Women’s Pelvic Floor
Occupational Therapy Services
At Pivotal Pelvis, women's pelvic health is at the center of everything we do. Whether you're pregnant, postpartum, or navigating chronic pelvic pain, Cassidy brings a whole-person approach to care that combines education, manual therapy, and targeted treatment, all tailored specifically to you.
Pelvic Floor Therapy
Your pelvic floor impacts more of your daily life than most people realize. Leaking, pain, pressure, difficulty with sex, struggling to get back to exercise, these things are common, but they're not something you just have to live with. Here’s is what we treat:
Urinary leakage or urgency
Bowel dysfunction and constipation
Pain with sex or penetration
Pelvic organ prolapse
Pelvic pain and pressure
Core weakness
IBS
PCOS
Return to exercise after injury or life changes
Endometriosis
Vulvodynia
Interstitial cystitis / bladder pain syndrome
Pudendal neuralgia
Pelvic floor dysfunction
Perinatal Care
Pregnancy changes everything, including your pelvic floor. We offer two ways to support you during pregnancy depending on what you need. Labor and birth is a major physical event. Even if you had no issues during pregnancy, you may suddenly notice a deep feeling of weakness, continued pain, or even feel like something is falling out of you. Let’s get you on the road to recovery and address your concerns.
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In this 90-minute, hands-on appointment, you'll learn how to work with your body during labor, not against it. We cover everything from effective pushing techniques to labor positions, perineal massage, and how your pelvic floor should actually move during delivery. You'll leave with tangible skills and some confidence.
What we cover:
How to push effectively with coordination and awareness
Movement and positioning strategies tailored to your preferences
Perineal massage to support tissue mobility and reduce fear around tearing
How to reduce your risk of common postpartum concerns like perineal tearing, diastasis recti, and pelvic organ prolapse
A full-body baseline assessment to understand where your pelvic health is right now and flag anything to stay ahead of going into delivery and postpartum
Partners are welcome and encouraged.
Ideal for: Pregnant clients at 33+ weeks, or anyone who wants to feel genuinely prepared before birth.
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For moms dealing with symptoms during pregnancy
If you're pregnant and managing symptoms, our prenatal pelvic floor therapy sessions are fully tailored to you, addressing what you're dealing with right now while still building in birth prep so you're ready when the time comes.
We treat things like:
Urinary leakage or urgency
Pelvic girdle pain
Diastasis recti
Low back or hip pain
Pelvic heaviness or pressure
Constipation or bowel changes
Core weakness
Every session includes a full-body baseline assessment so we understand exactly where your pelvic health is, address your current concerns, and set you up for a smoother postpartum recovery.
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Your body just did something remarkable. Postpartum pelvic floor therapy helps you heal well, not just get back to baseline, so you can feel strong, comfortable, and confident in your body again.
Common postpartum concerns we treat:
Diastasis recti
Urinary leakage or urgency
Pelvic organ prolapse
Pelvic girdle pain
Perineal pain or tearing recovery
C-section or episiotomy scar tissue
Sexual dysfunction or pain with intercourse
Constipation and bowel changes
Core weakness and body aches
Interested in a 6-Week Postpartum Pelvic Floor Recovery Program?
Are you a mom that recently (or not so recently) gave birth? Did your 6-Week Checkup include a pelvic floor strength assessment, check for any prolapse, or test for diastasis recti? If not, then we are proud to offer you this 6-week in-person postpartum and pelvic floor recovery program designed to help moms with that first step after their 6-week checkup with their OBGYN.
Recovery Program costs $375 and includes:
5 weekly in-person clinical sessions (a $1,215 value)
Diastasis Recti (DRA) screening
Weekly home movement guides
Practical Pelvic Health Guide for Women
Direct access for Q&A
A Pivotal Home Kit (resistance band + Pilates ball)
This guide was created to give women clear, practical, and reassuring information about pelvic floor health—without medical jargon, fear-based messaging, or pressure to “fix everything” on your own.
Inside, you’ll learn how the pelvic floor works, why symptoms like bladder leaks, pain, heaviness, constipation, or discomfort with sex happen, and how breath, posture, habits, stress, and life stages all play a role. You’ll also find gentle self-checks, simple exercises, and real-life strategies you can try—along with guidance on when it’s time to seek individualized care.
What’s inside:
An explanation of pelvic floor anatomy and function
Common symptoms and myths (and answers to them!)
Bladder and bowel health basics
Breath, posture, and nervous system support
Gentle relaxation and strengthening exercises
Guidance across life stages: pregnancy, postpartum, menstruation, menopause
How pelvic floor therapy works and when to seek help
Reflection pages to support awareness and next steps
Written by a pelvic health occupational therapist and designed to be supportive, practical, and easy to understand.
Please Note: This is not a workout program or a replacement for medical treatment. It’s an educational starting point designed to help you feel informed, empowered, and less alone in your symptoms.