No. You do not need a referral from a physician to receive physical therapy services in the state of California. If you continue to need physical therapy services 45 days after your evaluation (or for more than 12 visits), we will need a physician to sign-off on your plan of care. Don't worry, we'll help with this process. If at any time over the course of your treatment your therapist feels further medical examination or treatment is indicated, we will encourage you to visit your physician or refer you to an appropriate provider.

The pelvic floor is a group of muscles and ligaments that form the base of the pelvis. These muscles are often known as the 'Kegel' muscles and play a role in several important functions. They work together to provide support to the pelvic organs, maintain continence, aide in sexual functioning and assist with core stability. Physical therapists trained in pelvic health can help correct pelvic floor dysfunctions that may be contributing to pelvic pain, incontinence, constipation, prolapse, sexual dysfunction and so much more.

We are proud to offer pelvic health physical therapy services for people of all ages and genders. Yes, that includes women, men and children!

During your 60-minute evaluation we will thoroughly review your medical history, concerns, and current symptoms. After gathering this information we perform a comprehensive physical exam where we assess posture, movement abilities, strength, coordination and more. For our adult patients we also typically recommend performing an internal and external pelvic exam, always within your comfort level and not required. For our pediatric patients, we utilize non-invasinve exam techniques to assess the pelvic floor. After this, we will develop an individualized treatment plan, review education about your condition and begin your journey to optimal health.

We have a 48-hour cancellation policy. If you do not cancel your appointment within 48-hour of your scheduled date and time, you will be charged the full amount of your appointment.

You're welcome to wear whatever you're comfortable in. We do recommend clothing that you can move freely in, although this is not required. Many patients have found athletic wear or loose-fitting clothing to work best.

Pediatric pelvic floor physical therapy is a non-invasive, specialized form of physical therapy that focuses on the muscles and connective tissues of the pelvic floor. Using an evidenced-based approach we can help children and adolescents gain control and independence with bowel and bladder function, while participating in a variety of functional activities with confidence and continence! We help to improve the strength and coordination of the muscles of the pelvic floor, as well as educate children and their families on how to manage their symptoms for lasting results. If your child struggles with incontinence, bedwetting, constipation, pelvic pain and other issues related to the pelvic floor, we can help!

There are no internal exams or treatment with the pediatric population, only visual inspections of the perineum may be conducted to observe the following: skin irritation or redness from soiled underclothing, pelvic floor muscle contraction to see if the child understands how to appropriately use the muscles and sensation & reflexes of the anus with light touch. Modifications to our exam and treatment approaches will be made to meet the comfort level of you and your child. Muscle relaxation techniques, behavioral & diet modifications and a home exercise routine are all part of treatment strategies used. It is a requirement that a parent or parent authorized caregiver is present with the child and therapist for the entire duration of each session.

Yes! We provide physical therapy services to anyone with a pelvis. If you're suffering from erectile pain or dysfunction, bowel and bladder concerns, or pelvic pain, we can help. We also offer pre-operative consultations for those undergoing prostatectomies as well as post-operative care.

Yes, you can still come to your appointment when you are menstruating. There is no contraindication for pelvic floor physical therapy while you are on your period. That said, it's a personal choice and if you would prefer not to have internal work performed, that is completely okay. Just let your physical therapist know. We can keep the appointment as scheduled and only work externally, you may reschedule or request that your appointment be conducted virtually. Please contact your physical therapist if you have questions or concerns.

Yes! We highly recommend starting your pelvic floor physical therapy while pregnant. We can work with you to maintain a healthy pregnancy while preparing your body for labor and delivery.

We recommend beginning pelvic floor physical therapy as soon as possible. This may mean as early as 3-6 weeks postpartum, if you are up for it. We will customize your care to meet your body's needs and healing timeline. This may mean deferring certain exercises and treatments initially. In the early postpartum days we can offer you guidance on recovery, pain management and postpartum support. (In-home or virtual services can be great options for early postpartum needs.)

Yes. While we prefer to have dedicated one-on-one time with you, as parents ourselves, we understand the struggle of finding reliable childcare and welcome your little one to join you for your appointment if you're in a crunch. In-home appointments are a great option to consider as well!