How We Help
One-on-one care, built around your body.
Every visit is a full hour. Every plan is doctor-led. Nothing is rushed, and nothing is one-size-fits-all. From pelvic floor PT to prenatal, postpartum, orthopedic, and yoga-informed care — here's how we help you feel at home in your body again.
we care for you
What is pelvic floor physical therapy?
Pelvic floor therapy is specialized, conservative care for all the muscles, fascia, and nerves supporting your pelvic and abdominal organs. A session is a full hour, one-on-one with a Doctor of Physical Therapy, and may include manual therapy, biofeedback, breathwork, targeted exercise, and education — so you understand your body and leave with a clear plan.
Our Services
Specialized care for every stage of life
Whatever brought you here, you'll be treated as a whole person — never a single symptom. Explore the ways Dr. Macchi can help.
- A full hour, one-on-one, every visit
- Internal exams always optional & consent-based
- External and movement-based options available
- You set the pace — every step is explained
Core Service
Pelvic Floor Physical Therapy
The heart of our practice. Specialized, judgment-free treatment for the muscles, nerves, and fascia that support your pelvic and abdominal organs — using manual therapy, biofeedback, breathwork, and targeted exercise tailored to your body and goals. For every body, every life stage.
What it helps with:
- Urinary leaks & incontinence (stress and urge)
- Pelvic pain, pain with intimacy, and tension
- Prolapse, pressure, and a feeling of heaviness
- Postpartum recovery and core rehabilitation
- Constipation and GI-related symptoms
- Pre-op and post-op pelvic health care for any pelvic or abdominal surgeries
Prenatal Physical Therapy
Pregnancy changes how your body moves, carries weight, and feels day to day. As a perinatal-trained Doctor of Physical Therapy, Dr. Macchi helps you stay comfortable and strong through every trimester — easing aches and pains and thoughtfully preparing your body for birth and the recovery that follows.
What it helps with:
- Low back, hip, and pelvic girdle pain in pregnancy
- Staying active and mobile as your body changes
- Breath, core, and pelvic floor prep for birth
- Confidence going into labor and recovery
Postpartum Recovery
Birth is a major event for your body, and recovery deserves a real plan. We help you rehabilitate your whole body and help reconnect your breath, core, and pelvic floor so you can move, lift, and live without pain or pressure. Whether you delivered weeks or years ago, it's never too late to recover well.
What it helps with:
- Diastasis recti and abdominal separation
- Postural stability and a strong, supported foundation
- A safe, confident return to exercise and running
- Cesarean recovery and scar-related concerns
Orthopedic Physical Therapy
Aches and injuries rarely live in just one place. We treat back, hip, knee, and core pain with a whole-body lens — because the pelvic floor never works alone, and the body is deeply connected. As one patient put it, "It's crazy how the body is connected — the work she does really helped my overall health."
What it helps with:
- Low back and SI joint pain
- Hip, knee, and lower-body aches
- Core weakness and instability
- Returning to the movement and sports you love
Yoga & Yoga-Informed Therapy
Dr. Macchi is a certified yoga and perinatal yoga instructor — and that lens shapes everything she does. We offer private and small-group yoga across Hatha, Vinyasa, Power, Prenatal, and Postpartum styles, plus yoga-informed therapy that blends breath, mobility, and strength into your physical therapy plan.
What it helps with:
- Private & group yoga (Hatha, Vinyasa, Power)
- Prenatal & postpartum yoga, perinatal-trained
- Breathwork, mobility, and mind-body connection
- Complementing and extending your PT progress
Virtual Pelvic Health Wellness Consultations
Can't make it into the Santa Monica studio? We offer doctor-led virtual pelvic health and wellness consultations from the comfort of your home — including for clients outside California. It's a thoughtful way to get expert guidance, education, and a personalized movement plan wherever you are.
What it helps with:
- Education and guidance on pelvic health concerns
- Personalized movement and breathwork plans
- Support for clients inside & outside California
- Convenient, private, one-on-one care from home
Diagnoses We Treat
Find your diagnosis or symptom
Pelvic health covers far more ground than most people expect. Here's what Dr. Macchi treats — for every body, at every stage of life.
