Pelvic Floor

 Physical Therapy

Holly Springs, NC

We provide expert pelvic floor physical therapy in Holly Springs, NC, serving patients in Apex, Fuquay-Varina, and surrounding areas. Our team helps individuals experiencing common pelvic floor dysfunction symptoms, including urinary leakage, pelvic organ prolapse, painful intercourse, low back and hip pain, diastasis recti, and postpartum pelvic issues. While these symptoms are common, they are not normal!  Our goal is to help you restore proper pelvic function, return to your daily routine, and resume the fitness and activities you love without worry.


At Evolve Physical Therapy, we treat the pelvic floor like any other part of the body. Our patient-centered approach focuses on how you move and your unique lifestyle. For those preparing for childbirth or recovering postpartum, we provide specialized care to rehabilitate the pelvic floor, improve core strength, and support your return to daily life and fitness activities.

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Symptoms of Pelvic Floor Dysfunction


Bladder Symptoms

  • Leaking urine with coughing, sneezing, or exercise
  • Sudden strong urge to pee (urgency)
  • Frequent urination (more than every 2 hours)
  • Difficulty starting or fully emptying your bladder


Pain Symptoms

  • Pelvic pain or pressure
  • Low back, hip, or tailbone pain
  • Pain during or after sex
  • Pain with tampon use or pelvic exams


Core Issues

  • Feeling of weakness in your core
  • Diastasis recti (ab separation)
  • Low Back pain or hip pain that has not gotten better with traditional physical therapy


Pelvic Organ Prolapse Symptoms

  • Heaviness or “bulging” sensation in the vagina
  • Feeling like something is falling out
  • Symptoms worse at the end of the day or after standing


Pregnancy and Postpartum

  • Increased pelvic pressure
  • Difficulty coordinating pushing during labor
  • Lingering symptoms after birth (leakage, pain, weakness)
  • Postpartum recovery
  • Learn More About our Birth Preparation


Pelvic Floor Conditions We Treat


  • Urinary incontinence
  • Involuntary leakage of urine that can occur with coughing, sneezing, exercise, or urgency. Pelvic floor therapy strengthens muscles to improve bladder control and reduce accidents.
  • Pelvic organ prolapse
  • A condition where the pelvic organs (bladder, uterus, or rectum) drop from their normal position, often causing pressure, discomfort, or urinary symptoms. Therapy focuses on strengthening the pelvic floor to support proper organ placement.
  • Pelvic pain
  • Chronic or acute pain in the pelvic region, hips, or lower back. Causes can include muscle imbalances, nerve irritation, or pelvic floor dysfunction. Physical therapy helps reduce pain, improve function, and restore daily activity.
  • Pelvic floor muscle dysfunction or weakness
  • Weak or poorly coordinated pelvic floor muscles can lead to incontinence, prolapse, or pain. Targeted exercises and manual therapy restore strength, coordination, and control.
  • Diastasis recti abdominis
  • A separation of the abdominal muscles, commonly after pregnancy. This can contribute to core weakness, back pain, and pelvic floor stress. Therapy focuses on core retraining and functional strengthening.
  • Postpartum pelvic floor rehabilitation
  • Restoring pelvic floor and core strength after childbirth to improve continence, reduce pain, and support return to normal activities and exercise.
  • Pelvic floor hypertonicity (overactive muscles)
  • Excess tension or tightness in pelvic floor muscles can cause pain, urinary urgency, or difficulty with bowel movements. Therapy relaxes, stretches, and retrains muscles for proper function.
  • Painful intercourse (Dyspareunia)
  • Pain during sexual activity caused by pelvic floor dysfunction, tightness, or other pelvic conditions. Physical therapy addresses muscle tension, coordination, and overall pelvic health.
  • Painful bladder syndrome (Interstitial Cystitis)
  • Chronic bladder pain, urgency, and frequency without infection. Pelvic floor therapy can relieve muscle tension, improve bladder support, and reduce symptoms.
  • Post-surgical pelvic floor rehab (e.g., after hysterectomy)
  • After pelvic or abdominal surgery, the pelvic floor may weaken or tighten, leading to discomfort or functional limitations. Therapy restores strength, mobility, and confidence in daily activities.
  • Birth Preparation


Whose Is Pelvic Floor Physical Therapy For?


