Women's Pelvic Floor Treatment in Los Altos, CA

Pelvic floor dysfunction is a common problem that often goes undiagnosed.
Our pelvic floor treatment plans can help through a variety of techniques.

If you’re experiencing urinary incontinence, back or pelvic floor pain, or any type of pelvic floor dysfunction, the first thing we want to do is make clear that we are familiar with your concern and that we have seen this before many times. This condition is NOT your fault. We know what causes it, that it is real. More importantly, we know just what to do about it and we can reassure you there IS hope for a HEALTHY future for you. One that is FREE from the frustration of pelvic floor issues.

Conditions We Treat

Our women's sexual health physical therapy addresses a wide range of concerns.

Urinary Incontinence

Leakage with coughing, sneezing, laughing, or exercise (stress incontinence). Sudden urges that are hard to control (urge incontinence). Frequent bathroom trips.

Painful Intercourse (Dyspareunia)

Pain during or after sex, difficulty with penetration, vaginismus, or decreased sensation. Often related to tight muscles or scar tissue.

Pelvic Pain

Chronic pain in the pelvis, vulva, vagina, or rectum. Pain with sitting, exercise, or daily activities. Often misdiagnosed or dismissed.

Bowel Dysfunction

Constipation, fecal incontinence, difficulty emptying, or pain with bowel movements. Often related to pelvic floor coordination.

Pelvic Organ Prolapse

Feeling of heaviness, pressure, or "something falling out." Bladder, uterine, or rectal prolapse. PT can reduce symptoms and sometimes avoid surgery.

Postpartum Recovery

Healing after vaginal delivery or C-section. Diastasis recti, perineal tears, scar tissue, weakness, and return to exercise.

Signs & Symptoms of Pelvic Floor Dysfunction

Many women live with these symptoms for years without realizing they're treatable. If any of these sound familiar, pelvic floor therapy can help.

  • Pelvic Organ Prolapse.
  • Frequently Needing To Use The Bathroom.
  • Constipation, Or A Straining Pain During Your Bowel Movements.
  • Feeling Ongoing Pain In Your Pelvic Region, Genitals, Or Rectum — With Or Without A Bowel Movement.
  • Pain While Sitting.
  • Hemorrhoids.
  • Groin Strain or Tightness.
  • Painful Urination.
  • Feeling Pain In Your Lower Back With No Other Cause.
  • Digestive Issues/Complications.
  • Leaking Stool Or Urine (Incontinence).
  • Pain or difficulty with intimacy.
  • Tightness in the Lower Abs/Abdominal Area
  • Pain or Tightness in the Tailbone Area.
  • Pain with Sex/Intimacy.
  • Low Libido or "Sex Drive."

What to Expect From Treatment

Your first visit is a private, one-on-one evaluation with a pelvic floor physical therapist. We take time to listen, understand your symptoms, and create a personalized treatment plan.

Emotions You May Be Feeling

  • Frustrated with slow recovery
  • Embarrassed about leakage
  • Anxious about returning to normal life
  • Uncertain if things will improve
  • Isolated — like you're the only one

Get Personalized Care

  • 1:1 sessions — never shared
  • Private treatment rooms
  • Pre-surgery "prehab" available
  • Coordination with your urologist
  • Home exercise program for your stage

Get Your Desired Outcomes

  • Regain bladder control and confidence
  • Return to activities without leakage
  • Improve erectile function
  • Reduce pelvic pain and discomfort
  • Get back to golf, travel, and life

Sexual Health at Every Life Stage

Different phases of life bring different challenges. We're here for all of them.

Young Adults

First-time pain, vaginismus, or difficulty with tampon use. Early intervention prevents years of suffering.

Trying to Concieve

Pain or difficulty with intercourse can be a barrier. We help make intimacy comfortable again.

Postpartum

Healing from delivery, scar tissue, weakness, and changes in sensation. Recovery is possible.

Perimenopause & Beyond

Hormonal changes affect tissue health. PT addresses dryness, pain, and changes in function.

How We Treat

Our comprehensive approach combines multiple evidence-based techniques.

Pelvic Floor Muscle Training:
Not just Kegels — we teach proper activation, relaxation, and coordination. Many women do Kegels wrong or don't need them at all.

Manual Therapy:
Hands-on techniques to release tight muscles, mobilize scar tissue, and restore normal tissue mobility — both externally and internally.

Biofeedback:
Manual feedback helps you see your muscle activity in real-time, ensuring you're doing exercises correctly for maximum benefit.

Core & Whole-Body Integration:
The pelvic floor doesn't work alone. We address core strength, hip mobility, posture, and breathing patterns for lasting results.

Education & Lifestyle:
Understanding how posture, breathing, diet, exercise, and daily habits affect your pelvic floor — and how to optimize them.

Bladder & Bowel Retraining:
Strategies to normalize voiding patterns, reduce urgency, and improve bowel function through behavioral techniques.

Frequently Asked Questions

Private 1:1 Sessions: Every session is just you and your therapist. No shared appointments.

Specialized Training: Our team has advanced training in male pelvic health conditions.

Flexible Scheduling: We work around your schedule to make recovery convenient.

Move better.
Live better.

Move better. Live better.

PhysioFit Physical Therapy & Wellness, like Los Altos itself, combines an inviting, community environment with exceptional talent. Founded and led by Kim Gladfelter, a keen, well-rounded expert in healing through movement, and a dedicated team that takes a holistic approach to optimal health.

Free Guide For Anyone Who Wants To End
Pelvic Floor Dysfunction:

29 Frequently Asked Questions About Pelvic Floor Therapy.

Everything you need to know about treatment for pelvic floor dysfunction!

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Patient Stories

"Alison is the most skilled PT that I have been treated by in a long time. She told me about a ligament "Uranus" problem today that I have never heard of being a PT myself. She also goes the extra mile in never cutting the hour short, in sending clarifying emails afterward, in keeping her hands on me truly treating and not just talking and documenting the session afterward mot during our time. Even though the package is very very expensive I am going to buy another one as a Christmas present for myself!!!!" 

N.H.  |  San Jose, CA

"I didn't know there were services that addressed post partum issues women deal with like pelvic floor therapy and blocked ducts treatments."

Carol W.  |  Los Altos, CA

Related Women's Health Services

Explore our other specialized services for men's pelvic health.

Women's Sexual Health

Pain during intimacy or decreased sensation don't have to be your new normal.

Pregnancy Care

Specialized recovery program to regain function faster after prostate surgery.

Postpartum Care

Let's get started on reversing symptoms and turning you back into a pain-free mom.

Blocked Milk Ducts

Blocked milk ducts can be common, especially for new moms. We can help you today!

Diastasis Recti

Don't let things get worse, call today to get started on putting symptoms behind you.

Menopause Care

Menopause is a natural transition that affects every woman differently.

Bladder Control

Manual techniques, advanced healing, and personalized care to help keep you at your best.

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