Introducing Adult Pelvic Health Services at Sensory Explorers

I’m excited to announce that in addition to pediatric pelvic floor therapy I am now offering adult pelvic health services! My mission is to address the vital yet often overlooked aspects of pelvic health, helping women find relief from urinary urgency, frequency, leaks, constipation, pain during periods, or pain with intimacy. These challenges are common but not normal, and I’m here to help you take control of your health with compassionate, effective care.

What Is the Pelvic Floor?

The pelvic floor is a group of muscles, ligaments, and connective tissues located at the base of the pelvis. These structures stretch from the pubic bone in the front to the tailbone at the back, forming a supportive "hammock." The pelvic floor serves several essential functions:

1. Support for Organs: It holds up the bladder, uterus (in women), and rectum, ensuring these organs are properly positioned.

2. Bladder and Bowel Control: These muscles help regulate urination and bowel movements.

3. Sexual Function: The pelvic floor is vital for sexual health, sensation, and satisfaction.

4. Core Stability: It works alongside the abdominal and back muscles to support posture and stabilize the body.

When the pelvic floor becomes weak, overly tight, or improperly coordinated, it can lead to issues such as urinary incontinence, constipation, pelvic pain, or sexual dysfunction. Pelvic floor therapy targets these muscles to improve strength, flexibility, and coordination, helping to restore proper function and enhance quality of life (Herman & Wallace Pelvic Rehabilitation Institute, n.d.; National Association for Continence, n.d.).

A Holistic and Trauma-Informed Approach

At Sensory Explorers, I approach pelvic health with a deep understanding of the connection between the body and the nervous system. My care is trauma-informed and always sensitive to your unique needs. Sessions are conducted at your pace, ensuring you feel safe and supported every step of the way.

I take a comprehensive, whole-person approach that examines the interconnectedness of body systems, muscle function, daily routines, and environments. Pelvic health is not just about muscles—it’s about helping you achieve a life where you can participate fully in the activities and roles that matter most to you.

Common does not have to be your “normal”

Pelvic floor issues are common and can significantly impact quality of life, yet they are often able to be addressed with pelvic floor therapy. Here are some key insights:

• Prevalence: Over 24% of women in the U.S. experience pelvic floor dysfunction, which includes conditions like urinary incontinence, fecal incontinence, and pelvic organ prolapse. Bladder leakage affects up to 40% of adult women, constipation is reported by 25%, and pain with intercourse affects 20–50% of women at different life stages​Mayo Clinic News Network​NAFC.

• Recovery with Therapy: Research indicates that up to 80% of individuals with pelvic floor disorders improve with targeted pelvic floor therapy. This includes strategies such as strengthening, relaxation techniques, and lifestyle adjustments, often guided by occupational or physical therapists​Mayo Clinic News Network​NAFC

Pelvic Floor Occupational Therapy

The American Occupational Therapy Association (AOTA) recognizes pelvic floor therapy as a key area where occupational and physical therapists can help. Occupational therapists bring unique skills to the field, addressing the functional impact of pelvic floor dysfunctions on daily activities such as toileting, caregiving, and sexual health. They often use a holistic approach, integrating environmental modifications, sensory strategies, and client-centered care to address these issues comprehensively​.

Occupational therapists (OTs) and physical therapists (PTs) are both highly qualified to provide comprehensive pelvic floor therapy. Each profession brings unique skills and perspectives to this area of care, making them complementary in addressing a wide range of pelvic health concerns.

OTs often focus on daily functional activities and sensory-motor integration, which is especially beneficial for clients with challenges related to toileting, sexual health, or integrating pelvic floor function into daily life. They are trained to address psychosocial aspects of care and incorporate adaptive strategies to improve participation in meaningful activities.

PTs, on the other hand, bring specialized expertise in musculoskeletal and movement science. They excel in biomechanical assessments and interventions, which are essential for addressing issues like pelvic pain, incontinence, and postural dysfunctions.

The Herman & Wallace Pelvic Rehabilitation Institute, a leader in the field and training of pelvic floor therapy,  emphasizes that both OTs and PTs are integral in this field, offering diverse modalities to help support people with their pelvic floor concerns. For individuals seeking pelvic health support, working with either profession—or a combination—can provide comprehensive care tailored to physical, functional, and emotional needs.

What Happens During Pelvic Floor Occupational Therapy?

Pelvic floor therapy begins with a thorough assessment to understand your concerns and goals. Each session is tailored to address your unique situation, and our work together may include:

1. Education and AwarenessUnderstanding how the muscles, nerves, and systems of the pelvic region work is the first step toward healing.

2. Strengthening and Coordination ExercisesWe’ll work on exercises to improve the strength, flexibility, and coordination of your pelvic floor muscles, ensuring they can perform their roles effectively.

3. Breathing and Relaxation TechniquesDeep breathing helps regulate the nervous system and improves pelvic floor relaxation and function as well as digestion and rest. 

4. Addressing Muscle FunctionPelvic floor muscles can become weak, underactive, tight, or overactive. These changes can disrupt the complex neural interactions necessary for bladder and bowel function and overall comfort.

   • For bladder health: Pelvic floor muscles play a critical role in controlling urgency, frequency, and leaks. They assist in holding urine, relaxing for emptying, and supporting the bladder. By improving their function, we can address issues like incontinence or overactive bladder.

   • For sexual health: Muscle tension, nerve sensitivity, or irritation can create discomfort or pain during intimacy. My goal is to help you uncover why this is happening, address the root causes, and work toward enjoyable, pain-free sexual health.

How Does It Feel?

Pelvic floor therapy at Sensory Explorers is designed to be supportive, empowering, and tailored to your needs. You’ll feel safe and heard throughout our work together. My approach is grounded in sensitivity and care, allowing you to move at a pace that feels right for you.

Each session will provide a balance of learning and doing—helping you reconnect with your body, build strength and confidence, and gain a sense of control over your pelvic health. Many clients leave sessions feeling validated, hopeful, and equipped with actionable steps toward lasting change.

Why Choose Sensory Explorers?

At Sensory Explorers, I focus not only on you but also on how your routines, roles, and environment influence your health. Together, we’ll create a plan that fits your life and goals. You’ll be seen in a private space in downtown Harrisonburg, VA, at 356 South Main Street, or virtually from the comfort of your home.

I accept Anthem and Aetna insurance and can provide documentation for out-of-network coverage.

Take the First Step Toward Healing

Pelvic health is foundational to your overall well-being. Whether you’re struggling with bladder or bowel issues, pain, or intimacy challenges, there’s hope—and I’m here to help you find it.

Book a free discovery call today to see how I can support you on your journey toward a healthier, more fulfilling life. Let’s work together to create a future full of comfort, confidence, and active participation in the things you love most.

Citations used for this post:

1. National Association for Continence. (n.d.). Understanding incontinence and pelvic health conditions. Retrieved from https://www.nafc.org

2. Herman & Wallace Pelvic Rehabilitation Institute. (n.d.). The role of occupational and physical therapists in pelvic rehabilitation. Retrieved from https://hermanwallace.com

3. American Occupational Therapy Association. (n.d.). Occupational therapy’s role in pelvic health interventions. Retrieved from https://www.aota.org