Pelvic Floor Therapy

A relaxed, strong, healthy pelvic floor is possible.

Now you can achieve this in a calm supportive environment or in the comfort of your own home.

It’s possible you’ve tried medication, Kegels, massage, standard PT, collection of videos of social media, and more with limited success.

You’re still here because they haven’t properly addressed very important parts — your pelvic floor health and regulating your nervous system.

My holistic mind-body approach to pelvic health gets to the root of your symptoms instead of temporarily masking them.

I’m here to support you through this approach.

What happens in Pelvic Floor Therapy?

Sessions can involve education, bladder/bowel habit training, stretches, nervous system education and exercises, body work, activity modifications, functional home programs, strengthening exercises, training in use of assistive tools, trigger point releases, pressure management, core engagement, breathwork, and more. They are individualized to meet your needs. The first session will be about getting a comprehensive overview of your symptoms, concerns, and goals. Then, together, we will make a plan that best suits your needs.

Sometimes, pelvic floor therapy can include internal exams and treatments. This can asses and/or treat things like tone, strength, pain, tissue quality, and coordination. It’s important to know that everything is always optional, adaptable, and moves at your own pace.

Reasons you may seek pelvic floor care:

  • Urinary leakage
    Urgency
    Frequency
    Difficulty initiating stream
    Bladder prolapse (cystocele)
    Urethral prolapse
    Pain with urination
    Frequent UTIs

  • Stool leakage
    Constipation
    Urgency
    Difficulty with coordination
    Painful bowel movements
    Rectal prolapse
    Rectocele (prolapse of rectum into vaginal wall)

  • Pain with insertion
    Pain or difficulty with arousal
    Low libido
    Difficulty or pain with orgasm
    Prolonged or delayed ejaculation
    Erectile disappointment

  • Pain at:

    Low back/sacrum
    Pubic Symphysis
    Coccyx
    Vulva
    Vagina
    Penis
    Rectum
    Anus
    Scrotum

  • Endometriosis
    PCOS
    Interstitial Cystitis
    IBS
    Painful Bladder Syndrome
    Vaginismus
    Vulvodynia
    Overactive Bladder

  • Any path along peri-partum
    Delivery prep
    Post-partum healing

  • C-section
    Hernia repair
    Hysterectomy
    Endometriosis Excision
    Vaginoplasty
    Phalloplasty
    Metoidioplasty
    Other surgeries regarding the pelvic floor

  • Anxiety related tension in the pelvis
    Difficulty connecting with pelvic floor
    Menopause
    Pressure management
    Scar Management

More of your questions answered:

  • The first session is about getting a comprehensive overview of your symptoms, concerns, and goals. We will make a plan together that best suits your needs. If doing an in-person visit, there may be a physical assessment. This can but does not have to include direct contact with the pelvic floor. I typically will not do internal treatment on a first visit unless you specifically request it. I do this to ensure your nervous system and body is fully consenting to this process.

  • Internal work allows us to further assess and treat your tone, strength, pain, tissue quality, and coordination. Trigger point release directly on the pelvic floor can be a beneficial part of treatment for pelvic tension. It is also helpful for a therapist to directly palpate the muscles to asses what is truly going on. It involves the therapist applying gentle pressure to muscles as you practice breathing and nervous system regulation techniques. This can also be taught for you to do self release with either your finger, a tool, or partner training for someone to assist you at home. I want to emphasize that this is not a necessary part of treatment. Everything is always optional, adaptable, and moves at your own pace.

  • Yes, you can do all the same treatments on your period including internal work! I will be aware of if there is any increase in pain or discomfort while menstruating. There are also many other options of treatment modalities to choose from, whatever feels best for you that day.

  • Definitely! During a virtual session we can do education, skill building, training on use of tools, nervous system regulation, stretches, exercises, etc.. Virtual is a great way to receive care in the comfort of your own home, without the stress of driving to another appointment or finding child care, and/or if you live in a location with difficult access to a provider. It also allows me to get a better look at your daily environment and how we can incorporate it into your treatment and daily life.

    I can also teach you how to do techniques (including internal) on your own, if you choose to do so.

  • Sure can! Another benefit of being out of network, is this autonomy is in your hands. Since we do not get proper education or training on the health of our pelvic floors, getting an expert eye can be beneficial to check your pelvic health. You can come in for prevention of dysfunction down the line or to improve your overall pelvic health.

    A lot of us are not breathing optimally or using poor bladder and bowel habits, come learn about yours!

  • Yep, everyone has a pelvic floor!

  • Absolutely, pelvic floor therapy can play a significant role in the pelvic health of trans and non binary individuals. This can involve preparation and post surgical care such as for muscles, fascia, blood flow, ect, as well as scar management, nervous system regulation, and nerve re-education. We can also work on body (re)connection, new roles and routines, support through dilator protocols, pregnancy and fertility, general pelvic floor dysfunction, and education and safety with binding or tucking.

Still unsure? Book a free discovery call!

Know you want to book a session? Click the link below or contact me here.

Pricing

Evaluation - 75 min: $200

Follow Up - 60 min: $185

Packages

If you bulk purchase any number of sessions, you will receive that number discount on the sessions.
This requires a minimum of 3 sessions purchased.

Example: If you purchase a package of 7 follow up sessions, you will receive a 7% discount.

* Packages will not apply retroactively. If you’re interested in a package, just let me know and we will apply it to the current and future sessions. If you purchase a package and it is decided that you no longer require that amount of sessions, you will still be responsible for the remainder of sessions purchased. (Example: If you purchased a package of 7, but feel happy with where you’re at after 6 sessions and decide you don’t want the 7th visit, you will still be responsible for paying for the 7th session.) Maximum 12 session package.

