Pelvic floor dysfunction looks different for every patient. Some people come to us with a clear diagnosis. Others just know something is off and want answers. Our pelvic floor physical therapy team in Denver treats a wide range of conditions, including:
Pelvic pain, tailbone pain, sciatica, lower back pain, and pain during intercourse.
Urinary incontinence, urgency, frequency, and constipation. Leaking during exercise is common but treatable.
Prenatal pelvic floor therapy, labor preparation, diastasis recti, C-section recovery, and safe return to exercise.
Endometriosis, PCOS, perimenopause, and menstrual pain. Hormonal shifts often create or worsen pelvic floor dysfunction.
Post-prostatectomy incontinence, chronic pelvic pain, and pelvic floor tension.
Return to sport after pelvic floor injury, leaking during training, and core stability issues.
Your Care Team
Our pelvic floor specialists are partners in your progress, combining clinical skill with a supportive approach that helps you move, train, and live with comfort and confidence.
From what to expect at your first evaluation to how we work through sensitive topics with care, these are the questions we hear most from women, men, and postpartum patients across Centennial, the Tech Center, and the south Denver metro.
Your pelvic floor is a group of muscles that stretches from your pubic bone to your tailbone. These muscles support your pelvic organs, help control your bladder and bowel, contribute to sexual function, and play a direct role in core stability during movement and heavy lifting. They also share connections with your lumbar spine and hips, making them an often overlooked piece in lower back pain and hip dysfunction.
The pelvic floor is active in daily activities you may not think about, from going to the bathroom to picking up your child, coughing, laughing, and sneezing. When these muscles are too tight, too weak, or not coordinating properly, the result is pelvic floor dysfunction. That can show up as urinary incontinence, pelvic pain, pain during sex, difficulty exercising, or a feeling that something “just isn’t right” in your core.
Pelvic floor physical therapy is a specialized form of treatment that focuses on restoring strength, coordination, and muscle tone to this area. A doctor of physical therapy with advanced training in pelvic health evaluates how your pelvic floor is functioning, identifies the root cause of your symptoms, and builds a treatment plan around your specific needs and goals.
This is not a one-size-fits-all approach, and it goes well beyond basic pelvic floor exercises like Kegels. At Performance Shift, your pelvic floor therapist in Denver works with you one-on-one to address the full picture, whether that involves manual therapy, dry needling, cupping, neuromuscular re-education, breathing work, or progressive loading for return to sport.
No, and that is a common misconception. Everyone has a pelvis, which means everyone can benefit from improved pelvic floor strength, control, and function. Men experience pelvic floor dysfunction too, including post-surgical incontinence, chronic pelvic pain, and tension that limits athletic performance. We work with males, females, and adolescents, and our team has specific training across all populations.
Yes. Pain during sex is one of the most common reasons patients seek pelvic floor physical therapy. This pain is often caused by pelvic floor muscles that are too tight, have increased muscle tone, or are not coordinating correctly. Conditions like vaginismus, vulvodynia, and dyspareunia all respond well to specialized pelvic floor treatment. Your therapist works with you to identify the source of pain and build a plan to restore comfortable, pain-free sexual function.
Your first visit at our Centennial, Colorado clinic is a full hour, one-on-one with a doctor of physical therapy who specializes in pelvic health. No rotating between patients. No aides running your session.
You will be welcomed into a private space to share your concerns and ask questions. We start with a detailed conversation about your history, your symptoms, and your goals. Your physical therapist will want to understand how your pelvic floor is affecting your daily life, your movement, and your ability to do the things you care about.
From there, the assessment may include an external evaluation of posture, breathing, hip mobility, and core function. If an internal pelvic floor assessment is appropriate, your therapist will explain exactly what it involves, why it is recommended, and will only proceed with your full consent. You are in control of every step.
By the end of your first session, you will have a clear picture of what is going on and a treatment plan built around getting you back to where you want to be. Most patients work through a focused course of 4 to 12 sessions depending on the complexity of their condition, with many noticing meaningful progress within the first few weeks.
Specialist-Level Care
Every session is led by a Doctor of Physical Therapy with specialized training in pelvic floor rehabilitation. This is not a general PT clinic that also happens to offer pelvic floor services.
Truly One-on-One
You will never share your session time with another patient. Your therapist’s full attention is on you for the entire visit.
An Integrated Team
Performance Shift is not a standalone pelvic floor clinic. We bring together pelvic floor physical therapy, sports physical therapy, performance training, Pilates, chiropractic care, and nutrition under one roof in Centennial, CO, serving the entire Denver metro. If your recovery calls for a team approach, we already have one built.
For Everyone, Not Just One Population
We treat women, men, adolescents, and athletes of all levels. Whether you are a runner dealing with leaking, a new parent recovering from delivery, or someone managing chronic pelvic pain, our approach is built around your life and your goals.
A Path Beyond Symptom Management Our goal is not just to reduce your symptoms. It is to help you build a healthy pelvic floor that supports everything you want to do, from daily activities to high-level performance.
No. Colorado is a direct access state, so you can book your evaluation at Performance Shift without a physician referral. Most patients schedule directly through our website or by calling the clinic.
The right pelvic floor physical therapist should hold a Doctor of Physical Therapy degree with advanced training specifically in pelvic health, not just a weekend certification. You want someone who provides true one-on-one sessions, treats your specific concerns (whether that is pregnancy, postpartum recovery, male pelvic health, or return to sport), and builds a treatment plan around your individual goals. At Performance Shift, every pelvic floor session is private, led by the same dedicated specialist, and backed by an integrated care model that gives you access to sports PT, ortopedic PT, performance training, chiropractic, and nutrition all under one roof.
Yes, and it is one of the most common reasons patients come to see us. Pregnancy and delivery change the pelvic floor in ways that do not always resolve on their own. We also offer prenatal pelvic floor therapy for patients who want to prepare their body before delivery. Whether you are weeks or years postpartum, treatment can make a real difference.
It can, but it is never required. An internal assessment gives your therapist the most detailed picture of how your pelvic floor muscles are functioning, but we always explain what is involved and only proceed with your full consent. Many patients are surprised by how comfortable and clinical the process is, and we can accomplish a great deal through external evaluation if that is your preference.
Most patients begin noticing meaningful changes within 4 to 6 weeks of consistent treatment. A typical course of care at Performance Shift runs 4 to 12 sessions depending on the complexity of the pelvic floor dysfunction being addressed. Some patients see improvement after just a few visits, while more complex cases may take longer. Your therapist will set clear expectations during your first session and adjust your treatment plan as you progress.
Performance Shift is an out-of-network, cash-based practice, which means you pay directly for your sessions and receive a superbill you can submit to your insurance for potential reimbursement. This model allows us to provide longer, one-on-one sessions with a specialist rather than shorter visits split between multiple patients. We accept HSA and FSA accounts, and our team can help you understand your out-of-network benefits before you start. Contact us for current session rates and package options.
The Performance Shift is located at 6403 S Uvalda St Suite 300, Centennial, CO 80111. Our pelvic floor physical therapy clinic serves women, men, adolescents, and athletes across the south Denver metro area, including Centennial, Denver Tech Center, Denver, Highlands Ranch, Lone Tree, Greenwood Village, Castle Pines, Castle Rock, Aurora, Littleton, Parker, and Englewood.
