Pelvic floor physical therapy is a specialized approach to improving pelvic, reproductive, urinary, and sexual health for people of all genders. It addresses concerns such as pelvic girdle pain (including low back, SI joint, and pubic symphysis discomfort), vaginal or rectal pain (at rest, during intimacy, or medical exams), incontinence, organ prolapse, diastasis recti, and more. At Foundations, we take a whole-body, holistic approach. That means we don’t just treat the site of symptoms—we look at how your posture, movement patterns, breathing, core function, and daily habits impact your pelvic health. Treatment may include internal (vaginal or rectal) assessment when appropriate, but it’s never required. If you’re not comfortable with internal work, we’ll collaborate with you to find effective, respectful alternatives that support your healing and goals.

Everyone! While many associate it with postpartum care, it’s equally effective for men, women, and non-binary individuals experiencing pelvic pain, incontinence, sexual dysfunction, or post-surgical recovery.

Yes. At Foundations, we are deeply committed to providing a safe, respectful, and affirming space for individuals of all gender identities, sexual orientations, and lived experiences. We recognize that pelvic health needs are diverse and may be influenced by gender-affirming care, trauma history, or past experiences in healthcare. Our clinicians are trained in inclusive practices and approach every patient with empathy, cultural humility, and consent-based care. Whether you’re seeking support for pelvic pain, recovery after surgery, urinary or bowel concerns, or gender-affirming care, we tailor your treatment to your unique goals and identity. We strive to listen, learn, and grow alongside our community—because your body, your story, and your healing matter.

An internal pelvic floor exam involves your therapist using a gloved, lubricated finger to assess the muscles inside your pelvic region—either vaginally or rectally, depending on your anatomy and symptoms. This helps evaluate muscle strength, coordination, endurance, and identify areas of tension or pain that may be contributing to your condition. It may also include assessment for things like prolapse or guidance on how to properly engage your pelvic floor muscles (often called a “kegel”). Internal exams are always consent-based. You are fully in control—you can pause or stop the exam at any time, and you are never required to include internal work as part of your care. We’ll always discuss your options, answer any questions, and prioritize your comfort and safety throughout your treatment.

Absolutely. Internal exams are just one of many tools we use—and they're never required. Pelvic physical therapy can still be highly effective through external assessment, movement analysis, breathwork, postural training, core and pelvic floor exercises, and education tailored to your goals. Your comfort, consent, and autonomy are always our top priority, and we’ll work with you to create a treatment plan that feels right for you.

Yes! You are absolutely welcome to attend pelvic PT while on your period. Many people continue treatment during menstruation, and it’s completely up to your comfort level. Internal work can still be performed if you're comfortable with it, but it's never required—we can always modify the session to focus on external techniques, movement, posture, or other parts of your plan. Just let your therapist know what feels best for you that day. Your care is always guided by your needs and preferences.

Yes! We work with men experiencing pelvic pain, post-prostatectomy complications, incontinence, constipation, sexual dysfunction, and core or orthopedic concerns.

Absolutely. We tailor gentle, evidence-based care to reduce discomfort, improve function, and prepare your body for birth and postpartum recovery.

Post-partum consultations are available as soon as you are ready for them. Foundations wants to be there right when you need us, and is dedicated to getting you started on the right foot. In home physical therapy services can commence 3 weeks after birth, with internal work safe to begin as early as 6 weeks after birth.

Your initial session includes a comprehensive evaluation of your posture, movement, core strength, and pelvic floor function. You’ll leave with a personalized plan and clear next steps.

At Foundations PT, we believe you deserve the kind of care that simply can’t be delivered in a rushed, insurance-driven model. That’s why we operate as a fee-for-service clinic—so we can provide the highest caliber of one-on-one, doctor-level care without compromise. Every session is a full hour with a highly trained Doctor of Physical Therapy who is 100% focused on you—your goals, your story, your results. No techs. No distractions. No shortcuts. Our flat-rate, transparent pricing means no surprise bills, no nickel-and-diming, and no wasted time dealing with insurance bureaucracy. Everything—your time in clinic, follow-up communication, personalized support—is included. If your insurance offers out-of-network benefits, you’re welcome to submit claims independently. We’ll provide a detailed Superbill after each session, and many patients receive 50–80% reimbursement, depending on their plan. We’ve even created a simple worksheet to help you navigate that process with confidence. This is physical therapy reimagined: results-driven, human-centered, and entirely on your terms. You’ve never experienced care like this—because no one else does it like we do.

Starting from July 1, 2023, individuals in Virginia will no longer require a referral to access physical therapy services. Should you be seen prior to this date, you will have to obtain a referral within 60 days of being evaluated. It is also important to note that while a referral is not needed for direct access to PT, some insurance providers may still require a referral for out-of-network reimbursement purposes. It is recommended to check with your specific insurance carrier regarding their referral requirements to ensure you have the necessary information for potential reimbursement. For performance enhancement, wellness, or exercise programming services at Foundations Physical Therapy, a referral is not required. However, it is advisable to consult with your healthcare provider before embarking on any new fitness endeavor to ensure it aligns with your individual health needs and goals.