General Pelvic Floor Therapy Questions

Pelvic floor therapy is a form of physical therapy that works with the muscles, connective tissue, nerves, bones that make up the pelvis & how they interact with the rest of your body.
In this practice, pelvic floor therapy is not about correcting or overriding your body. It’s about listening to what your body has been carrying, how it adapted, & what it needs now to feel safer, more supported, & more at ease.
Symptoms are never treated in isolation. Context matters.
Pelvic floor therapy can support at any stage of life, especially those experiencing:
- Pelvic pain, pressure, or heaviness
- Pain with intimacy or gynecological exams
- Urinary urgency, leakage, or difficulty emptying
- Symptoms connected to pregnancy, birth, postpartum, or menopause
- Pelvic symptoms following trauma, surgery, or medical stress
- Bowel issues, constipation, or straining
- Chronic pain patterns that haven’t responded to traditional care
- A sense that “something deeper is going on,” even if tests are normal.
Many people who come to pelvic floor therapy have already tried “the usual route” & still feel unheard, blamed, or dismissed. This work is for those who know their body is communicating & want care that takes that seriously.
Yes! Hip, back, leg, & abdominal pain are often connected to how the pelvic floor, core, spine, breath, & nervous system work together. Pelvic floor therapy doesn’t treat these areas in isolation. It looks at movement patterns, load transfer, coordination, & regulation across the whole system.
Many issues labeled as “orthopedic” or “sports-related” overlap with pelvic floor function, even when pelvic symptoms aren’t obvious. If you’ve tried isolated treatments without lasting relief, an integrated pelvic health approach may uncover contributing factors that were previously missed.
Care is guided by how your body is functioning as a whole, not by a single diagnosis or label.
This approach is not performance-based.
Care does not revolve around pushing through symptoms, perfecting exercises, or fixing a body that is assumed to be broken. Instead, therapy is rooted in:
- Nervous system safety
- Whole-body pattern recognition
- Trauma-honoring, consent-based care
- Understanding why symptoms developed, not just how to manage them
Your symptoms are treated as meaningful information, not problems to suppress.

It can be, but it does not have to be.
Many pelvic floor symptoms improve without internal work. When internal techniques are used, they are always consent-based, paced, & responsive to your body’s cues. There is no “standard protocol.”
Your boundaries are respected, always.
The goal is not optimization or correction.
The work supports a woman in rebuilding trust with her body. Learning to listen again, understand patterns, & move forward with more clarity, choice, & self-connection.
Healing here is collaborative. Your body leads.
The pelvic floor does not function separately from the nervous system. Stress, threat, trauma, sensory processing, & long-term adaptation all influence pelvic floor muscle tone, pain, coordination, symptoms, & healing capacity.
Pelvic floor therapy often includes breathing, pacing, movement, awareness, & regulation. This work helps the body shift out of protection & into repair. While this is not talk therapy, it is deeply informed by how bodies respond to experience & safety.
Yes. This practice is intentionally structured to support neurodivergent, highly sensitive, & easily overwhelmed individuals - especially those who have felt unsafe, overstimulated, or dismissed in medical environments.
Sessions are slower, relational, flexible, & responsive to how you process information & sensation. You are not expected to mask, push through discomfort, or perform wellness here. Care adapts to you, not the other way around.

Pregnancy & Postpartum Specific

Pelvic floor therapy can support infertility by improving pelvic blood flow, reducing muscle tension, addressing scar tissue & adhesions, as well as optimizing pelvic & abdominal organ mobility. This helps create a healthier environment for conception, particularly for conditions such as PCOS & endometriosis. Care is non-invasive & can be used alongside fertility treatments like IVF, supporting reproductive function through techniques such as manual therapy, myofascial release, visceral mobilization, & breathwork.
Yes. Pelvic floor physical therapy during pregnancy can help with pain, pressure, breathing, posture & movement changes, &birth preparation while prioritizing nervous system safety.
Yes. Pelvic floor therapy for labor and delivery preparation focuses on pelvic mobility, baby positioning, labor and birth positions, perineal preparation, and breathing and pushing strategies tailored to your body, symptoms, and planned birth.

Pelvic floor therapy is integral for people who experienced traumatic or medically complex births. Complex births may include C-sections, assisted vaginal deliveries (forceps or vacuum), prolonged or rapid labor, inductions, emergency interventions, significant tearing, or births involving medical complications for parent or baby. Care is paced, consent-based, & structured around nervous system safety & regulation.
Yes. Pelvic floor therapy can support both C-section preparation & recovery by addressing the pelvic floor, abdominal wall, breathing, scar mobility, & nervous system regulation. Cesarean birth is one of the most commonly performed major surgeries, yet rehabilitation is rarely offered. Care focuses on whole-body recovery, not just incision healing.
Yes. Pelvic floor therapy can help with diastasis recti by improving coordination of the abdominal wall, pelvic floor, breathing, & strength. Care focuses on restoring tension management, load transfer, & functional strength rather than simply closing the gap. DRA can be addressed at any point postpartum, even months or years after birth.

Midlife & Menopause Specific

Yes. Pelvic floor therapy can help address changes in bladder & bowel function, pelvic pain, prolapse symptoms, sexual health, posture, breathing, & movement patterns that often emerge during perimenopause and menopause. Care also considers nervous system regulation, stress load, & recovery capacity as hormones shift.
Yes. Pelvic floor therapy can help manage GSM symptoms such as vaginal dryness, irritation, painful intercourse, urinary urgency, & recurrent infections by supporting tissue health, circulation, & muscle coordination. Therapy is often used alongside medical or hormonal treatments when appropriate.

Yes. Pelvic floor therapy can support bone health by improving load tolerance, balance, posture, strength, & impact readiness which are key factors in maintaining bone density & reducing fracture risk.
Yes. Pelvic floor therapy can help address the musculoskeletal syndrome of menopause, which may include joint pain, tendon issues, stiffness, muscle weakness, & increased injury risk. Treatment focuses on restoring coordinated movement, strength, tissue tolerance, and capacity as hormonal changes affect connective tissue.

Billing, Payments, & Insurance Information

Unbound Pelvis is a an out-of-network, fee-for-service practice and payment is due at the time of service. We accept HSA, FSA, check, cash, and all major credit cards.
A superbill can be provided for possible out-of-network reimbursement depending on your plan. Coverage varies by provider.

Evaluation and follow up treatments are $200 per session.
Yes. Less than 24 hour notice is $100 fee.
Sessions can always be switched to a virtual visit to avoid late cancel fee.

Frequently Asked Questions.

General Pelvic Floor Therapy Questions

Pregnancy & Postpartum Specific

Midlife & Menopause Specific

Billing, Payments, & Insurance Information