  • I do not take insurance, however if you have out of network benefits I can provide you with a superbill for you to take to your insurance for reimbursement. You can also pay with an HSA or FSA card.

  • Yes!

  • There is a cancellation fee of $100 if given less than 24 hour notice. A no-show will result in the full price of the visit.

  • Out of pocket permits quality care to be provided above anything else. It allows us the freedom to treat you in the way you deserve, in ways that are not always possible with insurance. It allows session times to be flexible and tailored to your needs, to include value-based treatment modalities, and keeps your private information on such intimate care to not be seen by anyone else. It reduces barriers to care, decreases wait times, and you never need to fill out an assessment for something that may not even apply to your concerns. Being out of pocket allows me to provide comprehensive private care in the way that best suits you. You are not a number in the system to me. You are a priority and this allows me to treat you with high quality attentive care.

  • Being out of network, we have the freedom to meet for the amount of time that best suits your needs. If you think you may need extended time, let me know and discuss options!

Want to better understand what pelvic wellness is, what’s considered “normal”, and start some helpful tips to address your pelvic wellness everyday?

Check out this FREE Understanding Pelvic Wellness E-Book

Your pelvic healing journey starts here.

Reviews from past patients:

  • “I’ve been working with Gina for the better part of two months now, and I am so glad I found her. I was diagnosed with pelvic floor dysfunction earlier this year and after 8 weeks of physical therapy provided only minimal improvements at best, I was feeling pretty discouraged when I made the decision to switch to OT. Right from my first session with Gina, though, I started regaining hope. Not only did she listen so well and with such kindness, but she really seemed to understand what I was experiencing and helped me understand it as well. She had also already put together a folder of information and resources for me to take home on day one based off my intake forms (which I still refer to frequently) and continues to expand on this resource library each time we meet. Unlike PT, I feel my sessions with Gina are totally personalized and I am an active participant in deciding what we focus on each day. I still have a lot of work to do, but I am actively seeing digestive improvements and growing so much more awareness of my body.

    Gina also has a wonderful way with folks like me who struggle with significant anxiety issues and honors how important addressing that is as well. While I certainly wish I didn’t have to go through this treatment process at all, having the guidance and support of Gina makes all the difference.”

    — A.G.

  • “Gina was a pivotal person in my care and healing after my hysterectomy. I was referred to the clinic she was working at, and feel fortunate she was my health care specialist. She taught me proper belly breathing and exercises. Helped with scar treatment and sexual discomfort techniques. I returned to see her after a few months because of a sore tailbone. I didn’t realize this could be from the hysterectomy too. Gina has a unique way of working with clients to help them understand issues as well as ways to overcome them. Gina showed me the position of my tailbone by using clay to visually explain. Simple and effective. She has a light touch and I felt safe under her care.

    — J.D.

  • “My experience with Gina was so great! She made me feel comfortable as soon as I walked into her office. I had grade 2 prolapse about a year after my second baby was born and was recommended to go see her by a friend. I was regularly working out, but wasn't able to connect to my pelvic floor properly, in turn making the issue worse. She helped me with exercises that restored my mind muscle connection and now I'm symptom free! I can't recommend her enough. She restored my confidence!”

    — B.L.

  • "Healthcare is so often filled with dead-ends and practitioners who couldn't care less but Gina is the exact opposite: She is always learning/bring up new techniques and therapies and adjusting her practice to the unique needs of each client. I love the curiosity (and skill!) that Gina brings to the table. I have had dyspareunia since I was 15 but have avoided seeking formal help for years because of re-traumatizing experiences with healthcare professionals. Since I started seeing Gina in September I have seen loads of progress. My chronic nerve pain has abated and so has my dyspareunia.”

    — J.D.

  • “I had been struggling with my pelvic floor issues for years and seen many different practitioners. If you’re reading this review, then you probably know that having pelvic floor dysfunction is extremely isolating. I felt hopeless about any improvement with my condition. Now, I feel so proud of my progress and the growth I’ve had. 

    Working with Gina this past year has been an absolute gift. Gina is:
    -patient, consent and trauma-informed with her care
    -committed to her patients and advocates for them
    -believes and listens to what you are feeling (A MUST HAVE if you are seeking pelvic floor care!!!)
    -great at meeting you where you’re at in your recovery/journey and never judgmental
    -up-to-date on the latest in Pelvic Floor Health
    -just a wonderful human being as a whole

    I could go on and on about what a GEM she is.”

    — E.D.

  • “I’m 24 and have pelvic floor pain dysfunction. I have discomfort and pain most days and with most activities and just generally . I started seeing Gina and I have loved being in her care! She holds herself with such grace, makes me feel incredibly comfortable and safe in her care. She is an extremely capable OT. I have experienced a decrease in my symptoms, gained tools for dealing with symptoms and learned a lot from her during our sessions.”

    — A.K.

  • “I didn't really know pelvic floor therapy existed until my doctor recommended I look into it for pain management. Anything doctor related makes me extremely anxious, so it was a relief to find a place and practitioner I feel comfortable with. Gina has been amazing to work with - supportive, knowledgeable, and calming. I have been learning to breathe better and just more about my body and how small changes can have impact on my overall pelvic wellness.”

    - J.Y.

  • "Gina was amazing and helped alleviate my spasms.”

    — A.B.

  • “I didn't really know pelvic floor therapy existed until my doctor recommended I look into it for pain management. Anything doctor related makes me extremely anxious, so it was a relief to find a place and practitioner I feel comfortable with. Gina has been amazing to work with - supportive, knowledgeable, and calming. I have been learning to breathe better and just more about my body and how small changes can have impact on my overall pelvic wellness.

    — J.Y.