Common Questions
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Both pelvic floor OT and pelvic floor PT require advanced, post-professional training, many of the course we take are the same. The difference is in the framework from which we consider the symptoms.
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If you're living with pelvic pain, leakage, pressure, discomfort during sex, postpartum changes, or symptoms you've been told to just live with — this is for you. I work with women, men, and people of all genders who are tired of managing symptoms and ready to understand what's actually driving them. You don't need a formal diagnosis. You don't need to have tried everything else first. If something feels off in your body and it's affecting your life, that's enough to reach out.
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I work with a wide range of pelvic floor conditions, including:
Pelvic pain (at rest, during movement, or during sex)
Bladder dysfunction — leakage, urgency, frequency, incomplete emptying
Bowel dysfunction — constipation, urgency, or difficulty with control
Diastasis recti and postpartum core recovery
Painful intercourse or penetration
Prolapse symptoms
Menopausal changes affecting pelvic comfort and function
Tailbone, hip, or low back pain with a pelvic connection
If you don't see your specific issue listed, reach out anyway. A free consultation is the fastest way to find out whether pelvic floor OT is the right fit.
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The first session is a comprehensive evaluation, and it's longer than a typical treatment visit. We'll start by talking — about your symptoms, your history, what you've already tried, and what you're hoping to change. I want to understand not just what's happening in your body, but how it's affecting your daily life. From there, I'll conduct a physical assessment that looks at your posture, movement patterns, breathing mechanics, and — when appropriate and with your full consent — the external and internal structures of the pelvic floor. By the end of the session, you'll have a clear picture of what I'm seeing, what I think is driving your symptoms, and what a treatment plan might look like. You'll leave with information, not just instructions.
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Every treatment session is tailored to where you are that day, but most visits draw from some combination of nervous system regulation, functional movement, breathwork, and manual therapy. Manual therapy may include work with muscle, fascia, and viscera — the connective tissue and organs of the pelvic region — to address tension, restrictions, or patterns contributing to your symptoms. Education is woven throughout, because understanding what's happening in your own body is part of how healing actually sticks. You won't be handed a generic exercise sheet. You'll leave each session with something specific, meaningful, and yours.
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Internal pelvic floor assessment and treatment can be a part of care, but it is never assumed or rushed. I will always explain what I'm considering and why, ask for your consent, and follow your lead. If you're not ready for internal work — or if it's never something you want — there is still a great deal we can do together through external manual therapy, movement, breathwork, and nervous system work. Your comfort and sense of safety in the room is not a courtesy; it's a clinical priority.
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No referral is needed to schedule a session. Many people come to me without a formal diagnosis — only a sense that something isn't right and that they deserve better answers than they've gotten so far. We'll talk through what you're experiencing and decide together whether pelvic floor OT is the right next step.
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If you've done pelvic PT and found partial relief — or none at all — you're not alone, and it doesn't mean nothing can help. Occupational therapy approaches the pelvic floor as one part of a larger system that includes your nervous system, your fascia, your organs, your breathing patterns, and your daily habits. Sometimes what's driving symptoms isn't a muscle that needs strengthening — it's a nervous system that's stuck in protection mode, a fascial restriction, or a pattern in how you move and breathe throughout the day. My training in myofascial release, visceral work, and nervous system regulation allows me to work at that level.
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Meaningfully — and not as an add-on. I've practiced alignment-based yoga for over 20 years and completed formal pranayama teacher training. Breath is one of the most direct ways to access the nervous system and influence the pelvic floor, and this background shapes how I approach almost every session. It means I can teach you to use your breath as a tool — not just during treatment, but in your everyday life. The connection between breath, movement, mindfulness, and pelvic wellness is something I come back to constantly, because it works.
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The first session is a comprehensive evaluation, and it's longer than a typical treatment visit. We'll start by talking — about your symptoms, your history, what you've already tried, and what you're hoping to change. I want to understand not just what's happening in your body, but how it's affecting your daily life. From there, I'll conduct a physical assessment that looks at your posture, movement patterns, breathing mechanics, and — when appropriate and with your full consent — the external and internal structures of the pelvic floor. By the end of the session, you'll have a clear picture of what I'm seeing, what I think is driving your symptoms, and what a treatment plan might look like. You'll leave with information, not just instructions.
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Every treatment session is tailored to where you are that day, but most visits draw from some combination of nervous system regulation, functional movement, breathwork, and manual therapy. Manual therapy may include work with muscle, fascia, and viscera — the connective tissue and organs of the pelvic region — to address tension, restrictions, or patterns contributing to your symptoms. Education is woven throughout, because understanding what's happening in your own body is part of how healing actually sticks. You won't be handed a generic exercise sheet. You'll leave each session with something specific, meaningful, and yours.
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I see clients at 1595 Elmwood Ave in Rochester, NY. I also offer in-home sessions for clients who prefer to be seen in their own environment — which can itself be a meaningful part of care for some people.
Policies
Payment Policy
We do not accept insurance.
All services are private pay and due at the time of service.
Services may be eligible for reimbursement through a flexible spending account or HSA.
If your insurance offers out of network coverage, you may request what is called a “superbill” which you may submit as a claim for reimbursement. We do not guarantee reimbursement for services. Prior-authorization may be required by your insurance company.
Payments accepted: Venmo, check or cash.
If you are experiencing financial hardship, please inquire directly about my sliding scale program.
Cancellation Policy
If you need to cancel, 24 hours is required, or the session will be charged at 50% of the session rate.
If you do not show up for your scheduled appointment and I’m waiting for you, you will be charged 100% of your session rate.
If you are experiencing health related issues or signs of illness within 24 hours and need to cancel, please contact me as soon as possible and you will not be charged for the session.
Please email, text, or call me as soon as possible if you need to change your appointment time.
