Pelvic Floor Therapy

Pelvic Floor Physical Therapy

Pelvic floor physical therapy is a specialized branch of rehab that helps those experiencing pain or functional problems related to the pelvis, hips, and spine. Care starts with a thorough evaluation, then moves into an evidence-based treatment plan that may include exercise, manual therapy, and education. The goal is to restore function, reduce pain, and help you get back to the activities that matter to you.

Who Can Benefit

Those seeking help with:

  • Urinary urgency, frequency, or leakage

  • Pelvic pain or pain with intimacy

  • Pregnancy-related pain and postpartum recovery

  • Diastasis recti and core weakness

  • Recovery after pelvic or abdominal surgery

  • Prolapse diagnosis and management

  • Constipation or bowel-related discomfort

What to Expect During a Session

Your first visit is all about gathering information and developing a plan that fits your goals. Follow-up visits build on that plan, with regular reassessment and adjustments as you progress and your needs change.

A Conversation About You

We always start by talking. This may include a discussion about your symptoms, health history, daily routine, and your goals.

Movement and Strength Assessment

A typical musculoskeletal assessment of posture, movement patterns, breathing, mobility, flexibility, coordination, and strength.

Pelvic Floor Examination

Depending on your concerns, a closer look at the pelvic floor muscles may be useful. Exams are done in a private treatment room.

  • External exam: Visual observation and, as needed, hands-on assessment of the skin and superficial muscles.

  • Internal exam: One gloved finger is used to assess the function, strength, tension, endurance, and coordination of the pelvic floor muscles. No speculum or stirrups are used.

Many initial evaluations do not require an internal exam at all. You are always in control–you can ask questions, pause, or decline any part of the exam at any time.

Treatment Plans

We’ll review what I found, discuss your treatment options, and decide what to practice at home.

Treatment may include education, exercise, manual therapy, and techniques such as dry needling or cupping.