Be prepared to discuss your medical history, current medications, relevant imaging, and any post-operative reports. You will be asked detailed questions about your symptoms and patterns.

You’ll also have space to share your pelvic health story—your fears, beliefs about your symptoms and movement, your current relationship to physical activity or mindfulness practices, and what you are hoping to receive and integrate from pelvic floor physical therapy.

We’ll talk together about what complete PT care would look like for you.

If you have a complex medical history, many questions, “mysterious” symptoms that other providers have told you cannot be treated, or chronic pain, a 30–60 minute online pelvic PT visit may be the best place to begin.

During an online visit, you can expect to:

• Discuss your symptoms in detail

• Answer skilled, clarifying questions

• Receive education about your pelvic health

• Leave with resources to begin a daily home practice

Online pelvic floor physical therapy is also available at any point during care. Examples include coaching and dilator guidance for vaginismus, bladder training and urge suppression for urinary symptoms, bowel habits education, and posture or self-treatment guidance in your home environment.

All visits include movement assessments and physical therapy diagnostics to help identify the root cause of your symptoms.

You will receive treatment as well as clear guidance on how to begin caring for your symptoms at home.

When the root cause becomes clear, your physical therapist may transition you to ongoing supportive visits at a reduced fee. Care plans are dynamic and flexible, based on your progress and needs.

Most participants work with us for 3–6 months to achieve the best and most sustainable results.

It’s also important to consider that pelvic physical therapy is an intervention. If you are seeing multiple providers or trying several new interventions at the same time, it can make it more difficult to identify the true drivers of your symptoms.

We encourage open conversations about complementary and alternative options to support your holistic health. Physical therapists are medical providers who can help you understand which options may be supportive now—and which may be better explored after you complete PT.

If you feel “sore,” “tight,” or notice symptoms worsen after sustained positions or activities, targeted strengthening will likely help.

Movement retraining and endurance building take months of practice.

Often, dominant or overly tense muscles need to be released before true strength can emerge. This is why pelvic floor physical therapy works.

You can work harder—or you can let something go.

First of all, that’s wonderful.

Before stopping care, talk with your physical therapist. It takes at least six weeks to change tissue properties and begin meaningful strength gains, and around three months to build endurance.

Expect about six weeks of daily practice for improved mobility, coordination, and noticeable abdominal and glute strength. It often takes closer to three months to remain symptom-free even after long or demanding days.

When pain and fear are quieter, we can access the deeper causes of symptoms. Physical therapists can often predict injury risk simply by observing movement patterns and dynamic posture.