Pelvic floor physical therapy in Las Vegas
Is this for you?
Bladder leakage, pelvic pain, painful sex, pressure. These problems are incredibly common. That doesn't make them normal, and it doesn't mean you have to live with them. Pelvic floor physical therapy treats the root cause of your symptoms, not just the symptoms themselves.
Bladder and bowel
- Urinary leakage or urgency
- Burning urination
- Recurrent UTIs
- Weak urinary stream
- Constipation
Pain and pressure
- Pelvic pain or pressure
- Painful intercourse
- Painful sitting
- Clitoral or penile tip pain
- Organ prolapse symptoms
Who we treat
Women
Pregnancy, postpartum, perimenopause and menopause
Men
Read about pelvic floor therapy for men.
Active
Athletes and active individuals
After surgery
Hysterectomy, prostatectomy, endometriosis excision
Conditions we treat
Pregnancy and postpartum
Pelvic floor physical therapy during pregnancy
Birth Rx is our prenatal-through-postpartum program, designed for patients who want more than generic "prenatal exercise" advice. It's clinical care, built around your body, your birth plan, and your recovery goals.
Postpartum pelvic floor physical therapy
The physical assessment covers your abdomen, scar tissue (if applicable), pelvic floor muscles, hips, and spine. A pelvic floor exam, internal assessment of the muscles, is typically very helpful postpartum, and we'll walk you through what it involves.
Diastasis recti physical therapy
Diastasis recti is a separation of the abdominal muscles along the midline. It is most common in pregnancy, and it also affects athletes and people after abdominal surgery.
Diastasis rectus abdominus and the pelvic floor
A pelvic health physical therapist (PT) can test for Diastasis Rectus Abdominus with visual observation and manual assessment. With impaired pressure management and faulty movement strategies, separation and symptoms can worsen.
Pregnancy and postpartum
4 pagesPelvic floor physical therapy during pregnancy
Birth Rx is our prenatal-through-postpartum program, designed for patients who want more than generic "prenatal exercise" advice. It's clinical care, built around your body, your birth plan, and your recovery goals.
Postpartum pelvic floor physical therapy
The physical assessment covers your abdomen, scar tissue (if applicable), pelvic floor muscles, hips, and spine. A pelvic floor exam, internal assessment of the muscles, is typically very helpful postpartum, and we'll walk you through what it involves.
Diastasis recti physical therapy
Diastasis recti is a separation of the abdominal muscles along the midline. It is most common in pregnancy, and it also affects athletes and people after abdominal surgery.
Diastasis rectus abdominus and the pelvic floor
A pelvic health physical therapist (PT) can test for Diastasis Rectus Abdominus with visual observation and manual assessment. With impaired pressure management and faulty movement strategies, separation and symptoms can worsen.
Bladder
Bladder dysfunction & interstitial cystitis treatment
Bladder urgency, frequency, burning, and pain are frequently driven not by the bladder, but by the muscles, fascia, and nerves surrounding it. That's not something a urine culture or a scope can see.
Bladder frequency and pelvic floor physical therapy
The pelvic floor muscles, brain and bladder are intimately connected. This is why pelvic health physical therapy is such an important piece of bladder retraining.
Interstitial cystitis: how physical therapy provides relief
Interstitial Cystitis (IC) is a chronic condition that causes pain and discomfort in the bladder and pelvic region. This condition can have a significant impact on the quality of life for those who suffer from it.
Bladder
3 pagesBladder dysfunction & interstitial cystitis treatment
Bladder urgency, frequency, burning, and pain are frequently driven not by the bladder, but by the muscles, fascia, and nerves surrounding it. That's not something a urine culture or a scope can see.
Bladder frequency and pelvic floor physical therapy
The pelvic floor muscles, brain and bladder are intimately connected. This is why pelvic health physical therapy is such an important piece of bladder retraining.
Interstitial cystitis: how physical therapy provides relief
Interstitial Cystitis (IC) is a chronic condition that causes pain and discomfort in the bladder and pelvic region. This condition can have a significant impact on the quality of life for those who suffer from it.
