Frequently Asked Questions

Understanding Pelvic Floor PT (What it is, Who it's for, What it treats)

  • Pelvic floor physical therapy is a specialized form of physical therapy that focuses on the muscles, joints, nerves, and connective tissue of the pelvis.

    These structures play an important role in bladder and bowel control, core strength, sexual health, pregnancy and postpartum recovery, perimenopause and overall comfort in daily life.

    Pelvic therapy should be comprehensive and look at the whole body. Good pelvic floor PT not only works on the pelvic floor but also gives patients strategies to improve: sleep, stress management, hormone fluctuations, lifestyle factors, movement demands, and current activity levels.

  • Pelvic therapy can benefit women at many stages of life, including:

    • Pregnancy and postpartum

    • Perimenopause and menopause

    • Athletes and active women

    • Women with pelvic pain or core weakness

    • Women with pain with tampon insertion and gynecological exams

    • Anyone experiencing bladder, bowel, or sexual health concerns

    You do not need to be postpartum to benefit from pelvic therapy.

  • You may benefit from pelvic health physical therapy if you experience:

    • Bladder leakage, urgency, or frequent urination

    • Pelvic pain, pressure, or heaviness

    • Pain with sex, tampons, or pelvic exams

    • Low back, hip, or tailbone pain

    • Abdominal separation (diastasis recti)

    • Difficulty with safely increasing your exercise routine

    • Painful periods or endometriosis-related symptoms

    If something doesn’t feel right “down there”, it’s worth a conversation with a pelvic floor PT

  • No. While pelvic therapy is well known for postpartum care, many women who have never been pregnant can absolutely benefit from pelvic floor PT.

    Pelvic floor issues can come at any age, and any stage of a woman’s life. Symptoms be related to stress, posture, hormonal changes, exercise habits, surgeries, or chronic tension.

  • Pelvic physical therapy can help improve:

    • Bladder and bowel control

    • Pelvic pain and painful intercourse

    • Core strength and stability

    • Pregnancy and birth preparation and postpartum recovery

    • Scar tissue and surgical recovery

    • Confidence returning to fitness and daily activities

    Our goal is to not let pelvic health symptoms affect you from living an active life.

  • Please call us at 267-685-6368. We are happy to walk you through everything. We understand that making the decision to seek out pelvic floor PT can feel daunting. We exist so that we can make the entire experience comfortable for you. 

What to Expect During Treatment (Process, Exams, Techniques, Sessions)

  • Your first visit is a one-on-one, unhurried conversation and comprehensive assessment.

    We’ll do a lot of talking to review your medical history, symptoms, lifestyle, goals, and concerns.

    Your therapist may also assess posture, breathing, movement, pelvic floor strength, and coordination. Any hands-on assessment is discussed in advance and performed only with your full consent.

    Your initial evaluation may also consist of an internal pelvic floor assessment. This involves an intravaginal assessment (or sometimes intrarectal assessment depending on patient comfort).

    During an internal exam, patients are on our heated tables, and use real linens to cover as a drape. Modesty with internal exams is our top priority and we do not use stirrups or speculums.

  • An internal exam is never required. Since the pelvic floor is often the missing link to a patient’s symptoms, many women seeking pelvic PT benefit from intra-vaginal and/or intra-rectal work.

    However, since the pelvic floor is affected by other muscles that attach to the pelvis, many women can achieve improved symptoms without internal work.

    We will always explain options and respect your comfort level. You are in control of your care at all times.

  • Yes. However you and your therapist will discuss what treatments are best for you.

    Some patients come to us requesting internal pelvic treatment at every session since it makes such a big improvement in their symptoms.

    Some patients don’t feel comfortable with internal treatment and can see excellent results using external techniques, movement retraining, breathing work, and education alone.

    As impactful as it can be at helping symptoms, internal work is just one tool—not a requirement.

  • Your care is always comprehensive and individualized. Treatment may include:

    • Education and guided exercise

    • Breathing and nervous system regulation

    • Manual therapy (external or internal, if appropriate)

    • Postural and movement retraining

    • Scar tissue work

    • Functional strengthening for daily life and exercise

  • Since all of our sessions are entirely one-on-one, the session is completely customized to you and your needs.

    Your therapist will discuss your goals and your lifestyle to design the best plan for you.

    Your therapist will not be juggling multiple patients at a time, and an aide or tech will not be involved in your case.

  • This varies based on your goals and symptoms.

    Our goal is thatevery patient leaves our practice without having to worry about their pelvic floor affecting their activity.

    Ideally we like our patients to plan to be seen weekly for at least the first 6-8 weeks of treatment (for more longstanding symptoms, weekly visits will extend beyond that).

  • We always advise wearing something comfortable that you can move around in. 

    Many of our treatments involve working around the abdomen and hip areas so we usually advise patients to avoid wearing a jumpsuit or romper. 

Comfort, Safety, and Consent

  • At Vivid, we prioritize privacy, communication, and consent. We are serious about making patients feel comfortable during their pelvic health treatment.

    Out entire facility is dedicated solely to women’s pelvic health, and each treatment takes place in a private treatment room. We do not have a big, open gym with many treatment tables like other PT offices.

    Your therapist will explain each step before beginning and check in throughout your session. You are always encouraged to ask questions, pause, or change direction.

  • Absolutely. We will never require you to participate in any aspect of treatment that you are uncomfortable with. Comfort is essential for progress with our care.

  • You are not alone, and you are welcome here.

    Our therapists are experienced in trauma-informed care and will move at a pace that feels safe and respectful.

    We work collaboratively and gently, with your nervous system in mind.

  • You are welcome to bring your husband or partner. We do ask that they accompany you in the treatment room if that is the case.

    We do reserve our waiting room as a private, safe space for women.

    If you don’t want your partner in the room with you, they are welcome to go to a nearby coffee shop and return after your session is over.

Logistics & Getting Started (Referrals, Insurance, Scheduling)

  • Pennsylvania allows direct access to physical therapy, meaning you do not need a referral to begin care in most cases.

  • Our goal is to get you better, faster. When involving a third party, care gets more complicated, and becomes less about you and resolving the symptoms you are trying to resolve.

    Quality of care, longer visits, personalization and advanced treatment without insurance driven limitations is what makes our care unique.

    We accept HSA, FSA, care credit and all major credit cards.

    We are direct pay practice, which allows us to provide the highest quality care.

    We can provide documentation for possible reimbursement if you are interested. Reimbursement cannot be estimated, or guaranteed.

    For more information on rates please call us now, or visit here

  • Since we are a one-on-one facility, we designate a full hour in the schedule for you. We do ask for greater than 24 hours notice for any appointment changes.

  • You can schedule your pelvic health PT appointment by calling us at 267-685-6368.

    You can also head over to our contact page where you can either schedule directly, or fill out our contact form and one of our amazing admins will call you.

  • Our office is conveniently located to serve women throughout Central Bucks and surrounding communities.

    We are located at the Bailiwick office complex: Our address is 252 West Swamp Road. Suite 23. Doylestown, PA 18901.

  • Yes! We have ample parking right outside of our office suite

  • Our Newtown pelvic floor PT office is located at the Atrium: 4 Terry Drive. Suite 15. Newtown, PA 18940

  • Yes! We have ample parking right outside of our office suite in Newtown.

  • Both locations are amazing and offer the same great care.

    Choose the location that is most convenient for your schedule and commute, so that you can consistently make your appointments.

Locations & Parking

Ready to jump in and schedule for pelvic health PT today?

Click the link below and we will take you to our online scheduling platform.

Schedule online now