Black Mountain’s Specialty Clinic for Women

Resolving pelvic health & other concerns associated with bladder/bowel, sexual health, pregnancy/postpartum, or pelvic pain by a specialist in women’s health physical therapy.

“Rachel made me feel

comfortable with an uncomfortable problem” - Peggy

You are valuable. Whether your pelvic health concerns affect your life minimally or in a massive way, you are worth the work it takes to resolve them.

Find hope for resolution of your concerns under the guidance of an expert that can help you break down manageable steps & will guide you the whole way.

Get creative to incorporate practical solutions for lasting relief for lifelong pelvic health. This is the fun part where we work to set you up for whatever life may bring you!

What are you struggling with?

  • Pelvic Floor Dysfunction of any kind, including urinary frequency/urgency, Stress/Urge incontinence, bowel symptoms/constipation, pelvic organ prolapse

  • Pregnancy/Postpartum-related issues, such as coping with infertility &/or pain, pain in the neck/back/hip/tailbone/pubic bone/anywhere!, c-section or perineal scars/tears, diastasis recti, prolapse, returning to exercise & sex after baby

  • Pelvic Pain, whether all the time &/or related to sexual activity. Pain can be in your lower belly, back, hips, inner thighs, &/or in the muscles & tissues of your pelvic floor.

  • Complex Cases, such as hypermobility syndromes/EDS, connective tissue disorders, chronic fatigue, myofascial pain, long COVID, things “yet-to-be-diagnosed”

In-Person & Remote Options

The boutique practice is in Black Mountain, North Carolina, about 15 minutes east of Asheville. While in-person appointments are ideal for Physical Therapy, remote options can be useful in some cases:

  • In consultation with your PT & care team locally, as Pelvic Health Coaching

  • Screening, Follow-up care, progressing your home program (if you are in NC)

  • Sex Counseling services can be done 100% remotely!

The Very Best of Healthcare

  • Access to a true specialist

    Pelvic health can be complex, & Rachel has devoted her career to it in order to best evaluate & treat patients who need expert care.

  • Private, peaceful environment

    You don’t have to battle for a parking space, wait in a busy waiting room, or get passed off to another provider. You can call, text, & email directly to Rachel, & it will always be her that answers.

  • Designed for your unique concerns

    Your treatment plan will be as unique as you are. We will pay attention to all contributors to what got you where you are, & address any specific goals that fit who you are & what you want!

  • Compassionate Care

    1:1 care for an hour or more per visit allows uninterrupted, focused time to calm your nervous system, support & encourage confidence in your body for a lifetime.

Rachel Butler physical therapy pelvic floor Black Mountain North Carolina

Dr. Rachel Butler, PT, DPT

Since Rachel became of Doctor of Physical Therapy in 2006, she has worked with women who suffer from persistent pelvic pain. While she was based in orthopedic practices for many years, patients coming in the door with varying diagnoses (low back pain, hamstring syndrome, etc) ended up in her treatment room when symptoms didn’t resolve without pelvic floor education & treatment. She sought advanced training in dry needling, manual therapy, & completed a 200 hour yoga teacher training. She opened Cahaba Physical Therapy in Birmingham, Alabama in 2016 so that she could provide exceptional care in a calm, private, & supportive environment. She trained as a Sex Educator & Counselor so that she could address the frequent questions & concerns of those who are transitioning from pain to pleasure.

While Rachel most often educates patients in a one-on-one setting, she is also available to speak to small or large groups of folx, physical therapists, physicians, or students. She is passionate about sharing practical skills & loves to see the “a ha” moment on someone’s face as they realize that they can incorporate something simple into their own life or their patients’ repertoire.

After she published a monograph in 2018 for the American College of Ob/Gyn (ACOG) about the role of physical therapy in Ob/Gyn practice, Rachel got to speak alongside her physician father. She highly values interdisciplinary collaboration, & it was a career highlight to present next to her personal hero.

Rachel Butler James Martin Jr ACOG meeting
Rachel Butler Doctor of Physical Therapy
Rachel Butler Physical Therapist speaking to ACOG
  • Manual Therapy (Joint & Fascial Mobilization, Connective Tissue Manipulation, Scar massage)

  • Dry Needling, Cupping, Taping

  • Mindfulness/Meditation & Yoga

  • Pain Science Education

  • Functional Strengthening, Mobility, Exercise Prescription

  • Teach self massage/mobilization

  • "Rachel is absolutely wonderful. If you want a PT who is competent, smart, & always learning, but who also listens to you, she’s it. Can’t recommend her enough!!"

    Sara B.

  • "Rachel is always very professional & works to address my current issues. She always asks how things went after the previous visit. I am very impressed that she actually listens to what I am saying & adjusts the therapy based on my feedback.

    Amy G.

  • "My experience was fantastic! Rachel was not only clearly well-versed in her expertise, she brought an additional level of compassion that made my experience far better than I had dared hope. I have no hesitation recommending her. She’s a wonderful physical therapist!"

    Robin K.

  • "Highly recommend. Rachel is amazing! I’ve been very impressed with her knowledge level, treatment methods, & care! She really listens to what you are dealing with & considers your whole body when treating you.

    Jamie M.

  • "Rachel is awesome at what she does! She's very patient & explains in detail what she's doing & why. I definitely recommend her!"

    Janet H.

  • "Rachel is wonderful. She listens & alters her treatment plan based on results. She knows her stuff! I have recommended Rachel to a number of friends & wouldn’t hesitate to send anyone her way."

    Laura W.