Pelvic pain
Pelvic pain & sexual dysfunction treatment
The pelvic floor muscles, connective tissue, and nerves in the region are extraordinarily capable of generating pain that doesn't appear on an MRI. Finding and treating that source is exactly what we do.
Vulvodynia & pelvic health physical therapy
Vulvodynia is pain at the vulva lasting greater than 3 months, described as burning, stinging and sensitive to touch. Sometimes, this pain is only present at the vestibule, clitoris or labia.
Polycystic ovarian syndrome “PCOS” and pelvic pain
Polycystic Ovarian Syndrome (also known as “PCOS”) is a condition in which abnormal levels of androgens are produced. It is a hormone imbalance that affects the way we metabolize food and energy.
Pelvic pain
3 pagesPelvic pain & sexual dysfunction treatment
The pelvic floor muscles, connective tissue, and nerves in the region are extraordinarily capable of generating pain that doesn't appear on an MRI. Finding and treating that source is exactly what we do.
Vulvodynia & pelvic health physical therapy
Vulvodynia is pain at the vulva lasting greater than 3 months, described as burning, stinging and sensitive to touch. Sometimes, this pain is only present at the vestibule, clitoris or labia.
Polycystic ovarian syndrome “PCOS” and pelvic pain
Polycystic Ovarian Syndrome (also known as “PCOS”) is a condition in which abnormal levels of androgens are produced. It is a hormone imbalance that affects the way we metabolize food and energy.
Menopause and later life
Physical therapy for menopause & perimenopause
The symptoms you're experiencing aren't just hormonal. They're also musculoskeletal, and that part is very treatable.
Pelvic organ prolapse therapy
Pelvic organ prolapse happens when the muscles, ligaments and connective tissue that hold up the bladder, uterus or rectum no longer give enough support. It can cause heaviness, pressure, bulging or a sense of something falling out.
Strength training for perimenopause and menopause
A well designed strength program incorporates 3 planes of movement, progressions (regressions), deloads, and ample time for recovery. The goal is to help you feel strong and feel good.
Pelvic health for older adults
The pelvic floor often contributes to and/or becomes involved with urgency. Pelvic health physical therapy can help retrain the bladder and address the pelvic floor muscles.
Menopause and later life
4 pagesPhysical therapy for menopause & perimenopause
The symptoms you're experiencing aren't just hormonal. They're also musculoskeletal, and that part is very treatable.
Pelvic organ prolapse therapy
Pelvic organ prolapse happens when the muscles, ligaments and connective tissue that hold up the bladder, uterus or rectum no longer give enough support. It can cause heaviness, pressure, bulging or a sense of something falling out.
Strength training for perimenopause and menopause
A well designed strength program incorporates 3 planes of movement, progressions (regressions), deloads, and ample time for recovery. The goal is to help you feel strong and feel good.
Pelvic health for older adults
The pelvic floor often contributes to and/or becomes involved with urgency. Pelvic health physical therapy can help retrain the bladder and address the pelvic floor muscles.
Men
Pelvic floor physical therapy for men
Men have the same group of muscles (wrapped around the bladder, bowel, and prostate) and they're just as susceptible to dysfunction. The difference is that most men have never been told this is an option.
How we treat penile tip pain
Pain in the tip of the penis is often caused by irritation along a nerve pathway, known as your pudendal nerve. This is not necessarily the same as a diagnosis of “pudendal neuralgia”.
Men
2 pagesPelvic floor physical therapy for men
Men have the same group of muscles (wrapped around the bladder, bowel, and prostate) and they're just as susceptible to dysfunction. The difference is that most men have never been told this is an option.
How we treat penile tip pain
Pain in the tip of the penis is often caused by irritation along a nerve pathway, known as your pudendal nerve. This is not necessarily the same as a diagnosis of “pudendal neuralgia”.
After surgery
Post-surgical pelvic rehabilitation
Post-surgical pelvic rehabilitation is physical therapy after hysterectomy, prostatectomy, endometriosis excision, a C-section or other abdominal or gynecologic surgery. We restore scar mobility, retrain the pelvic floor and abdominal muscles, and treat leaking, pain or sexual symptoms that can follow.
