Pelvic Floor Physical Therapy
What is Pelvic Floor Physical Therapy?
- Frequent trips to the bathroom during the day or at night
- Urine loss when coughing, laughing or exercising
- Painful sexual intercourse
- Pelvic pressure or pain
- Difficulty getting to the toilet on time
- Postpartum moms
- Diastasis Recti
- Prolapse
- Tailbone pain
- Bladder schedule and retraining
- Lifestyle modifications
- Internal or external manual muscle therapy
- Pelvic floor muscle strengthening
- Relaxation techniques
- Therapeutic exercise
- Dry Needling
- Soft tissue mobilization
- Cupping
- Pregnancy and childbirth
- Lifting heavy weights
- Being overweight
- Chronic constipation
- Pre-menopause and menopause
- High-impact exercises
- Post Radiation or Cancer treatment
Pelvic floor physical therapy is often the only or best option for treating pelvic conditions. When surgical options are available, and your health and condition qualify you for surgery, pelvic floor physical therapy can be beneficial both before and after surgery.
During your initial exam, your pelvic floor physical therapist will go over your medical history with you and ask you questions about your health and any behaviors that may be affecting your condition, such as fluid intake, bladder health and other personal questions that may affect your pelvic health.
The exam will last one hour and will take place in a private room. If you are comfortable having a pelvic exam, your pelvic floor physical therapist may perform one during your initial consultation.
As part of an internal pelvic floor muscle exam, your pelvic floor physical therapist will need to an internal exam in order to assess your pelvic floor muscles and coordination.
An internal pelvic floor exam is necessary for developing an accurate treatment plan. We can, however, assess your pelvic floor muscles using other methods, such as:
- Pelvic girdle assessments. Your pelvic floor physical therapist will assess the condition of your pelvic girdle, which is a complex ring of ligaments, joints, and muscles that connects the skeleton to the lower limbs and the pelvic floor.
- Pre- and post-partum abdominal screening. We will examine your abdominal muscles to see if there is any separation (abdominal diastasis).
Other Services
What People Say About Osteopractic Physical Therapy of Central Indiana
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Leslie Morris40 days agoTrustindex verifies that the original source of the review is Google.
Very knowledgeable and experienced, but what stood out to me the most was how kind and genuinely caring they are. I can tell that they really just want to help people live pain-free.Posted on Google
Chad Donnell40 days agoTrustindex verifies that the original source of the review is Google.
OPT did a great job of taking the time to deep dive into my shoulder injury and provide me a clear plan moving forward. They are so good with their ultrasound that it negated the need for an expensive MRI.Posted on Google
Alex Brant44 days agoTrustindex verifies that the original source of the review is Google.
Great staff and excellent quality and hands on Treatement. Very knowledgeable.Posted on Google
Bill Peters46 days agoTrustindex verifies that the original source of the review is Google.
I had a very positive and informative visit. By their use if ultrasound technology, I was able to learn some important things about my shoulder and the pain which I have lived with for decades. Very caring even with their follow up. Worth every dime.Posted on Google
Jacob DePalm78 days agoTrustindex verifies that the original source of the review is Google.
Came in with 10 years of should pain/pinch. it got so bad I couldn’t even throw a tennis ball without sharp pain in my rotator. within weeks of working with Julius on shockwave therapy and physical therapy, I could get back into the gym and back into playing sports pain-free. 10/10 recommend.Posted on Google
Cub78 days agoTrustindex verifies that the original source of the review is Google.
Came in with 10 years of should pain, pinching on my rotator when I left or throw a tennis ball even. After 2 weeks of shockwave therapy and PT, I was feeling immediate strength and relief.Posted on Google
L M105 days agoTrustindex verifies that the original source of the review is Google.
Dr Winnie is very helpful and discusses the issues you’re having and truly cares.Posted on Google
Patricia Hargan105 days agoTrustindex verifies that the original source of the review is Google.
Dr. Winni has helped me so much and she cares tremendously for her patients. She also s so knowledgeable in her practice and is so helpful and positive during my therapy sessions.Posted on Google
Lisa Hudson FBD106 days agoTrustindex verifies that the original source of the review is Google.
Attention to detail and working on solutions outside the box.Posted on Google
Tina Clark111 days agoTrustindex verifies that the original source of the review is Google.
