What We Treat
You don't have to live with this.
Bladder leaks, pelvic pain, postpartum changes, that "something's falling" feeling — they're common, they're treatable, and you don't have to explain why they matter. We start with your symptoms, in plain language, with zero judgment, and build a plan to get you back to your life.
Bladder Leaks & IncontinenceStress & Urge Urinary Incontinence
Urinary incontinence is any unintentional leaking of urine, and it's one of the most treatable conditions in pelvic health. Pelvic floor physical therapy retrains the muscles that control your bladder so you can sneeze, lift, laugh, and run without leaking — and quiet the sudden urges that send you rushing to the bathroom. Common does not mean normal, and it's not something you have to accept.
Signs you might benefit
- Leaking when you sneeze, cough, laugh, jump, lift, or run (stress incontinence)
- A sudden, strong urge you can't make it to the bathroom for (urge incontinence)
- Going to the bathroom far more often than feels normal, including overnight
- Planning your day around bathroom access, or wearing pads "just in case"
How we treat it
We start by understanding your bladder habits and what triggers your leaks, then build a plan that may include hands-on manual therapy, biofeedback, breathwork, targeted strengthening (well beyond basic Kegels), and bladder retraining — plus simple education so you understand exactly what's changing and why.
Talk to us about bladder leaks →
Postpartum Recovery & Diastasis RectiAbdominal Separation (DRA) & Core Recovery
Postpartum recovery and diastasis recti — a separation of the abdominal muscles after pregnancy — are treated with pelvic floor physical therapy that rebuilds your deep core from the inside out. Whether your birth was vaginal or by Cesarean, we help you heal any heaviness, weakness and/or pain sensations, and return to movement and exercise safely, at a pace that respects what your body just did.
Signs you might benefit
- A gap, doming, or "coning" down the middle of your abdomen (diastasis recti / DRA)
- Core weakness, a feeling of instability, or back pain since giving birth
- Heaviness, pressure, or pain "down there" weeks or months after delivery
- Healing your Cesarean scar, or feeling unsure how to safely return to exercise
How we treat it
Care is built for your body and your stage of recovery — manual therapy and scar work where needed, breathwork to reconnect your core and pelvic floor, and progressive, targeted exercise that rebuilds strength. You'll leave knowing how to lift your baby, move, and train with confidence again.
Start your postpartum recovery →
Pelvic Pain & Painful SexDyspareunia, Muscle Tension & Endometriosis / PMOS-Related Pain
Pelvic pain — including pain with intimacy (dyspareunia) — is often driven by overly tight, guarded pelvic floor muscles, and it responds well to pelvic floor physical therapy. We help release tension, calm an overactive nervous system, and restore comfort, while also helping you manage pelvic symptoms related to endometriosis, PMOS (formerly PCOS), and more. We believe you, and you deserve relief.
Signs you might benefit
- Pain, burning, or tightness with intimacy, insertion, or exams (dyspareunia, vaginismus-type tension)
- Pain or pressure when sitting for long periods of time
- Ongoing pelvic, lower-abdominal, or tailbone pain that no one has fully explained
- Flare-ups tied to endometriosis or PMOS/PCOS that affect daily life and movement
How we treat it
We move at your pace, always with consent. Treatment may include manual therapy to release tight muscles, breathwork and down-training to help the pelvic floor relax, nervous-system-friendly movement, and education that helps pain feel less mysterious and more manageable. The goal is comfort and confidence — in intimacy, in sitting, in everyday life.
Talk to us about pelvic pain →
Pelvic Organ Prolapse & HeavinessVaginal Pressure & "Something Falling"
Pelvic organ prolapse is when the bladder, uterus, or rectum shifts downward, creating a sensation of pressure, heaviness, or "something falling." Pelvic floor physical therapy is a leading conservative, evidence-based first-line approach — strengthening and coordinating the muscles that support your organs so you feel more lifted, stable, and in control of your body.
Signs you might benefit
- A feeling of heaviness, bulging, or pressure in the vagina or pelvis
- A sensation that "something is falling out," especially by the end of the day or after lifting
- Symptoms that worsen with standing, exercise, or straining and ease when you lie down
- Wanting a non-surgical, conservative path before considering other options
How we treat it
We assess how your pelvic floor and core work together, then build a progressive, evidence-based strengthening and support program — including breathwork and pressure management so everyday movements stop adding strain. Many people feel meaningfully more supported and confident with conservative care, and we'll coordinate with your entire care team to get you relief.
Ask about prolapse support →
Prenatal & Birth PreparationPregnancy Comfort & Perinatal Care
Prenatal pelvic floor physical therapy helps you move comfortably through pregnancy and prepare your body for birth and recovery. Guided by a perinatal-trained Doctor of Physical Therapy, we ease pelvic, back, postural, and hip pain, teach you how to breathe and use your core safely, and help you build strength and confidence for delivery — so you feel ready, not just hopeful.
Signs you might benefit
- Pelvic, lower-back, hip, or sciatic pain that's making pregnancy harder than it should be
- Wanting to stay active and move comfortably as your body changes
- Hoping to prepare your pelvic floor and core for labor, delivery, and recovery
- Looking for guidance from a perinatal-trained DPT you can trust through your journey
How we treat it
Care is gentle, individualized, and pregnancy-safe — manual therapy to ease aches, breathwork and pelvic floor coordination, posture and movement strategies for daily comfort, and birth-prep education so you understand how to relax, push, and recover. It's support for your whole self as you get ready to meet your baby.
Plan your prenatal care →
The Whole-Body View
Your pelvic floor never works alone.
As a Doctor of Physical Therapy and certified yoga instructor, Dr. Macchi treats the whole person — because your bladder, your back, your hip, and your breath are all connected. The symptom that brought you in is often a thread in a bigger story, and we follow it. That's why so many patients arrive for one concern and leave feeling better all over.
Good Questions
Is pelvic floor PT right for me?
If you leak when you sneeze, laugh, jump, or run; feel sudden urges you can't make it to the bathroom for; have pain with sitting or intimacy; notice pressure or heaviness like "something is falling"; or are recovering from pregnancy, birth, or surgery — pelvic floor PT can likely help. If your symptoms affect daily life, an evaluation will tell you exactly what's treatable. When in doubt, reach out and ask.
We're an out-of-network practice, which means a full hour of one-on-one, doctor-led care every visit. We accept all major credit cards, HSA, and FSA, and provide a detailed Superbill you can submit for reimbursement — many patients get back 50–80% once their out-of-network deductible is met. See Insurance & Rates for the full breakdown and a script for what to ask your insurer.
Yes. Pelvic floor dysfunction affects all genders, and we treat men, women, and nonbinary patients for incontinence, pelvic pain, and post-surgical recovery. Modern Core Health is a pelvic floor physical therapy clinic for every body.
No. In California you can see a physical therapist directly for your initial evaluation and for a period of treatment after that, so you can book your first consult right away.
Your Next Step
Whatever you're feeling, let's look at it together.
Book a consult with Dr. Macchi and find out what's treatable. No judgment, no rushing — just answers and a plan to get you back to feeling like yourself.