Tracy Smedley

Director of Client Experience

Tracy Smedley leads the discovery calls welcoming each new patient to Continuous Motion Physical Therapy. Every life changing journey starts with a conversation — uncovering what is keeping you from living your best life and getting to be part of the solution with you.

Known for creating seamless, positive experiences, Tracy ensures that clients feel supported, informed, and valued at every stage of their journey while collaborating across teams to improve workflows and outcomes.

Tracy has been in the health and fitness industry for over 20 years and brings a well-rounded professional background rooted in client service and wellness support. Her drive for wellness began after her own health experience that interrupted her life while raising her two children — she knows firsthand how important it is to stay strong and healthy through injury, pain, or an unexpected health challenge.

Tracy takes pride in being part of an exceptional team that empowers patients to get back to doing what they love. Her reliability, strong work ethic, and commitment to delivering exceptional service make her a trusted and impactful contributor to the team.

Focused Shockwave Therapy for Stress & Urge Urinary Incontinence

outside hip pain after running

Understanding Urinary Incontinence

Urinary leakage can feel frustrating, embarrassing, and isolating—but it’s also incredibly common, especially among women after pregnancy or as we age. At Continuous Motion Physical Therapy, we’re combining Focused Shockwave Therapy with expert pelvic floor rehabilitation to help patients regain control, confidence, and freedom from pads or bathroom anxiety.

Let’s explore the two main types of urinary incontinence—stress and urge—and how focused shockwave therapy can help.


What Is Stress Urinary Incontinence (SUI)?

Stress urinary incontinence occurs when urine leaks during activities that increase pressure—or “stress”—on the bladder, such as laughing, coughing, sneezing, or exercise.

Why it happens:

  • Weakness or stretching in the pelvic floor muscles and connective tissues that support the bladder and urethra (often due to pregnancy, childbirth, surgery, or aging).
  • The urethra doesn’t close tightly when pressure increases, allowing small leaks.

Common signs:

  • Leaking during workouts, especially squats, double-unders, or running
  • Crossing your legs when you sneeze or cough
  • Avoiding social situations or fitness classes out of fear of leaking

➡️ If this sounds familiar, you’re not alone—studies estimate that 1 in 3 women experience stress urinary incontinence.


What Is Urge Urinary Incontinence (UUI)?

Urge urinary incontinence—often referred to as “overactive bladder”—is when you feel a sudden, intense urge to urinate and can’t make it to the bathroom in time.

focused shockwave therapy for pelvic pain

Why it happens:

  • The bladder muscle (detrusor) contracts before it should.
  • The brain-bladder connection misfires, sending signals to urinate even when the bladder isn’t full.
  • This can be triggered by bladder irritation, chronic tension, or pelvic floor dysfunction.

Common signs:

  • Strong, sudden urges to urinate—especially when hearing running water or pulling into your driveway
  • Frequent trips to the bathroom “just in case”
  • Small leaks before reaching the toilet

Over time, these habits can make the bladder more sensitive and worsen the problem.

📅 Curious if you’re a candidate?
Schedule your Pelvic Shockwave Session today.
[Link in bio] or call Continuous Motion Physical Therapy to learn more.


How Focused Shockwave Therapy Helps

Focused Shockwave Therapy uses high-energy acoustic waves to stimulate healing and restore proper function in pelvic tissues—without surgery, injections, or medication.

Here’s how it works:

1️⃣ Stimulates Cellular Repair
The sound waves activate fibroblasts and stem cells, encouraging collagen remodeling and connective tissue regeneration. This strengthens the support structures around the bladder and urethra.

2️⃣ Improves Blood Flow & Nerve Function
Shockwave enhances microcirculation and promotes new blood vessel growth, improving oxygen and nutrient delivery to the pelvic region. This helps recalibrate nerve signaling for better bladder control.

3️⃣ Reduces Pain & Muscle Tension
Chronic pelvic floor tension and trigger points can interfere with bladder function. Shockwave helps relax overactive muscles and relieve tension that contributes to urgency or leakage.

4️⃣ Works Best with Pelvic PT
At CMPT, we combine shockwave therapy with manual therapy, pelvic retraining, and progressive strengthening—addressing not just symptoms, but the root cause.


What to Expect at Your Appointment

1️⃣ Comprehensive Evaluation

Your first visit begins with a detailed pelvic health evaluation. We’ll discuss your symptoms, bladder habits, goals, and assess how your pelvic floor muscles are functioning. This helps us pinpoint what’s truly contributing to your incontinence.