Pelvic floor physical therapy in Holly Springs, NC is ideal for anyone experiencing urinary leakage, pelvic pain, or pelvic organ prolapse, as well as those recovering postpartum or after pelvic surgery. It’s also beneficial for individuals with diastasis recti, pelvic floor muscle weakness or hypertonicity, painful intercourse, or painful bladder syndrome. Whether you’re preparing for childbirth, healing after delivery, or looking to restore strength and function to your core and pelvic floor, our therapy helps you regain control, reduce discomfort, and return to daily activities and fitness. We treat patients from Holly Springs, Apex, Fuquay-Varina, and surrounding areas, providing a personalized, patient-centered approach tailored to your unique needs.


Why Evolve Pelvic Floor Therapy Is Different


  • One-on-One, 60-Minute Sessions
    You get a full hour of uninterrupted care with your Doctor of Physical Therapy, never rushed, never doubled with another patient.
  • Specialized Pelvic Floor Expertise
    Advanced training in pelvic health, pregnancy, postpartum, and complex pelvic pain conditions.
  • Whole-Body Approach
    We don’t just treat your pelvic floor, we assess your core, hips, breathing, posture, and movement patterns to find the true root cause.
  • Internal + External Treatment Options
    Comprehensive care including pelvic floor assessments, but always guided by your comfort level and goals. *Internal examinations and treatment are not required! Can treat the pelvic floor externally* All of our pelvic floor physical therapists are certified in internal pelvic floor physical therapy
  • Hands-On, Results-Driven Care
    Skilled manual therapy, dry needling, soft tissue work, and movement retraining for faster, lasting results.
  • Education-Focused
    You’ll actually understand what’s going on in your body and how to fix it
  • Customized Plan of Care
    Every treatment plan is tailored to your symptoms, goals, and lifestyle.
  • Pregnancy & Postpartum Specialists
    Helping you prepare for birth, reduce tearing risk, recover safely, and return to exercise with confidence.
  • Direct Access + Ongoing Support
    Ask questions, get guidance, and feel supported throughout your journey. Ability to text your physical therapist between sessions
  • Luxury, Private Experience
    Calm, welcoming environment where you feel comfortable discussing sensitive concerns.
Book Your Pelvic Floor Evaluation

Pelvic Floor Physical Therapy Q&A with Dr. Molly

Pelvic Floor FAQs

We have answered our most common questions about

 pelvic floor physical therapy and postpartum care below!

  • Do you have to have an internal pelvic floor exam performed?

    No, an internal pelvic floor exam does not have to be performed. It is recommended that the internal portion of the exam is performed, as it will allow the clinician to gather the most accurate information, however, if a client is not comfortable with that portion of the exam, it does not have to be performed. 

  • What are kegels? Do they need to be performed to strengthen the pelvic floor muscles?

    Kegels are the contraction of the pelvic floor muscles and they can help to strengthen the pelvic floor. While this is a useful tool, there are other ways to strengthen the pelvic floor, and  kegels may not be the best exercise for every patient depending on what pelvic floor dysfunction is present. 



  • Is any form of urinary leakage normal? Can you have leakage without having a baby?

    Any form of urinary leakage is an indication of pelvic floor dysfunction. Further examination and evaluation by a certified pelvic floor physical therapist can help determine the cause of this issue. 


    Yes! Urinary leakage or incontinence can occur in individuals who have not been pregnant or who have gone through labor and birth of a baby. There can be many reasons as to why you are experiencing incontinence, but it can occur in a variety of populations. 

  • Can physical therapy help with prolapse?

    Yes! Pelvic floor physical therapy can help with prolapse by working to strengthen the surrounding muscles, reduce feelings of heaviness, and  provide behavior changes to reduce other symptoms (leakage, pelvic pain, etc). 

  • What is diastasis recti abdominis (DRA)? Can physical therapy help with this?

    Diastasis recti abdominis is the separation of the linea alba, which is the connective tissue between the rectus abdominis (the 6 pack muscle). During pregnancy, the abdominal wall widens and stretches to allow for the growth of the fetus. This is normal and happens in every pregnancy. The degree of widening varies per pregnancy however, physical therapy can help with strengthening the surrounding muscles and may help with reducing the widening of the space between the two muscles

  • Is pelvic floor physical therapy recommended for pregnancy and postpartum?

    Yes! Pelvic floor physical therapy can help with adjusting to the physical changes endured during pregnancy and postpartum periods, prepare the body for labor and birth, discuss pain management strategies throughout this journey, breathing techniques for labor and birth, birthing positions, and more. 


    Click Here To Learn More About Birth Prepartion



Pelvic Floor Physical therapy Holly SPrings, NC