Women’s Pelvic Floor Health in Palo Alto

What Is Pelvic Floor Therapy?
Pelvic floor therapy focuses on evaluating and treating the muscles, ligaments, and connective tissues that support the bladder, uterus, and bowel. These muscles play a critical role in core stability, bladder and bowel control, sexual function, and overall quality of life. When the pelvic floor is weakened, overactive, or imbalanced, women may experience symptoms such as urinary leakage, pelvic pain, painful intercourse, or a feeling of heaviness or pressure.
Our pelvic floor therapy program is led by Julie Bottarini, PT, DPT, a highly experienced and compassionate specialist with nearly two decades of clinical experience in women’s pelvic health. Julie is known for her evidence-based, non-invasive approach and her ability to treat each woman as a whole person rather than just a condition. Julie works closely with each patient to develop a personalized care plan tailored to her stage of life, goals, and comfort level. You can expect every step of treatment to be explained clearly and performed with your consent, in a supportive and respectful environment.
Her initial pelvic floor therapy evaluation includes a detailed discussion of your medical history, an assessment of posture, spine, hips, and core alignment, and (if appropriate) a gentle pelvic floor muscle and tissue exam. Beyond treatment sessions, Julie equips patients with resources and at-home strategies to continue improving strength, comfort, and function between visits.
We’re known for the best pelvic floor therapy for women in Palo Alto because we provide a collaborative process designed to restore strength, enhance daily function, and help you take proactive control of your health at every stage of midlife and beyond.
What’s Included with Pelvic Floor Therapy
Our pelvic floor therapy program is designed to address both the root cause of symptoms and long-term functional improvement.
Pelvic floor therapy may include:
- Comprehensive pelvic floor evaluation and functional assessment
- Personalized treatment plans tailored to your symptoms and goals
- Manual therapy and guided exercises to improve strength, coordination, and relaxation
- Treatment for urinary incontinence, urgency, and frequency
- Pelvic pain therapy, including pain with intercourse or chronic discomfort
- Postpartum recovery and core rehabilitation
- Support for pelvic organ prolapse and pressure-related symptoms
- Pre- and post-surgical rehabilitation
- Education on posture, movement, and lifestyle strategies that support pelvic health
Because care is provided within a concierge membership model, patients benefit from longer sessions, one-on-one guidance, and close collaboration between our pelvic floor therapist and medical team. This allows us to deliver the kind of comprehensive support many expect from the best pelvic floor therapist for women in Palo Alto.
Become a MemberBenefits of Pelvic Floor Therapy
When pelvic floor dysfunction is properly evaluated and treated, women often experience meaningful benefits in both symptoms and overall quality of life.
Pelvic floor therapy can help address:
Painful intercourse (dyspareunia) related to pelvic muscle tension
Urinary leakage or incontinence
Urgency, frequency, or difficulty in fully emptying the bladder
IBS or chronic constipation
Vaginal discomfort, dryness, or laxity
Pelvic pressure or heaviness, including prolapse symptoms
Postural imbalance and core weakness
Pelvic pain, including chronic back pain, tailbone, hip, or vulvar pain
Recovery following childbirth or gynecologic surgery
For women working with what many consider the best women’s health doctor in Palo Alto, pelvic floor therapy becomes an important part of a comprehensive, whole-body approach to care.
FAQs About Women’s Pelvic Floor Health

Common symptoms include urinary leakage, urgency, pelvic pain, discomfort during intercourse, or a feeling of pelvic pressure. Many women assume these symptoms are normal, especially after childbirth or during menopause, but they are often treatable with the right evaluation and care.
No. While pelvic floor therapy is highly beneficial after childbirth, it is also helpful for women at all stages of life, including those experiencing menopause-related changes, chronic pelvic pain, or bladder symptoms. Women seeking the best pelvic floor therapy for women in Palo Alto often pursue care for a wide range of concerns beyond postpartum recovery.
Your first visit typically includes a detailed discussion of your symptoms, medical history, and goals, followed by a physical assessment if appropriate. From there, we develop a personalized treatment plan that may include exercises, manual therapy, and education to support long-term improvement.
Where to Find the Best Pelvic Floor Therapy in Palo Alto, Menlo Park, and Atherton
Our pelvic floor therapy services are conveniently located between Menlo Park and Atherton, making it easy for women throughout Palo Alto and the Bay Area, including Redwood City, Mountain View, Sunnyvale, San Mateo, and Cupertino, to access specialized care.
We provide pelvic floor therapy as part of a fully integrated, concierge-based women’s health practice, combining gynecology, primary care, hormone health, and preventive medicine under one roof. This coordinated approach allows us to address pelvic health in the context of your overall well-being, rather than in isolation.
For women searching for the best women’s health clinic in Palo Alto or a more personalized approach to pelvic health, we offer care that is thoughtful, comprehensive, and tailored to each stage of life.
Ready to restore comfort, confidence, and function with expert pelvic floor therapy?