Do you offer virtual occupational therapy consultations?

Yes, we offer virtual and in-person occupational therapy consultations, providing personalized care from the comfort of your home or in office. Our sessions are tailored to your specific needs and goals.

Empowering Women's Health

Promoting Women's Health

Experience specialized occupational therapy services that cater to women of all ages. Our mission is to enhance your wellbeing through personalized care and strength-building strategies.

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Our Story

HerPath Occupational Therapy & Wellness was created from a simple belief: women deserve to feel heard, understood, and supported in their health journey.

As a pelvic health occupational therapist, I work with women across the lifespan and across a wide range of pelvic health concerns—from bladder and bowel dysfunction to pregnancy and postpartum recovery, sexual health, and persistent pelvic pain. While I see all pelvic health conditions, my specialty and passion lie in complex pelvic pain and fertility, particularly when symptoms have been difficult to understand, difficult to treat, or have been dismissed along the way.

I believe pelvic health is about so much more than the pelvic floor. Pain, hormones, nutrition, movement, stress, sleep, daily routines, and the demands of life can all influence how we feel and function. My approach is rooted in looking at the whole person rather than treating a single symptom in isolation.

HerPath was born out of a desire to create a different kind of healthcare experience: one that is collaborative, compassionate, evidence-informed, and centered around you.

Your body has a story. Your symptoms have a story. And you deserve a provider who takes the time to listen.

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Now Introducing Small Group Pelvic Health Sessions!

Starting in August, move, strengthen, and build confidence in a supportive small-group setting. These 45-minute sessions are designed for individuals looking to improve pelvic health through guided movement, breathing, mobility, and strength exercises.

Each class incorporates general exercises with a pelvic health focus to support core function, pelvic floor coordination, posture, and functional movement. Sessions are appropriate for a variety of experience levels and emphasize education, body awareness, and safe progression.

To ensure individualized guidance, each class is limited to 3 participants.

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Pelvic Health Info Session

Join us for a FREE community event designed to help women better understand pelvic health in a welcoming, supportive environment. Our next session is October 21, 2026 at 6:30PM.

Whether you’re navigating pregnancy and postpartum changes, pelvic pain, bladder concerns, menopause symptoms, or simply want to learn more about your body — this event is for you. Space is limited, if you register and cannot make it, please let us know.

RSVP

Provider Meet-Up

Do you work in women's health, or do you want to learn more about women's health? Would you love to connect with other local professionals? If you said yes, then this event is for you! Join us for a free networking event to meet other women's health professionals and learn how pelvic health therapy can support your clients! Our next session is October 24, 2026 at 9:30AM, RSVP below.

RSVP

For those of you requesting a later time, this is it! Join me next Tuesday for a small group pelvic health exercise class! 2 spots left, register at herpathotandwellness.com

Did you know that eating breakfast can actually help get your bowels moving?

Your digestive system has a natural response called the gastrocolic reflex. When food enters your stomach, it signals your colon to increase its activity — and this reflex tends to be especially strong in the morning and after a meal.

So if you’re someone who struggles with constipation, irregular bowel movements, or feeling like you can’t fully empty, your morning routine may be worth looking at.

Try:
• Eating a balanced breakfast rather than routinely skipping it
• Giving yourself time to use the bathroom afterward
• Pairing breakfast with adequate fluids
• Including fiber-rich foods throughout the day
• Sitting with your feet supported and avoiding straining

Your gut has rhythms and reflexes designed to help you. Sometimes, the goal isn’t to force a bowel movement — it’s to work with your body’s natural cues.

And if constipation or bowel dysfunction is affecting your quality of life, you don’t have to just “live with it.” Pelvic health occupational therapy can help identify what may be contributing and develop an individualized plan.

Save this for your next morning routine and send it to someone who is always skipping breakfast.

Highs I’ll be riding into the weekend

Today was one of those days that reminded me exactly why I love pelvic health OT.

A few of today’s wins:

Three clients with pelvic pain left their sessions feeling better than when they walked in.

A new client told me she finally feels heard and listened to after her evaluation.

A client with stress urinary incontinence was already noticing less leakage after just one visit.

Are these things that should make me celebrate? Absolutely.

Because pelvic health care isn’t just about changing symptoms. It’s about helping someone feel heard, understood, more comfortable in their body, and more confident in their everyday life.

And sometimes, the smallest changes are the biggest wins.

