Pelvic Floor & Orthopedic PT · Bremen, GA
Specialized care that finally puts you first.
One-on-one, full-hour sessions with Dr. Nicole McDonald — board-certified orthopedic specialist and pelvic health certified PT. Cash-pay, no insurance restrictions.
- 5.0★ on Google
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- No referral required
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- Full-hour visits
What makes this practice different.
There are good pelvic floor PT options in West Georgia. Bremen Pelvic Health is structured differently — cash-pay so insurance can't dictate your plan of care, one therapist for the entire course of treatment, and a private treatment room with no waiting room distractions.
One full hour, every visit
Your full hour, in a private treatment room, one-on-one with Dr. Nicole. No double-booking, no aides, no rotating between providers.
Hands-on, not just exercises
Manual therapy, breath work, and direct hands-on treatment — roughly half of every visit. Not a printed sheet of exercises and a wave goodbye.
Treated by Dr. Nicole — every time
You will see the same therapist for the entire course of care. No switching between PT and PTA, no being passed to a tech.
Education you can use at home
About half of every visit is teaching you what is happening in your body and what to do between sessions, so you can heal faster and need fewer visits.
No referral needed
Direct access in Georgia means you can book without a doctor's referral for most services. Call or text, and Dr. Nicole will find a time that works.
Lived experience, not just training
Dr. Nicole had a fourth-degree tear, a C-section with complications, years of her own pelvic floor PT, and three pregnancies. She has been on both sides of the table.
Why I do this
I started this practice because I needed it myself.
After my first daughter, I had a fourth-degree tear, infected stitches, and over a year of urinary, fecal, and gas incontinence. I went to pelvic floor PT for years. I am still in therapy, on and off, three children later.
I spent 10 years as an orthopedic PT before any of that happened. The combination — board-certified ortho, deeply trained in pelvic, and having lived through serious birth trauma myself — is what I bring to every patient who walks through this door.
You are not going to surprise me. You are not going to embarrass yourself. You are going to be heard.
Read my full storySix things you have probably been told that are not true.
Most of what women hear about the pelvic floor either oversimplifies it or writes it off entirely. Here is what the research and clinical practice actually say.
"I just need to do my Kegels."
Kegels are one tool, not the whole answer. Whether they help depends on whether your pelvic floor is too tight or too weak — and which one is causing your symptoms.
"I leak when I run. That's just normal after kids."
Common is not the same as normal. Leaking with running, jumping, or lifting is your pelvic floor asking for attention. It is fixable at any age.
"I'm 65. It's too late to do anything about this."
I've helped women decades postpartum see real change. The pelvic floor responds to good care at any age.
"Pain with sex is just part of having a baby."
Painful intercourse is a treatable symptom, not a permanent reality. Many of my patients spent years thinking otherwise.
"I had a C-section, so I don't need pelvic floor PT."
C-section bodies need pelvic floor care too. Pregnancy alone changes the pelvic floor, and abdominal scar work matters for long-term recovery.
"My doctor didn't mention it, so it must not be needed."
Most OBs and primary care physicians do not screen for pelvic floor dysfunction. Many of my patients had to find me on their own.
A patient story
"I had been leaking during heavy lifts and contact sports for over a year postpartum. I assumed that was just the cost of having a kid. After four visits with Nicole, I went back to my regular training and didn't leak once."
— A postpartum athlete returning to lifting and contact sport
Most of what we did was breath work and teaching her how her body was bracing under load. Within two visits she saw real change.
Right here in Bremen.
Bremen Pelvic Health is based right here in Bremen. Patients travel from Bremen, Carrollton, Villa Rica, Tallapoosa, Buchanan, Temple, Mt. Zion, Dallas, Douglasville, and across the state line from Heflin, Ranburne, and Muscadine, Alabama.
This is my forever home. I'm here for the long term — to be the pelvic floor PT this community can rely on, year after year.
Meet Dr. Nicole
Ready to feel like yourself again?
Call or text to book an appointment or consultation. No referral required.