Pelvic Health Care: Personalized Services
Trauma Sensitive Pelvic Floor Therapy
1-4 pelvic floor “assessment” visits to work with your therapist to establish a 3-6 month plan of care that is best for you.
Online visits recommended for coaching, modern pain science education, bladder training, dilator work, complex medical history taking, discuss your medical options that have been recommended by other medical providers, and to guide a therapeutic dosage of your daily home exercise practice.
Ongoing care weekly, biweekly, or monthly to train your brain and body, including tailored relaxation practices to guide internal awareness and movement training.
Most of our participants stay with us for 3-6 months to get the best results.
Do you start with an online visit or in person?
Some participants respond very well to coaching and education.
Studies show that when a provider listens to your story, asks you skilled questions, and gives you the space and sufficient information to understand your symptoms and medical options, then your symptoms are very likely to improve. Fear and confusion is known to worsen the symptoms.
Contact us if you want to learn more about how to start a pelvic therapy plan of care that is best for you.
Expect to work with your pelvic physical therapist for once a week, or every other week, for at least 2-3 months.
To determine the cause of your symptoms, about 1-4 pelvic PT “assessment” visits are recommended. These visits are $230/hour. When the cause is determined, you understand your symptoms, and you are consistent with a home practice suggested by your PT, your PT may transition you to supportive follow up sessions at $180/hour (see below).
30-minute online intake and education | $75 for 30 minutes
60-minute in-person initial evaluation and pelvic PT assessments | $230/hour (typically 1-4 visits)
60-minute in-person follow ups | $180/hour (frequency of visits depends on your needs and symptoms.)
Online Pelvic Floor Physical Therapy
If you are a California resident, we can work with you via Telehealth services as long as you are in CA at the time of service.
60-minute initial evaluation | $150/hour
30-60 mins follow ups | $75-150
Therapeutic Exercise, Touch, and Brain Training Service
This supportive follow up visit is for established clients who are feeling good about their introduction to corrective exercises and are committing to a daily practice. This service is to continue to improve postural strength, begin total body resistance training, and to return to running, hiking, dancing, and sport. “Exercise” is as simple as breathing during a pelvic floor exercise, and as complex as elongating your spine while squatting with 100 lb. weights. When you are in an exercise progression flow with your therapist, your symptoms are significantly better!
60 mins | $180/hour
Manual Therapy Services
For established clients, this service is appropriate for you if you respond well to touch, your pelvic therapist agrees that mobility and body awareness training will support your progress, to help to refine how you manage your symptoms, and add to your home practice ritual. This service is typically best after at least four weeks of weekly one hour visits.
30 mins | $90
Somatic Pilates
Reformer Privates
Experience somatic approaches to Pilates Reformer movement through a therapeutic lens. These sessions can be used to help you return to a safe, pain-free Pilates practice.
60 mins | $150
Somatic Exercise and Embodied Touch
This service is a wellness visit for people new to pelvic PT, for current clients who are interested in practicing internal awareness, and for touch or movement practices with a uniquely body based approach. You will be empowered to trust your body, inspire your creativity, and ground yourself in your wholeness and rest your thinking mind.
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Be prepared to discuss your medical history, current medications list, relevant imaging and post-op reports, and to be asked detailed questions about your symptoms and patterns. You share your pelvic health story and fears and beliefs about your symptoms and movement, current relationship to physical activity and mindfulness practices, and what you are hoping to receive and integrate from pelvic PT. How would you consider your PT care complete?
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If you have a complex medical history, a lot of questions, “mysterious” symptoms that other providers have told you cannot be treated, or chronic pain, then a 30-60 minute online initial visit may be best for you to start with. Be prepared to discuss your symptoms, answer detailed questions, share your story, to receive education about your pelvic health, and to receive resources to begin your daily home practice.
This service is also available any time during your care. Examples include coaching and dilator training for vaginismus, bladder training and urge suppression for urinary incontinence, and guiding you through your posture exercises and self treatments while you are in your home environment.
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All visits include movement assessments and other physical therapy diagnostics to determine the root cause of your symptoms. You will receive treatment and details about how to start the process of taking care of your symptoms at home.
When the root cause is clear, then your PT will transition you to ongoing supportive visits at a reduced fee. These options are dynamic and flexible.
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Most of our participants stay with us for 3-6 months to get the best results.
Also, consider that a pelvic physical therapy plan of care is an “intervention.” Therefore, if you are seeing multiple providers and trying multiple interventions at the same time, it can challenge your PT’s ability to find the root cause of your symptoms. Feel free to discuss alternative and complementary options to support your holistic health with your physical therapist. PTs are medical providers that can educate you on how to find all options that are best for you. We can discuss with you what may be complementary and what may be best explored when you are discharged from PT.
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If you are “sore,” “tight,” symptoms get worse after sustained positions or activities, then targeted strengthening will likely help you.
Movement training and endurance training that bolsters your function takes months of practice.
Often, you also need to let go of dominant, tense, tight muscles first. This is why physical therapy works.
You can work harder, or you can let something go!
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First of all, that is great to hear!
But ask your PT! It takes at least 6 weeks to change your tissues and to start to get functionally stronger. It takes 3 months to improve your endurance.
In other words, expect 6 weeks of daily practice for your spine to be more mobile, for you to feel more coordinated, and for your abdominals and glutes to start to feel stronger.
It will take 3 months for you to be consistently symptom free after a long day.
We can get to the deeper cause of your symptoms when your brain is less activated by pain and fear. In fact, physical therapists can predict injuries just by analyzing movement patterns and dynamic postures.
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You do not need to! If you can get yourself to the clinic, we recommend you keep your appointment. Pelvic therapy can help with cramping and discomfort. Also, internal work is still appropriate if you are on your period.
“The pelvic floor specialists at Bodyful are so skilled, kind, and professional! I instantly felt comfortable when I arrived for my session. I was taught how to do proper diaphragmatic breathing and self care techniques to do at home when I need. As a very active person, I found their treatment plan to be so helpful to improve my body mechanics for work and daily activities. The pain and discomfort I was experiencing had greatly reduced after just the first session! I highly recommend Bodyful Physical Therapy!”
— URSULA, MAYAN ABDOMINAL MASSAGE THERAPIST, BODYFUL CLIENT