Pelvic floor therapy is a specialized form of physical therapy focused on the muscles, ligaments, and connective tissues that support the pelvic organs - including the bladder, uterus or prostate, and rectum. These muscles play a critical role in controlling urination and bowel movements, supporting sexual function, and maintaining core stability.
When the pelvic floor becomes weakened, tight, or uncoordinated, it can lead to a variety of symptoms - from incontinence and pelvic pain to lower back discomfort and postural instability. Pelvic floor therapy addresses these dysfunctions through guided exercises, manual techniques, education, and behavioral strategies designed to restore optimal function.
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At Revolutions in Fitness in the Bay Area, pelvic floor therapy is delivered in a private, supportive environment by trained professionals who understand how this system impacts overall movement and quality of life. Whether you’re dealing with postpartum challenges, chronic pain, or simply want to feel more confident and in control, this therapy can make a meaningful difference.
Common Conditions Treated with Pelvic Floor Therapy
Pelvic floor dysfunction can affect people across many stages of life — and often presents with symptoms that are dismissed as “normal” or unrelated to physical therapy. In reality, many of these issues respond exceptionally well to targeted treatment.
Here are some of the most common conditions addressed through pelvic floor therapy:
Urinary Incontinence
Whether it’s leaking with a sneeze or urgency that feels impossible to control, incontinence often stems from muscular imbalances or poor coordination in the pelvic floor. Therapy can help restore control and reduce symptoms significantly.
Pelvic Pain
Pain in the lower abdomen, genitals, or perineum can be tied to tension, trigger points, or nerve irritation in the pelvic floor muscles. Manual therapy and relaxation techniques are often used to relieve discomfort.
Postpartum Recovery
After childbirth, many individuals experience weakness, scar tissue restrictions, or organ prolapse. Pelvic floor therapy supports safe recovery and reintegration into daily movement, core training, and intimacy.
Constipation or Bowel Dysfunction
The pelvic floor is deeply involved in bowel control. Addressing muscle coordination and breathing patterns can help restore regularity and reduce straining.
Pain with Intercourse (Dyspareunia)
Pain during intimacy may result from pelvic floor overactivity or trauma. Therapy helps restore muscle tone and comfort, improving quality of life and relationships.
Pre- and Post-Surgical Support
For those undergoing abdominal or pelvic surgery, therapy can aid in both preparation and recovery, improving outcomes and reducing complications.
These conditions — and others like them — are often overlooked or misunderstood. Pelvic floor therapy offers a clear, structured path toward resolution and long-term relief.
How Pelvic Floor Dysfunction Affects Daily Life
Pelvic floor dysfunction doesn’t just stay in the pelvic region - it ripples out into nearly every part of life. Because these muscles play a foundational role in posture, movement, continence, and core stability, dysfunction often shows up in subtle but disruptive ways.
For many, it starts with mild symptoms: leaking during a workout, pressure when standing, or discomfort after sitting for long periods. Others may experience pelvic pain that limits intimacy, frequent urges to use the restroom, or difficulty with bowel movements. Left unaddressed, these issues can interfere with everything from exercise and work productivity to sleep and emotional well-being.
Pelvic floor dysfunction can also create compensations throughout the body. You might notice low back tightness, hip pain, or even neck and shoulder discomfort, all linked to how your body stabilizes and moves without adequate support from the pelvic floor.
At Revolutions in Fitness, we help clients in the Bay Area identify how their symptoms are connected to deeper movement patterns. Through targeted therapy, we address not just the discomfort - but the underlying dysfunction - so daily life becomes easier, more comfortable, and more active again.
What to Expect During a Pelvic Floor Therapy Session
For many people, starting pelvic floor therapy can feel unfamiliar - even a little intimidating. At Revolutions in Fitness, we prioritize comfort, privacy, and education so you can feel fully informed and supported throughout the process.
Your first session typically begins with a conversation. Your physical therapist will ask about your health history, symptoms, lifestyle, and goals. This helps us understand not just what you’re experiencing, but how it’s impacting your daily function and overall well-being.
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Next, your therapist will assess your posture, breathing, core engagement, hip mobility, and pelvic alignment. Depending on your needs and comfort level, the session may include an internal exam to evaluate pelvic floor muscle tone, strength, and coordination. This is always done with your full consent and in a private, respectful setting.
Treatment may involve a combination of hands-on techniques (such as myofascial release or trigger point work), guided exercises to improve control and coordination, and education around toileting habits, posture, and daily movement patterns.
Each session is tailored to your unique needs — whether that means pain relief, improved control, or a return to sport or activity. The goal is always to restore your body’s natural function, without judgment or discomfort.
Who Can Benefit from Pelvic Floor Therapy?
Pelvic floor therapy is not just for one group - it’s for anyone dealing with symptoms that stem from poor pelvic floor function. At Revolutions in Fitness, we work with a diverse range of clients in Mountain View, from young athletes to aging adults, new parents to weekend warriors.