Physical therapy after abdominal surgery
As part of any good Rehab evaluation, tissue mobility will be assessed and treated if needed. With manual therapy, mobilization and muscle retraining, function and mobility can be better restored after abdominal surgery.
After surgery
2 pagesPost-surgical pelvic rehabilitation
Post-surgical pelvic rehabilitation is physical therapy after hysterectomy, prostatectomy, endometriosis excision, a C-section or other abdominal or gynecologic surgery. We restore scar mobility, retrain the pelvic floor and abdominal muscles, and treat leaking, pain or sexual symptoms that can follow.
Physical therapy after abdominal surgery
As part of any good Rehab evaluation, tissue mobility will be assessed and treated if needed. With manual therapy, mobilization and muscle retraining, function and mobility can be better restored after abdominal surgery.
What happens at your first visit?
Your evaluation
We start with an in-depth conversation about your history, symptoms, and goals. Then we do a full musculoskeletal assessment: spine, hips, pelvis, and abdomen. The unique part: a pelvic floor muscle exam (internal and/or external, always with your consent) that gives us the clinical picture we actually need to build a plan that works.
Your treatment plan
No cookie-cutter protocols here. Your plan is built around what we find, and may include manual therapy, targeted strength and mobility exercises, dry needling, movement coaching, and habit strategies. Every session is one-on-one with your therapist.
Back to your life
Whether your goal is pain-free intimacy, making it through a workout without leaking, or getting through the workday comfortably. We keep that goal front and center from day one.
Why patients choose us
One-on-one, every session
Your therapist is with you, every visit.
We treat women and men
Patients of all genders, across all life stages.
Dry needling, in-house
In the same session, with the same provider.
The Birth Rx program
Pregnancy symptoms, labor prep and postpartum recovery.
PT, DPT, WCS
Dr. Minija Edgar
Dr. Minija is a Doctor of Physical Therapy and Board-Certified Clinical Specialist in Pelvic and Women's Health Physical Therapy. She treats men and women at every stage of life and fitness.
She completed a Women's Health Residency with BodyCentral Physical Therapy in Tucson, Arizona, and later became the program's Pelvic and Women's Health Residency Coordinator.
Meet Dr. Minija Edgar“5 stars isn’t enough stars to show how much I appreciate Minija Edgar and the entire stellar team at Pillar Kinetic. The pelvic floor therapy has been simply life-changing to say the least.”
Frequently asked questions
What conditions do you treat with pelvic floor physical therapy in Las Vegas?
We help people with pelvic pain, incontinence, prolapse, painful intercourse, birth prep, and postpartum recovery.
Is pelvic floor therapy covered by insurance?
We are cash-based, but many patients successfully use HSA/FSA accounts or seek partial reimbursement from their insurance.
What should I expect during my first pelvic floor therapy session?
Your therapist will review your health history, discuss your goals, possibly take you through a movement screen, and perform a physical exam which may include an internal assessment. Treatment is always private and tailored to your comfort.
What is pelvic floor physical therapy?
Everyone has a pelvis. In certain cases, our pelvic floor muscle function can change due to childbirth, aging, surgery, stress, and other causes. When pelvic floor dysfunction or injury occurs, you may experience symptoms and issues like sexual dysfunction, urinary leakage or urgency, menstrual pain, pelvic organ prolapse, and general pelvic pain or discomfort. These issues can interfere with your quality of life. We treat both males and females experiencing certain health conditions from pelvic floor dysfunction in Las Vegas, Nevada.
Who needs pelvic floor physical therapy?
Everyone has a pelvis. We treat both males and females experiencing certain health conditions from pelvic floor dysfunction in Las Vegas, Nevada.
What is the difference between regular physical therapy and pelvic floor PT?
