Leaking, pain, pressure, or feeling disconnected from your core? These are common, but they're not things you have to live with. Let's get you back to running, jumping, lifting and playing.
Your pelvic floor is the group of muscles at the bottom of your core. It holds up your bladder, bowel and uterus, keeps you from leaking, and has a lot to do with sex, your back, and how well you lift, run and jump.
Important: Pelvic floor dysfunction does not only mean weakness. Many women have pelvic floor muscles that are overactive, uncoordinated, or unable to relax when they should. Pelvic floor PT addresses strength, mobility, coordination, and nervous system control. Not just Kegels.
You don't need to be postpartum, an athlete, or under 40 to see a pelvic floor physical therapist. It can help if you have:
If something feels "off" but you've been told it's normal, that's often a sign it's treatable.
At PeakRx, pelvic floor physical therapy may address:
Leaking when you jump, sneeze, or can't make it in time
Including vulvar and tailbone pain
Sex shouldn't hurt. Period.
Heaviness, pressure, or feeling like something's falling out
Core & pelvic floor after baby
Pelvic, hip & back pain while pregnant
Constipation, straining & more
Ab separation after pregnancy
Pickleball, lifting, running & more
Every woman should give themselves the gift of pelvic floor PT at Peak Rx! I have my life back. I can run and jump and sneeze and laugh and not have to go change my pants after. I have control over my bladder and am aware of my pelvic floor muscles and how to strengthen them and let them work for me as I lift heavy weights. Natalie gently and kindly educated me about my body and made me feel empowered to change things I didn’t love about it. Peak Rx offered exactly what I needed at a time that I felt deflated and vulnerable. Working with Natalie has given me confidence in my body in an area that my personal trainer certification and years of endurance sports could not. I will be forever grateful for pelvic floor PT and Peak Rx and encourage every woman to invest in this priceless knowledge about your body!
Sara P.
Nov 2025 · Google review
Oh my goodness, where do I even start?! I booked an appointment at the beginning g of 2025 after noticing I was leaking a lot more when I sneezed, coughed, laughed, or did any explosive movement in recent years. I delivered 4 big babies from 2008-2015 and even after years of CrossFit, I had zero core activation and very weak glutes. I worked with Natalie starting in February 2025 and I’m not kidding, within 2-3 visits, I was no longer leaking. I can now race my boys, jump on the trampoline with them, laugh at their jokes and not pee my pants. Literally life-changing! After that, Natalie helped me with exercises to strengthen my glutes, she focused on my knees and what movements I could do that would give me strength without bothering them. She’s a WEALTH of knowledge! I can’t speak highly enough of Natalie and all the ladies at PeakRx! I always felt welcome, loved coming in for each appointment and I’m sad it’s over!
Erin M.
Jun 2025 · Google review
How pelvic floor therapy at PeakRx changed my Tri season! ✅ Core stability on the bike, no more feeling wobbly and unsupported ✅ Urgency on the bike, learned I don’t need “just in case” pees ✅ No more leaks on the run, in training or racing Ruth Ann and Brooke at PeakRx specialize in pelvic floor therapy for women, and they took the time to address both my Triathlon goals and my mom life goals (jumping on the trampoline and sneezing without leaks 🙌). Their approach was layered like my favorite cake: 1️⃣ Emotional – They truly listened to my embarrassment and shame and gave me a safe space to talk about it. 2️⃣ Physical – Their expertise helped me make deep core connections and feel strong. 3️⃣ Mental – I learned to trust my body again and feel confident instead of worried. PeakRx gave me confidence where I used to feel uncomfortable and embarrassed. For me, that’s a game change - both on the race course and in everyday life.
Emily F.
Aug 2025 · Google review
Leaking when you jump, heaviness after a long day on your feet, or bracing through every lift is not the cost of being active, and it's not the cost of getting older.
We combine pelvic floor therapy with strength and movement coaching so you can:
Your care starts with a one-on-one evaluation with a pelvic health physical therapist.
No photocopied handout and a "good luck." You get a plan built around your body and what you want to get back to.
What makes our pelvic floor physical therapy different
Just you and your PT, every visit
Because your hips and back are part of the story
No lowered voices, no euphemisms
We'll check your form and tell you what to fix
We've heard it all. Really.
We don't rush visits. We don't dismiss symptoms. And we'll never tell you it's just your age.
Your body is about to do (or just did) something wild. You deserve better than "just wait six weeks and hope for the best".
Our BirthRx program preps your core and pelvic floor for birth, navigates fitness during pregnancy, then gets you back to moving, lifting, and living without leaking, pain, or feeling broken afterwards.
We work with you on:
BirthRx combines in-person PT with structured programming so you're not guessing but have a plan from bump to badass.
See how BirthRx worksPelvic floor problems aren't just a women's issue. Pain, leaking and performance issues in men often trace back to the pelvic floor, and they often get missed elsewhere.
Learn More About Male Pelvic HealthStraightforward, with no surprises.
Every visit is a full hour with a Doctor of Physical Therapy. You won't be handed off to a tech or aide.
Book directly. In Texas you can be evaluated and start treatment without a doctor's referral.
We're out-of-network, so you pay at or before each visit. No hidden costs and no surprise bills after.
We give you a superbill to submit to your insurance for reimbursement, and you can use HSA or FSA funds.
It works the same whether you're five minutes away or driving in. Patients come to us from all over North Texas, from Flower Mound and Argyle to Frisco and McKinney.
Ready when you are
Book an evaluation. We'll talk, we'll look at the whole picture, and we'll make a plan together. Bring every question. We've heard it all.
