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Now offering postpartum home visits! Available for the first 12 weeks postpartum

who we are

About District Pelvic Health


Perinatal Physical Therapy & Pilates in Washington, DC

District Pelvic Health offers a bespoke approach to physical therapy during pregnancy, postpartum, and all the moments in between.  Our mission is to empower women to move confidently through all stages of their pregnancy journey by providing the one-on-one care you deserve.

About Dr. Rachel Payne, PT, DPT, NCPT, CMTPT

Rachel is a doctor of physical therapy, pilates instructor, and the founder of District Pelvic Health.  She started District Pelvic Health to provide birthing people with the individualized, one-on-one care they deserve. She has a passion for helping birthing people successfully navigate all stages of their pregnancy, labor and delivery, and the postpartum period.  

She has advanced training in orthopedics and pelvic floor physical therapy and specializes in obstetrics. She is a Nationally Certified Pilates Teacher, comprehensively trained as a Polestar Pilates Rehab Practitioner, and integrates the Pilates principles into her treatment sessions.  
Rachel lives in Arlington, VA with her husband, son, and dog.

The District Pelvic Health Story

After a decade of experience as a physical therapist, Rachel was motivated to start District Pelvic Health after her own struggles navigating the medical system through infertility, pregnancy, and postpartum complications. She is a doctor of physical therapy, earning her DPT from the University of Miami in 2013.  She began her career in outpatient orthopedics, laying a solid foundation for understanding how the body works as a system. After completing her comprehensive Pilates training through Polestar Pilates in 2017, she became the go-to ortho PT for pregnant and postpartum patients to work with in conjunction with their pelvic floor PT.  While simultaneously struggling to get pregnant herself, Rachel began specialized obstetric physical therapy training in 2018, eventually doing internal pelvic floor training through Herman and Wallace.

Throughout fertility treatments and eventually pregnancy, she struggled to get recommendations for managing and preventing what felt like routine concerns from everyone except her own PT, wondering how people without her level of training must have felt.  After the birth of her son in 2022 via an unplanned cesarean followed by complications that landed her back in the hospital, she was appalled at the lack of guidance and postpartum care provided.  That same year she founded District Pelvic Health in an effort to give other pregnant and postpartum people better access to the treatment, education, and care they deserve.  When not working with clients, she is busy chasing after her son William.  


Ready to start feeling your best?

Schedule a complimentary consult using the link below.