Pelvic Floor Physical Therapy For Women

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Pelvic Floor PT isn’t just for one stage of life—it’s for every woman, at every age.

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At Envision Pelvic Health & Wellness, we specialize in treating the full spectrum of pelvic floor dysfunction in women.

Whether you're navigating pelvic pain, urinary leakage, constipation, painful sex, or changes related to perimenopause and menopause, our experienced pelvic therapists provide compassionate, one-on-one care tailored to your unique needs.

Our mission is to help you feel supported, empowered, and truly heard, so you can reconnect with your body and feel like yourself again.

What is Pelvic Floor PT?

Pelvic floor physical therapy is a specialized form of physical therapy that evaluates and treats dysfunction of the pelvic floor muscles. These muscles support the bladder, uterus, and rectum, and they must be able to contract, relax, and coordinate properly.

A pelvic therapist looks beyond just “strengthening.” Pelvic floor PT addresses:

  • Muscle tension and overactivity

  • Weakness or poor endurance

  • Coordination with breathing and core muscles

  • Scar tissue and connective tissue mobility

  • Posture, hips, and spine mechanics

Pelvic PT is not one-size-fits-all. Every pelvic floor physical therapy plan is individualized based on your symptoms, goals, and body.

Why Work With a Pelvic Therapist?

Not all physical therapists are trained in pelvic health. A pelvic therapist has advanced education in pelvic floor anatomy, internal and external treatment techniques, and sensitive conditions unique to women.

Choosing pelvic floor physical therapy with a specialized pelvic therapist ensures:

  • Evidence-based care

  • Individualized treatment

  • A trauma-informed approach

  • Clear communication and education

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Benefits of Pelvic Floor Physical Therapy

Working with a pelvic therapist offers benefits beyond symptom relief. Pelvic floor PT helps you understand your body and regain control.

Benefits of pelvic PT include:

  • Improved bladder and bowel control

  • Reduced pelvic pain and discomfort

  • Increased comfort with intimacy

  • Better core strength and stability

  • Improved posture and breathing mechanics

  • Confidence returning to exercise and daily activities

Pelvic floor physical therapy supports long-term function, not just short-term fixes.

What to Expect at Your First Pelvic PT Session

Your first pelvic floor physical therapy session is designed to feel informed, empowered, and safe.

During your initial visit, your pelvic therapist will:

  1. Review your health history and symptoms

  2. Discuss your goals for pelvic PT

  3. Assess posture, breathing, hips, and core

  4. Evaluate pelvic floor muscle function (with consent)

  5. Explain findings and create a personalized plan

Internal exams are never required and are always discussed ahead of time. Your comfort and consent guide every step of pelvic PT.

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Conditions We Treat

  • Pelvic Pain

    We treat pain with intercourse, tampon use, sitting, or pelvic exams, as well as tailbone, hip, and low back pain related to pelvic floor dysfunction.

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  • Urinary Dysfunction

    From leakage to urgency, frequency, or incomplete emptying, we address bladder concerns that impact daily life

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  • Bowel Dysfunction

    We help manage constipation, straining, incomplete emptying, and bowel leakage with a pelvic floor-focused approach.

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  • Sexual Dysfunction

    We treat painful sex, decreased sensation, and pelvic floor-related barriers to intimacy with a compassionate, evidence-based approach.

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  • Pelvic Organ Prolapse

    We provide holistic care for symptoms of heaviness, bulging, or pressure caused by pelvic organ descent.

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  • Pregnancy

    We support your changing body through every trimester, addressing pain, pressure, and pelvic floor dysfunction.

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  • Postpartum

    Whether you had a vaginal or C-section birth, we guide your recovery with customized care for healing, strength, and function.

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  • Perimenopause & Menopause Support

    We address pelvic floor changes related to hormonal shifts, including bladder, bowel, and sexual health concerns.

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Take Control of Bladder Leakage

Get expert pelvic health guidance delivered straight to your inbox.
Here’s what you can expect when you sign up below.