Women Across All Life Stages
From menstruation to pregnancy, postpartum, and menopause, women experience many changes that affect the pelvic floor. Therapy helps address incontinence, prolapse, pain with intimacy, and core dysfunction across all these stages.
Men Experiencing Pelvic or Core Issues
Men can also benefit greatly from pelvic floor therapy - especially those dealing with urinary urgency, post-prostatectomy changes, or pelvic pain. These issues are often under-recognized and highly treatable.
Postpartum Individuals
Whether it’s been six weeks or six years since childbirth, therapy can help resolve lingering issues like diastasis recti, bladder leaks, pelvic pressure, or core weakness that interferes with movement or confidence.
Athletes and Active Individuals
People who lift, run, cycle, or train regularly place a high demand on their core and pelvic floor. Therapy supports function, reduces injury risk, and improves performance longevity.
Older Adults
As we age, muscle tone and control naturally decline - including in the pelvic region. Therapy helps manage incontinence, improve balance, and restore confidence in everyday movement.
Pelvic floor dysfunction is common, but it’s not something you have to live with. Therapy offers a personalized, evidence-based path forward for people of all ages and backgrounds.
Pelvic Floor Therapy for Athletes and Active Individuals
For athletes and highly active individuals, the pelvic floor is a key - but often overlooked - part of performance. These deep core muscles contribute to stability, power transfer, breath control, and injury prevention. When they’re not functioning properly, it can impact everything from your lifting technique to your endurance.
Runners may experience urinary leakage or pelvic heaviness, especially during long distances or high-intensity efforts. Lifters might feel pressure in the pelvic area during heavy squats or deadlifts. Cyclists and yogis may struggle with hip tension or core engagement. These aren’t just nuisances - they’re signs of underlying dysfunction that can limit your progress or lead to setbacks.
Pelvic floor therapy helps active individuals restore balance between the pelvic floor, diaphragm, and surrounding musculature. This enhances breath mechanics, improves postural control, and allows for more efficient movement under load. It also helps identify and correct imbalances that can cause chronic pain in the hips, back, or pelvis.
At Revolutions in Fitness, we work with Bay Area athletes of all levels - from casual gym-goers to seasoned competitors - to integrate pelvic floor therapy into their training and recovery programs. Our goal is to help you move better, feel stronger, and stay active without limitations.
When to Seek Out Pelvic Floor Therapy
Pelvic floor therapy isn’t only for people recovering from childbirth or surgery - it’s for anyone experiencing symptoms that interfere with their comfort, function, or performance. Many people wait months or even years before addressing these concerns, often because they aren’t sure what’s “normal” or don’t realize that help is available.
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You may want to consider pelvic floor therapy if you notice:
- Leaking urine with coughing, sneezing, laughing, or exercise
- Pelvic pressure or heaviness, especially after standing or lifting
- Pain in the pelvic area, tailbone, hips, or lower back that hasn’t resolved
- Discomfort during intimacy
- Difficulty with bowel movements, constipation, or incomplete emptying
- Trouble engaging your core during exercise
- Unexplained movement imbalances or instability in training
These symptoms are common - but not normal. They are signals that your pelvic floor might not be working in sync with the rest of your body. The earlier you address them, the more quickly you can regain control and confidence in your movement.
At Revolutions in Fitness, we help clients take action before these symptoms escalate. Our team specializes in early intervention and customized care so you can feel empowered and supported from day one.
Why Bay Area Residents Choose Revolutions in Fitness
When it comes to something as personal and foundational as pelvic floor therapy, experience, trust, and environment matter. At Revolutions in Fitness, we’ve built a reputation in the Bay Area community for providing expert, individualized care that prioritizes both outcomes and comfort.
Our pelvic health specialists bring years of clinical experience combined with a deep understanding of functional movement. That means your care isn’t limited to the pelvic floor - we look at how your entire body is working (or compensating) so we can create a plan that addresses the root cause of your symptoms, not just the surface issues.
Patients choose us for:
- Private, respectful treatment sessions designed to build trust and reduce anxiety
- Evidence-based techniques including manual therapy, neuromuscular re-education, and guided exercise
- Collaborative care that fits your lifestyle, activity level, and personal goals
- A whole-body approach that integrates the pelvic floor into your posture, breath, and movement system
Whether you’re just starting to notice symptoms or have been struggling for years, our team at Revolutions in Fitness is here to help you feel seen, heard, and supported - with a clear path forward.
How to Book Your First Session
Taking the first step toward pelvic floor therapy can feel like a big decision - but at Revolutions in Fitness, we make it simple, private, and centered on you. Whether you’re managing a specific concern or just want to understand your body better, our team is ready to help.
To get started, visit our Pelvic Floor Physical Therapy page to learn more about our approach. When you’re ready, you can easily book your first appointment online through our secure scheduling platform.
If you have questions or want to speak with a member of our team before booking, reach out via the contact information on our main physical therapy page. We’re happy to help you feel confident in your next steps.
You don’t have to live with discomfort or uncertainty. With the right support, you can move forward - feeling stronger, more in control, and more connected to your body.