Ending the day feeling very grateful for the people who trust me with their care. Can’t wait to see what next week brings, THANK YOU for trusting me with your care. ❤️

Join us on September 12th for your passport to wellness! @thesharedmatcollective will be hosting two short classes and we have a great line up of local vendors! Come get a workout and connect with local vendors and small businesses ❤️🎉

A saliva test for endometriosis sounds like it could be a game changer—but are we there yet?

A new 2026 study evaluated Endotest, a saliva-based test that looks at microRNA patterns associated with endometriosis.

Researchers compared the test with laparoscopic findings in 134 women. The test detected 78% of participants who had endometriosis, but its specificity was only 33%, meaning there were also a substantial number of false-positive results.

For deep infiltrating endometriosis, the test performed even less well, with 49% diagnostic accuracy compared with higher accuracy from MRI and transvaginal ultrasound in this study.

So, while a non-invasive diagnostic test for endometriosis would be incredibly valuable, this study suggests that saliva testing is not yet ready to replace clinical evaluation and imaging—or serve as a standalone diagnostic tool.

This is a great example of why we need to look beyond the headline. Promising research does not always mean a test is ready for clinical use.

Source: Ormos M, et al. Salivary microRNA testing for endometriosis: clinical evaluation in an endometriosis center. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2026. (Jove Visualize)

DOI: 10.1016/j.ejogrb.2026.115341

So much fun at the Bumps, Babies & Brews meet up! Thank you to the mamas who showed up to chat this morning and a special thank you to @morning_psalms_coffee for coming out and serving up some great drinks! Can’t wait for the next one ❤️

If you’re thinking about fertility, don’t forget about the other half of the equation.

A new review published in the Journal of Psychosexual Health looked at what we currently know about microplastics and male reproductive health.

Microplastics have been detected in human semen and testicular tissue, and research suggests they may contribute to oxidative stress, changes in sperm quality, DNA fragmentation, and disruption of reproductive hormones.

But here’s the important part: this does NOT mean we can say that microplastics cause infertility. This was a review of existing human and animal research, and much more high-quality human research is needed.

Still, it raises an important question: could our everyday environmental exposures be one piece of the fertility puzzle?

We can’t eliminate every exposure, and I don’t believe fertility care should be about fear or restriction. But there are reasonable ways to reduce unnecessary exposure—like avoiding heating food and beverages in plastic, choosing glass or stainless steel when practical, and reducing reliance on single-use plastics.

Fertility is complex. There is rarely one single cause, and there is rarely one magic solution.

DOI: 10.1177/26318318261474309

Get my treatment room ready with me 🎉A little behind-the-scenes of how I get the treatment room ready before the day begins.

Because I share my treatment space with other clinicians, I like to arrive early and create a calm, welcoming space before my clients walk through the door. From setting up the room to getting everything ready for the day, these little details are part of the care, too.

PS sorry for the wrinkled sheets, I hate folding them 😂😬

Thank you @brnpilates for hosting an amazing afternoon supporting women’s health! We had a powerhouse line up of speakers including @_alignedwithalona talking about strength training in menopause and @kristafeagansnutrition discussing the importance of nutrition for hormone regulation and how to ease the transition to menopause. I always love talking all things pelvic health in the community! Thank you everyone who joined today, it was such a success! Looking forward to many more 🎉#pelvichealth #womenshealth #menopause

An appreciation post for my wonderful husband, 4 months ago I decided to take the leap into opening my own practice. After a stressful couple of years in my old role, it was a welcomed change but scary nonetheless. He is one of the reasons HerPath OT exists as it is today, so thank you for pushing me to pursue my dreams and motivating me on the days I question if it was the right choice. Here’s to improving women’s health and never settling! Can’t wait to see what the rest of the year holds! Thank you also to my wonderful clients, you are with me as I learn and grow as an OT and a business owner, your support is just everything to me! Also shout out to the amazing @agomes.photography thank you for capturing such precious moments of our family ❤️

Sometimes we convince ourselves that our symptoms are “not bad enough” to ask for help.

But you don’t have to wait until something is severe, debilitating, or interfering with every part of your life before you deserve support.

If something is affecting your comfort, confidence, movement, sleep, relationships, exercise, work, or simply the way you go about your day, that matters.

You don’t need to justify your symptoms or prove that they’re “bad enough.” If it’s impacting your quality of life, it’s worth talking about.

And if you’re not sure whether pelvic health therapy is appropriate for what you’re experiencing, that’s exactly what a discovery call is for.

