At your initial appointment, we will start by taking your medical history, followed by a comprehensive musculoskeletal examination of your pelvic area. This will include assessing your posture, joint alignment, any muscle restrictions or trigger points, the health of your connective tissue, and muscular strength.

An internal examination is often part of this process, but it is entirely optional and will only be conducted if you feel completely comfortable with it. This exam is typically much more relaxed and comfortable compared to a typical OB/GYN visit and provides essential information about your pelvic muscle tone, strength, and coordination. If impairments are found during the exam, the physical therapist can treat the problems with manual therapy techniques, often resulting in pain relief and improved function. Following the exam, we will discuss our findings with you and outline a personalized treatment plan aimed at achieving the best results.

Many patients notice improvement after their first session, and significant progress is often seen within the first three visits.

Your comfort and confidence during your visit is our priority. Wear what makes you feel best. While some patients opt to bring a change of clothes from work, it’s entirely your choice. There is no strict dress code. We’re thrilled to have you with us. Many patients arrive feeling nervous or unsure about what pelvic physical therapy will involve. Our goal is to make your visit comfortable, respectful, and empowering from the moment you walk in.

Pelvic floor physical therapy is a specialized area of physical therapy addressing issues such as pelvic pain, pregnancy and postpartum recovery, bladder and bowel dysfunction, sexual health, and more.

Think of your pelvic floor as a supportive bowl of muscles between your hips, holding organs like your bladder, rectum, and uterus. Various issues can arise with these muscles and their connecting nerves. When these muscles and nerves are out of sync, it can lead to a cascade of problems. These muscles might be overly tight, weak, in spasm, or laden with scar tissue, hindering their ability to function correctly.

For instance, one in three new mothers report bowel and bladder issues post-delivery, and about half experience pelvic pain in the subsequent months. These issues do not simply disappear on their own, and many people suffer silently, accepting this as their “new normal.”

As pelvic floor physical therapists, we take a different approach. We use hands-on techniques to work directly on the muscles, tissues, and nerves that require attention. This empowers you to actively participate in your healing process.

When you choose Healthy Pelvis Physical Therapy, you are choosing:

Expertise
We specialize in pelvic floor physical therapy—this is our core focus. Since 2011, Healthy Pelvis Physical Therapy has helped thousands of women with a diverse range of pelvic health issues and is recognized as a leader in the field.

Highest Standard of Care
As an out-of-network provider, we are not restricted by insurance protocols, allowing us to focus on what is truly best for our patients and provide the highest quality care.

Prompt Appointments
We understand the importance of timely care. That’s why we can typically schedule you within 7 days at one of our convenient locations.

The number of sessions required varies depending on the nature and severity of your condition. Many patients notice improvement after their first session, and meaningful progress is often seen within the first three visits.

We treat both women and men for orthopedic issues such as back, neck, shoulder, hip, and knee pain. All of our therapists provide this care, as well as pelvic floor physical therapy for women (those with vaginal anatomy).

At this time, Haley Coen is the only therapist who also treats men’s pelvic health. We recognize that men experience pelvic health concerns as well and may expand these services further in the future.

We also offer specialized pediatric services focusing primarily on bladder and bowel concerns such as bedwetting and constipation. All pediatric treatments are external, as we do not perform internal examinations or treatments on patients under 18.

Depending on the treatment you’re seeking, you should schedule with:

Women’s Pelvic Health — Any therapist
Orthopedic Physical Therapy (Women & Men) — Any therapist
Men’s Pelvic Health — Haley
Pediatric Pelvic Health — Sonia
Gender-Affirming Care — Aly or Catherine
TMJ/TMD — Aly or Naz

No. In California, you do not need a referral from your medical doctor to see a physical therapist. This is known as direct access, meaning you can schedule an appointment with us at any time.

We operate out-of-network in order to provide the highest quality care without insurance restrictions. This allows us to spend significantly more one-on-one time with each patient and provide hands-on care that is often not possible in insurance-based clinics.

PPO plans
You pay at the time of service and we provide a superbill that you can submit to your insurance for reimbursement (typically 30–90%).

HSA/FSA
Accepted.

HMO plans
These plans generally do not reimburse for out-of-network care, but many patients still choose to see us directly for the quality and flexibility of treatment.

Benefits of being an out-of-network provider include:

• Exceptional care focused on quality rather than insurance quotas
  • More time for hands-on treatment
  • Truly personalized plans unrestricted by insurance protocols
  • A wider range of therapies
  • Longer sessions tailored to your needs
  • Stronger patient–therapist relationships
  • Uninterrupted care even if insurance changes

Our current fees are always available in the scheduling tool.

Appointment cancellations must be made 24 hours prior to your scheduled appointment time. Late cancellations will be charged for half of the appointment fee.

Cancellations can be made directly through our booking system. If you have any difficulties, you can call, email, or text us for assistance.

If you are ill or unable to attend your appointment, you may also choose to switch your visit to a telehealth appointment. Simply email your physical therapist and they will make the necessary adjustments.

You can access your account through the Patient Portal to:

• Reschedule appointments
  • View upcoming appointments
  • Manage account information

A Patient Portal link is available in the site header for easy access.

If you are menstruating, it is completely okay to attend your appointment. Pelvic floor physical therapists use nitrile gloves and maintain a hygienic environment. You will always be covered with a sheet during treatment. If you use a tampon, you do not necessarily need to remove it unless you prefer to.

We also understand that many patients are balancing childcare responsibilities. You are welcome to bring your baby to the clinic. For your initial appointment, we recommend arranging childcare if possible so you can fully focus on discussing your health history and goals but again if you need to bring that is ok as well.