Pelvic Floor & Abdominal
Physical Therapy & Visceral Treatment

Find true, lasting relief from pelvic pain, abdominal pain, sexual dysfunction, pregnancy and postpartum, prolapse, men’s health, urinary and bowel issues.

“Helping you get back to doing what you love without pain, leakage, or weakness.”

Serving Greater Richmond, VA and Central Virginia

Work with Our Expert Pelvic Health Team

Welcome to Fettle & Fit, a holistic pelvic health company devoted to helping you overcome pelvic issues through hands-on treatment, exercise, meditation, and education.

Fettle & Fit is woman-owned and operated by board certified pelvic health physical therapists. We help patients of all genders at any life stage. Pelvic problems are common and often frustrating. They keep us from not only basic things, but also things we love. We want you to be able to do what you love naturally, without medications or surgery that may not fix the root of your problems.

The Fettle & Fit Difference

  • We are here for you

    Goals are achieved by listening, understanding the whole person, researching and providing support that works for each individual. You know what is going on in your body more than anyone else, we help you understand the why. We strive to provide the type of support we would want for our own friends and family.

  • True Pelvic Health Experts

    Our entire team specializes exclusively in pelvic health. We have dedicated our careers to helping those with pelvic health issues find lasting relief.

  • Get “to the Root” for Lasting Relief

    We want to find and treat the underlying cause for true, lasting relief. Many patients have been to multiple practitioners before finding relief with us. We're not content with temporary improvements. We find the underlying cause so it doesn't come back!

  • Maximized Time

    60-120 minute long hands-on sessions completely with your pelvic specialist suited to your unique needs. No aides, assistants, no hooking you up to machines and leaving you there, no telling you to 'just Kegel' or simply watch you exercise.

  • Leaders in the Field

    Dr. Casey is a Board Certified Women's Health Therapist (there are less than 700 in the country!) Our therapists have lectured at universities, trained other physical therapists, and work closely with some of the top pelvic pain MDs in the country!

  • Virtual Option

    If you can't make it to our office, fear not! We offer virtual 1:1 appointments. Great for those who are not local, new parents, and those who would like therapy in the privacy of their own home.

Book an Evaluation Now!

What Our Patients Are Saying:

  • "Every postpartum woman needs to come to this practice! As a Physical Therapist myself, I found that I was in great need for the expertise of pelvic PT after a difficult childbirth. Dr. Casey was wonderful and very comprehensive from day one. She really listens and takes a holistic approach to create an individualized treatment plan. It is clear that she is passionate about her field, and she is absolutely an expert in pelvic PT. Highly recommend!"

  • "I tried going other places to help my weak pelvic floor following the birth of my first child but I didn't feel like I was getting any better, or learning anything about connecting with my body. At the recommendation of my OBGYN after my second child, I thankfully found Fettle & fit. Dr. Sarah is incredibly knowledgable and the work we do in the clinic inspires me. I feel like we are a team and she has my best interests at heart always."

  • "I have experienced the best care and healing with Dr. Casey Smith of anyone I have ever been to. I came to her to address urinary incontinence issues, but also rebalanced my entire pelvis and lower back. Her most recent treatment addressed issues I was having in my neck, which alleviated my lower back achiness. Dr. Casey has a true gift in seeing the biomechanics of the body and addressing all of it, because she realizes how integrally our bodies compensate. I could not recommend her more whole-heartedly."

Fettle

  • n. State or condition of health, fitness, wholeness, spirit or form

  • adj. Healthy or strong, in good condition

  • v. Get ready, prepare

Fit

  • n. A sudden burst or flurry

  • adj. Adapted to an end, design or environment to be capable of surviving; Sound physically and mentally; Healthy

  • v. To insert or adjust until correctly in place; to be in harmony