Pelvic Health Solutions

Pre and Postpartum Recovery

Your body goes through significant changes during pregnancy and after childbirth. At Pelvic Health Solutions in Maryland, our pelvic health physical therapists provide one-on-one care to help you prepare with confidence, recover with support, and return to the activities you love.

A Clinically Backed Approach to Perinatal Pelvic Health

Pregnancy and childbirth place significant strain on the pelvic floor, abdominal wall, spine, and connective tissues. These changes—whether from a vaginal delivery, C-section, or the demands of pregnancy itself—can lead to pain, dysfunction, or long-term pelvic health concerns.

Pelvic health physical therapy is increasingly recognized by OB/GYNs, midwives, and national clinical guidelines as a first-line treatment and preventative strategy to support birth preparation and postpartum recovery.

Pregnancy and delivery can lead to a wide range of physical changes, many of which can cause discomfort or pain.

What Happens During Pregnancy?

Pregnancy places increasing demands on your muscles, joints, ligaments, core, and pelvic floor. As your body adapts to support your growing baby, changes in posture, movement, and pressure can lead to discomfort or changes in function. Many of these symptoms can be safely managed with pelvic health physical therapy.

Common Pregnancy Conditions

  • Pregnancy-Related Pelvic Pain: Pain or discomfort in the pelvis that may develop as your body adapts to pregnancy-related changes.
  • Pelvic Girdle Pain (PGP): Pain around the pelvis, hips, lower back, or pubic area that can make walking, turning in bed, or changing positions difficult.
  • Pubic Symphysis Dysfunction (PSD): Pain around the pubic bone that may worsen with walking, stairs, getting in and out of a car, or separating the legs.
  • Sacroiliac (SI) Joint Pain: Pain near the joints connecting the pelvis and lower spine, often affected by changes in posture, weight distribution, and movement during pregnancy.
  • Round Ligament Pain: Sharp, pulling, or aching discomfort in the lower abdomen or groin caused by stretching of the ligaments supporting the uterus.
  • Sciatica During Pregnancy: Pain, tingling, or numbness that travels from the lower back or buttock into the leg due to irritation or increased pressure around the sciatic nerve.
  • Urinary Leakage or Frequent Urination: Changes in bladder function that can occur as the growing uterus and hormonal changes affect the pelvic floor and bladder.
  • Pelvic Pressure or Heaviness: A feeling of pressure, fullness, or heaviness in the pelvis that may increase with prolonged standing or physical activity.
  • Core Instability and Abdominal Weakness: Changes in the abdominal muscles and connective tissues can affect core support, stability, and how your body manages pressure as pregnancy progresses.

What Happens After Pregnancy?

Childbirth can affect the pelvic floor, abdominal muscles, connective tissue, and surrounding joints. Whether you delivered vaginally or by cesarean section, recovery doesn’t end after your baby is born, and many postpartum symptoms are treatable.

Common Postpartum Conditions

  • Perineal Pain: Pain, tenderness, burning, or sensitivity around the perineum following vaginal delivery, tearing, or episiotomy.
  • Cesarean Scar Pain: Pain, tightness, numbness, or sensitivity around the C-section scar that may affect movement or abdominal function.
  • Tailbone (Coccyx) Pain: Pain around the tailbone that may develop from pressure during pregnancy or delivery and can make sitting or changing positions uncomfortable.
  • Hip and Groin Pain: Pain or stiffness that may persist after pregnancy due to changes in pelvic alignment, muscle function, and movement patterns.
  • Pain With Intimacy: Pain, tightness, dryness, or discomfort with penetration or sexual activity during postpartum recovery.
  • Diastasis Recti: Changes in the space and tension between the abdominal muscles that can affect core support, strength, and pressure management.
  • Pelvic Organ Prolapse: Pressure, heaviness, bulging, or a feeling that something is “falling” or shifting in the vagina due to changes in pelvic support.
  • Urinary or Bowel Leakage: Difficulty controlling urine or stool, urgency, frequency, constipation, or other changes in bladder and bowel function.
  • Core Weakness & Return to Exercise: Reduced abdominal and pelvic floor strength or coordination that can make lifting, running, exercise, or daily activities more difficult.
  • Scarring: Scar tissue from a C-section, episiotomy, or vaginal tearing can become sensitive, tight, or restricted and may affect movement or intimacy.
  • Tearing: Vaginal or perineal tears can cause pain, sensitivity, weakness, or discomfort that may persist beyond the initial healing period.

