Pelvic floor physical therapy, a holistic approach

We have extensive experience working with various pain presentations including sharp pain during sex, deep pain during intercourse, vaginismus, tailbone pain, postpartum sacrum pain, aching joints in perimenopause, and bladder symptoms such as leaking, urgency, and the feeling of a full bladder all of the time.

Integrative pelvic therapy for chronic pelvic pain

When pelvic floor muscles are tight or guarding from pain, the restricted blood flow and decreased mobility contribute to chronic pelvic pain.

Nerves need blood flow.
They need to glide.
They need space.

Pelvic floor physical therapy can support these systems and help you feel significant improvements within 2–3 months of working with us.

Learn more about our pelvic therapy services.

Learn more about pelvic pain treatment here.

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How Long Does Pelvic Floor PT take?

A typical pelvic floor PT plan of care takes two to three months at our cash-based physical therapy practice. This varies depending on:

  • medical history

  • emotional and psychological relationship to symptoms

  • severity and chronicity

  • lifestyle demands

  • capacity for a daily home practice

If you are ready to receive clear, relevant education (no more Dr. Google spirals), therapeutic touch, somatic movement training, and can commit to a personal body practice starting at 5 minutes a day of meaningful breathing, you can expect to feel significantly less symptomatic within this time frame.

We also offer somatic approaches to touch and movement and Pilates as resources for supportive wellness and unfolding care.

Are you experiencing pain with sex?

Common presentations include:

  • Sharp pain during sex

  • Deep pain during intercourse

  • Burning after sex

  • Burning sensation after intercourse

  • Vaginal irritation after sex

  • Cervix pain during sex

  • Fear of penetration or “hitting a wall” (vaginismus)

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Pregnancy Pelvic Floor PT and Postpartum PT

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Common pregnancy and postpartum concerns we treat include:

  • Leaking pee during pregnancy

  • Coughing and peeing (stress incontinence)

  • Leaking while running

  • Postpartum sacrum pain

  • Back and neck pain

  • Tailbone pain from sitting

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Bladder Health

Learn more about common bladder dysfunction symptoms

Common bladder symptoms we treat include:

  • Feeling of a full bladder all of the time

  • Leaking urine after peeing

  • Urinary urgency or frequency

  • Coughing and peeing

  • Leaking while running or jumping

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Bowel Health

Learn more about common bowel dysfunction symptoms
  • Yes! If your pelvic floor is too tight or not coordinating well with pushing and breathing, you may have difficulty pooping.

  • It can be! If you experience acid reflux symptoms, you may have tightness and tension at your respiratory diaphragm, causing pressure on the esophagus and stomach sphincters, and likely leading to a back flow of stomach acid.

  • In many ways! Depending on your symptoms, we teach pelvic floor relaxation exercises, dynamic posture support for improved digestion and pooping, internal pelvic floor therapy, visceral fascial mobilization, and pelvic health education uniquely relevant for you.

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Post-Surgical Pelvic Rehabilitation

We support rehabilitation and symptom reduction after:

  • laparoscopic endometriosis surgery

  • hysterectomy

  • pelvic organ prolapse surgery

  • prostatectomy

  • hernia repair

  • any pelvic or abdominal surgery

Our care supports mobility, strength, scar healing, and an all-systems approach to recovery.

Pelvic floor specialist in Oakland, CA
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Gender Affirming Physical Therapy

  • We offer:

    • treatment plans for tight pelvic floor muscles

    • PT before gender-affirming surgery

    • PT after surgery to support healing

    • trauma-sensitive scar mobilizations

    • integrative and evidence-based movement options, collaborated with you and your multidisciplinary healthcare team

    • Virtual Pelvic Floor Therapy

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Emotional Trauma Manifesting As Physical Pain

We integrate somatic movement therapy and physical threapy approaches for:

  • neck pain, headaches, and jaw pain associated with pelvic floor dysfunction

  • buttock muscle pain and sciatic-type discomfort

  • gluteal amnesia symptoms

  • osteitis pubis

  • back spasms

  • fibromyalgia

  • hypermobility conditions including Ehlers-Danlos Syndrome (EDS)

We treat physical pain as part of your whole-person experience.

Learn more about somatic approaches to movement
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Learn more about back and hip pain

"I loved this place and will probably return and start treatment. I feel this group really cares about their clients and they do thorough research in between each sessions."

— ERICA, Fellow Bodyworker

Take the first step to starting pelvic therapy in Oakland, CA

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