If you haven’t been evaluated in the past six months, we’ll start there before adding focused shockwave sessions.


2️⃣ Customized Treatment Plan

If you’re a good candidate, focused shockwave therapy becomes part of your personalized plan. The handheld device delivers acoustic energy directly to the targeted pelvic tissues—non-invasive, precise, and guided by your therapist.


3️⃣ The Session Itself

Each session takes about 10–15 minutes. The focused shockwave device delivers sound waves directly to the pelvic region. You’ll be comfortably positioned, and your therapist will ensure privacy and clear communication throughout the process. Most patients describe the sensation as tapping or pulsing—intense but tolerable.


4️⃣ After Treatment

There’s no downtime—you can go about your day as usual. Many patients start noticing changes within 3–5 sessions, such as:
✅ Fewer leaks during activity
✅ Less urgency or frequency
✅ Stronger bladder control
✅ More confidence during workouts and daily life

We typically recommend 6–8 sessions for optimal, lasting results.

focused shockwave therapy

Why We Love It at CMPT

Focused Shockwave Therapy has become a game-changer for our pelvic health patients—especially those who’ve tried traditional therapy or Kegels alone without lasting success.

It’s not a quick fix—it’s a catalyst for healing, helping tissues regenerate faster and function better so your exercise and lifestyle goals can return front and center.

At Continuous Motion Physical Therapy, our goal is always to help you move freely, live confidently, and never have to plan your day around bathroom breaks again.


Frequently Asked Questions

1️⃣ Is focused shockwave therapy painful?
Most patients describe it as a deep vibration or tapping sensation. It can feel mildly uncomfortable in sensitive areas, but sessions are short and fully adjustable to your comfort level.

2️⃣ How is it different from electrical stimulation or laser therapy?
Shockwave uses acoustic energy, not electrical current or heat. It promotes cellular regeneration and collagen repair at a deeper level than most external therapies.

3️⃣ How soon will I notice results?
Some patients notice early improvements within the first few sessions—like fewer leaks or less urgency. Most experience significant progress by session 4–6 as tissues strengthen and nerve pathways reset.

4️⃣ Can men benefit too?
Yes. While most of our pelvic clients are women, men with pelvic pain or urinary leakage after prostate surgery can also benefit from this therapy.

5️⃣ Are the results long-lasting?
Yes—when combined with pelvic retraining and good bladder habits. Shockwave improves tissue integrity and coordination, helping prevent future recurrence.

6️⃣ Do I need to stop working out during treatment?
No! We encourage continued movement. Your therapist will guide you on exercise modifications that complement your recovery and help you retrain your pelvic floor effectively.


Take Back Control

If bladder leaks or urgency have been holding you back—whether in the gym, at work, or in daily life—there’s hope beyond pads or medication.

Focused Shockwave Therapy offers a science-backed, non-invasive solution that restores strength, function, and confidence. Combined with our holistic pelvic floor approach, it helps you move freely and feel like yourself again.

📅 Curious if you’re a candidate?
Schedule your Pelvic Shockwave Session today.
[Link in bio] or call Continuous Motion Physical Therapy to learn more.


Continuous Motion Physical Therapy

🏋️‍♀️ Repair. Regenerate. Return to What You Love.
📍 Located in Goodyear, AZ
🌐 www.continuousmotionpt.com
📞 (623-343-8706)

A man in a suit and tie smiling.
Author

Dr. Cameron Moore

PT, DPT, FAAOMPT, CSCS, Dip. Osteopractic

Helping active people STAY active

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Dr. Kelsey Houston
PT, DPT, CERT. CN

Dr. Kelsey Houston is a dedicated and skilled physical therapist with a passion for promoting health and wellness. Originally from Damascus, OR, she pursued her graduate education in Arizona, earning a Doctor of Physical Therapy degree from Franklin Pierce University. Throughout her academic career, she honed a strong foundation in evidence-based clinical practice, patient-centered care, and rehabilitation techniques.

Dr. Houston also brings a background in athletics, particularly competitive soccer, which has fueled her dedication to sports rehabilitation and orthopedics. She earned a degree in Clinical Health Sciences from Portland State University, further deepening her knowledge of the human body and its movement mechanics. Her clinical experience spans a wide variety of settings, including outpatient clinics, hospitals, and rehabilitation centers, where she has worked with patients of all ages and backgrounds.

