Pelvic floor dysfunction can show up as leaking urine or gas, pelvic pressure or heaviness (especially at the end of the day), pain with sex, constipation, or difficulty starting/stopping urine flow. You might also feel disconnected from your core or struggle to return to exercise. These are all signs your pelvic floor may need support and PT can help.

Babies may benefit from physical therapy if they’re showing signs of muscle tightness, body tension, difficulty with movement, or delays in reaching motor milestones like rolling, sitting, or crawling. Therapy can help with concerns like torticollis, flat head (plagiocephaly), asymmetrical movement, or general stiffness. Treatment is always gentle and play-based, focused on helping your baby move comfortably, build strength, and develop with confidence.

You can start pelvic floor physical therapy as early as 2–6 weeks postpartum, depending on how you're feeling and the type of birth you had. Whether you’re newly postpartum or several months (or years!) out, it’s never too late to begin. PT can support healing, improve symptoms like leaking or heaviness, and help you return to movement safely.

Torticollis is when a baby consistently prefers turning their head to one side or tilts their head in one direction. You might notice flatness on one side of the head, difficulty turning during tummy time, or favoring one breast while nursing. Early PT can help release tight muscles, improve range of motion, and support motor development.

You can begin pelvic floor physical therapy at any point during pregnancy—but I typically recommend starting in the second trimester. By then, the body is adapting more noticeably to pregnancy, and it’s a great time to address any early symptoms or build a strong foundation for the months ahead.

Common reasons to start include pelvic or back pain, leaking, pressure, or just wanting to move and exercise safely. Many people also come in proactively to prepare for birth and feel more connected to their core and pelvic floor. The earlier you start, the more tools you’ll have to feel strong and supported throughout your pregnancy.

Diastasis recti is a separation of the abdominal muscles that often happens during pregnancy. It can lead to core weakness, coning or bulging in the abdomen, back pain, and pelvic floor symptoms. Pelvic floor PT can help you safely rebuild core strength, improve function, and reduce symptoms with targeted exercises and strategies.