The team that traces every symptom to its source.
Board-certified pelvic health and orthopedic physical therapists in Hagerstown, MD. Built for complex cases. Grounded in clinical precision. Fueled by genuine curiosity about what's really going on in your body.
WHY PARADIGM EXISTSWe kept watching symptoms get treated in pieces instead of as a whole.
Patients would arrive with chronic pelvic pain, a history of back issues, a hip that never fully healed, and hormonal changes that made everything worse. And at every other clinic, those symptoms were evaluated separately. One provider looked at the pelvic floor. Another handled the hip. Nobody zoomed out far enough to see the full picture. Paradigm Pelvic Health was built to change that.
Founded by Dr. Emily Hargreaves Priestas, this practice exists because she saw how deeply connected pain, leaks, and dysfunction really are. So she built a place where complex cases are welcomed, intimate conversations are handled with skill and respect, and improving pelvic health isn't just about a symptom. It's about protecting your ability to exercise, to move without fear, to experience intimacy without pain, to show up fully in your life.
HOW WE THINK ABOUT THE BODYMost providers treat the symptom. We trace the system.
Every patient who walks through our door gets evaluated through three lenses. Local, the pelvic floor itself, its muscles, nerves, fascia, and organs. Distant, the hips, spine, thorax, core, and feet that directly influence how the pelvic floor functions. And Systems, the hormones, nervous system, biomechanics, lifestyle, and behaviors that shape how your body responds to treatment and stress.
Where those three circles overlap is where the real answers live. Sometimes the reason you're leaking has nothing to do with the pelvic floor itself. It's a thorax that won't move. A hip that's been compensating for years. A hormonal shift that changed everything. When we evaluate all three together, patterns emerge that other providers miss. And treatment actually sticks.
Meet Dr. Emily.
Dr. Emily Hargreaves Priestas founded Paradigm after years of working inside a system that treated bodies in fragments. As a board-certified specialist in both orthopedics (OCS) and pelvic health (PRPC), she kept seeing the same thing. Chronic tailbone pain showing up alongside bladder issues. Hip problems tangled up with pelvic floor tension. Symptoms that only made sense when someone looked at the whole picture.
So she stopped waiting for the system to change and built a practice that reflects how she thinks about the body.
Her background in spine health and orthopedics is what makes her approach to pelvic care different. She doesn't just evaluate the pelvic floor. She evaluates the entire movement system, the hips, the thorax, the nervous system, and traces the connections others miss.
She also holds specialized certifications in orofacial, spinal, and pelvic floor dry needling that very few providers in Maryland carry.
Beyond the clinic, Emily is an adjunct faculty member at Marshall University and West Virginia University, a credentialed clinical instructor through the APTA, and an active member of the Global Pelvic Health Alliance. She's a Western Maryland native, a mom, an avid runner, and someone who genuinely loves untangling the complicated cases that other clinics can't quite solve.
Meet Dr. Meghan.
Dr. Meghan Clouspy first worked with Dr. Emily during a clinical rotation eight years ago. She knew then that pelvic health was her path. After earning her Doctorate in Physical Therapy from Shenandoah University, she returned to where that spark started.
Meghan brings warmth, patience, and deep skill to every session. She specializes in pregnancy and postpartum care, bowel and bladder dysfunction, and pelvic pain across all genders. Her approach meets patients where they are. A new mom navigating recovery with a baby on her hip feels just as seen as someone walking in with years of unanswered questions. She creates that space for everyone.
She's currently pursuing additional certification as a Pelvic Rehab Fertility Specialist and is a certified Gait Analyst. Meghan is also the therapist most likely to hold your baby during your session. And she's very good at it.
The voice you’ll hear first
Allison is the heartbeat of this practice. As Patient Experience Coordinator, she ensures patients are scheduled, contacts new inquiries, keeps the space welcoming, and handles everything behind the scenes so your experience feels smooth from the first phone call. When you reach out to Paradigm, there's a good chance Allison is who you'll hear on the other end.
WHAT YOU CAN EXPECT HERECare built around principles, not protocols.
ONE-ON-ONE60, 90, or 120-minute sessions with our full, undivided attention. No double-booking. No rushing through your visit. Just focused, thoughtful care.
BOARD-CERTIFIED SPECIALISTSOur providers hold nationally recognized certifications in both orthopedics and pelvic health. That rare dual expertise is what allows us to see connections that other clinics evaluate separately.
ON TIME, EVERY TIMEYour time is valuable and we respect it. We run on schedule because your day matters as much as your treatment.
PRINCIPLES OVER PROTOCOLSNo two bodies are alike, so no two treatment plans should look alike. Every plan starts with your history, your patterns, and your goals. Not a template.
ONGOING COMMUNICATIONWe don't "discharge" you and hope for the best. We gradually back off the frequency and stay in touch as your life changes. When something new comes up, we're a phone call away.
What our Patients are Saying
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"Emily helped me successfully navigate postpartum pelvic floor health with my two very different and complex deliveries. She managed to get me back to 95% of what I was prior to ever having any children. Definitely top of her profession and truly an expert in women's health."
— Alexa D.
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"She is incredible at getting to the root cause of issues you are having and coming up with an individualized treatment plan. You can tell immediately upon meeting her just how passionate she is about what she does. The care she provides is kind, compassionate, and empathetic."
— G.L.
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"We feel more equipped for labor with 1 appointment than we did from our birth class we had taken. It was so informative and thorough. Will highly recommend to all of my pregnant friends."
— M.B.
QUESTIONS WE HEAR ALL THE TIMEThe stuff you're wondering before you call.
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Paradigm is an out-of-network provider. After each session, we provide you with a superbill that you can submit to your insurance for reimbursement. Most patients receive 50-100% reimbursement depending on their plan. We also accept HSA and FSA payments.
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Because your care should be dictated by your needs, not by insurance regulations. Being out-of-network allows us to provide true one-on-one sessions for 60, 90, or 120 minutes without the limitations that in-network contracts often impose. Many patients find that accomplishing more in fewer visits actually makes this approach more cost-effective than months of short, rushed appointments elsewhere.
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Not at all. We treat a wide range of orthopedic conditions alongside pelvic health. Dr. Emily is a board-certified Orthopedic Clinical Specialist (OCS), and dry needling is available as part of your care. Sometimes the knee is the reason you're leaking. We find the connection others miss.
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Nope. Maryland and West Virginia are direct access states, which means you can come straight to us without a physician referral.
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We like to see patients for their first postpartum session between 4-6 weeks after birth. If you need support before the 4-week mark, we offer services in that time period as well.
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Yes. Nursing and feeding during your appointment is always welcome. We also have a waiting area for family members or older children.
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That's entirely up to you. We're comfortable treating during menstruation and can focus on external techniques if that feels better for you. If you'd rather reschedule, we can absolutely do that too.
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Of course. Partners regularly attend sessions, and it can be especially helpful when we're teaching techniques or exercises you can practice together at home.
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Whatever is comfortable. You don't need specific clothing, but we will likely be moving quite a bit, so wear something that allows you to move freely.
Redefining what pelvic health care looks like.
OUR MISSIONTo care for people navigating complex pelvic and orthopedic concerns with skill, curiosity, and genuine investment. Helping them return to movement, intimacy, and daily life without fear or limitation.
OUR VISIONTo challenge the fragmentation of the body. To elevate clinical standards. And to make integrated, high-level treatment the expectation, not the exception.
You've been looking for care that finally connects the dots. This is it.
Give us a call or fill out the form. We’d love to have a real conversation about what's going on and how we can help.