If you are suffering from pelvic, back, neck or just your whole body. This is the place to be. Dr. WIinnia is amazing. She helped me with exercises i can do at home. They have a app with the exercises so I can refer to it if I forget how. They are flexible with your schedule and willing to fit you in if you need to be seen. They offered a package that was 6 visit for a great price. Highly recommend her and her husband.+0Posted on Google
Deborah Robertson118 days agoTrustindex verifies that the original source of the review is Google.
I am so grateful that I found Julius and Winnie! I had hip replacement surgery about 3 years ago and have enduring a lot of hip/back pain since! Julius has worked miracles with using shock wave therapy and other techniques feeling much better and have hope again! They are very professional and caring people!Posted on Google
Marjorie Breisch121 days agoTrustindex verifies that the original source of the review is Google.
Dr Julius Marayag helped me so much to relieve my hip pain. I'm an active 63 yr old woman and the hip was hurting so much that even walking was painful. I went to an Orthopedic Doc and based on my Xray, he said that I was not a candidate for hip replacement because i still had cartilage. He suggested PT and Celebrex (an anti inflammatory) next step would be steroid shots. I'm so glad that I went to see Dr Julius because I don't need any medication. I received shock wave therapy, dry needling with electrification and manual manipulation. Additionally Dr Julius gave be some additional exercises to strengthen weaker areas of hip movement. I completed my therapy in mid May(2026) and 6 weeks later, I feel great.Posted on Google
Matthew Piatt127 days agoTrustindex verifies that the original source of the review is Google.
My experience here was great! They performed a shoulder scan and provided helpful guidance on how to correct and manage my shoulder pain going forward. Highly recommend!Posted on Google
Mark Gonzales137 days agoTrustindex verifies that the original source of the review is Google.
Helped with pinpointing a plan on correcting some deficiencies with my hip muscles.Posted on Google
Heather Fidler149 days agoTrustindex verifies that the original source of the review is Google.
My partner was originally referred to Dr. Julius and Dr. Winnie by a friend, and after seeing the outstanding care he received, he referred me as well. We have both had such positive experiences that we've since referred additional friends and family members. Dr. Julius and Dr. Winnie are not only exceptionally knowledgeable and skilled physical therapists, but they are also genuinely kind, caring, and invested in their patients' success. They take the time to listen, explain things clearly, and create treatment plans that address the root cause of the problem rather than just the symptoms. The entire experience has been professional, welcoming, and effective. It's rare to find healthcare providers who combine expertise with such a personal touch. We are incredibly grateful for the care we've received and highly recommend Osteopractic Physical Therapy of Central Indiana to anyone looking for outstanding physical therapy services!Posted on Google
Kevin Bailey154 days agoTrustindex verifies that the original source of the review is Google.
These physical therapists know their craft incredibly well. I didn't even know the ailments they worked on with me were healable. But methodically, using some advanced tools and techniques, they cured me of two chronic musculoskeletal issues I've dealt with for many years. Highly recommended! Just stick to their program. It may take a bit, but you'll be surprised with the outcome.Posted on Google
Lucinda Herring-Parsons164 days agoTrustindex verifies that the original source of the review is Google.
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Dan Green168 days agoTrustindex verifies that the original source of the review is Google.
Dr. Marayag and his practice was a great find. I was suffering from frozen shoulder and after a few weeks of treatment and rehabilitation I have made amazing progressive. Very professional and forthcoming with all types of pertinent medical information related to my injury. I highly recommend Dr. Marayag and his osteopractic PT team.Posted on Google
Anna Brown-Mitchell168 days agoTrustindex verifies that the original source of the review is Google.
Dr. Winnie was very knowledgeable and carefully explained how the pelvic floor works, all the muscles surrounding it and how strengthening those muscles keeps the Elimination process operating as it should. Her enthusiasm for her work is evident, and her kindness helped me be comfortable with the process. Then I was evaluated by Dr. Louis for hip pain. I experienced dry needling for both the pelvic situation and hip pain. I learned a lot, and my hip pain has lessened in frequency. Thank you to both doctors.Posted on Google
Grant Z Price194 days agoTrustindex verifies that the original source of the review is Google.
Great experience with Dr Julius. Very helpful to relieve pain and get me back to running again. Highly recommend!Verified by TrustindexTrustindex verified badge is the Universal Symbol of Trust. Only the greatest companies can get the verified badge who has a review score above 4.5, based on customer reviews over the past 12 months. Read more


