute conversation. We hear this often, and we don't dismiss it. What's different here is structural: a full hour, the same clinician every time, and one person who looks at how your pelvic floor, your hip, and your running mechanics interact instead of treating any one of them in isolation.
A free call is the easiest way to find out if we're the right fit. Book a free call →
We're based in Waunakee, a few minutes north of Madison. Most patients drive in from Madison, Middleton, Sun Prairie, Verona, DeForest, and the surrounding communities. Many travel from further out (Stoughton, Cross Plains, Mount Horeb) because there is no equivalent practice closer.
If you don't see your question here, the easiest thing is to put it on the free call — that's what it's for.
No. Wisconsin has direct access, which means you can schedule with a physical therapist without a referral from a physician. Most of our patients call us first.
If your insurance plan later requires a referral for out-of-network reimbursement on its end, we can help you sort that out — but you don't need anything in hand to start.
It means we don't bill insurance. You pay a flat fee per visit, and what that fee buys is the model: a full hour, one-on-one with the same clinician, every visit — not a fifteen-minute slot squeezed between two other patients.
You can use HSA and FSA funds, and we provide a superbill you can submit to your insurance for out-of-network reimbursement if your plan allows it. The trade-off is simple: you pay more per visit, you need fewer visits, and the care is structurally different.
Pelvic floor dysfunction (leaking, prolapse, pelvic pain, painful sex, tailbone pain, vaginismus, endometriosis-related pain), pregnancy and postpartum recovery including diastasis recti, orthopedic conditions across the spine, hip, knee, shoulder, and foot (herniated disc, rotator cuff, plantar fasciitis, post-injury and post-surgical recovery), running injuries and structured return-to-running, and chronic pain that hasn't responded to traditional PT.
If you're not sure whether what you're dealing with fits, that's exactly what a free call is for.
Pelvic floor PT is safe during pregnancy and is one of the most useful things you can do to prepare for delivery and protect your back, hips, and pelvic floor as the pregnancy progresses.
And no — it's not too late. We routinely work with patients who are months or years postpartum and have been told their symptoms are “just how it is now.” They usually aren't.
The first visit is mostly conversation and assessment — your history, your goals, what's happened in your body, how you move. Then hands-on evaluation of the relevant areas. If pelvic floor work is part of your case, internal exam is offered, never required, and only done with your explicit consent and on your timing.
Follow-ups blend manual therapy, movement work, and the specific exercises that match what your case actually needs — not a generic sheet.
It depends on what's going on and how long it's been going on. A clear answer takes an evaluation — but most patients land somewhere between four and twelve visits, often spread out over weeks or months as the work shifts from acute care to building durability.
You'll have a written plan and a timeline. You'll know what we're working toward and how we'll know we're done.
Centered Physical Therapy & Wellness