Pelvic Health Physical Therapy

pelvic health physical therapy treatment

If you’ve found your way to our site, you’re probably here because you’re doing your own research after likely being told your pain with sex, bladder issues, or bowel problems are “normal” and are “part of being a woman.”

Let me fill you in on a secret... these symptoms aren’t actually just part of being a woman, AND you don’t have to live this way. 

We’re here to help you get back to living your best life. 

Pelvic floor issues won’t show up on imaging or in your labs. 

They will, however, disrupt your confidence, hobbies, and daily life. 

But that’s our favorite part of our jobs, getting you back to the things you enjoy free of pelvic floor-related issues like pain with sex, bladder or bowel leakage, pelvic pain, or urinary urgency and frequency. 

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Rest assured, these symptoms and diagnoses are common. But common doesn’t mean it has to be your normal. We help women who struggle with these issues restore their confidence in their own body day in and day out. We’d love nothing more than to help you get back to living your best life, too!

At Texas Pelvic Health, we see our patients one-on-one for an hour at each appointment. This allows you the time it takes to discuss the complexity of these diagnoses. Our practice does not utilize therapy techs or aids, which means you are treated by a physical therapist the entire hour. Our therapists have dedicated their entire career to learning about these complex pelvic health related conditions and are committed to teaching you about your body and helping you heal holistically. 

Pelvic Floor Symptoms and Diagnoses We Treat at Texas Pelvic Health

Pelvic floor dysfunction shows up differently for everyone. You might know something feels off, you might be experiencing leaking, pressure, pain, or just not feeling like yourself. Or you may have left a doctor's appointment with a diagnosis you're still trying to make sense of.

Either way, you're in the right place. We treat the full range of pelvic floor conditions, from the symptoms you'd describe to a friend to the clinical terms on your chart.

    • Bladder leakage

    • Pain with urination 

    • Urinary urgency and frequency 

    • Pelvic organ prolapse (cystocele, rectocele, and uterine prolapse)

    • Pain with sex 

    • Painful periods 

    • Endometriosis/adenomyosis 

    • Constipation 

    • Fecal leakage 

    • Pain with bowel movements

    • Tailbone pain

    • Low back pain 

    • Pelvic pain 

    • Hip pain 

    • Hemorrhoids and fissures 

    • Hernias 

    • Stress urinary incontinence

    • Urge urinary incontinence

    • Mixed urinary incontinence

    • Overactive bladder

    • Urinary urgency

    • Urinary frequency

    • Nocturia

    • Urinary hesitancy

    • Incomplete bladder emptying

    • Dysfunctional voiding

    • Intermittent urine stream

    • Double voiding

    • Interstitial cystitis / painful

    • bladder syndrome
      Recurrent urinary tract

    • infections
      Bladder pain

    • Vulvodynia

    • Vestibulodynia

    • Dyspareunia

    • Vaginismus / genito pelvic penetration disorder

    • Chronic pelvic pain

    • Pelvic floor myalgia

    • Endometriosis

    • Adenomyosis

    • Pelvic congestion syndrome

    • Ovarian cyst related pelvic pain

    • Pudendal neuralgia

    • Levator ani syndrome

    • Coccygodynia (tailbone pain)

    • Sacroiliac joint pain

    • Piriformis syndrome with pelvic involvement

    • Fecal incontinence

    • Gas incontinence

    • Constipation

    • Outlet dysfunction constipation

    • Dyssynergic defecation

    • IBS related pelvic floor dysfunction

    • Rectal pain

    • Rectal prolapse

    • Cystocele

    • Rectocele

    • Uterine prolapse

    • Vaginal vault prolapse

    • Enterocele

    • Pain with intercourse

    • Inability to tolerate penetration

    • Decreased arousal due to pelvic floor dysfunction

    • Orgasm dysfunction related to pelvic floor dysfunction

    • Pain with tampon insertion

    • Pain with gynecologic exams

    • Chronic pelvic tension

    • Pelvic floor muscle weakness

    • Pelvic floor muscle overactivity

“Dr. Hailey is wonderful!!! At each and every appointment I absolutely felt like she was listening to me, my concerns, and my symptoms. She tailored my treatment to the issues I was having. I could always reach out to her via the PtEverywhere app if I had any questions about my home exercise program. She even went so far as to send me videos of exercises to help clarify how I should be doing them. Her clinic has also been perfectly set up to make you feel calm and relaxed for your sessions. If I ever need any PT in the future, she will definitely be first on my list of where to go. She's a wonderful PT. I would recommend her to any of my own patients or even my own family if they're ever in need of her services.”

