Dr. Ryan Stewart, DO
Ryan Stewart, DO
Fellowship-Trained Urogynecologist
Urogynecology & Reconstructive Pelvic Surgery
Green Bay, Wisconsin
✓ Medically reviewed March 2026

What Is Pelvic Floor Physical Therapy?

Pelvic floor physical therapy is specialized rehabilitation for the muscles, connective tissue, and nerves of the pelvic floor. A trained therapist evaluates your pelvic floor function and develops a personalized program to address weakness, tension, coordination problems, or pain. It’s one of the most effective and underutilized treatments in urogynecology.

What It Treats

  • Urinary incontinence (stress, urge, and mixed)
  • Pelvic organ prolapse symptoms
  • Overactive bladder
  • Fecal incontinence
  • Pelvic pain
  • Postpartum recovery
  • Pre- and post-surgical optimization

What to Expect

First visit (about 60 minutes):

  • Discussion of your symptoms, history, and goals
  • External and internal assessment of pelvic floor muscles
  • Education about your anatomy and how it relates to symptoms
  • Initial exercise prescription

Follow-up sessions (30-60 minutes):

  • Progress assessment
  • Advanced exercises and techniques
  • Biofeedback training
  • Behavioral strategies for bladder and bowel management

Pelvic floor physical therapy is my first recommendation for almost every pelvic floor condition. The evidence supporting it is strong, the risks are essentially zero, and the results are often remarkable. I wish more women knew about it.

I encourage patients to look for a therapist who specializes in pelvic floor rehabilitation — not all physical therapists have this training. The difference in expertise makes a significant difference in outcomes.

← Learn more about Pelvic Organ Prolapse


Frequently Asked Questions

Is pelvic floor therapy covered by insurance? Yes, in most cases. Pelvic floor physical therapy is covered by most insurance plans when prescribed by a physician. Check with your insurance for specific coverage details.
How many sessions will I need? Most treatment plans involve 6-12 sessions over 2-3 months, combined with daily home exercises. Some women need fewer sessions, while complex cases may require more.
Is the internal exam required? Internal examination provides the most accurate assessment, but a good therapist will explain everything beforehand and ensure you're comfortable. You can decline the internal component, though it may limit the assessment.

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The information provided is for educational purposes only and should not be considered medical advice. Always consult with a qualified healthcare professional for personalized medical guidance.

Page last modified: Mar 14 2026.