Let’s talk about it. #pelvichealth #occupationaltherapy #visalia

Did you know your HSA or FSA funds can often be used to pay for pelvic health therapy?

If you’ve been putting off getting help because of the cost, this may make treatment more accessible than you realized.

Pelvic health therapy can help with:
✨ Bladder leaks or urgency
✨ Pelvic pain
✨ Pain with intimacy
✨ Pregnancy and postpartum recovery
✨ Bowel dysfunction
✨ Pelvic organ prolapse
✨ Fertility support
✨ And so much more.

Using your HSA/FSA allows you to invest pre-tax dollars in your health, making it easier to prioritize the care you deserve.

I currently see clients in Visalia at HerPath OT & Wellness and Hanford at Kindred Care Health & Wellness, and I’m accepting new patients.

Have questions about whether pelvic health therapy is right for you or whether you can use your HSA/FSA? Send me a DM or book a consultation—I’m happy to help.

#PelvicHealth #PelvicFloorTherapy #Women’sHealth #OccupationalTherapy #Visalia

Update! The new CEO of Kaweah Health responded to my email about our current staffing shortage in Tulare County. See my initial post linked below. #visalia #tulare #hanford #pelvichealth #womenshealth

Register now for tomorrow’s small group session! Visit the link in bio or DM for more info! These sessions are open to non-patients and current patients. Sessions are for all fitness levels and any life stage!

PSA we need to support our local OBGYN providers. As most of us are aware, we are in a crisis in Tulare County. We do not have enough care providers to support our community. Lately it is all I see and hear about so I feel the need to take action and I encourage you to do the same. We need to support and protect the providers we have so we can continue to recruit more. Working in healthcare is hard, mentally, physically, emotionally, all of the above. I have reached out to Kaweah Health CEO and our Visalia Mayor about this issue. I hope you will too, please share! #visalia #tulare #hanford #fresno #clovis

Curious what tools we use for exercise in the clinic? I love to use simple things you may already have a home! So grab a ball, a yoga block, a band and a wall and join me in a few light exercises to improve your pelvic floor function! #pelvichealth #occupationaltherapy #pelvicfloortherapy #visalia

Okay guys I got the schedule up and going, I added two time options for August and September. I’m so excited for these small groups to begin! Please share with your friends and let me know if you need help booking. You can register directly on the website at herpathotandwellness.com

Just wanted to take a quick minute to answer some questions about my new small group pelvic health sessions!
These sessions are not meant to replace 1:1 care but they are meant to increase access and community around pelvic health conditions!
In these sessions we will go over movement strategies, body mechanics, strengthening and have fun along the way! I am still open to the time of day these sessions will be offered. So please keep an eye out later today for the updated schedule! If there is a time you prefer, please reach out because if I get enough requests I will do my best to get it on the schedule! Thank you so much for being such a supportive community, I’m so excited to bring this new offering to you!

A new way to support your pelvic health is here!

I’m so excited to introduce Pelvic Health Small Group Sessions beginning this August!

These aren’t bootcamps or generic fitness classes. They’re therapist-led movement sessions designed to help you strengthen your body with a pelvic health focus.

What makes them different?
• Led by a pelvic health occupational therapist
• Just 3 participants per class for individualized coaching
• 45-minute focused sessions that fit into your busy schedule
• Only $50 per class

One of my biggest goals with these classes is to make pelvic health support more accessible.

I know that not everyone is able to commit to regular one-on-one therapy, whether it’s because of cost, time, or scheduling. If you’ve been interested in working on your pelvic health but haven’t been able to make individual sessions fit your life right now, this may be the perfect place to start.

You’ll receive expert instruction in a small, supportive environment while learning exercises and movement strategies that you can continue using at home.

These sessions are open to both current patients and the community and are a great option for anyone wanting to improve core strength, pelvic floor function, confidence with movement, or maintain the progress they’ve already made in therapy.

Wednesdays beginning in August
Only 3 participants per class, $50 per session

Because class size is intentionally small, spots are limited. I’d love to help you move with more confidence and make pelvic health care feel a little more accessible.

Reserve your spot through the link in my bio or send me a DM with any questions!