A Physical Therapist (PT) is a provider who uses a physical exam to determine root causes of pain and dysfunction, then implements a treatment plan to address these impairments and resolve the problem. A Pelvic Floor Physical Therapist is a PT who specializes in applying this approach to gynecological, urinary, sexual, and gastrointestinal issues. Pelvic Health PTs go through postgraduate training to assess, treat and manage pelvic floor dysfunction. A pelvic floor physical therapist typically completes an internal examination to identify tension, strength, endurance, and coordination of the pelvic floor muscles. Pelvic Floor PTs often use both internal and external manual techniques as part of assessment and treatment. Additionally, Pelvic health physical therapy also typically involves an individualized exercise program, body mechanics training and symptom management techniques similar to physical therapy for any other part of the body.
What kinds of exercises and forms of therapy are involved?
Pelvic floor physical therapy might also include exercise, muscle strengthening or coordination training. While kegel exercises may be part of your plan, pelvic floor therapy goes far beyond just strengthening a muscle group. Your plan may include dietary and behavioral education, bladder retraining, external and internal soft tissue myofascial mobilization, progressive strength training, endurance and coordination exercises, pressure management strategies, dry needling, mobility work, relaxation/downtraining exercises, a home exercise program, a vaginal dilator program, self management strategies, and guidance for exercise through periods including pregnancy and menopause related changes.
Is the examination painful?
This can vary between individual cases. At Pillar Kinetic, our professional Las Vegas pelvic floor physical therapists will address all of your questions and concerns with you to see if an internal examination is right for your individual case.
Show all questionsShow fewer questions
Is an internal exam required?
An internal pelvic floor muscle assessment typically involves insertion of one gloved, lubricated finger into the vagina or rectum in order to examine function of the pelvic floor muscles. It is always the patient’s choice if and when they would like to participate in an internal exam, which is why we recommend discussing the clinical reasoning for it in your specific case.
How long are weekly sessions?
Sessions are one hour long. We can schedule a recurring time that works for your schedule. Most clients will spend 3-6 months with us, though this can vary on a case-by-case basis.
Do I need a referral to see a pelvic floor physical therapist?
No, a referral is not required to see a pelvic floor physical therapist. Just book a free 15-minute phone call to get started.
Should I wait until after pregnancy to work with a pelvic floor physical therapist?
No! Pregnancy and Early Postpartum are vulnerable times for our bodies, meaning this is when pressure issues like urinary leakage, pelvic organ prolapse, and abdominal muscle separation can occur or worsen. The better we learn to coordinate movements for good pressure control during pregnancy, the better we are set up for postpartum (the rest of your life!). Also, exercise during pregnancy is recommended by the American College of Obstetrics and Gynecology (ACOG), and we can help if you need guidance with this.
Should I wait until after surgery to begin pelvic floor physical therapy?
No. Surgery is an option for certain conditions and in appropriate cases. However, without addressing the surrounding muscle and nerve function, you may not get the full benefits of the surgery or may require repeat procedures in the future. We are happy to help navigate care planning on a case-by-case basis, but for procedures such as prolapse and/or urinary incontinence repairs or endometriosis excision, we strongly recommend working pre- and post-op with your pelvic floor physical therapist.
Should I wait until after I complete medical management of my cancer to work with a PT?
No. Your body goes through significant changes with cancer treatments, including radiation, chemotherapy, or surgical procedures. Research shows exercise helps to improve tolerance to cancer therapies and reduce cancer-related fatigue. We are happy to help with guidance on this. Also, if your treatment may affect your pelvic floor (such as in an abdominal surgery, gynecologic surgery, or prostatectomy), it is recommended to begin addressing muscle function as early in your treatment as possible.
Do I need to be cleared by my gynecologist or urologist prior to starting physical therapy?
No. Continue all medical follow ups as recommended by your doctors, but you do not need a referral or clearance and should not wait to begin physical therapy.
Can I bring my husband/wife to physical therapy sessions?
Yes! You always have the option to bring someone with you to your appointments.
Can I come to my pelvic floor PT appointment if I am menstruating?
Yes! There is always work to do aside from internal soft tissue work. Also, internal pelvic floor assessment/treatment is not contraindicated during menstruation.
Ready to stop managing symptoms, and start resolving them?
Book a free 15-minute phone call. We'll talk through what you're experiencing, answer your questions, and tell you honestly whether pelvic floor PT is the right fit.