Pelvic Health Physical Therapy

Female pelvic PT in Birmingham, AL provided in the privacy of your home, including services for urinary incontinence, pregnancy and post-partum pelvic floor issues, general pelvic pain, diastasis recti, pubic symphysis pain, constipation, pelvic organ prolapse, painful sex and more.


What is Pelvic Health Physical Therapy?

Cinda Kult PT,MSPT

  • Pelvic Health PT involves the assessment and treatment of pelvic floor muscle dysfunction to help retrain the pelvic floor muscles to function properly. These muscles are involved with pelvic and spine support, internal organ support, the passage of urine and feces and play a crucial role in intercourse.

  • Natural treatment methods include exercise, muscular strengthening, manual therapy, stretching, relaxation and external dry needling to restore mobility, strength and function to the muscles, nerves and organs causing your symptoms. We will also educate on posture, lifestyle and proper breathing techniques.

  • We will come to you and treat you in the privacy of your home (read more about your first visit and paperwork below)

  • Each appointment is 60 minutes of one-on-one time with Cinda Kult, PT, MSPT (read more about Cinda here)

Many women suffer for years with pelvic floor issues not realizing that physical therapy provides both relief and healing. Pelvic floor issues can range from annoying to life-altering. But none are normal or ‘just part of growing older’ or the unavoidable outcome of pregnancy. If you have been embarrassed to seek help or didn’t know therapies were available, contact us to start a conversation about how to help you move toward wellness. We will first listen - and then working with you with compassion, skill, sensitivity and proven techniques we will help you regain physical wellness.
— Cinda Kult, PT, MSPT, Herman-Wallace Trained Pelvic Health Therapist

Symptoms of Pelvic Floor Dysfunction

  • Pelvic pain: burning, itching, aching or other types of pain in the vulva, vagina, perineal and/or anal areas

  • Urinary incontinence, leakage, pain with urination and urination urgency or stress urinary incontinence

  • Pain and difficulty with penetrative intercourse or tampon insertion

  • Stress urinary incontinence

  • Diastasis recti (separation of the abdominal muscles during pregnancy)

  • Separated pubic bone

  • Hypersensitivity wearing pants or underwear or pain with sitting.

  • Constipation, abdominal bloating, gastrointestinal distress

    ARE YOU: Peeing less than 3 or more than 9x a day? Having more than 3 BM’s/day or less than 2 a week? Waking up several times a night to pee? Peeing “just in case”? Leaking with exercise, sneezing/coughing? Restricting fluid so you don’t pee? Having pain with sex?


Pregnancy and Post-Partum Physical Therapy

However you gave birth, vaginally or by c-section, your body has been through a lot of changes and there can be pelvic floor issues regardless of the way you delivered. Pelvic PT should be a part of every woman’s post-partum journey and can include:

  • Treatment of c-section scars

  • Pubic symphysis pain

  • Diastasis recti (a separation of the rectus abdominus “six-pack” muscle during pregnancy)

  • Pain with intercourse or using tampons after birth

  • Sciatica, lower or upper back pain

  • Pelvic floor prolapse or heaviness

  • Weak or tight muscles

  • Musculoskeletal pain from nursing, lifting baby



Your First Visit

We know you will have questions about your first visit! Our goal is to provide transparency, complete information and availability to answer your questions. To read full information about what is involved with your first visit, click here. In brief you can expect:

  • To fill out a questionnaire before your first visit.

  • To focus on discussing what issues you are having, your general health, lifestyle and what you’ve tried in the past. We want to know what triggers your problems and also how they impact your life and relationships.

  • Setting goals

  • Collaborating on a treatment plan

  • Will there be an internal exam? Usually not on the first visit - and it’s 100% YOUR CHOICE whether to have an internal exam during your time in pelvic floor therapy. We will discuss with you how it might benefit both understanding your condition and how to most effectively treat your symptoms. Pelvic exams in physical therapy do NOT use stirrups or speculums.

  • You will provide consent before any assessment or treatment and you can change your mind at any time.


Do you accept insurance?

  • In order to provide you with the most comprehensive and complete care, we do not accept insurance, which can constrain the methods and time we spend with you. We are a cash-based physical therapy practice.

  • We believe that our model is cost-effective without insurance. You will see the same therapist each time for a full 60-minutes of treatment. You will not spend half (or more) or your time doing exercises you can do at home or receiving passive treatments that may not be moving you toward wellness. Because of this, you will likely require far fewer treatments and you will progress faster toward your journey of healing.

  • Some insurances will reimburse for concierge physical therapy. Please check with your provider for out-of-network physical therapy coverage as every plan is different.