If you've never heard of pelvic floor physical therapy, you're not alone. For most of my patients, it's something they stumbled upon after months — sometimes years — of quietly dealing with symptoms they assumed were just "normal." Leaking when you laugh. Pain during sex. A persistent heaviness in your pelvis. Urgency that controls where you go and what you do.
None of that is something you just have to live with.
So, what is the pelvic floor?
The pelvic floor is a group of muscles, connective tissue, and nerves that sit at the base of your pelvis, kind of like a hammock. They support your bladder, bowel, and uterus (or prostate, if you have one). They play a role in bladder and bowel control, sexual function, core stability, and even breathing.
When those muscles aren't working well — whether they're too tight, too weak, or poorly coordinated — it can show up in a lot of different ways.
What does pelvic floor PT actually involve?
First, we talk. A lot. I want to understand your full history — not just your symptoms, but your life, your stress levels, your movement patterns, your relationship with your body. Healing doesn't happen in a vacuum.
From there, I do a thorough external and, when appropriate and consented to, internal assessment. This helps me understand what's actually going on with your muscles — because a tight pelvic floor needs very different treatment than a weak one, and treating them the same way can make things worse.
Treatment might include hands-on manual therapy, breathing and relaxation techniques, movement re-education, and a home exercise program tailored specifically to you. I also incorporate nervous system regulation into my work, because the pelvic floor is deeply connected to how safe and relaxed your body feels overall.
Who can benefit?
Pelvic floor PT isn't just for postpartum women, though it's incredibly valuable there. I work with people across the lifespan — those dealing with endometriosis, interstitial cystitis, pelvic organ prolapse, painful periods, hip pain, chronic low back pain, and more. I also work with people who are pregnant and preparing for birth, and with men navigating pelvic pain or post-prostate surgery recovery.
If you've ever Googled your symptoms and felt dismissed by what you found — or felt dismissed by a provider who told you everything looked "normal" — pelvic floor PT might be the missing piece.
The bottom line
You deserve to feel at home in your body. If any of this resonates, I'd love to connect. Even if you're not sure whether what you're experiencing is "bad enough" to seek help — it is. You don't have to be in crisis to deserve care.