Pelvic Floor Physical Therapy is Fixing my Embarrassing Leaking and Low Back Pain

May 20, 2025

Pelvic floor physical therapy…what is that???! If you’ve ever felt like your body just hasn’t been the same since pregnancy or childbirth—whether it’s low back pain that won’t go away, a feeling of heaviness or pressure “down there,” leaking when you sneeze or work out, or a lingering gap between your abdominal muscles—you’re not alone. These issues are common, but they’re not normal. Many women chalk them up to just “part of motherhood” or aging, but the truth is, your body can heal—and pelvic floor physical therapy can help. Cassidy’s patient shares her experience below in hopes of encouraging other women to seek the support they deserve.

Cassidy is the best! I came in dealing with prolapse, ab separation, and pressure issues (yes– the dreaded incontinence issues when I work out). She’s already helped me so much—we’ve been working on decreasing my ab separation, and she figured out that my long-term low back pain was actually coming from my pelvis, not my back.

She’s been teaching me how to breathe properly, activate my deep core muscles, and adjust how I move during workouts so I’m not making things worse. I highly recommend her to anyone struggling with pelvic health issues—she’s knowledgeable, encouraging, and truly gets to the root of the problem. And she’s easy to talk to about all the things going on with your body! -C.

Ready to Feel Like Yourself Again through Pelvic Floor Physical Therapy?

If you’re experiencing symptoms that feel frustrating, embarrassing, or just hard to explain, you don’t have to live with them or figure it out alone. Pelvic floor therapy isn’t just for postpartum recovery—it’s for any woman who wants to feel strong, supported, and confident in her body again.

You might benefit from pelvic floor physical therapy if you’re dealing with:

  • Leaking urine when you sneeze, laugh, jump, or exercise
  • A feeling of pressure or heaviness in your pelvic area
  • Diastasis recti (ab separation)
  • Pain during intimacy
  • Unexplained low back, hip, or pelvic pain
  • Difficulty engaging your core or feeling stable during workouts
  • Trouble fully emptying your bladder or bowels
  • Postpartum recovery that just doesn’t feel “complete”

If any of these sound familiar, you’re not broken—and you’re not alone. Reach out. Healing is possible.

Here are 2 blog posts we wrote for you to learn more:

What Does Pelvic Floor Physical Therapy Entail?

Pelvic floor physical therapy is a specialized form of therapy that focuses on the muscles, ligaments, and connective tissues that support your bladder, uterus, rectum, and core. These muscles are deeply affected by pregnancy, childbirth, and even years of compensating for weakness or pain. The goal of pelvic floor PT is to restore function, relieve symptoms, and help you feel strong and confident in your body again.

Here’s what it typically includes:

1. Comprehensive Assessment
Your therapist, Cassidy, will take time to listen to your story, symptoms, and goals. They’ll assess your posture, breathing, core activation, and movement patterns. If appropriate and with your consent, they may also perform an internal exam to check pelvic floor strength, tension, and coordination.

2. Core and Pelvic Floor Training
You’ll learn how to properly engage your deep core muscles (like the transverse abdominis) and pelvic floor. This isn’t just about Kegels—it’s about understanding when and how to activate or relax these muscles based on what your body needs.

3. Breathing and Alignment Coaching
Many women hold tension in their breath or move in ways that make symptoms worse. Your therapist will guide you in breathing techniques and postural adjustments that help support healing and daily function.

4. Manual Therapy (If Needed)
Some therapists use gentle hands-on techniques to release tight muscles, improve mobility, or address scar tissue (especially after C-sections, tearing, or episiotomies).

5. Tailored Exercises
You’ll receive customized movement plans that progress over time—whether your goal is to lift your baby without pain, return to running, or simply feel comfortable in your body again.

6. Education and Empowerment
Perhaps most importantly, pelvic floor PT gives you tools to understand and care for your body. It’s a safe, judgment-free space to talk about issues that are often kept quiet—like leaking, pain, or prolapse.

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