Pelvic Floor Physical Therapy in Las Vegas

We help people with pelvic pain, incontinence, prolapse, painful intercourse, birth prep, and postpartum recovery.

We are cash-based, but many patients successfully use HSA/FSA accounts or seek partial reimbursement from their insurance.

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. For more info check out the video on this page detailing what happens during an evaluation.

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.

Everyone has a pelvis. We treat both males and females experiencing certain health conditions from pelvic floor dysfunction in Las Vegas, Nevada.

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.

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.

• 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

• Stretching and mobility work

• relaxation/downtraining exercises

• Home exercise program

• Vaginal dilator program

• Self management strategies 

• Guidance for exercise through periods including pregnancy and menopause related changes

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 the best for your individual case.

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. 

Sessions are one hour long. We can schedule a recurring time that works best for your schedule. Most clients will spend 3-6 months with us, though this can vary on a case-by-case basis.

No, a referral is not required to see a pelvic floor physical therapist. Just give us a call to schedule your initial consultation.

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.

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. 

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. 

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.

Yes! You always have the option to bring someone with you to your appointments.

Yes! There is always work to do aside from internal soft tissue work. Also, internal pelvic floor assessment/treatment is not contraindicated during menstruation.