Pelvic Health Physical Therapy
Do you have a bowel, bladder, pelvic pain, or intimacy problem? Especially one of those no one wants to talk about? That's what we specialize in.
Let's introduce you to our focus groups first, in case you want to go directly to the respective pages. If not, keep reading to learn more about pelvic floor dysfunction and what a typical pelvic floor therapy treatment session may look like.
Pelvic floor physical therapy services we offer:
Parents, you have done nothing wrong. Together, lets figure out the "why".
What is pelvic floor PT?
Pelvic health physical therapy is a minimally invasive first-line treatment for addressing issues and enhancing function in the abdominal and pelvic regions, including bowel and bladder concerns and sexual problems, as it relates to pelvic floor dysfunction.
What is the pelvic floor, and what do you mean by pelvic floor dysfunction?
The pelvic floor is a very important group of muscles that can play a big role in the quality of our lives.
Let's consider what the pelvic floor is:
 The pelvic floor is like a sling bag - it holds your organs in place. |  No wait! |
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 Your pelvic floor is like the sling in a baby walker |  It's a sling with holes |
 Your pelvic floor also operates like a trampoline - it can move up and down, even as you breathe |  The pelvic floor reminds me of a spider web. It connects with other structures through fascial attachments - like your belly muscles. |
 Your pelvic floor is a bellhop for sure, ensuring smooth operations all day and night |  The pelvic floor likes to hide - many don't even know they have one |
Pelvic floor dysfunction is a broad term used when the pelvic floor muscles are unable to do its job well.
Let's look at some examples of what can go wrong.
 Poor pelvic floor muscle coordination (dyssynergia) |  A weak pelvic floor and core. |
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 A tight pelvic floor. |  A pelvic floor that has lost structural integrity, such as in organ prolapse. |
 Inability of the pelvic floor to relax when having a bowel movement or voiding. |  Inability to isolate the pelvic floor muscles when needed. |
 Habitual straining. |  Weak sphincters. |
 Scar tissue after giving birth or surgeries. |  History of pelvic floor injuries from falling on your tailbone. |
 Nerve damage in your pelvic floor or anal area. |  Altered integrity of pelvic blood flow. |
 Spasms of the pelvic floor muscles. |  Habitual sitting and movement postures affecting the pelvic floor. |
Who do you see for pelvic floor treatment at your clinic?
What kind of treatments should I expect when I come for pelvic floor physical therapy?
Our treatment is evidence-based, holistic, and after the initial evaluation, may include:
 Internal treatments if appropriate |  Biofeedback |
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 Personalized pelvic floor exercises |  Bowel and bladder training |
 Pain education and treatment |  Visceral manipulation |
 Sexual wellness |  Return to sport and activities |
 Functional retraining |
What conditions do you typically treat?
We address any conditions affecting the abdomen or pelvic area. For more specific diagnoses we treat, please visit the targeted group pages listed above.
I think I need pelvic health therapy, but I am not sure. Can I call you?
Our therapist is available to answer any questions you may have. Feel free to give us a call.
The Cozean Pelvic Dysfunction Screening Tool can also be used as a quick screening tool to determine whether you may have pelvic floor dysfunction and whether you may benefit from pelvic floor physical therapy.
Click on the image to enlarge the picture.
 If you checked three or more factors, please consider a PT consultation. |  I sometimes have pelvic pain (in genitals, perineum, pubic or bladder area, or pain with urination) that exceeds a '3' on a 1-10 pain scale, with 10 being the worst pain imaginable. |
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I can remember falling onto my tailbone, lower back, or buttocks (even in childhood) |  I sometimes experience one or more of the following urinary symptoms: * Accidental loss of urine. * Feeling unable to completely empty my bladder. * Having to void within a few minutes of a previous void. * Pain or burning with urination. * Difficulty starting or frequent stopping/starting of urine stream. |
 I often or occasionally have to get up to urinate two or more times a night. |  I sometimes have a feeling of increased pelvic pressure or the sensation of my pelvis organs slipping down or falling out. |
 I have a history of pain in my lower back, hip, groin, or tailbone or have had sciatica. |  I sometimes experience one or more of the following bowel symptoms: * Loss of bowel control * Feeling unable to completely empty my bowels * Straining or pain with a bowel movement * Difficulty initiating a bowel movement |
 I sometimes experience pain or discomfort with sexual activity or intercourse. | Sexual activity increases one or more of my other symptoms. |
 Prolonged sitting increases my symptoms. |