Physical therapy can address a wide variety of pelvic floor conditions. Here is an overview of some of the common issues we treat in our clinic:

Pregnancy and Postpartum Issues

Pelvic girdle pain

Diastasis recti (separation of abdominal muscles)

Postpartum pelvic floor rehabilitation

Tailbone pain during or after pregnancy

Sciatica or back pain related to pregnancy

Pelvic Pain

Chronic pelvic pain

Pain during or after sexual intercourse

Pain related to menstrual cycles

Endometriosis-related pain

Pelvic floor tension myalgia

Pudendal neuralgia

Interstitial cystitis/painful bladder syndrome

Vaginismus and vulvodynia

Musculoskeletal Issues

Lower back pain

Hip pain

Tailbone (coccyx) pain

Sacroiliac joint pain

Sciatica or piriformis syndrome

Post-surgical rehabilitation (e.g., after prostate surgery)

Prolapse symptoms (e.g., bladder, uterine, or rectal)

Urinary Issues

Incontinence (stress, urge, mixed)

Frequent urination

Painful urination

Urinary urgency

Difficulty starting or maintaining a urine stream

Nocturia (frequent nighttime urination)

Bowel Dysfunction

Constipation

Fecal incontinence

Pain during bowel movements

Straining or difficulty with bowel movements

Sexual Dysfunction

Pain during intercourse (dyspareunia)

Vaginismus (muscle spasms that affect intercourse)

Erectile dysfunction

Reduced sexual sensation or arousal

Difficulty achieving orgasm

Male Pelvic Pain

Pain in the pelvic area, including the penis, scrotum, testicles, perineum, and anus

Discomfort worsened by sitting, some exercises, and certain clothing

Urinary problems like urgent or frequent need, hesitancy, and weak stream

Genital pain during or after ejaculation

Erectile dysfunction and weaker ejaculation

Gastrointestinal issues, such as bloating and constipation

Pediatric Pelvic Health

Constipation

Nighttime bedwetting (nocturnal enuresis)

Daytime wetting

Stress incontinence (leaking)

Overactive bladder

Urinary frequency/urgency

Urinary retention

Bowel incontinence and/or inability to empty bowel

Perimenopause and Menopause

Urinary urgency, frequent urination, burning, nighttime urination

Sensations of bladder or pelvic pressure

Pain during sexual intercourse

Reduced or absent orgasms

Challenges with bowel movements

Vulvovaginal pain and burning

Discomfort while sitting

Gender-Affirming Care

Discomfort arising from surgical scars

Pain during vaginal penetration

Challenges or inability to achieve vaginal penetration

Difficulty in achieving orgasm, or complete inability to do so

Urinary issues, such as urgency, frequent urination, hesitancy, incontinence, and spraying

Pain in the pelvic area

Pain in the chest and back regions

Pain in the shoulders

Cyclists

Numbness or pain in the perineal area

Pudendal nerve irritation

Weakened pelvic floor muscles

Overactive or tight pelvic floor muscles

Lower back pain

Hip imbalance or tightness

Urinary problems: urinary tract discomfort, urinary urgency, or even infections

Sexual dysfunction: In some cases, particularly with an improper saddle or poor bike fit, male cyclists might experience issues like erectile dysfunction, while female cyclists might experience pain during sexual activity

Healthy Pelvis Physical Therapy is an out-of-network provider, so we do not accept insurance or medicare; however, we will provide a superbill for PPOs, which will allow you to bill your insurance for reimbursement. To find out your reimbursement amount, please contact your insurance provider.

2024 Rates

Initial Evaluation & Treatment

Duration: 50 minutes

Cost: $310

Re-evaluation & Treatment

Duration: 50 minutes

Cost: $310

Recommended after major life events (e.g., surgery, childbirth) or for former patients returning after an extended period.

Half Hour Follow-up Treatment

Duration: 25 minutes

Cost: $155

Hour Follow-up Treatment

Duration: 50 minutes

Cost: $310

Note About Insurance

Healthy Pelvis Physical Therapy is an out-of-network provider and does not accept insurance or Medicare. However, a super bill will be provided for patients with PPOs, allowing them to bill their insurance for reimbursement. To determine your reimbursement amount, please contact your insurance provider. Based on our experience, reimbursement amounts can vary considerably, ranging from 30% to 90%. For any questions, email admin@healthypelvis.com.

At your initial appointment, we will start by taking your medical history, followed by a comprehensive musculoskeletal examination of your pelvic area. This will include assessing your posture, joint alignment, any muscle restrictions or trigger points, the health of your connective tissue, and muscular strength. An internal examination is often part of this process, but it's entirely optional and will only be conducted if you feel completely comfortable with it. This exam is much more relaxed and comfortable compared to a typical ob/gyn visit, and it provides essential information about your pelvic muscle tone, strength, and coordination. If impairments are found during the exam the physical therapist can treat the problems with manual therapy techniques resulting in pain relief and improved function. Following the exam, we'll discuss our findings with you and outline a personalized treatment plan aimed at achieving the best results. Most patients start feeling better after their first session and see significant improvement by their third visit.

Life happens! If you need to reschedule your appointment you can do so online through the Patient Portal as long as it is 24 hours before your appointment.

If you're feeling unwell or unable to attend your appointment due to other reasons, you have the option to switch your in-person visit to a telehealth session. To arrange this, simply email your physical therapist, and they will convert your appointment to a telehealth format.

Appointment cancellations must be made 24 hours prior to your appointment start time. Late cancellations will be charged for half of the amount of the appointment. For your convenience, cancellations can be made directly through our booking system. If you encounter any difficulties online, don't hesitate to call, email, or text us. As a small business, late cancellations affect us significantly. We appreciate your understanding and cooperation!

Additionally, if you're ill or unable to attend your appointment for other reasons, you can opt to change your in-person session to a telehealth appointment. Just email your physical therapist, and they will make the necessary adjustments to switch your session to a telehealth format.