Pelvic Floor Physical Therapy: So Much More Than Just Massage and Internal Work

When people hear "pelvic floor physical therapy," the first thing that often comes to mind is internal exams or manual therapy. And while those tools can be helpful in the right context, pelvic floor physical therapy is so much more than that. It's a whole-body, whole-person approach to healing, function, and strength—and it's not just for people with pelvic pain.

Whether you're postpartum, dealing with incontinence, struggling with constipation, managing prolapse, or simply not feeling like yourself in your core and hips, pelvic floor PT looks at your body as a system. The pelvic floor doesn't function in isolation—so your care shouldn't, either.

What We Really Do in Pelvic Floor PT

Here are just a few things pelvic floor physical therapy can involve:

1. Breathing and Posture Work

Your diaphragm, core, and pelvic floor all work together as a unit. Breathing patterns affect pressure, and pressure affects your pelvic floor. If you're constantly bracing, holding your breath, or slouching in a way that increases downward pressure, your pelvic floor might be overworking—or under-functioning—without you realizing it.

We assess breathing mechanics and posture to help balance pressure systems and support pelvic floor function.

2. Core and Hip Strengthening

A strong pelvic floor needs a strong support system. That includes your glutes, abdominals, and deep stabilizers. Many pelvic floor symptoms actually stem from weakness or imbalance in these larger muscle groups. So we build functional strength that supports real-life movement—lifting, running, playing with your kids, or just standing all day at work.

3. Movement and Functional Retraining

Do you leak when you run? Feel pressure when you're lifting? Avoid certain movements because they “don’t feel right”? We break those movements down and retrain your body to do them differently—with better control, coordination, and strategy. It’s not about avoiding movement—it’s about teaching your body how to move better.

4. Nervous System Regulation

The pelvic floor is deeply connected to the nervous system. Chronic stress, pain, or trauma can keep muscles guarded and overactive. Pelvic floor PT includes education and tools to help regulate your nervous system—through movement, breathwork, mindfulness, and more.

5. Education and Empowerment

We believe knowledge is power. Understanding your anatomy, what’s contributing to your symptoms, and how you can support healing in daily life is a game-changer. Our goal isn’t just to treat you—it’s to teach you how to care for your body in the long term.

The Bottom Line

Pelvic floor therapy isn’t just about internal exams or soft tissue release (though those may play a role). It’s about addressing the why behind your symptoms and building a personalized plan to help you move, live, and feel better.

If you’ve been hesitant to seek help because you assumed it would be invasive or uncomfortable, we want you to know: pelvic floor PT meets you where you are. It’s collaborative. It’s gentle. And it’s powerful.

Ready to get started?
You don’t have to live with leaking, pain, pressure, or dysfunction. Reach out today and see how pelvic floor therapy can support your body—and your life—in a whole new way.

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