  • Get your free Pelvic PT Guide to Understanding & Improving Bladder Leakage

  • Learn the common causes of leaking — and why it’s common, but not normal

  • Discover simple, effective steps you can start today to improve bladder control and strengthen pelvic support

Patient Testimonials

  • “You will have a fantastic experience with Dr. Erika! She’s a skilled pelvic floor physical therapist—but that’s not all—she’s also an expert in dry needling. She helped alleviate my shoulder and neck pain from an injury, and I’ve seen significant improvement under her care. I’m consistently impressed by how knowledgeable and kind she is. Dr. Erika takes the time to explain everything, ensures you’re comfortable during treatment, and truly cares about your progress. If you’re looking for a compassionate expert who can address a wide range of concerns, I highly recommend Dr. Erika!”

    — Sue | Google Review

  • “I've seen dozens of PTs, chiropractors, and other physical therapists over the past two decades—and none compare. You’ll feel empowered, supported, and better thanks to the intensive, thorough, and highly personalized care provided. The dry needling technique is incredible. I came in with chronic pain from a childhood tailbone injury that no one had been able to resolve. I was in an acute flare-up, and after just one session, I was finally on the road to recovery. The goal isn’t just symptom relief—it’s true restoration of health, without the need for endless visits. No tailbone or pelvic issue is too complex. The approach is creative, experienced, and tailored to each individual.”

    — Rina | Google Review

  • "I'm probably not a typical Google reviewer but it's so rare to find such compassionate and knowledgeable health practitioners that I felt compelled to write this. I've primarily worked with Alison but have also had a great experience with Kelly too. I had just about given up hope for real relief as the only other option doctors had offered me was surgical. I found Envision Pelvic Health and Wellness through my daughter who has been undergoing physical therapy with Alison after giving birth. After only one month of treatment and following their recommendations, I've experienced noticeable improvement. I'm now able to swing dance and lift my grandson with confidence. I look forward to gaining even more strength as we continue working together."

    — Lili | Google Review

  • "I have been a patient of Erika’s for a couple of months and what a difference! I had severe abdominal pain, went through several medical testing, only to get no answer to why I was in pain. Visceral massage has made a world of difference. The pain has subsided/almost entirely gone. I am so grateful to Erika for helping me gain comfort and normalcy back in my life."

    - Beka | Google Review

Frequently Asked Questions

  • No, in the state of Illinois a referral is not required to start pelvic floor physical therapy in most cases. You can schedule directly with a pelvic therapist. If your insurance or provider requires a referral, we’re happy to help guide you through that process.

  • Yes. You can absolutely attend pelvic PT while on your period. Pelvic floor physical therapy sessions can be modified based on comfort and symptoms. Internal pelvic exams are never required, and your pelvic therapist will always discuss options with you ahead of time.

  • No. Pelvic exams are not required for pelvic floor physical therapy. While an internal exam can provide helpful information in some cases, your pelvic therapist will only perform one with your full consent. External assessments and education are always an option.

  • Wear comfortable clothing that allows you to move easily, such as leggings, joggers, or athletic wear.

  • No. Pelvic floor physical therapy supports women at all stages of life — whether you’re pregnant, postpartum, perimenopausal, or beyond. Pelvic PT is appropriate whenever symptoms are present or prevention is a goal.

  • You can begin pelvic floor physical therapy as early as a few weeks postpartum, depending on your comfort and medical clearance. Pelvic PT is beneficial whether you are weeks, months, or years postpartum — regardless of whether you had a vaginal delivery or C-section.

  • Yes. Pelvic floor physical therapy is important after a C-section because pregnancy itself impacts the pelvic floor. A pelvic therapist can help address scar mobility, core coordination, pelvic floor muscle function, and postpartum recovery as a whole.

  • Yes, we welcome you to bring your baby to pelvic PT appointments. We understand the realities of postpartum life and aim to make pelvic floor physical therapy as accessible and supportive as possible.

  • Yes. You are welcome to bring a partner or support person to your pelvic floor physical therapy session if it helps you feel more comfortable. Your pelvic therapist will always respect your privacy and preferences.

  • The number of pelvic floor physical therapy sessions varies depending on your symptoms, goals, and consistency with home strategies. Your pelvic therapist will review progress regularly and adjust your plan as needed.

Ready to Get Started?

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