The first year of a child's life is full of wonder — and full of questions. Is my baby feeding well? Are they hitting their milestones? Why does this feel so hard?

Those worries make complete sense. You're doing one of the hardest jobs there is.

Hi! I'm Dr. Brenda Sacino, your friendly pediatric physical therapist and certified breastfeeding specialist with 17 years of experience working with infants and toddlers. Honestly? I could talk ALL DAY about babies — what's expected, what's helpful, and when it's time to step in.

I help babies move, feed, and feel better. I spend my days educating parents about their babies and providing individualized, physical therapy to support babies with milestone delays, torticollis, body tension, tongue ties, breastfeeding challenges, and more.

If you have any concerns about your baby, I'd love to help you come up with a plan that makes you feel like you're heading in the right direction. No overwhelm, no guesswork — just a clear path forward from someone who genuinely loves her work.

In 2023, I took a big leap, and opened Playful Progress LLC so I could have control over my physical therapy practice, using the best treatment strategies to achieve your child’s important goals. No more limitations on where, how often, or how I can work with your child. Playful Progress has been the answer to an obvious need in southern NH: direct access to private, personalized, pediatric physical therapy for your infant or toddler in our cozy clinic or the comfort of your home.

A woman and a baby playing on a carpeted floor with colorful toys. The woman is smiling and leaning over the baby, who is looking at the camera with wide eyes and holding a pink and purple spherical toy.

How Playful Progress Can Help

  • Lactation-Informed Physical Therapy Services

  • Tongue & Lip Tie Therapy (before and after release procedure)

  • Torticollis Treatment

  • Head Shape Correction for Plagiocephaly

  • Milestone support

  • Community-based motor playgroups

A woman and a baby playing together on a carpeted floor in a living room with toys around.
A smiling woman with red hair standing in front of a white brick wall, wearing a light-colored blazer and a white top.

Dr. Brenda Sacino, PT DPT CBS

Doctor of Physical Therapy and Certified Breastfeeding Specialist

Mother to two young girls, 12 & 14

Married to an orthopedic PT

Lives in Bedford, New Hampshire

Loves good cheese and chocolate

Shade Lover

Enneagram Six: “The Loyalist”

Lake over beach anyday

Drink of choice: margarita

Best nickname: Frenda

Runner and hiker

Formal Education


Doctor of Physical Therapy

Franklin Pierce University

Concord, New Hampshire

B.S. in Business Administration

University of New Hampshire

Durham, New Hampshire

Advanced Training & Memberships


Lactation Resources

Certified Breastfeeding Specialist April 2024

Milk Matters Academy

Global Tongue Tie Scholars Program Graduate (3 day mentorship)

KinActive Kids

Building Blocks Clinician Fall 2021

Lactation OT

Tethered Oral Tissues Badge (25.5h)

Bodywork for Better Breastfeeding

Talk Tools Courses:

Functional Assessment and Remediation of Tethered Oral Tissues

Baby Begin: The Helmet Alternative

The Therapist’s Role in Treating Plagiocephaly without a Helmet

International Consortium of Ankylofrenula Professionals

Member since 2023

Year One Wellness Mentorship

Clinical Guidance and Oral Motor Assessment

Academy of Pediatric Physical Therapy

Member since 2008

Tummy Time! Method

TTM Certified since 2025