Physical Therapy 1st Rehab & Wellness

Patient education

Physical Therapy After Pregnancy: Pelvic Health, Core & Back Comfort

Pregnancy and childbirth can change how the pelvic floor, core, and back feel and function. Physical therapy may support recovery, comfort, and return to everyday activities. This page offers general information, not personalized medical advice.

Direct answer

Pregnancy and childbirth can change how the pelvic floor, core, and back feel and function. PT 1st offers individualized outpatient physical therapy—including pelvic health—at Montebello and Encino. Call (323) 246-4616. Open Monday–Friday, 8:00 AM – 7:30 PM. This page is general information, not personal medical advice.

Why movement can feel different after pregnancy

Pregnancy changes how weight is distributed and how muscles in the core, pelvic floor, and back work to support your body. Childbirth—whether vaginal or cesarean—can affect tissue, muscle coordination, and the way movement feels. For some people, recovery happens gradually without professional support. For others, symptoms like pain, weakness, or leaking persist and affect daily activities.

These changes are not failures or flaws; they are responses to significant physical load and transition. Physical therapy may support recovery by assessing how your body is moving now and building a plan around your current abilities and goals.

Concerns physical therapy may support

Postpartum physical therapy is not one-size-fits-all. Your plan depends on your evaluation, symptoms, and what you hope to work on. Common reasons people seek care after pregnancy include:

  • Urinary or fecal incontinence
  • Pelvic pain or discomfort
  • Sexual dysfunction or discomfort
  • Back or neck pain
  • Difficulty returning to exercise or daily activities
  • Questions about core function and movement

Physical therapy may support these concerns through education, exercise, and strategies tailored to your body and life. It does not guarantee specific outcomes or timelines, and it is not appropriate for everyone. If you have questions about whether care is right for you, call the clinic to discuss your situation.

What postpartum physical therapy care can look like

Your first visit is typically an evaluation. You will discuss your history, symptoms, and goals. Your therapist will assess how you move, stand, breathe, and use your core and pelvic floor during functional tasks. If a pelvic floor assessment is appropriate, your therapist should explain what it involves and ask for your consent. You can decline or pause at any time.

Assessment

Conversation about your concerns, history, and functional goals; movement and posture observation; optional consent-based pelvic floor assessment when relevant.

Treatment

Education about how your body is moving; exercises for strength, coordination, and control; hands-on techniques when appropriate; home strategies.

For more on the pelvic health evaluation process, see: What to expect at your first pelvic health PT visit.

What to expect at a first visit

First visits are usually longer than follow-up visits to allow time for conversation and assessment. Wear comfortable clothing that allows you to move easily. Bring your insurance card, any required referral or paperwork, and questions you want to remember. If you are breastfeeding or pumping, you can plan around feeding schedules or ask the clinic about privacy options if needed.

Your therapist will review findings with you and discuss a proposed plan. Visit frequency and duration depend on your evaluation and goals. There is no single schedule that fits everyone, and your plan can change as your body and life change.

When to call the clinic

If you have questions about scheduling, insurance coverage, whether a referral is needed, or whether physical therapy is appropriate for your situation, call (323) 246-4616. The clinic team can help you understand what to expect and what may be needed before your first visit.

This article is general education. It is not a substitute for evaluation or personalized medical advice from your physician or physical therapist. If you are experiencing severe pain, heavy bleeding, fever, or other urgent symptoms, contact your physician or seek emergency care.

Where we see patients

PT 1st provides outpatient physical therapy—including pelvic health—at both our Montebello and Encino clinics. The same phone and hours apply at both locations.

Montebello

433 N. 4th St., Unit 208, Montebello, CA 90640

Montebello pelvic health details

Encino

16240 Ventura Blvd, Suite 210, Encino, CA 91436

Encino clinic details

(323) 246-4616Open Monday–Friday, 8:00 AM – 7:30 PM

Insurance & coverage

Many insurance plans cover physical therapy when medically necessary, but benefits, referral requirements, and authorization rules vary by plan. PT 1st participates with several plans including Medicare. Call the clinic with your insurance details to verify coverage before your visit.

View accepted insurance plans

Frequently asked questions

Is postpartum physical therapy the same as pelvic floor PT?
Postpartum physical therapy may include pelvic floor assessment and treatment when appropriate, but it can also address back pain, core function, posture, and return to activities. Your plan depends on your evaluation and goals. Some people seek pelvic floor care specifically, while others focus on other areas; both are valid reasons to consider physical therapy after pregnancy.
Do I need a referral for postpartum physical therapy?
Referral requirements depend on your insurance plan and how you are accessing care. Some plans allow direct access, while others require a physician referral or authorization. Call the clinic with your insurance information so we can help you understand what may be needed before your first visit.
Can I come to physical therapy while still pregnant?
Many people seek physical therapy during pregnancy for back pain, pelvic discomfort, or preparation for delivery. Appropriateness depends on your medical history and symptoms. This article focuses on postpartum care, but physical therapy can be safe and helpful during pregnancy for many concerns. Discuss timing with your physician and physical therapist.
Is physical therapy available at both Montebello and Encino?
Yes. PT 1st provides outpatient physical therapy—including pelvic health—at 433 N. 4th St., Unit 208, Montebello, CA 90640 and 16240 Ventura Blvd, Suite 210, Encino, CA 91436. Call (323) 246-4616 to schedule at either location. Open Monday–Friday, 8:00 AM – 7:30 PM.
What about back pain after giving birth?
Back pain after pregnancy is a common reason to seek physical therapy. Treatment may include assessment of posture, movement patterns, and muscle function; exercises to support core and back strength; and strategies for home and daily activities. Physical therapy may also address related concerns such as pelvic or hip discomfort.
Is an internal pelvic floor exam required?
No. A pelvic floor assessment is optional and consent-based. Many evaluations begin with history and external movement assessment. If an internal exam is appropriate, your therapist should explain why, what to expect, and your right to decline, pause, or stop at any time. Treatment can still be effective using external strategies and exercise.

If you are considering physical therapy after pregnancy in Montebello or Encino, call (323) 246-4616 to ask about scheduling an evaluation.

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