Leaking when you laugh, rushing to the bathroom, or planning your day around where the restrooms are? Pelvic floor therapy looks at why it is happening and gives you a plan to change it.
Bladder leakage, urgency, and frequency are common, but they are not something you simply have to accept. The pelvic floor muscles help support the bladder and control when it empties. When those muscles are weak, overly tight, or not coordinating well with your breath, core, and posture, bladder symptoms often follow.
Leaking with a cough, sneeze, laugh, jump, or lift happens when pressure in the abdomen outpaces what the pelvic floor can manage in that moment. Strength matters, but so do timing, coordination, and how you manage pressure during everyday movement.
A strong, sudden urge to go, or needing the bathroom more often than you would like, can relate to bladder habits, irritants in the diet, fluid intake patterns, or a pelvic floor that is on high alert. Bladder retraining and calming an overactive pelvic floor are often part of the plan.
Pregnancy and birth place real demands on the pelvic floor. Bladder symptoms during pregnancy or after delivery are common and very treatable, whether your baby is a few weeks old or your youngest is in school.
Hormonal shifts during perimenopause and menopause can affect the tissues that support the bladder. Many women notice new urgency, leaking, or discomfort during this stage of life.
Frequent urinary tract infections should be evaluated by your doctor. Alongside medical care, pelvic floor therapy can look at bladder emptying habits, hydration, and pelvic floor tension that may contribute to ongoing symptoms.

We start with a thorough evaluation of your medical, symptom, and pain history, along with your bladder, bowel, and sexual health. We assess your posture, strength, range of motion, balance, and breath, then set goals together that matter to you. Treatment may include bladder retraining, neuromuscular re-education, therapeutic exercise, guidance on hydration and diet, and manual therapy, along with a home exercise program to follow between visits. Internal assessment can be helpful, and it is always optional.
Ask any questions you have and see if Thrive is a good fit for you, before you commit to anything.
We review your history and symptoms, assess how your pelvic floor, core, posture, and breath work together, and set goals with you.
Each session is tailored to how you are doing that day, and you leave with a custom exercise plan to continue at home.
Michaela is extremely knowledgeable and caring. She makes me feel so comfortable and at-ease, instilling trust in everything she says. She asks great questions to make sure that education and exercises are tailored to what makes sense for you. She is well-versed across a broad range of topics, and she takes the time to make sure you feel heard and to explain things in detail. I’m so lucky to have worked with her and hope to continue working with her in the future!