Weeks 1–2
Pain
Calm the pain down.
Hands-on techniques and breathing work calm an overactive or guarded pelvic floor, taking the edge off pain and urgency, starting your very first visit.
What We Treat
Mapping out the bathroom before you sit down anywhere. The heaviness by the end of the day that you’ve stopped mentioning. It’s fixable, and it starts with a cause-first evaluation, not a guess.
Sound Familiar?
Two or more? Keep reading.
Why It Happens
Your pelvic floor doesn’t stop working for no reason, and it’s almost never just one thing. It’s usually some mix of a few culprits: muscles that got overstretched or weakened during pregnancy, delivery, or surgery. Or muscles on the opposite end, ones that tightened up and started guarding after an old injury or years of holding tension without realizing it. A breathing and bracing pattern that sends pressure down instead of managing it. And core strength that never quite came back the way you expected it to.
None of that shows up on a quick glance, and it’s not something you’re supposed to just live with. It takes a real, cause-first evaluation to know which one is actually driving your symptoms. You’ve quietly rearranged parts of your life around this and told almost no one. You don’t have to keep adjusting. You can just fix it.
The Honest Truth
Nobody regrets starting too early.
How We Fix It
Every plan has an endpoint. Here’s what the four phases look like for pelvic floor dysfunction.
Weeks 1–2
Pain
Hands-on techniques and breathing work calm an overactive or guarded pelvic floor, taking the edge off pain and urgency, starting your very first visit.
Weeks 2–6
Prime
Targeted retraining restores the coordination between your breath, your core, and your pelvic floor.
Weeks 6–10
Perform
Progressive core and pelvic floor strengthening builds back the support that pregnancy, delivery, or time quietly took away.
Weeks 10+
Prevent
Jumping, lifting, and running mechanics get tested under real load before you’re cleared to go all-in: that’s the endpoint, not just another appointment.
Literally the best physical therapy sessions I’ve ever experienced. I am pain free for the first time in years. Received exercises to do at home and the gym. Amanda my therapist was attentive and professional always.
M N. · Google review, Redmill
“I had total right hip replacement surgery 7 weeks ago.”
“They got me two days out of surgery and with an aggressive plan for therapy I have hiking and biking after 2 weeks post surgery.”
Questions, Answered
Usually not, and it’s rarely the first step. Most pelvic floor dysfunction is a muscle and coordination problem, not something an MRI or ultrasound is built to find, so a scan doesn’t always point to the real cause. We start with a hands-on evaluation to find what’s actually driving your symptoms, and if imaging ever becomes genuinely necessary, we’ll help you get it. You don’t have to wait on a scan, or a referral, to start feeling better.
Yes, in most cases the right movement helps more than avoiding it does. Skipping every workout that might trigger symptoms tends to leave the underlying weakness or tension exactly where it was. The key is dosing the right movement for your specific pelvic floor, which is exactly what a Doctor of PT sorts out at your evaluation, then progresses safely as you improve.
You’ll know what to expect from your first visit, because the plan comes with an endpoint. A full plan for pelvic floor dysfunction runs through all four phases, Pain, Prime, Perform, and Prevent, typically over 8–10 weeks, depending on how long you’ve been dealing with it. Either way, you get a plan with an endpoint: you’ll always know which phase you’re in and what’s left, not an open-ended string of appointments.
Book Your Visit
Request a time and a real person will call or message you back, not an automated queue. No phone tree. Our expert team of administrators is ready to help.
5.0 · 1232+ Google reviews
Typical response: under 2 business hours
Step 1 of 5
That’s the hard part done. We’ll call during business hours to lock in your time.
Visit Us
Great Neck, Town Center, Kempsville/Greenbrier, Norfolk and Redmill. Same team, same standard, whichever door you walk through.