Dr. Krista Zelizney

Dr. Krista Zelizney came to pelvic health from orthopedics, and she never really left it. Her pelvic floor training runs through Levels 1, 2a and 2b, but the orthopedic habit is what shapes an evaluation with her: the pelvic floor is a group of muscles inside a system, and a system includes the hips above it, the ribcage over that, and how a person breathes while all of it is loaded. That is why an appointment with her rarely stops at the pelvis.

Most of what she treats has been carried quietly for a while. Leaking on the third mile, or on a sneeze, or at the bottom of a squat. A heaviness that is fine in the morning and unmistakable by evening. Intercourse that hurts and has been explained away twice. A core that will not switch on months after a birth. These are muscle and coordination problems most of the time, which is exactly the category physical therapy exists to treat.

Almost everyone who books this has already decided the symptom is just what happens now. It usually is not. It is a muscle group doing its job badly, and muscle groups are trainable.

The visits are 60 minutes, one-on-one, in a private room, with the same doctor every time. She names the plan and its endpoint at the evaluation, and what is happening and why gets explained before it is done, which for this particular caseload matters more than it does anywhere else in the building.