PELVIC HEALTH · WOMEN AND MEN

Pelvic floor dysfunction responds to treatment.

Most people wait years before seeking care for this, often because they’ve been told it’s a normal consequence of childbirth, aging, or surgery. It usually isn’t, and it is rarely too late to improve. With an accurate assessment and a program built for you, many people see meaningful change within a small number of visits. Helping someone see improvement after years of managing dysfunction is the most rewarding part of this work.

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WHAT I TREAT

Common reasons people come in.

If yours isn’t listed, book a discovery call and ask. Pelvic floor dysfunction shows up in more ways than most people realize.

  • Leaking with coughing, laughing, or exercise

  • Urinary urgency and frequency

  • Pain with sex

  • Pelvic, tailbone, or groin pain

  • Pregnancy-related pain

  • Postpartum recovery and return to exercise

  • Abdominal separation (diastasis recti)

  • Pressure or heaviness (prolapse symptoms)

  • Constipation and bowel dysfunction

  • Men’s pelvic pain

  • Recovery after prostate surgery

  • Return to running or lifting after any of the above

WHAT TO EXPECT

Your first session.

We talk

A real conversation about your symptoms, your history, and what you want to get back to. This takes as long as it takes.

We look at movement

Breathing, posture, hips, core, and how you move — assessed over video, fully clothed.

I explain

What I think is happening and why, in plain language. You should leave understanding your own body better.

You get a plan

A small number of exercises that matter, programmed for you, with a clear sense of what progress looks like.

IS THIS RIGHT FOR YOU

When telehealth is a good fit.

  • You need pelvic floor physical therapy but wouldn’t want an internal exam. Plenty of people feel that way, and it doesn’t have to be the thing that stops you getting care.

  • You’re pregnant, or in the first six weeks after birth, and want help now. This is the window where in-person clinics often can’t see you yet, and it’s the window where guidance makes the most difference.

  • You have mixed orthopedic and pelvic floor symptoms. Both are my specialty, so they get treated together rather than split between two clinicians.

  • You live somewhere with limited access to pelvic health care. There are large parts of Kentucky with no pelvic floor therapist within an hour’s drive.

If none of these describe you, telehealth may still be a good fit. That’s what the discovery call is for — and if it isn’t right, I’ll say so.

For women
For men

Frequently asked.

  • Not in telehealth — I can’t perform one over video. Assessment happens through your history, breathing, movement, and symptom patterns. If I believe an internal assessment would change your care, I’ll tell you and help you find someone local.

  • For a large share of what I treat, yes. Pelvic floor rehab is mostly education, breathing and pressure management, graded exercise, and behavioral change — all of which translate well to video. It isn’t right for everything, and I’ll say so on the discovery call.

  • Yes. Men’s pelvic pain, urinary symptoms, and post-prostatectomy recovery are all part of my caseload. Men are often told there’s nothing to be done, or handed a sheet of Kegels — neither is good care.

  • No. “Postpartum” doesn’t expire. People make real progress five, ten, and twenty years out.

  • No — same appointment, same rate. Performing arts rehab is my other specialty, so pelvic health and dance medicine can be handled together in one session rather than split across two.

  • No. Kentucky is a direct-access state, so you can come straight to a physical therapist without seeing a physician first. Two things worth knowing. If what you’re dealing with turns out to be outside my scope, I’ll tell you and help you find the right person — that’s part of the discovery call. And if you plan to submit your superbill for out-of-network reimbursement, check with your plan, since some insurers still ask for a referral on their end even though Kentucky doesn’t.

  • No. I’m not able to see patients who have Medicare as either a primary or secondary insurance. Federal rules don’t permit physical therapists to treat Medicare beneficiaries on a cash-pay basis, even when that’s what the patient would prefer. If that’s you, get in touch anyway and I’ll point you toward a Medicare-enrolled therapist who does this work.

Start with a discovery call.

Fifteen free minutes to talk it through. No intake forms, no commitment.

Book now