Pelvic Floor Therapy in Phoenix

The pelvic floor is a sheet of muscle across the base of the pelvis. It supports the bladder, bowel, and uterus, controls their openings, and works with the diaphragm and deep abdominals to manage pressure when you cough, lift, or run. It can become weak, tight, or poorly timed, and it responds to training.

Pelvic floor therapy is that assessment and training, led by Dr. Krista Zelizney, PT, DPT, who holds Female Pelvic Floor L1, L2a, and L2b certification and has an orthopedic background. That matters, because leaking, urgency, heaviness, and pain with intimacy are often a pressure, breathing, or hip problem that only a whole-system exam finds.

The evaluation starts as a conversation, and nothing is assessed without your agreement. Kegels are not automatically the plan: a gripping muscle does not need to grip harder. You leave with a finding, an explanation, and a plan with a named endpoint.

The first visit is 60 minutes, one-on-one, in a private room, mostly talking and orthopedic screening: symptoms, bladder and bowel habits, breathing, hip and low back movement, and what you have stopped doing. An internal assessment is explained and consented to first, can be declined or postponed, and much useful work happens without it.

After that, sessions are physical therapy: hands-on treatment, breathing and pressure work, and progressive strength work done clothed in the gym. Two to three visits a week for four to six weeks is typical, with the same doctor each time.