#PelvicHealth #PelvicFloorTherapy #WomensHealth #OccupationalTherapy #visalia

PSA! Kegel chairs are NOT pelvic health therapy! This is something I’m pretty passionate about because it is not individualized care and can often make symptoms worse. In my opinion, places that have these chairs are preying on a vulnerable population of people. We want a quick fix and I get that, but use of these chairs does not do your body justice. Pelvic health concerns are complex and your body deserves to be assessed at treated to get to the root of the problem. When leakage or pain happen most people jump to weakness as the cause, but often it is tight and ineffective muscles. We need to retrain those muscles in integrate them back into the system for lasting results that improve your quality of life! So please, consult with a qualified medical professional and have your muscles properly assessed before using the chair! #pelvichealth #kegelchair #occupationaltherapy #pelvicfloortherapy

Oof this turned out to be kind of a long one! I got several questions on HOW I use these pelvic health foundations in practice from both potential clients to other providers so I wanted to share a mini case study on it! If you are a patient who has seen several providers and have not found relief, this could be helpful to you! If you are a provider and have some complex patients on your caseload, I hope this helps! If our basic needs aren’t met, we can’t be receptive to healing in a meaningful way. So often the most complex situations need very simple and intentional interventions in the beginning! Let me know what you think in the comments or feel free to send a message! #pelvichealth #pelvicpainrelief #occupationaltherapy

Thank you @visaliagirlsrunclub for joining me this morning for a post-run discussion on pelvic health and running! It was so fun to meet you all and teach about how I work with runners and support those having a dysfunction while running! Can’t wait for the next one 🎉

Save the Date!
After two successful community events, I am very excited to offer another opportunity to connect!
Pelvic Health Info Session:
Open to all community members who are interested in learning more about pelvic health. Ask questions and connect with others who may be experiencing the same thing.

Provider Meet Up:
Come and meet other like-minded professionals and learn how together we can support our community better! Open to all health and wellness professionals! Tag your favorite providers and friends who may be interested!

RSVP at herpathotandwellness.com

You asked, we listened.

More appointment availability is coming to HerPath OT & Wellness!

Starting in August, I’ll be opening Wednesday appointments from 8:00 AM–1:00 PM to make it easier for you to get the care you need.

Now booking pelvic health evaluations for these new appointment times.

Whether you’re dealing with pelvic pain, bladder or bowel concerns, pregnancy or postpartum recovery, prolapse, painful intimacy, or are looking for fertility support, I’d love to help.

These appointments are limited and are expected to fill quickly, so if you’ve been waiting for a spot, now is the time!

Visalia, CA
Give me a call at 559.730.1419 to schedule your evaluation.

#Visalia #CentralValley #PelvicHealth #PelvicFloorTherapy #OccupationalTherapy

Do you live with some kind of persistent or chronic pain condition? Feel like you’ve tried everything and seen every specialist? It may be worth looking into how your nervous system is functioning and determine if it needs some support BEFORE jumping into a complicated intervention strategy! It may sound overly simple, but often the most complex cases are missing some basic strategies to allow their body to trust that it can heal. As an occupational therapist, this is my jam. Before our body can settle in and prioritize healing, it must first feel safe. Things that make your body feel safe are: Quality sleep & rest, adequate nutrition, managed stress and stress resilience, and movement! If you need support with any of these things or you live with a chronic condition and don’t know what else to do, reach out and let’s chat about it!

Two locations. The same personalized care.

Whether you’re in Visalia or Hanford, you can work with Dr. Kelsie, OTD, OTR/L for pelvic health therapy tailored to your unique goals.

I help individuals navigate concerns including pelvic pain, bladder and bowel dysfunction, pregnancy and postpartum recovery, prolapse, painful intimacy, fertility support, and so much more. No matter which location you choose, you’ll receive the same compassionate, one-on-one care.

📍 Visalia: HerPath OT & Wellness
📍 Hanford: Kindred Care Health & Wellness

If you’re looking for a primary care provider in the Hanford area, I highly recommend the incredible team at Kindred Care Health & Wellness. They offer patient-centered primary care and are passionate about helping our community thrive. Having pelvic health therapy and primary care under one roof makes it even easier to build the healthcare team you deserve.

Ready to take the next step? Send me a DM, visit the link in my bio, or contact either office to schedule your evaluation. I can’t wait to help you feel your best!

#PelvicHealth #PelvicFloorTherapy #OccupationalTherapy #Visalia #Hanford

Just because it’s common doesn’t mean it’s normal.

So many people assume bladder leaks, rushing to the bathroom, or “just in case” peeing are simply part of getting older or having babies. They aren’t.