Why Prevention & Recovery Matter

The postpartum period is often under-supported, yet the physical effects of pregnancy and childbirth can last for months or even years without appropriate care. Leaking, pelvic pressure, pain, abdominal weakness, and discomfort with intimacy may be common after childbirth, but they are not something you simply have to live with.

Pelvic health physical therapy can support you before, during, and after pregnancy by helping you prepare your body for birth, manage symptoms as they arise, and recover safely after delivery.

Pelvic health physical therapy can help with:

  • Birth Preparation: Learn how to prepare the pelvic floor, core, and body for the physical demands of labor and delivery.
  • Symptom Prevention: Identify and address contributing factors before they become persistent problems.
  • Pain Management: Reduce pregnancy-related pain and improve movement, mobility, and comfort during daily activities.
  • Postpartum Recovery: Support healing and restore pelvic floor, abdominal, and musculoskeletal function after childbirth.
  • Core & Pelvic Floor Rehabilitation: Rebuild strength, coordination, and pressure management following pregnancy and delivery.
  • Safe Return to Exercise: Progress toward walking, strength training, running, and other activities safely and confidently.
  • Long-Term Pelvic Health: Address bladder, bowel, sexual, and pelvic health concerns so you can continue feeling strong and supported beyond the postpartum period.

Our Approach to Treatment

Every session at Pelvic Health Solutions is a private, 60-minute appointment with a licensed pelvic health physical therapist. Your care is designed specifically for your body, your delivery history, and your goals.

Your customized treatment may include:

  • Pelvic floor and abdominal wall assessment
  • Diastasis recti rehabilitation and core retraining
  • Manual therapy for scar tissue and joint mobility
  • Strategies for breathwork, posture, and movement
  • Return-to-exercise guidance
  • Pelvic floor coordination and strengthening
  • Education on ergonomics, lifting, and daily activity modification

Whether you’re weeks or years postpartum, we provide individualized care tailored to your unique needs and goals.

7,000+ Patients Choose Us

We are a leading pelvic health physical therapy clinic, with locations in Palm Beach Gardens, Boca Raton, Stuart, Pembroke Pines and Maryland. Our team is known for compassionate, trauma-informed care that integrates clinical expertise with individualized care for long lasting results.

We treat all genders and life stages, including bladder and bowel dysfunction, intimacy-related pain, pre and postpartum changes, menopause, post surgical recovery, trauma, or chronic pelvic pain.

Board Certified Physical Therapists

Full-Hour, One-on-One Sessions

Elevated Experience in a Practice Dedicated to Pelvic Health

Personalized Treatment Plans

From Our Patients:

I had been avoiding yoga and other activities I enjoy for years.

I had been avoiding yoga and other activities I enjoy for years due to various embarrassing issues since having 2 complicated pregnancies – 1 of which blessed me with a set of twins.

I had a reconstructive surgery to avoid an early hysterectomy. Post-op, things were still not great, but as women we often don’t discuss these types of issues.

You have helped me in so many ways with really helpful, great handouts, techniques, exercises, helpful devices and advice. What could potentially have been a very uncomfortable and embarrassing situation, instead your nurturing, positive, encouraging and supportive professionalism put me at ease. I will always be grateful that I had the opportunity to learn from, and be helped tremendously by you! — S. W. 

 

“So glad I was referred to Pelvic Health Solutions, they are highly knowledgeable and professional. Any woman can benefit from learning to heal her pelvic floor properly post-partum. It is an important and overlooked part of healing.”

— N.B.

I am a physical therapist and found myself dealing with some incontinence issues after having three children, two of which were caesarean. I tried doing kegals with no success.

In fact, my issues kept worsening. As a very modest individual, I was nervous about the thought of internal pelvic floor therapy.

However, being in my early 40’s also knew I didn’t want to live with incontinence forever. In just six visits, I have regained control of my pelvic floor muscles and am so glad I chose to go.

They are very personable and put me at ease despite the sensitive nature of their work. 

 

— K.C.

 

Not Sure Where to Start?

Our Clinics

Maryland

Specialized pelvic care now available in Maryland.

Florida

Boca Raton

Palm Beach Gardens

Stuart

Pembroke Pines

Other Conditions We Treat

Frequently Asked

Many patients come to us after feeling rushed, overlooked, or given a one-size-fits-all plan elsewhere. Exceptional pelvic health care requires time, expertise, and individualized attention—conditions that traditional insurance models simply don’t allow.

