The Women's Pelvic Floor Program at Exhale Spine & Pelvic Wellness
Welcome to Exhale's Women's Health Physical Therapy practice, where we specialize in compassionate care for postpartum women and those transitioning through perimenopause to menopause. Our dedicated approach ensures personalized support tailored to each woman's unique journey.
One of our passions is working with women who have undergone Cesarian section deliveries (C section). Addressing C-section scars early on can significantly reduce pain, improve mobility, and restore core and pelvic floor strength. C-section scars can also contribute to long term problems including digestive issues, bladder symptoms, painful sex, and chronic back/hip pain. Addressing the scar early on can prevent future chronic issues. Was your C-section, years ago? Don't worry! It's never too late to treat your scars and promote your long-term health!
For more information about scar release therapy, click here to
Another passion of ours is helping women to ease through the transition from perimenopause to menopause. Many women suffer silently in this phase. Women are suffering from hot flashes, UTIs, painful sex, urine leakage, brain fog, and fatigue. We utilize exercise, education, and mindfulness in our practice to ensure a seamless transition into post menopause. Our holistic approach not only supports physical health but also nurtures mental and emotional well-being. Please don't hesitate to reach out with any questions!
Could you be a Candidate for our Women's Pelvic Physical Therapy Program?
Take the Cozean Pelvic Dysfunction Screening Tool below to see if you could benefit from our Program:
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I sometimes have pelvic pain (in genitals, perineum, pubic or bladder area, or pain with urination) that exceeds a ‘3’ on a 1-10 pain scale, with 10 being the worst pain imaginable
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I can remember falling onto my tailbone, lower back, or buttocks (even in childhood)
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I sometimes experience one or more of the following urinary symptoms
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Accidental loss of urine
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Feeling unable to completely empty my bladder
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Having to void within a few minutes of a previous void
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Pain or burning with urination
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Difficulty starting or frequent stopping/starting of urine stream
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I often or occasionally have to get up to urinate two or more times at night
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I sometimes have a feeling of increased pelvic pressure or the sensation of my pelvic organs slipping down or falling out
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I have a history of pain in my low back, hip, groin, or tailbone or have had sciatica
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I sometimes experience one or more of the following bowel symptoms
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Loss of bowel control
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Feeling unable to completely empty my bowels
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Straining or pain with a bowel movement
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Difficulty initiating a bowel movement
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I sometimes experience pain or discomfort with sexual activity or intercourse
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Sexual activity increases one or more of my other symptoms
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Prolonged sitting increases my symptoms
© Nicole Cozean PT, DPT, WCS. All rights reserved.
If you have 3 or more of the above symptoms, then you may benefit from our Women's Pelvic Health Program!
What is Pelvic Floor Physical Therapy and Why you need it
Pelvic Floor Physical Therapy is a conservative therapeutic approach to treating the Pelvic Floor Muscle. This muscle functions to support the pelvic organs, assist in bowel/bladder control, and contributes to sexual function.
Nearly 25% of Women in the US suffer from Pelvic Floor Dysfunction, yet women continue to be underserved. Many times, this is due to beliefs that this is a normal part of aging or part of having children. There is also a reported feeling of embarrassment to address these issues.
Pelvic Floor Physical Therapy treatment has been proven to be a highly effective alternative to management of symptoms associated with bowel, bladder, pain and sexual dysfunction.
Through the use of advanced manual techniques, Microcurrent Point Stimulation, lymphatic restoration, therapeutic exercises, bladder and bowel retraining, and central nervous system desensitization, the patient can expect to have significant gains in their overall quality of life.
Common Diagnoses
Treated in Pelvic Floor Physical Therapy
1. Urinary Incontinence
2. Stool Incontinence
3. Overactive Bladder
4. Painful Bladder Syndrome/ Interstitial Cystitis
5. Pain of the Pelvis, tailbone, back and hips
6. Endometriosis
7. Dyspareunia/ Painful Intercourse
8. Vulvodynia
9. Pudendal Neuralgia
10. Vaginismus
11. Constipation
12. Pelvic Organ Prolapse
13. Pre and Post Natal Care
14. Perimenopausal and Postmenopausal Care
What to expect on your first visit
You will undergo a complex Evaluation by a certified Pelvic Floor Physical Therapist. The evaluation will include assessment of your posture, range of motion, flexibility, strength, nerves, scar mobility, and behavioral influences related to symptoms. Your certified Pelvic Floor Physical Therapist will use this information to develop an individualized treatment plan to accomplish your goals. You will also learn self care techniques and a home exercise program to manage your symptoms.