With a particular focus on orthopedics and sports rehabilitation, Dr. Houston is committed to helping patients recover from injuries, manage chronic conditions, and return to active lifestyles. She takes a patient-centered approach, using her expertise to help individuals improve their quality of life.

Outside of her professional work, Dr. Houston values maintaining an active lifestyle and enjoys hiking, running, and spending time with friends and family.

Dr. Kelseys Credentials 

  • Physical Therapist (PT)
  • Doctor of Physical Therapy (DPT)
  • Certified Dry Needling (Cert. DN)

Dr. Taylor Calixto, PT, DPT Cert. DN, PCES

Physical therapist headshot at Continuous Motion Physical Therapy in Goodyear AZ

Originally from Seattle, Dr. Taylor Calixto has always had a passion for sports, health, and movement. A lifelong soccer player, she was drawn to physical therapy after recovering from a shoulder injury. She earned her undergraduate degree from Boise State and completed her Doctorate of Physical Therapy at Western University of Health Sciences, where she developed a strong foundation in evidence-based, patient-centered care.
While in school, Taylor discovered a passion for pelvic health, inspired by two mentors who helped shape her path. She earned her dry needling certification in 2023 and completed advanced pelvic floor training in 2024. Dr. Taylor is committed to empowering patients through personalized, compassionate care—whether they’re returning to sport, navigating pregnancy and postpartum, or addressing pelvic health concerns.

Ashley Hardman - Performance Coach

 

Ashley Hardman brings a wealth of experience and passion to her role as a Performance Coach. She graduated from Brigham Young University (BYU) with a Bachelor of Science in Exercise and Wellness and a minor in Psychology, while also competing as a Division I softball player for four years.

During her fifth year at BYU, Ashley interned with the Olympic Strength Coaches, where she oversaw training programs for all campus athletic teams and ran the Gymnastics strength program. She went on to intern at EXOS in Carlsbad, CA, where she assisted in training club swim athletes, military personnel, retired NFL players, and NFL prospects.

Ashley’s diverse background also includes working as a physical therapy aide, a chiropractor scribe, and a personal trainer at a private gym. After relocating to Arizona, she returned to her alma mater, Estrella Foothills High School, as the Strength and Conditioning Coach, where she taught Weight Training and Athletic Performance classes, and led after-school strength programs for all campus sports.

Now at CMPT, Ashley is committed to helping clients achieve their goals by pushing them to become the best version of themselves. She believes in making 1% progress every day—for herself and for those she trains. Her personal approach to coaching builds strong relationships with clients and athletes, creating a motivating and supportive environment for lasting success.

 

Dr. Cameron Moore, PT, DPT, FAAOMPT, CSCS, Dip. Osteopractic

skilled thrapist

Dr. Cameron Moore, physical therapist and co-owner, has always been very active with sports and activities starting with competitive motocross racing up to a semi-professional level and being a scholarship athlete in track and field competing at the division 1 level in college at Eastern Washington University in the triple jump. Cameron became interested in the profession of physical therapy after having knee surgery in high school and seeing the inter-workings of the profession. He pursued his bachelors degree in Exercise Science before moving to Phoenix to earn his Doctor of Physical Therapy (DPT) from Franklin Pierce University.

He then began specialization courses for spinal manipulation (Spinal Manipulation Institute) and dry needling (Dry Needling Institute). This lead Cameron in to becoming a Fellow of the American Academy of Manual Physical Therapist (FAAOMPT) through the American Academy of Manipulative Therapy (AAMT) and earned a Diploma of Osteopractic®, a distinction and training that only a small percentage of physical therapist have completed.

Dr. Moore continues to be very involved with motocross riding, Crossfit®, Olympic weight lifting, running and an overall active lifestyle with his Wife (Michelle) and their Vizsla (Parker).

