Pelvic Health Women

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Pelvic Health Physical Therapy for Women

Women of all ages experience changes in their pelvic floor muscle function that can directly impact both the strength of the core and overall pelvic health (bladder, vaginal and bowel systems). The pelvic floor muscles are a direct component of the bodies core strength. When the pelvic muscles are weakened women may experience low back pain, abdominal pain, pelvic pain, and weakness with movement. We provide targeted physical therapy to increase the strength of your core and pelvic girdle, which will ultimately help you get back to moving comfortably.

The most common pelvic health concern women have is bladder leakage.  All women can develop bladder control problems, even professional athletes.  By improving the strength and control of the pelvic floor muscles and the inner core we can eliminate leakage and get you back to moving with confidence.

Discomfort with sexual intimacy is another common concern and can be a difficult topic for many people to talk about. Finding the right provider and a positive support system is one of the most important steps in the healing process. We help women overcome sexual discomfort by providing expert care designed to address your specific concerns. Commonly, women have tightness in the pelvic muscles, as well as other physical changes leading to discomfort with intimacy, that can likely be treated with manual therapy and exercise. Working together we will improve your pelvic health and return you to comfortable sexual function.

Most common concerns women have:

  • Bladder leakage (stress urinary incontinence)
  • Bladder urgency or frequency (urge urinary incontinence)
  • Diastasis Recti/Core Weakness
  • Vaginal heaviness/pelvic organ prolapse
  • Painful intercourse or sexual activity (dyspareunia)
  • Vaginal dryness/vulvar tissue sensitivity
  • Vaginal/perineum scarring associated with childbirth
  • Abdominal/C-section scarring
  • Vaginismus (vaginal tightness and pain)
  • Pain with gynecology visit or feminine products
  • Pelvic floor muscle dysfunction
  • Bowel Dysfunction (constipation and/or incontinence)
  • Low back, hip, SIJ, abdominal, and pelvic pain
  • Endometriosis
  • Interstitial cystitis
  • Coccydynia
  • Vulvodynia
  • Pudendal neuralgia


Do I need a referral from my physician?

North Carolina is a direct access state for physical therapy services therefore a physician’s referral is not required unless you are using Medicare insurance. We do communicate with your medical providers as needed to improve your care.

What will happen at the initial consultation?

A complete physical evaluation is completed based on your concerns. Often this includes examination of your movement, core and pelvic floor muscles as indicated. Treatment and begin the same day as the initial consultation.

How many sessions will I need?

Together we will develop your treatment plan based on your needs. The exact number of visits is unique to symptoms but on average our patients benefit from 6-8 treatment visits.