Pelvic Pain
Care typically collaborated with yourGynecologists · Primary care physicians · Pelvic health surgeons · Pain management physicians · Functional medicine doctors · NPs and PAs working in these clinics
- General pelvic pain — burning, itching, aching, throbbing, or sharp pain within the pelvic area
- Pudendal neuralgia
- Levator ani syndrome
- Dyspareunia (pain with sex)
- Dysorgasmia (pain with orgasm)
- Coccydynia (tailbone pain)
- Rectal pain
- Sacral pain
Prenatal
Care typically collaborated with yourObstetricians · Gynecologists · Surgeons · Pain management doctors · Doulas · Fitness instructors
- Pregnancy-related back pain
- Pregnancy-related neck pain
- Sciatica
- Pregnancy-related constipation
- Incontinence (urge, stress, or mixed)
- Round ligament pain and discomfort
- SIJ pain and dysfunction
- Pushing techniques for vaginal birth and labor preparation
- Symphysis pubis dysfunction
Postpartum
Care typically collaborated with yourObstetricians · Gynecologists · Orthopedic surgeons · Pain management MDs · Doulas · Primary care MDs · Functional medicine MDs · NPs and PAs
- Episiotomy scar pain and restrictions
- Cesarean scar pain and restrictions
- Pelvic organ prolapse (cystocele, rectocele, uterine prolapse, enterocele)
- Clogged milk ducts, mastitis, breast pain or discomfort
- Rib pain and rib flare management
- Postural dysfunction
- Low back pain
- Hip pain
- Diastasis recti (abdominal separation)
Bladder-Related
Care typically collaborated with yourUrologists · Urogynecologists · Gynecologists · Functional medicine MDs
- Urinary urgency
- Urinary frequency
- Interstitial cystitis / painful bladder syndrome
- Stress urinary incontinence
- Urge urinary incontinence
- Mixed urinary incontinence
- Urinary retention
- Incomplete emptying of urine
- Nocturia (urinary frequency at night)
- Cystocele
Bowel-Related
Care typically collaborated with yourGI MDs · Primary care physicians · Functional medicine MDs · Colorectal surgeons · Naturopaths
- Constipation, straining, or incomplete emptying
- Hemorrhoids and anismus
- Fecal incontinence
- Flatulence (involuntary passing of gas)
- Irritable bowel syndrome
- Bloating and abdominal distention
- Rectocele
Sexual Health & Vulva Specific
Care typically collaborated with yourGynecologists · Pain management MDs · Fertility MDs · NPs and PAs working in these clinics
- Dyspareunia (pain with intercourse)
- Endometriosis management
- PMOS (formerly PCOS, polycystic ovarian syndrome) management
- Vaginismus
- Vestibulodynia
- Vulvodynia
- Menopause and perimenopause related pelvic symptoms
- Dysmenorrhea (painful menstruation)
- Vaginoplasty rehabilitation
- Persistent genital arousal disorder (PGAD)
- Rehabilitation with pelvic-related surgeries, including hysterectomy, prolapse repair, and excision or ablation surgery for endometriosis
Sexual Health & Penile Specific
Care typically collaborated with yourUrologists · Andrologists · Primary care physicians
- Dyspareunia (pain with intercourse)
- Erectile dysfunction
- Post-prostatectomy rehabilitation
- Prostatodynia
- Non-bacterial prostatitis / chronic pelvic pain syndrome (CPPS)
- Phalloplasty rehabilitation
Pelvic Girdle-Related
Care typically collaborated with yourPrimary care physicians · Gynecologists · Obstetricians · Orthopedic physicians and surgeons · Spinal surgeons · Pain management specialists
- Low back pain
- Mid-back pain
- Neck pain
- Groin and inner thigh pain
- Hip pain
- Abdominal pain and discomfort
- Rehabilitation for abdominal surgeries (e.g. hernia repairs)
- Bloating and abdominal distention
- Sciatica
- Postural dysfunction
- SIJ (sacroiliac joint) pain or dysfunction
This is a non-exhaustive list. Call or schedule a consult to discuss your symptoms or diagnosis if your condition isn't listed.
Our Philosophy
The pelvic floor never works alone
Your pelvic floor is part of a system — connected to your breath, your core, your hips, and how you move through the world. That's why we don't treat symptoms in isolation. Whether you arrive for incontinence, postpartum recovery, or a stubborn back, we look at the whole picture and build a plan that helps the whole you. One body. One connected, doctor-led plan.
How It Works
A clear path, from first visit to graduation
No guesswork, no rushed appointments. Here's how care unfolds, every step explained and nothing without your consent.
Listen & Assess
We start with your story and goals, then a thorough, comprehensive evaluation to understand what your body needs.
A Personalized Plan
You'll leave your first visit with a clear plan — hands-on treatment, movement, breathwork, and a simple home routine.
Restore & Graduate
We work together until you're back to the life you love. Many patients "graduate" from care in a matter of weeks.
Insurance & Investment
Out-of-network, on purpose
Being an out-of-network practice means a full hour of focused, doctor-led care every visit — never rushed, never double-booked. We make reimbursement simple, and we'll tell you exactly what to ask your insurer.
- ✓ We provide a detailed Superbill to submit to your insurer
- ✓ Many patients are reimbursed 50–80% once their out-of-network deductible is met
- ✓ HSA & FSA accepted
- ✓ No referral needed to start in California
Your Next Step
Let's find the right care for you.
Book a consult with Dr. Macchi and we'll map out the service — or services — that fit your body and your goals. You deserve to feel confident in your body again.