Dr. Cameron Moore’s Credentials

  • Doctor of Physical Therapy (DPT)
  • Certified in Dry Needling (Cert DN)
  • Certified in Spinal Manipulation (Cert SMT)
  • Certified Strength and Conditioning Specialist (CSCS)
  • Diploma in Osteopractic® (Dip Osteopractic)
  • Fellow Of The American Academy Of Manual Physical Therapist (FAAOMPT)
  • American Academy of Manipulative Therapy Fellow (AAMT)
  • Crossfit® Level 1 Certified (CF-L1)
  • Crossfit® Mobility Certified
  • USA Track and Field Level 1 Coach

Dr. Michelle Moore, PT, DPT FAAOMPT, Dip. Osteopractic

weightlifting in physical therapy

Dr. Michelle Moore, physical therapist and co-owner, grew up as a competitive gymnast and developed a passion for healthy living from a young age. Her collegiate studies in Health Education at the University of Wisconsin-La Crosse and athletic background influenced her to combine her passions and pursue a career in physical therapy. She earned a Doctorate in Physical Therapy from Franklin Pierce University in 2013.

Dr. Moore continued her educational pathway through the American Academy of Manipulative Therapy where she earned her Diploma Osteopractic® (Dip. Osteopractic) and became Certified in Dry Needling (Cert. DN), and Spinal Manipulative Therapy (Cert. SMT). From 2016-2017 Dr. Moore completed the rigorous coursework to become a Fellow of the American Academy of Orthopedic Manual Physical Therapy (FAAOMPT), a distinction held by only a fraction of the profession.

Dr. Moore’s special interests include treating active individuals and returning them to the activities that they love. In her spare time she enjoys Crossfit®, Olympic Weightlifting, mountain biking, hiking, and traveling with her husband, Cameron, and dog, Parker.

Dr. Michelle Moore’s Credentials:

  • ​Physical Therapist (PT)
  • Doctor of Physical Therapy (DPT)
  • Fellow of American Academy of Orthopedic Manual Physical Therapists (FAAOMPT)
  • Diploma in Osteopractic® (Dip. Osteopractic)
  • Certified Dry Needling (Cert. DN)
  • Certified Spinal Manipulative Therapy (Cert. SMT)
  • Crossfit® Mobility Certified

Dr. Tyler Smith, PT, DPT

Physical Therapist

Dr. Tyler Smith is a Doctor of Physical Therapy with nearly a decade of clinical experience helping patients recover from injury, eliminate pain, and get back to doing what they love. He earned his Bachelor of Science in Exercise Science from the University of Akron before going on to earn his Doctorate of Physical Therapy from the University of South Florida. His background in exercise science laid a strong foundation for his hands-on, movement-focused approach to rehabilitation.

Dr. Smith is currently completing the American Academy of Manipulative Therapy (AAMT) Orthopedic Manual Physical Therapy Fellowship — one of the most prestigious post-graduate programs in the profession, held by only a small percentage of physical therapists. This advanced fellowship training reflects his commitment to delivering the highest standard of manual therapy care to every patient.

A standout specialty of Dr. Smith's is his work with golfers. He holds a Titleist Performance Institute (TPI) Medical Level 2 certification, the gold-standard credential in golf fitness and rehabilitation. Dr. Smith has spent years assessing and treating golfers of all ages and skill levels, understanding the unique demands the golf swing places on the body to design individualized programs that reduce injury risk, improve performance, and keep golfers on the course. He is also certified in Dry Needling and specializes in cervical, thoracic, and lumbar spine manipulation, as well as the evaluation and treatment of overhead athletes.

Outside the clinic, Dr. Smith enjoys being active and spending time on the golf course.

Credentials

Dr. Elana Trejo, PT, DPT

Physical Therapist

Dr. Elana Trejo has been a competitive athlete for most of her life and brings firsthand understanding of what it means to train hard, push through physical demands, and want to get back to full performance — not just feel better. That drive has taken her all the way to the competitive karate world stage, where she will be competing in the Karate World Championships this year.

Dr. Trejo earned her Doctorate in Physical Therapy from Franklin Pierce University and has spent three years treating a wide range of musculoskeletal and orthopedic conditions, including post-operative recovery, chronic pain, and acute injuries. She is trained in manual therapy, therapeutic exercise, and a variety of evidence-based modalities.

Dr. Trejo has specialized training in pelvic health through Herman and Wallace and ICE Pelvic Health, two of the most well-regarded pelvic floor programs in the country. She works with patients navigating leaking, pelvic pain, prolapse, core dysfunction, pregnancy-related discomfort, and postpartum recovery — always with a lens toward keeping them active and performing at their best.

Her dual background in orthopedics and pelvic health means she can dig deeper into what is actually driving your symptoms and build a plan that gets you back to doing what you do.

Credentials