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1020 19th St. NW Suite 775 Washington DC 20036

Pelvic Floor Physical Therapy

ThriveAgain Physical Therapy & Wellness treats a wide variety of Women’s and Men's health issues, including support during pregnancy and post-partum as well as pelvic floor problems.  We work closely in the LGBTQIA community.  We strive to be a safe place of healing for survivors of trauma or abuse.  We also treat children as young as 4 years old with pelvic floor challenges.
What is Pelvic Floor Physical Therapy?
The “pelvic floor” is a group of muscles that provide support to the organs and control bowel and bladder function.  Dysfunction, tension or weakness of these muscles can result in a variety of problems including incontinence or pain.
Symptoms of dysfunction may include:
  • Loss of urine or stool with coughing, sneezing, running, jumping
  • Increased urge to urinate and/or increased frequency of urination
  • Pain with sexual activity / pelvic examinations
  • Feelings of the pelvic floor “falling out”
  • Bowel dysfunction (constipation, anal fissures, etc)
  • Erectile dysfunction
  • Tailbone pain, rectal/anal pain

Our Comprehensive Pelvic Floor Evaluation

At ThriveAgain, our comprehensive evaluations last a full hour and 20 minutes.  This gives us time to get a full history of what’s bothering you, complete a thorough evaluation, and begin treatment on the very first visit.  
Our pelvic floor evaluations start with an assessment of your back and hips, as these frequently play a part in pelvic pain and incontinence.  We then move on, when and if appropriate, to an external examination of your pelvic region, and an internal vaginal and/or rectal exam of the pelvic floor muscles.  During the vaginal or rectal assessment, we assess strength, tension, trigger points, flexibility and coordination of the muscles. 
We discuss everything that will happen ahead of time, and only move at the pace at which each individual patient is comfortable.  Using a compassionate and trauma-informed approach, we are committed to making this process as comfortable as possible.   We develop a treatment plan specifically for each individual, focused around your needs and goals. Treatment may include manual releases, biofeedback, electrical stimulation, strengthening exercises, stretching exercises, functional retraining and more.

Our integrated team includes a psychotherapist with expertise in this area who is available to processes any issues that may arise during the course of treatment.

Conditions We Treat

After a thorough evaluation by a medical doctor, pelvic floor physical therapy can often help with:
Female Pelvic Floor:
  • Pregnancy and Post-Partum
  • Incontinence (Urinary and Fecal)
  • Urinary Frequency and Urgency
  • Interstitial Cystitis and Bladder Pain
  • Prolapse
  • Pain with Intercourse
  • Endometriosis
  • Vulvodynia, Vulvar Vestibulitis, Vaginismus
  • Pudendal Neuralgia, Levator Ani Syndrome
  • Coccyx Pain
  • Constipation, Anal Fissures
  • Abdominal Pain, Scar Tissue (C-Section and Other)
  • Diastasis Recti (split abs)
  • Pelvic Tension / Pain
  • Gender Confirmation Surgeries
Male Pelvic Floor:
  • Pelvic and Bladder Pain
  • Urinary Frequency and Urgency
  • Urinary or Fecal Incontinence
  • Pain with Urination or Ejaculation
  • Prostatitis
  • Erectile Dysfunction
  • Testicular or Penile Pain
  • Constipation
  • Coccyx Pain
  • Pre- and Post Prostatectomy
  • Gender Confirmation Surgeries


Bring Your Own Baby
Babies are welcome at or clinic. We also welcome breast feeding, diaper changes and even a little bit of spit-up. If leaving your baby at home increases your anxiety or causes logistical challenges, please feel free to bring your little one with you to your appointment. You're also welcome to bring another person with you to help take care of your child in our waiting room where you'll be close by if in need. 

Putting It All Together

At ThriveAgain Physical Therapy & Wellness, we are dedicated to helping you reach your goals.
In addition to providing comprehensive pelvic floor therapy, we consider the complex contributions of posture & movement patterns as they relate to your individual problem. Often, this will involve treatment of the hips, spine, pelvis and contributing organs to help you get back to your life!


Chronic Pelvic Pain (Brochure from the International Pelvic Pain Society)

National Vulvodynia Association

To set up for free 15 minute phone consultation with one of our specialized physical therapists, please take a minute to fill out the form below so that we can best help you!


I had already been coming to ThriveAgain for knee and shoulder issues when I found out that I had prostate cancer.  Luckily, their pelvic floor expertise was exactly what I needed to prepare for my prostatectomy.  Going into surgery already familiar with the therapy exercises and their feel was highly beneficial.  Thanks to my surgeons and ThriveAgain, my recovery was relatively smooth and weeks ahead of schedule.