Personalized orthopedic and pelvic floor physical therapy as well as nutrition counseling and Pilates.

Refine Physical Therapy and Wellness was born in response to seeing a need for individualized, one-on-one physical therapy treatment. We take a holistic approach to patient care. Patient treatment, with Refine PT, involves assessing each individual’s mobility throughout all body regions; lifestyle factors such as sleep, stress, and nutrition; and relating these components to current pain or movement limitation.

LOCATED IN PLYMOUTH, MI

HOW WE CAN WORK TOGETHER

Orthopedic
Physical Therapy and Women’s
Pelvic Health

Nutrition Counseling

Private and Group
Pilates Sessions

I’m Dr. Nicole Lorenz.

I graduated from Wayne State University with my Doctorate of Physical Therapy in 2012. My career started with a passion for treating orthopedic and athletic injuries. As an avid runner and triathlete, it has been my passion to help others improve their mobility in order to achieve their health and fitness goals. During my graduate education I was introduced to Pilates and its complementary nature to physical therapy. I pursued training in Pilates and am a STOTT certified instructor.

My interest and clinical practice in women’s health, and pelvic floor physical therapy developed over the course of my own pregnancies. Even as a medical practitioner, I found it difficult to find information related to safely incorporating fitness and athletic activities during pregnancy. This lead me to advanced training in the evaluation and treatment of pelvic floor dysfunction.

My treatment approach utilizes a combination of manual/hands-on therapy, instrument assisted soft tissue mobilization (ie: Graston technique), and strengthening/movement retraining to address each individual’s pain and mobility restrictions.

I’m Dr. Emily Soto.

Hi, I am Emily Soto. I graduated from the College of St. Scholastica in Duluth, MN with my Doctorate of Physical Therapy in 2009. I moved around the country in the years after graduation, and am happy to be back in my home state with my husband and two children. I was drawn to the field after sustaining an injury while playing volleyball which led to me needing physical therapy. From that experience, I saw how therapy helped people across the lifespan maintain an active lifestyle. I also appreciated the longer connection with patients as compared to a physician who only has 5-10 minutes.

Most of my career experience has been in outpatient orthopedic-based clinics, but because I was often in rural areas, I was lucky to work with a variety of conditions including neurologic and pediatrics. In 2018, I shifted my focus to treating the pelvic floor. When I first started the advanced training, it lit a fire in me. Pelvic floor dysfunction is often overlooked or dismissed. I became even more passionate about it after having my kids. Pelvic floor therapy requires a consideration of more than just the pelvic floor - it warrants a holistic approach.

Treatment techniques I utilize are manual/hands on therapy, individualized mobility and strengthening/stabilization exercises, and patient education (if you know more you will understand why we work on the things we do, and have tools to utilize in your daily life). I am so happy to connect with you and work with you toward your better health and function.

I’m Dr. Jaime Canada.

Hi, I’m Jaime! I earned my Doctorate of Physical Therapy in December 2024 from the University of Pittsburgh. Before pursuing my doctorate, I gained valuable experience working in outpatient orthopedics as a physical therapist assistant (PTA) after graduating from Grand Valley State University in 2018. 

My interest in women’s health began while dealing with my own pelvic floor symptoms during sporting activities in high school, as well as having the opportunity to work alongside a pelvic therapist as a rehab tech in undergrad. During my final clinical rotation in PT school, I worked in a specialized pelvic health clinic, solidifying my commitment to treating pelvic floor conditions. My dedication to women’s health led me to complete all three levels of the American Physical Therapy Association’s (APTA) CAPP-Pelvic course.

I have a passion for providing inclusive physical therapy services for those experiencing pelvic pain, sexual dysfunction, and bowel and bladder dysfunction. I utilize a combination of hands-on manual therapy, strengthening/movement retraining, and education to help patients get back to what they love!

In my free time, I enjoy distance running, Pilates classes, grabbing coffee or matcha at local cafés, and snuggling up with my pup, Bennie. I can’t wait to work with you!

I’m Jessica Helmick, RDN.

I am a is a Registered Dietitian Nutritionist (RDN) with a background in medical nutrition therapy and a wealth of experience as a clinical dietitian. I earned my Bachelor of Science degree in Dietetics from Michigan State University in 2009 and completed her accredited dietetic internship through DMC, Harper University Hospital in 2012. Since then, I have worked in diverse areas of dietetics, primarily with a focus in heart health, weight management and eating habits that promote wellness and longevity. My approach to patient care is comprehensive and personalized to fit individual needs. 

I currently reside in Canton with my husband and our two sons. I enjoy spending time with her family & her dog. My other hobbies include reading, cooking, yoga and reformer Pilates. 

I’m Anna Richeson.

Hi, I’m Anna! I’m a Nationally Certified Pilates Teacher and I’m so happy to be joining the Refine team. I have years of experience and am trained in many modalities. Reformer, Tower, Chair and Mat Pilates, Barre, Strength classes and more! 

Practicing Pilates helps me stay strong to complete so many day to day activities. Whether I’m working on my farm, keeping up with my kids, or teaching at the studio, Pilates adds energy to my day. When I teach Pilates, my classes are fun, positive and energetic. All levels are welcome and included. Pilates makes me feel strong, independent and empowered and I want that for you too. Hope to see you soon!

  • WHAT THEY’RE SAYING

    Dr. Nicole Lorenz is an incredible therapist, who made me feel comfortable and took the time to explain anatomy to me so that I understood what was going on in my body. She provided me with exercises that were precise, clear and well-written. She actively pursues advanced study in order to better serve her patients. I highly recommend her to anyone for general physical therapy or in women’s pelvic floor support.”

  • WHAT THEY’RE SAYING

    This is a review for people who are not athletic, or have a disability, and are looking for someone who will make them feel comfortable and empowered to fix an issue. Dr. Lorenz is an exceptionally knowledgeable physical therapist. She taught me so many skills to build core muscles and help me with my back pain. She showed me that I didn't have to live in pain with scoliosis; that through diligent work and careful exercise I could work on my posture and lower back pain. I have a heart condition so I am not physically a strong person. Dr. Lorenz immediately put me at ease. I never felt embarrassed or like she was asking me to do something I couldn't do. She met me where I was at. I would absolutely go back to Dr. Lorenz.

  • WHAT THEY’RE SAYING

    Dr. Nicole is a highly skilled professional. Working with her has helped my pain and improved my spinal mobility. Her office is cozy and I enjoy the personalized attention. If you are looking for a quiet and focused PT session, I would consider setting up an appointment.