how can we help?

At Kula, treatment looks different for everyone because no two bodies, stories, or goals are the same. Below is a look at the tools and techniques we draw from to build your individualized plan. You won't receive all of these at every session; together we'll identify what your body needs and build from there.

what to expect during your visits

  • Two women sitting at a table by a large window, engaged in conversation. One woman has long brown hair and is wearing a beige top. The other woman has curly black hair, glasses, and is wearing a dark blue dress.

    initial evaluation

    I like to think of the initial evaluation as a conversation. This is our opportunity to get to know each other and tune the treatment plan to your specific needs.

    We move at your pace and consent is an ongoing process throughout.

    The INITIAL EVALUATION may include:

    - intake conversation

    - habit assessment

    - movement and posture evaluation

    - assessment of fascial structures

    - pelvic floor assessment (via internal and/or external techniques)

    - actionable goal setting

  • A woman practicing yoga in a studio, performing a forward bend pose on a yoga mat.

    treatment sessions

    Treatment sessions are tailored to your goals and needs. Primarily, sessions will include any of the following: movement, reflection, routine planning, education on your body, practice with daily activities to promote function, and hands on manual therapy.

    The purpose of hands on manual therapy techniques are to improve fascial gliding and scar mobility, increase blood flow to a certain region, and overall reduce pain.

    Typical therapeutic services listed via the superbill are: therapeutic activity, therapeutic exercise, manual therapy, and neuromuscular re-education.

    Each client will receive “homework” related to her specific treatment plan. We will review and adapt session to session, but the work between sessions is where the magic happens.

    *virtual sessions are available on a case to case basis after an establishment of a treatment plan and discussion with client and therapist

therapeutic offerings

exercise training

Movement that meets you where you are not a generic workout plan.
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Pelvic floor therapy isn't just hands-on treatment. Exercise is one of the most powerful tools we have. Whether you're rebuilding strength after birth, managing pain, or returning to the activities you love, your movement program is designed around your body, your goals, and your life. This may include core and pelvic floor coordination, breathwork, postural training, and progressive return-to-sport or return-to-running programming.

nervous system healing

The pain is real, but sometimes nothing shows up on a scan or test.
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Central sensitization is when the nervous system becomes overactive and amplifies pain signals beyond what the tissue injury would explain. This is common in chronic pelvic pain, vulvodynia, interstitial cystitis, and endometriosis. Treatment focuses on calming the nervous system, retraining pain pathways, and helping your body feel safe again because healing isn't just physical.

education on mind + body

Understanding what's happening is half the battle.
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You should leave every session knowing more about your body than when you walked in. Education is woven into everything we do at Kula from explaining why certain symptoms happen, to how the nervous system processes pain, to what your pelvic floor actually does day to day. Information is power, and empowerment is the long-term goal.

manual therapy

Hands-on techniques to release restriction, reduce pain, and restore movement.
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Manual therapy at Kula may include myofascial release, scar mobilization, both internal and external pelvic floor techniques. These approaches target fascial restrictions, improve blood flow, and reduce pain. Your ongoing consent and comfort is my top priority. Manual therapy is always offered as part of a larger, individualized treatment plan, never in isolation.

sexual wellness

This is a safe space. Nothing is TMI.
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Pain with intimacy, difficulty with arousal or sensation, vaginismus, low libido after birth are real + treatable concerns that too many people are told to just live with. Pelvic floor therapy addresses the physical contributors to sexual dysfunction through a trauma-informed, consent-forward approach. You'll never be pushed beyond your comfort level, and you'll always be in control of your care.

internal treatment

Specialized treatment offered as indicated.
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The pelvic floor is a group of muscles that sit inside the pelvis. Like any muscle, they can be tight, weak, or in pain and the only way to truly assess what's going on is to evaluate them directly.

Internal assessment and treatment may be performed vaginally and/or rectally depending on your symptoms, goals, and comfort level. It is always discussed in advance, always optional, and always performed with your ongoing consent. You are in control at every step.

visceral mobilization

Your organs move and glide with the surrounding fat, skin, and muscle. When things get sticky, you may feel it.
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Visceral mobilization is a gentle manual therapy technique that addresses the connective tissue around your internal organs. Restrictions in this tissue can contribute to pelvic pain, bladder urgency, constipation, painful periods, and more. This technique works with your body's natural rhythm to restore mobility and reduce symptoms at their root. Specialized training courses are required to perform these techniques.

habit retraining

Small changes in your daily routine can create lasting results.
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Your bladder, bowel, and pelvic floor are deeply influenced by your habits: how much you drink, how you breathe, how you sit, how often you go to the bathroom "just in case." Habit retraining identifies the patterns that are working against you and replaces them with ones that support your healing. It's practical, sustainable, and often one of the most impactful parts of treatment.

intuitive listening

You are the expert on your own body. I'm here to help you hear it.
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One of the things that makes pelvic floor therapy different is that we look at the whole person, not just the symptom. That means we pay attention to your stress levels, your sleep, your daily routines, and how your body responds to life. Sessions include space to reflect, ask questions, and build a real understanding of what your body is telling you and why.