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Your Questions, Answered

  • Pelvic floor physical therapy is a specialized form of physical therapy that focuses on the muscles, connective tissue, nerves, and organs of the pelvis. These structures play a role in bladder and bowel control, sexual function, pregnancy and postpartum recovery, and core stability. Pelvic floor PT addresses how these systems work together, not just isolated muscles, and looks at the whole body and lifestyle factors that influence pelvic health.

  • Pelvic floor physical therapy can help with a wide range of concerns, including:

    • Pain with sex or pelvic exams

    • Urinary leakage or urgency

    • Pelvic organ prolapse symptoms

    • Pregnancy related pain and postpartum recovery

    • Fertility support and cycle related symptoms

    • Endometriosis related pain

    • Constipation or difficulty emptying bowels

    • Pelvic pain, tailbone pain, or hip pain

    • Diastasis recti and core weakness

    If you are unsure whether your symptoms are related to your pelvic floor, a pelvic PT can help determine that.

  • No. Pelvic floor physical therapy is for women, men and kids. Men can experience pelvic floor dysfunction related to urinary symptoms, pelvic pain, sexual dysfunction, or prostate related concerns. Children can also benefit from pelvic floor PT for issues like bedwetting or bowel dysfunction.

  • In Texas, you do not need a referral to start physical therapy thanks to direct access laws. However, some insurance plans require a referral for reimbursement. If you are unsure, we are happy to help you figure out what is needed.

  • Your first visit is focused on understanding you, your symptoms, and your goals. Expect:

    • A detailed conversation about your history, symptoms, and lifestyle

    • Education on how the pelvic floor works and how it may relate to your concerns

    • A thorough assessment that may include posture, breathing, movement, and muscle function

    • A home exercise plan that accounts for your symptoms and life style.

    Nothing is rushed, and you are always in control of what happens during the session.

  • No. An internal exam is never mandatory. While it can provide helpful information in some cases, there are many ways to assess and treat pelvic floor dysfunction externally. Your comfort and consent always come first, and treatment can be adapted to meet your wants and needs.

  • This varies depending on your symptoms, goals, and consistency with care. Some people feel improvement in just a few visits, while others benefit from several months of treatment. We focus on progress, education, and giving you tools so you are not dependent on therapy forever.

  • Pelvic floor physical therapy should not be painful. Some techniques may feel unfamiliar or mildly uncomfortable at times, but treatment should always feel safe and respectful. Communication is key, and your therapist will adjust based on your feedback.

  • Wear something comfortable that allows you to move easily, like leggings, athletic shorts, or loose pants. Comfort is the priority!

  • Coverage depends on your insurance plan. Many pelvic floor practices choose to be out of network in order to provide longer, one on one sessions and a higher level of specialized care. We can provide receipts for possible reimbursement or HSA and FSA use.

  • Pelvic floor physical therapists have advanced training beyond standard physical therapy school. This specialty focuses on the pelvis, reproductive organs, bladder, bowel function, and how these systems interact with the rest of the body. Pelvic floor PT is highly individualized and often includes education, manual therapy, nervous system regulation, and lifestyle guidance.

  • Item descriptionPelvic floor dysfunction is rarely caused by just one thing. Common contributors include:

    • Pregnancy and childbirth

    • Chronic stress or tension

    • Hormonal changes

    • Surgery or trauma

    • Overtraining or undertraining

    • Poor breathing mechanics

    • Chronic constipation or straining

    Understanding the root cause is a major part of effective treatment.

  • Most treatment plans include some form of home program, but it is tailored to you. This may include breathing, mobility work, gentle strengthening, or habit changes. It is never about doing endless exercises. The goal is realistic, sustainable progress.

  • It is never too late. Whether your symptoms started years ago or recently, pelvic floor physical therapy can still help. Many people seek care decades after childbirth or surgery and see meaningful improvement.

  • Kegels are just a voluntary contraction of the pelvic floor muscles. Many people actually have pelvic floor muscles that are too tight, not weak, and Kegels can make symptoms worse. Pelvic floor physical therapy looks at strength, coordination, relaxation, breathing, and how the muscles function as a system, not just squeezing exercises.

Our Three-Step Process

  • Step One

    Find the root cause of what is driving your symptoms

  • Step Two

    Eliminate your symptoms

  • Step Three

    Return to your hobbies and activities without symptoms

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