Pelvic floor dysfunction

Pelvic health is more than just the Pelvic Floor.
A Pelvic Health Physical Therapist will perform a comprehensive evaluation that includes a musculoskeletal screen. They’ll ask you about previous injuries, incidences of pain, history of pregnancy/birth and bowel and bladder function– all things that may be impacting your pelvic floor. They will also likely look at your breathing and ask you to move, walk/run or squat so they can assess your go-to movement patterns.
Urinary incontinence
Difficulty holding in gas or fecal incontinence
Leaking urine with exercise
Frequent urination and urgency
Hesitancy/burning with urination
Pelvic pain (w/ sex, tampon use etc.)
Bowel health/ constipation

Pre and post partum

Caring for women as they care for their families.
A Pelvic Health Physical Therapist will perform a comprehensive musculoskeletal screen to address any symptoms you may be having.
Low back/SIJ pain
Pubic symphysis pain
Strengthening program for maintenance throughout pregnancy
Education on perineal massage
Pain relief strategies and birthing positions during L&D
Postpartum symptom management, strength and conditioning, and return to activity

Perimenopause and Menopause

Helping women as they navigate their changing body.
A Pelvic Health Physical Therapist will perform a comprehensive assessment to determine the cause of symptoms and initiate treatment.
Stress and urgency incontinence
Bowel dysfunction–constipation and diarrhea
Education on hormonal changes

The Female Athlete

Harness all aspects of your pelvic health to support athletic performance and reach your goals.
A Pelvic Health Physical Therapist will assess your movement patterns and musculoskeletal system to help you create an individualized plan that fits your unique needs and goals.
Evaluate why you may be leaking urine with exercise
Assess pelvic floor muscles and breathing strategies.
Connect to your deep abdominal musculature and learn how to match your breathing/bracing techniques for weight lifting.
Collaborate on fitness strategies to promote safety and performance.
Video analysis to assess running technique and/or squatting/lifting form.
"I woke up every morning with a headache. I was miserable. The team at Smith+ gave me the exercises I needed to live pain-free!"


Is it normal to pee my pants?
No! Although it may be common, it should not be anybody's “norm” and there are ways to address and solve the problem.
Is it normal to have pain with intercourse after having a baby?
Nope and as pelvic floor physical therapists we can work to find the origin of pain and correct and solve the underlying problem.
Will I have to have an internal assessment if I come for pelvic floor PT?
Not necessarily. Although we do recommend it, based on your symptoms and your preference, there are certainly interventions we can utilize without having to perform an internal assessment.
If I’ve struggled with constipation or diarrhea, is that a reason to get pelvic floor PT?
YES! Chronic constipation or diarrhea can have a direct correlation with underlying pelvic floor dysfunction and is certainly an area to have addressed.
What can I do about my caeserean incision?
Self massage (once healed) is definitely something that can get you moving in a positive direction. As well as making sure to check in with a Pelvic Floor PT to make sure everything continues to head in a positive direction.
How soon after having a baby can I exercise again?
This all depends on how you are healing. Roughly we would say about 12 weeks postpartum before return to run/sport however, this would also include a slow ramp of of exercise over those 12 weeks.
You were made to move!