https://www.sageptva.com/claimingradiance daily 0.75 2026-03-07 https://www.sageptva.com/faqs daily 0.75 2026-02-10 https://www.sageptva.com/reviews daily 0.75 2026-02-05 https://www.sageptva.com/julie daily 0.75 2026-02-26 https://images.squarespace-cdn.com/content/v1/5f1b16f99800d136a94cd0ec/b3d218dc-9e07-4de0-9af5-82894700a497/IMG_5423.jpeg Dr. Julie - Julie Carestio PT, DPT, IFMCP Dr. Carestio offers a functional medicine approach to health and healing. She partners with her patients and clients to find the root cause of symptoms, supporting health through food choices, movement, restorative sleep and nutritional & herbal supplementation. She is a certified functional medicine provider, licensed physical therapist, a practicing clinical herbalist and a certified yoga instructor with over 2 decades of experience in prenatal and postpartum education and support. She is excited to bring all of this together at Sage Physical Therapy and Women’s Health to help more people live active, fulfilling lives. See below for details about her education, training and community work. When Dr. Julie is not busy working, she enjoys hiking, cycling, kayaking, rock climbing, swimming in the ocean, foraging, visiting her 3 grown daughters and working in her garden. https://www.sageptva.com/new-page-2 daily 0.75 2024-05-06 https://images.squarespace-cdn.com/content/v1/5f1b16f99800d136a94cd0ec/1602279540492-8HU4TONKUYJU76IAFURO/IMG_4991+3.jpg LGBTQ https://www.sageptva.com/sage-herbal-consulting daily 0.75 2024-05-06 https://www.sageptva.com/womens-health daily 0.75 2024-07-21 https://images.squarespace-cdn.com/content/v1/5f1b16f99800d136a94cd0ec/1602281490999-ZIE6H3O13HBUK3B27ZK5/20150608_123030.jpg Women's Health https://images.squarespace-cdn.com/content/v1/5f1b16f99800d136a94cd0ec/1602284472017-H5S9CQUTT9JW3DJZMUMQ/IMG_4835%2B2.jpg Women's Health https://www.sageptva.com/sleep-hygiene daily 0.75 2026-02-10 https://images.squarespace-cdn.com/content/v1/5f1b16f99800d136a94cd0ec/e768441e-6d34-4f25-9c52-36b4e261fa07/IMG_0691.JPG https://www.sageptva.com/disclaimer daily 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https://images.squarespace-cdn.com/content/v1/5f1b16f99800d136a94cd0ec/98da4697-31db-47d6-bd88-954a28464f03/IMG_0663.jpeg https://www.sageptva.com/rachel-1 daily 0.75 2025-09-30 https://images.squarespace-cdn.com/content/v1/5f1b16f99800d136a94cd0ec/44d6d3ef-6fd2-40eb-a206-7937dfa66072/rachel2+%282%29.jpg Rachel - Rachel Axmacher, PT, DPT Dr. Axmacher has been a practicing physical therapist since 2008. She has a holistic approach to healing by looking at the whole person, including the mind-body connection. She has taken professional coursework with experiential learning in the areas of Somatic Experiencing, Internal Family Systems, and addressing the biology of stored trauma in the body. She has a thorough understanding of the autonomic nervous system and the polyvagal theory. Dr. Rachel is completing training with Somatic Experiencing International to become a Somatic Experiencing Practitioner. In her work with clients, she uses a gentle approach to help people access and process stored tension and trauma in the body. In her physical therapy practice, Dr. Rachel has worked with a variety of pediatric and adult patients for 17 years. She has a wealth of experience working with children, and especially enjoys treating children age 3 and under. She is excited to offer pediatric therapy for infants at Sage. When Dr. Rachel is not working, she enjoys spending time with her husband and daughters, being in her church community, taking her dog for walks, hiking, being outdoors, and spending time on the water. https://www.sageptva.com/pt-for-infants daily 0.75 2026-02-10 https://images.squarespace-cdn.com/content/v1/5f1b16f99800d136a94cd0ec/49ea4c93-6e41-4a45-8a5a-e82828174264/4F35CA5C-5765-47E3-90C7-6113DC757E63.JPG https://images.squarespace-cdn.com/content/v1/5f1b16f99800d136a94cd0ec/ba4e17dc-ae89-468f-a924-9b99fb5fd275/rachel-headshot+%282%29.jpeg https://www.sageptva.com/somatic-experiencing daily 0.75 2026-02-10 https://images.squarespace-cdn.com/content/v1/5f1b16f99800d136a94cd0ec/697e5e9b-011e-4d58-b82f-600e06b9b118/unsplash-image-PBcAG6bARdI.jpg https://images.squarespace-cdn.com/content/v1/5f1b16f99800d136a94cd0ec/3887ae1c-2cb6-462f-b445-299c219cae5b/4BBB7513-4B99-4471-B6A8-565427A5192C.JPG https://www.sageptva.com/sara daily 0.75 2026-04-09 https://images.squarespace-cdn.com/content/v1/5f1b16f99800d136a94cd0ec/3391d8c2-d170-4e42-8f56-86853a678af9/IMG_0222.jpg Sara - Sara Davis, MS, MPH, CNS, LDN, PTA Sara is a licensed clinical nutritionist and physical therapist assistant with over 25 years of experience in integrative healthcare. She is a functional nutritionist and pelvic health provider serving women in Winchester, Virginia and the surrounding Northern Virginia region, with a focus on helping women navigate complex and often misunderstood symptoms. She earned a dual degree in Biology and Psychology from George Mason University, completed her Physical Therapist Assistant degree, and later earned both a Master of Science in Nutrition and a Master of Public Health. Sara’s work centers on women’s health, with particular attention to pelvic health, endometriosis, and the interconnected systems that influence pain, mobility, and overall well-being across the lifespan. Her background allows her to bring together two complementary areas of practice: hands-on manual therapy within a collaborative pelvic health setting, and integrative nutrition and lifestyle support through her role as a licensed nutritionist. Within physical therapy, Sara draws on extensive outpatient orthopedic experience to provide thoughtful, individualized pelvic health care. Her work is informed by advanced training in myofascial release, craniosacral therapy through the Upledger Institute, and visceral manipulation through the Barral Institute. She approaches the body as an interconnected system, recognizing how the pelvis, hips, spine, and even the neck can influence one another—particularly in women experiencing chronic pelvic pain, hip pain, or persistent symptoms that have not fully responded to traditional care. A key area of focus in Sara’s work is supporting women with endometriosis and complex pelvic pain conditions. She integrates gentle, hands-on techniques to address fascial restrictions, visceral mobility, and nervous system regulation—factors that are often overlooked but can play a significant role in ongoing pain and dysfunction. Alongside her manual therapy work, Sara provides functional nutrition support rooted in functional medicine principles, helping women address underlying contributors to symptoms. This includes attention to nutrient status, digestion and gut health, hormone balance, inflammation, and the impact of stress and daily habits on healing. Her approach is especially valuable for women seeking a more complete understanding of how internal and structural factors work together. Sara also has a special interest in supporting women navigating fertility challenges, pregnancy, postpartum recovery, and perimenopause, offering a steady and integrative approach for those whose symptoms may feel complex or difficult to piece together. Her care is patient-centered and grounded in careful listening, thoughtful assessment, and collaboration. Sara believes healing is most effective when the body is well supported—through skilled hands-on therapy, personalized nutrition, and a clear understanding of the whole picture. 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