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hi, i'm dr. kara knox

PT, DPT, PWCS, CSC

I’m a board-certified pelvic health physical therapist (DPT) and AASECT Certified Sexuality Counselor (CSC), and I created Awaken to offer the kind of care I believe everyone deserves - care that is inclusive, compassionate, and rooted in the whole person.

With nearly 15 years of experience, I’ve seen how often people are told their symptoms are “normal,” minimized, or treated in isolation. I take a different approach. I look at how your physical health, emotional experiences, relationships, and environment all interact - and I use that understanding to guide your care.

My goal is to create a space where you feel safe, heard, and supported, no matter your background, identity, or experience.

my approach

I practice through a trauma-informed and relational lens, which means:

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  • Your comfort and autonomy always come first

  • We move at a pace that feels right for you

  • You are an active partner in your care

  • All identities, bodies, and relationships are welcome

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I combine evidence-based physical therapy with education, communication tools, and practical strategies to help you feel better in your body and more connected in your life.

personal philosophy

I have been working with people around sexual dysfunction as a pelvic health physical therapist for nearly 15 years, and since the pandemic, have dived deeply into trauma and sexuality-specific coursework. My approach to patient care is person-centered and grounded in humanistic principles. I believe my patients/clients know themselves better than anyone else and as a healthcare provider, my job is to help guide them toward a path of healing and understanding without judgement, guilt or shame. 

 

Sexuality is a normal part of the human experience and should be treated as such by all healthcare professionals. Every human deserves the right to medically accurate, comprehensive, developmentally appropriate and shame-free sexual healthcare and education regardless of their sexual/gender expression, orientation, identity, body size, race, religion, culture, socioeconomic status etc. 

 

My approach to sexuality counseling is grounded in normalizing without minimizing the patient/client experience, education, respect for the patient/client’s autonomy as well as somatic/touch work within my scope as a pelvic health physical therapist. I practice from a sex positive and trauma-informed lens and try to help patients/clients understand how their lived experience as well as society, their culture, their religion etc. all work together to shape their sexual expression/personality. I am not a trained mental health provider, so the goal is not to process trauma or treat mental health symptoms, (I have a network of trusted providers I refer out to for that) rather, my goal is for all of my clients/patients to feel seen, heard and understood and for them to leave my office feeling hopeful and more understanding of their body and their experience. I want them all to have a  better understanding that there is a wide range of healthy and normal human sexual experiences. 

 

If this type of care resonates with you, let’s have a conversation and see if it might be a good fit. 

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schooling & certifications

UNIVERSITY

  • Northwestern University Feinberg School of Medicine-Doctor of Physical Therapy (2012)

  • University of Wisconsin-Milwaukee Bachelor of Science Kinesiology (2009)

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CERTIFICATIONS

  • Northwest Institute on Intimacy Top 5% Program

  • AASECT Certified Sexuality Counselor (CSC)

  • Board Certified Pelvic and Women's Health Specialist (PWCS)

  • APTA Certificate for Advanced Practice in Physical Therapy-Pelvic

  • APTA Certificate for Advanced Practice in Physical Therapy-Obstetric

  • Institute of Clinical Excellence Certified Specialist: Dry Needling (Cert-DN)

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PROFESSIONAL ASSOCIATIONS

  • American Physical Therapy Association Academy of Pelvic Health Member since 2011

  • American Association of Sexuality Educators, Counselors and Therapists since 2024

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LICENSURE

  • Licensed Physical Therapist Washington State

  • Physical Therapist Compact Privileges: Oregon, Wisconsin

continuing education

AMERICAN PHYSICAL THERAPY ASSOCIATION

  • Pelvic Health Level 1 

  • Pelvic Health Level  2 

  • Pelvic Health Level 3 

  • Pediatric Pelvic Floor Physical Therapy: Birth to 18

  • Fundamental Topics of Pregnancy and Postpartum Physical Therapy

  • Advanced Topics of Pregnancy and Postpartum Physical Therapy

  • Intrapartum Topics of Obstetric Physical Therapy

  • Pelvic Floor Intervention Strategies for Urogenital and Breast Cancer Rehabilitation

  • Tackling SIJ Dysfunction

  • Pelvic Floor Implications for the Running Athlete

  • Role of Trauma in Chronic Pain

  • Trauma Sensitive Physical Therapy Care

  • From Silence to Science: Addressing Pain and Dysfunction with Multidisciplinary Care Pathways in Menopause

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HERMAN & WALLACE

  • Myofascial Release for Pelvic Dysfunction

  • Pelvic Floor Level 1 

  • Mobilization of Visceral Fascia-Urogenital

  • Kathe Wallace: Pelvic Floor Support Systems

 

INSTITUTE OF CLINICAL EXCELLENCE

  • Clinical Management of the Fitness Athlete

  • Rehabilitation of the Injured Runner

  • Upper Body Dry Needling

  • Lower Body Dry Needling

  • Advanced Dry Needling

  • Pelvic Live-Female

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NORTHWEST INSTITUTE ON INTIMACY

  • Fall Advanced Sex Theory and Clinical Sexology for Medical Providers

  • Spring Advanced Sex Theory and Clinical Sexology for Medical Providers

  • Sexual Attitudes Reassessment: SAR under the Stars

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ASYNCHRONOUS LEARNING

  • Basic Skills to Manage Breast Cancer Related Edema

  • More on Breast Cancer Related Edema

  • Management of Orthopedic Edemas

  • Welcoming LGBTQ Patients and Clients

  • Cultural Humility with Transgender and Non-binary People

  • Understanding the Needs of LGBTQ Patients and Clients

  • Social Determinants of Health: Strategies to Increase Health and Decrease Disparities  

  • Attachment Theory and Religious Trauma

  • Relational Medicine Work: Couples, Intimacy and Attachment Work

care that meets you where you are

· Virtual Pelvic Health PT available in WA, OR, WI

· Virtual Sexuality Counseling available across the United States

· In Person Pelvic Health PT and Sexuality Counseling available in Whatcom County, WA

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· Sliding scale for those who qualify.

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