Pelvic Floor Therapy

Our Approach To Pelvic Health

Pelvic health becomes especially important during and after menopause, when hormonal changes can weaken the muscles that support the bladder, vagina, and pelvic organs, leading to symptoms like urinary incontinence, vaginal discomfort, pelvic pressure, and painful intercourse. At Radiant Women’s Health, we believe pelvic floor function is essential to your long-term comfort, strength, and sexual wellbeing. Our pelvic floor therapist, Julie Bottarini, is a leading expert in women’s pelvic health.

Julie Bottarini specializes in the evaluation and treatment of pelvic floor dysfunction. With advanced training and a deeply patient-centered approach, she helps women address the often-overlooked effects of aging, menopause, childbirth, and surgery on pelvic function.

What Is Pelvic Floor Therapy?

Pelvic floor therapy is a specialized, non-surgical treatment focused on the muscles, ligaments, and connective tissues that support your pelvic organs, including the bladder, uterus, vagina, and rectum. These muscles play a crucial role in bowel, bladder and sexual function, and core stability.

Over time, and especially during menopause, these muscles can become weak, tight, or poorly coordinated due to hormonal changes, childbirth, surgery, trauma, or chronic straining. Pelvic floor physical therapy helps restore strength, flexibility, and function through techniques such as:

• Manual therapy to release tight muscles or scar tissue
• Guided exercises to improve coordination and strength
• Biofeedback and neuromuscular re-education
• Education on posture, breathing, and daily movement strategies
• Home exercise plans to maintain progress and prevent recurrence

What Pelvic Floor Therapy Can Treat

Pelvic floor therapy is especially beneficial for women in perimenopause and menopause, when declining estrogen can lead to tissue thinning, dryness, changes in sexual function and reduced pelvic support. It can be effective in treating a wide range of conditions, including:

• Urinary leakage or incontinence
• Urgency, frequency, or difficulty fully emptying the bladder
• IBS or chronic constipation
• Vaginal discomfort, dryness, or laxity due to menopause
• Painful intercourse (dyspareunia) related to pelvic muscle tension
• Pelvic pressure or heaviness, including prolapse symptoms
• Postural imbalance and core weakness
• Pelvic pain, including chronic back pain, tailbone, hip, or vulvar pain
• Recovery following childbirth or gynecologic surgery