Our out-of-network structure is intentional. It allows us to deliver the level of care you deserve.

Patients often find that investing in specialized, expert-led care leads to faster, more meaningful improvement—and ultimately reduces the time, cost, and frustration spent on ineffective or fragmented treatments.

At Pelvic Health Solutions, you receive care designed around you: private, precise, and rooted in clinical excellence.

Pelvic health physical therapy is a specialized area of physical therapy that focuses on assessing and treating conditions related to the pelvic floor muscles, ligaments, and connective tissues. The pelvic floor plays a crucial role in supporting the pelvic organs, controlling bladder and bowel function, and contributing to sexual health.

Pelvic health physical therapy focuses on the muscles, tissues, and organs specifically in the pelvic area, which include the bladder and bowel. It helps with problems like pelvic pain, urinary or bowel issues, and discomfort during sex.

Orthopedic physical therapy, on the other hand, deals with muscles and joints in other parts of the body, like the arms, legs, and back, to help with pain, stiffness, and injuries in those areas.

Pelvic floor physical therapy applies to individuals with a range of symptoms. Some of the most common ones we see are:

Pelvic Pain: Chronic pelvic pain, pain during intercourse (dyspareunia), tailbone pain, or pain in the pelvic region with movement, sitting, or pressure.

Urinary Symptoms: Urinary incontinence (leakage of urine), urinary urgency or frequency, difficulty emptying the bladder, or nocturia (excessive nighttime urination).

Bowel Symptoms: Fecal incontinence (involuntary leakage of stool or gas), constipation, rectal pain/spasms, or difficulty with bowel movements.

Pregnancy and Postpartum: Pelvic health physical therapy can help prepare the pelvic floor for childbirth and address postpartum issues such as pelvic organ prolapse, perineal pain, or diastasis recti.

Pelvic Organ Prolapse: Descending or bulging of pelvic organs (such as the bladder, uterus, or rectum) into the vaginal canal.

Male Pelvic Conditions: Chronic pelvic pain in men, chronic prostatitis, and post-prostatectomy

If you’re considering scheduling your first visit, here’s what you can expect during the initial evaluation:

A comprehensive and respectful conversation
We begin by listening. All appointments are one-on-one with a dedicated pelvic floor physical therapist, in a private treatment room, for a full hour.

In your first session, your therapist will conduct a detailed medical and lifestyle history to better understand your symptoms, goals, and day-to-day function. Topics may include bladder, bowel, and sexual health—always discussed with care, professionalism, and respect for your comfort.

Clinical education tailored to you
You’ll receive clear, expert guidance on how the pelvic floor works, what may be contributing to your symptoms, and how physical therapy can help. Research shows that patients who understand their conditions have better outcomes. We prioritize education, and not just exercises, in your care so that you understand the why and how of your symptoms. 

A thorough assessment
We assess posture, movement patterns, core stability, hip strength, breathing, and pelvic alignment. With your consent, we may offer an external and internal pelvic floor exam to assess strength, tone, and coordination. This is always optional and based on your comfort.

A personalized treatment plan
Before the session ends, your therapist will walk you through their findings and recommend a tailored and individualized plan for therapy — outlining what care may look like in the weeks ahead.

Our care model is centered around one-on-one treatment, clinical excellence, and compassionate support. We’re referred by over 100 doctors and have helped more than 5000 patients restore function, reduce symptoms, and feel confident in their bodies again.

Don’t struggle with your symptoms alone. Reach out to speak with one of our pelvic floor physical therapists.

Just like other therapies, it takes time and consistency to notice improvement. Healing time varies for each person. Some people might start feeling better after a few sessions, while others might need more time. It depends on how severe your symptoms are and how well you stick to your treatment plan.

Typically, we see our patients 1-2 times per week in order to make the most optimal recovery. Your therapist will work with you to create a plan that fits your needs and that helps you feel better as soon as possible!

I had been avoiding yoga and other activities I enjoy for years.

I had been avoiding yoga and other activities I enjoy for years due to various embarrassing issues since having 2 complicated pregnancies – 1 of which blessed me with a set of twins.

I had a reconstructive surgery to avoid an early hysterectomy. Post-op, things were still not great, but as women we often don’t discuss these types of issues.

My gynecologist suggested pelvic floor physical therapy as a potential solution. Since completing my therapy, I have successfully returned to yoga and other things I love without embarrassment!

So glad I took the leap to try it and thankful for this special medical practice and their knowledgeable and kind therapists!