SPECIALTY

Pelvic Floor Physical Therapy in Boise & Nampa

Leaking when you laugh, pressure that won’t ease, a postpartum body that doesn’t feel like yours — pelvic floor problems are common, treatable, and nothing to white-knuckle through alone.

AT A GLANCE

Pelvic floor physical therapy treats bladder leakage, pelvic pain, prolapse symptoms, and postpartum dysfunction by retraining the muscles at the base of the pelvis. About one in three women experience urinary incontinence after childbirth, and structured pelvic floor muscle training is the evidence-based first-line treatment. RISE Physical Therapy offers certified pelvic floor care in private, one-on-one 45-minute sessions at our Boise, Idaho clinic.

What is pelvic floor physical therapy?

Pelvic floor physical therapy is specialized care for the muscles that form the base of your pelvis — the sling that supports your bladder, bowel, and (in women) uterus, controls continence, and stabilizes your core. Like any muscle group, these muscles can be weak, overactive, poorly coordinated, or painful. A certified pelvic floor therapist figures out which, then retrains them.

It's care for a problem set that is enormously common and rarely talked about: roughly one in three women experience urinary incontinence after childbirth,[1] and pelvic pain, urgency, and prolapse symptoms affect people of every age — men included. Common doesn't mean normal, and it doesn't mean permanent.

Signs the pelvic floor is involved

What does the research say?

Pelvic floor muscle training (PFMT) is one of the most rigorously supported interventions in physical therapy. A Cochrane systematic review found that structured PFMT during and after pregnancy can both prevent and treat urinary incontinence, with essentially no reported adverse effects.[1] International guidelines list supervised PFMT as first-line treatment for stress urinary incontinence — ahead of surgery. And research shows the details matter: correct technique and supervised progression outperform a handout that just says "do Kegels."

That last point is the practical one. Studies using internal assessment find a large share of people perform Kegels incorrectly — often bearing down instead of lifting — which is why guided training with feedback, sometimes including biofeedback, changes outcomes.[2]

What pelvic floor care looks like at RISE

Pelvic health requires privacy, time, and trust. At RISE, every pelvic floor session is 45 minutes, one-on-one, in a private treatment room with Dr. Mandy Robertson — a Herman & Wallace certified pelvic specialist. Nothing is rushed, and nothing happens without your explicit consent.

  • A conversation first: your history, symptoms, birth story if relevant, and goals — before any physical exam is discussed.
  • Consent-based assessment: external and, only if appropriate and comfortable for you, internal muscle assessment — the gold standard for knowing whether muscles are weak, overactive, or uncoordinated. Every step is optional and explained.
  • Whole-system treatment: breathing mechanics, hip and core strength, bladder habits, and toileting mechanics — the pelvic floor never works alone.
  • Progressive, measurable training: from correct activation to real-life loading — lifting your kids, running, jumping — with progress you can measure in fewer leaks and less pain.

Techniques we often pair with it

Private treatment room at RISE Physical Therapy Boise
01 — ASSESS
Understand the system

A private, consent-based evaluation determines whether your pelvic floor is weak, tight, or uncoordinated — they need opposite treatments.

02 — TREAT
Restore function

Guided muscle retraining, manual therapy, and habit changes matched to your findings.

03 — REBUILD
Return to everything

Progressive loading until running, lifting, laughing, and living are leak-free and pain-free.

What to expect at your first visit

  1. A private conversation. Your symptoms, history, and goals — in a private room, at your pace. Bring questions; this visit is unhurried by design.
  2. Education before examination. We explain the anatomy and what an assessment involves. You choose what happens — external-only evaluation is always an option.
  3. Assessment with consent. Posture, breathing, core, hips, and pelvic floor muscle function, assessed to the level you’re comfortable with.
  4. A plain-language explanation. Weak, overactive, or uncoordinated — you’ll leave understanding what’s happening and why it’s fixable.
  5. Your first steps. Correct activation (or relaxation) training and one or two habit changes that often start helping within days.

Frequently asked questions

Is leaking after childbirth just something I have to live with?+
No. Leaking is common after childbirth — about one in three women experience it — but it is highly treatable. Cochrane-reviewed evidence shows structured pelvic floor muscle training treats and prevents postpartum incontinence, and supervised training is first-line care in international guidelines. Common is not the same as permanent.
Does pelvic floor therapy always involve an internal exam?+
No. Internal assessment is the most precise way to evaluate the pelvic floor muscles, but it is always optional and only performed with your informed consent. Plenty of progress can be made with external assessment, breathing and core work, and habit retraining — your comfort sets the pace.
When should I start pelvic floor PT after having a baby?+
Most patients begin around the 6-week postpartum mark, after clearance from their OB or midwife — but gentle breathing and reconnection work can start earlier, and it is never too late. We regularly help patients whose symptoms began years or decades ago.
Do men need pelvic floor therapy?+
Yes. Men most often come to us for leakage after prostate surgery, pelvic pain, and urinary urgency or frequency. The muscle system is the same, the evaluation process is the same private, consent-based approach, and the outcomes are similarly good.
Aren’t Kegels enough? I’ve been doing them for months.+
Kegels only help if the problem is weakness, and only if they’re done correctly — studies find many people unknowingly bear down instead of lifting. If your pelvic floor is actually overactive, Kegels can make symptoms worse. An assessment tells you which camp you’re in before you spend more months training the wrong thing.
Do I need a referral for pelvic floor therapy in Idaho?+
No. Idaho allows direct access to physical therapy, so you can book directly with RISE. Some insurance plans — commonly Medicare, Medicaid, and Tricare — require a referral for coverage; contact us and we’ll verify your plan before your first visit.
Does insurance cover pelvic floor therapy?+
Most major medical plans cover pelvic floor physical therapy as standard physical therapy care. RISE is in-network with most major insurance plans in Idaho — reach out with your insurance details and we’ll confirm your benefits first.
ONE PATIENT, ONE HOUR, ONE FOCUS

You don’t have to plan your life around a bathroom.

Private, one-on-one pelvic floor care with a certified specialist — no referral needed in Idaho.

Dr. Mandy Robertson, PT, DPT
Dr. Mandy Robertson
PT, DPT · PELVIC FLOOR SPECIALIST (HERMAN & WALLACE)

Mandy earned her Doctorate of Physical Therapy at Idaho State-Meridian and holds pelvic floor specialist certification from the Herman & Wallace Pelvic Rehabilitation Institute. She treats male and female pelvic health patients at our Boise clinic — and as a mother herself, has a deep passion for postpartum care. Meet the full team →

SOURCES

  1. Woodley SJ, et al. Pelvic floor muscle training for preventing and treating urinary and faecal incontinence in antenatal and postnatal women. Cochrane Database Syst Rev, 2020. cochranelibrary.com/cdsr/doi/10.1002/14651858.CD007471.pub4/full
  2. Antenatal pelvic floor muscle training and urinary incontinence: a randomized controlled 7-year follow-up study. 2022. ncbi.nlm.nih.gov/pmc/articles/PMC9206614/
  3. Direct Access Laws by State. WebPT. webpt.com/blog/direct-access-laws-state-idaho-mississippi