Healthy bladder habits look like:
• Peeing 5–8 times during the day
• Waking 0–1 times overnight to urinate
• Urinating without straining or “power peeing”
• No urine leakage (during exercise, coughing, sneezing, laughing… or ever!)
• No pain when your bladder fills or when you pee
• Emptying your bladder with ease

If any of these don’t sound like your experience, your body may be trying to tell you something. The good news? Many bladder symptoms are treatable with pelvic health therapy.

You don’t have to “just live with it.”

Which bladder health myth surprised you the most? Let me know below!

#PelvicHealth #BladderHealth #PelvicFloorTherapy #OccupationalTherapy #WomensHealth

Had so much fun at @fittogetherstudio.visalia mommy & me Pilates pop up this past weekend! I was able to connect with so many wonderful women and talk about pelvic health! Special shout out to @agomes.photography for capturing my table so beautifully!

Diastasis recti (DR) is more than just an abdominal “gap.”

DR occurs when the connective tissue between the abdominal muscles (the linea alba) becomes stretched and thinned, often during pregnancy, postpartum, or periods of increased abdominal pressure. It can contribute to core weakness, low back pain, pelvic floor dysfunction, poor pressure management, and that persistent “mom pooch” many people struggle with.

One thing we don’t talk about enough? Rib cage mobility.

When the rib cage is stiff or flared, it can increase tension through the linea alba and make it harder for the core system to work efficiently. In this reel, I’m demonstrating two of my favorite techniques—Teapot Breathing and Rib Cage Smash; to improve rib cage mobility, encourage better pressure management, and reduce unnecessary tension on the linea alba.

Remember: healing DR isn’t about endless crunches or “closing the gap.” It’s about restoring the way your core, diaphragm, rib cage, and pelvic floor work together.

Have questions about diastasis recti? Drop them below! ⬇️

#DiastasisRecti #PostpartumRecovery #PelvicHealth #pelvicfloortherapy

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Testimonials

I cannot say enough wonderful things about my experience working with Dr. Kelsie Kavadas. From the very first session, Kelsie made me feel heard, supported, and truly cared for. Her professionalism is matched by her genuine compassion and dedication to her work. She took the time to understand not just my physical needs, but also my personal goals, and crafted a plan that felt both personalized and achievable.
Kelsie’s approach was always patient, encouraging, and incredibly knowledgeable. She celebrated every small victory with me and helped me push through the challenging moments with kindness and motivation. I always felt like I was in good hands — her knowledge, expertise and practical application made every session something I looked forward to.
Thanks to Kelsie, I’ve seen real progress. I am so grateful for her care and would wholeheartedly recommend her to anyone in need of her services. She is a true gem in her field and a gift to our community.

-Heather K.

Working with Kelsie while I was pregnant with my son was truly one of the most comforting and healing experiences. From the very beginning, I felt seen, heard, and genuinely cared for. She listened with compassion, noticed every detail, and always took the time to make sure I understood what my body needed.

Each visit felt like a safe space one where I could breathe, ask questions, and trust that I was in the best hands. Kelsie’s kindness, gentle presence, and incredible bedside manner made such a difference during my pregnancy. I’m endlessly grateful for the care she gave me and the confidence she helped me build in my own body. As I continue my healing journey through her services. I’ll also always recommend her to everyone I know, because everyone deserves someone like Kelsie!

- Jeannette

I cannot say enough amazing things about Kelsie! From the very first appointment, it was clear how incredibly knowledgeable and skilled she is. She explains everything in a way that makes you feel informed and empowered, and you can tell she truly understands the body and how to help it heal. What really stands out is how much she genuinely loves what she does. That passion shows in the way she cares for her patients, takes the time to listen, and makes every session feel supportive and productive. I always leave feeling encouraged and confident in my progress. Pelvic floor therapy can feel vulnerable, but she creates such a comfortable and respectful environment that you immediately feel at ease. I'm so grateful to be working with someone so talented and dedicated. If you're considering pelvic floor therapy, I cannot recommend her enough!

-B. C.

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Contact Us

Main Office (T/W/Th)

115 N. Valley Oaks Dr.

Visalia, CA 93292

Hanford Clinic-Kindred Care (M)

Contact

Hours

Mondays

At Hanford Clinic

Ph: 559.730.1419

Fax: 844.515.3071

T/W/Th (Visalia)

8:00 am – 4:30 pm

Kelsie@herpathotandwellness.com

340 W 8th St

Hanford, CA 93230